“ May do somnolence . ” “ Do not imbibe alcoholic drinkable while taking this medication . ” Most warning on prescription bottles are pretty easy to understand . But “ Do not rust Citrus paradisi or imbibe grapefruit juice at any prison term while taking this medication ” ? What the heck is that about ?
enzyme , friends . It ’s about enzymes . Or rather , one enzyme in picky : CYP3A4 , which helps your body crack down , engross , and use many different drugs .
The Citrus paradisi ( Citrus x paradisi ) and its juice comprise chemical substance thatinterferewith CYP3A4 and keep it from doing its job properly . count on the medicinal drug , it can either cause your body to take in and keep on too much of the drug , conduct to a possible overdose , or not enough , return your medicament useless .

Michael J. Ermarth for the U.S. Food and Drug Administration
It ’s not just grapefruit , either .
“ There are many thing that can set up drug efficaciousness , ” pulmonic and critical care specialiser Dr. Rob Menzies tell mental_floss .

Seville oranges ( the sort often used in marmalade ) and tangelos are CYP3A4 blockers , too . Dairy productsand green , leafy vegetables likespinach and kalecan mess with other metabolic pathways .
And then there ’s all your other prescriptions .
“ The expectant issue is from polypharmacy ( taking multiple medicinal drug at the same clock time ) , ” Menzies enjoin , “ as many drugs will have effects on other drug . ”
Check your medicinal drug bottles and take those warning seriously ; they ’re not just there because someone in the pharmaceutics got gummed label - happy .
If you have enquiry about how your prescriptions will interact with a specific intellectual nourishment or other drug or supplements , peach to your Dr. or pharmacist .
Have you got a Big Question you ’d like us to answer ? If so , let us fuck by emailing us atbigquestions@mentalfloss.com .