Table 3

Commonly prescribed grapefruit—affected drugs and possible adverse events*

AmiodaroneTorsades de pointes
ApixabanGastrointestinal bleeding
AtorvastatinMyopathy, rhabdomyolysis
Budesonide (oral)Hyperglycaemia, Cushingoid features
Buprenorphine (buccal)Torsades de pointes, respiratory depression
BuspironeSedation, psychomotor impairment
ClopidogrelLack of efficacy
CyclophosphamideLack of efficacy
CyclosporineNephrotoxicity, excessive immunosuppression
DextromethorphanDizziness, somnolence, anxiety, hallucinations
DomperidoneTorsades de pointes
DronedaroneTorsades de pointes
FelodipineHeadache, peripheral oedema, hypotension
Fentanyl (sublingual)Sedation, respiratory depression
Ketamine (oral)Hallucinations, loss of coordination and motor skills
LoperamideDrowsiness, respiratory depression
LovastatinMyopathy, rhabdomyolysis
LurasidoneTorsades de pointes
MethadoneSedation, respiratory depression
Methylprednisolone (oral)Hyperglycaemia, Cushingoid features
NifedipineHeadache, peripheral oedema, hypotension
OxycodoneSedation, respiratory depression
QuetiapineDizziness, somnolence, hypotension
RivaroxabanGastrointestinal bleeding
SilodosinDizziness, weakness, syncope
SimvastatinMyopathy, rhabdomyolysis
SolifenacinTorsades de pointes
TacrolimusTorsades de pointes, nephrotoxicity, neurotoxicity
TamsulosinOrthostatic hypotension
TicagrelorGastrointestinal bleeding
TriazolamExcessive drowsiness, sedation
VerapamilArrhythmias (heart block, bradycardia), hypotension
ZiprasidoneTorsades de pointes, orthostatic hypotension
  • *Adapted from Bailey.19