this post was submitted on 01 Jul 2023
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When I took Vyvanse I couldn't eat grapefruit. It made me throw up and then I developed an aversion to it, and even now almost a decade since I stopped taking it I still really dislike grapefruit. I'm not sure if it's because of the citric acid content or what else, but oranges didn't ever bother me in that way.
Grapefruit has a unique effect on a dietary enzyme:
Many drugs are broken down (metabolized) with the help of a vital enzyme called CYP3A4 in the small intestine. Grapefruit juice can block the action of intestinal CYP3A4, so instead of being metabolized, more of the drug enters the blood and stays in the body longer. The result: too much drug in your body.
https://www.fda.gov/consumers/consumer-updates/grapefruit-juice-and-some-drugs-dont-mix