Prescription Clinical MonographPrescription Therapeutic Agent
Verified Evidence Sources: openFDA & NLM MedlinePlus

Amiodarone

Comprehensive clinical interaction and dietary monograph for Amiodarone (Amiodarone).

Generic Active Chemical: Amiodarone
Brand Formulations:CordaronePacerone

Kitchen Food, Drink & Dietary Conflicts

Biochemical interactions with common foods, beverages & cooking ingredients
3 Flagged Foods
Official Patient Dietary Instruction (NLM MedlinePlus)

Do not drink grapefruit juice while you are taking this medication.

CRITICAL

Grapefruit / Pomelo (Citrus paradisi / Citrus maxima)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Furanocoumarins (Bergamottin, 6',7'-Dihydroxybergamottin)
Biological Target:Intestinal Cytochrome P450 3A4 (CYP3A4) & P-glycoprotein
Clinical Mechanism:

Destroys enterocyte CYP3A4 enzymes, collapsing first-pass drug metabolism and causing up to 12-fold spikes in bioavailability for oral CYP3A4 substrates (statins, calcium channel blockers, immunosuppressants, PDE5 inhibitors).

Patient Actionable Rule:Completely avoid grapefruit, pomelos, and Seville oranges for the entire duration of therapy. Normal intestinal CYP3A4 enzyme turnover takes up to 72 hours to regenerate after ingestion.
HIGH

Natural Black Licorice & Licorice Root Extracts

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Glycyrrhizin & Glycyrrhetinic Acid
Biological Target:11-beta-Hydroxysteroid Dehydrogenase Type 2 (11-beta-HSD2)
Clinical Mechanism:

Inhibits cortisol breakdown into cortisone in the kidney. Cortisol saturates mineralocorticoid receptors, causing massive renal sodium retention, severe potassium wasting, edema, and dangerous spikes in blood pressure that neutralize antihypertensives.

Patient Actionable Rule:Do not consume natural black licorice (or non-deglycyrrhizinated licorice supplements) if managing hypertension, heart failure, or taking potassium-wasting diuretics.
HIGH

Fresh Orange Juice & Apple Juice (OATP Influx Blockers)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Flavonoid Glycosides (Naringin, Hesperidin)
Biological Target:Organic Anion Transporting Polypeptides (OATP1A2 & OATP2B1)
Clinical Mechanism:

Unlike CYP3A4 inhibitors that increase drug levels, fruit juice bioflavonoids block the enterocyte OATP influx pumps, plummeting absorption of oral fexofenadine (Allegra), ciprofloxacin, and atenolol by 30-70%.

Patient Actionable Rule:Take fexofenadine (Allegra) and atenolol with plain water only. Avoid drinking fruit juices within 4 hours before or after dosage.

Prescription & OTC Drug Interactions (DDI)

Documented pharmacological conflicts & contraindicated co-prescriptions
0 Warning Classes
No major contraindicated drug classes listed in the basic monograph. Always provide your complete medication list to your prescribing physician.

Dietary Supplements, Herbs & Minerals (DNI)

Interactions with over-the-counter vitamins, minerals, and herbal preparations
0 Monitored
No acute supplement or herb contraindications identified. Notify your healthcare provider of any multi-vitamins or botanicals you take daily.

Chronotherapy & Meal Administration Protocols

Optimal absorption, meal-timing rules & GI tolerability protocols
0 Protocols

Frequently Researched Drug-Substance Combinations

Explore pairwise interaction dossiers and laboratory safety analyses
Multi-Substance Interactive Radar

Taking Amiodarone alongside daily coffee, supplements, or other medications?

Add all your daily medications, foods (Dairy, Spinach, Coffee, Grapefruit), and botanicals (Ashwagandha, Curcumin, Melatonin) into the SafeStack interactive engine to run full multi-way synergy collision analysis in real time.

Launch SafeStack Radar with Amiodarone→
Authoritative Clinical Evidence & Regulatory Sources

Data on this clinical monograph is compiled from the U.S. National Library of Medicine (MedlinePlus), openFDA Structured Product Labeling (SPL Section 7 Drug Interactions), the NIH Office of Dietary Supplements (ODS), and Krause and Mahan's Food & Nutrition Care Process.