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

Fexofenadine

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

Generic Active Chemical: Fexofenadine
Brand Formulations:Allegra

Kitchen Food, Drink & Dietary Conflicts

Biochemical interactions with common foods, beverages & cooking ingredients
2 Flagged Foods
HIGH

Green Tea, Black Tea & Matcha (Tannins & OATP Inhibitors)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Polyphenolic Tannins & Catechins (EGCG)
Biological Target:Ionic Iron Transporters & OATP1A2 / OATP2B1
Clinical Mechanism:

Tannins form insoluble macromolecular iron-tannate precipitates, dropping non-heme iron absorption by up to 80%. Catechins additionally inhibit intestinal OATP uptake transporters, drastically reducing bioavailability of beta-blockers (atenolol) and allergy medications (fexofenadine).

Patient Actionable Rule:Do not take oral iron supplements with tea; drink tea between meals at least 2 hours apart. If taking fexofenadine or nadolol, avoid green tea within 4 hours.
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 Fexofenadine 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 Fexofenadine→
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.