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

Palovarotene

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

Generic Active Chemical: Palovarotene
Brand Formulations:Sohonos

Kitchen Food, Drink & Dietary Conflicts

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

Do not take this medication with grapefruit or pomelo or any juice containing these fruits. Unless your doctor tells you otherwise, continue your normal diet.

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.

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
1 Monitored
HIGH

St. John's Wort (Hypericum perforatum)

NIH National Center for Complementary and Integrative Health (NCCIH)
Biological Target: Hepatic Cytochrome P450 3A4 / 2C9 & P-glycoprotein (P-gp)

Hyperforin potently activates the Pregnane X Receptor (PXR), inducing hepatic CYP enzymes and intestinal P-gp pumps. This accelerates medication clearance and precipitates therapeutic failure.

Guidance & Spacing:Completely avoid herbal St. John's Wort while taking prescription medications.

Chronotherapy & Meal Administration Protocols

Optimal absorption, meal-timing rules & GI tolerability protocols
1 Protocols
MEALMealtime Administration

It is usually taken with food once daily.

Rationale: Food enhances bioavailability, prevents gastric mucosal irritation, or stabilizes peak-to-trough pharmacokinetic variations.

Frequently Researched Drug-Substance Combinations

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

Taking Palovarotene 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 Palovarotene→
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.