NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Atorvastatin and Grapefruit Juice: what the published research says

PubMed indexes 8 records that name Atorvastatin and Grapefruit Juice together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Atorvastatin and Grapefruit Juice. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Atorvastatin and Grapefruit Juice.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Effects of grapefruit juice on pharmacokinetics of atorvastatin and pravastatin in Japanese.

British journal of clinical pharmacology · 2004 · PMID 15025743

Clinical TrialRandomized Controlled Trial10 participants

“GFJ was confirmed to significantly affect the pharmacokinetics of atorvastatin but had little or no effect on those of pravastatin in Japanese subjects.”

Fukazawa et al. · Authors' conclusion

Names both Atorvastatin and Grapefruit Juice in its title.

Grapefruit juice increases serum concentrations of atorvastatin and has no effect on pravastatin.

Clinical pharmacology and therapeutics · 1999 · PMID 10460065

Clinical TrialRandomized Controlled Trial

“Grapefruit juice significantly increased serum concentrations of atorvastatin acid, atorvastatin lactone, and active and total HMG-CoA reductase inhibitors, probably by decreasing CYP3A4-mediated first-pass metabolism of atorvastatin in the small intestine. On the other hand, grapefruit juice had no effect on the pharmacokinetics of pravastatin.”

Lilja et al. · Authors' conclusion

Names both Atorvastatin and Grapefruit Juice in its title.

Serum concentrations and clinical effects of atorvastatin in patients taking grapefruit juice daily.

British journal of clinical pharmacology · 2011 · PMID 21501216

Human subjects

“In patients on extended stable atorvastatin treatment, addition of daily GFJ in typical quantities slightly elevates serum atorvastatin concentrations, but has no meaningful effect on the serum lipid profile, and causes no detectable adverse liver or muscle effects. Reduction of atorvastatin dosage when moderate amounts of GFJ are co-ingested does not appear to be necessary.”

Reddy et al. · Authors' conclusion

Names both Atorvastatin and Grapefruit Juice in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Atorvastatin, Grapefruit Juice, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.