What is happening. Concentrated green tea catechins such as EGCG inhibit aldehyde oxidase in vitro, the same enzyme responsible for converting the prodrug famciclovir into active penciclovir. High-dose green tea extract therefore carries a theoretical potential to reduce the formation of the active antiviral, although this has not been demonstrated clinically.
Mechanism. Green tea catechins (notably epigallocatechin gallate) inhibit aldehyde oxidase, the enzyme that oxidizes 6-deoxypenciclovir to penciclovir during first-pass metabolism of famciclovir. Strong inhibition could reduce conversion to the active drug.
Recommendation. Standard famciclovir dosing does not need adjustment for ordinary green tea consumption. If taking high-dose green tea extract supplements, finish the prescribed antiviral course and watch for incomplete response. No timed separation is required.