Supplement × Prescription·a caution·Emerging evidence

Felodipine + Quercetin

Caution Emerging evidence

Quercetin inhibits CYP3A4 and P-glycoprotein in laboratory and some clinical studies. Because felodipine is a sensitive CYP3A4 substrate with low and variable oral bioavailability, high-dose quercetin supplements could raise felodipine concentrations and increase the risk of hypotension, flushing, headache, and peripheral edema.

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Substances
Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Quercetin inhibits CYP3A4 and P-glycoprotein in laboratory and some clinical studies. Because felodipine is a sensitive CYP3A4 substrate with low and variable oral bioavailability, high-dose quercetin supplements could raise felodipine concentrations and increase the risk of hypotension, flushing, headache, and peripheral edema.

Mechanism. Quercetin inhibits intestinal and hepatic CYP3A4 and P-glycoprotein, which can reduce first-pass metabolism and efflux of felodipine and increase its systemic exposure, similar in direction to the grapefruit-felodipine interaction.

Recommendation. Avoid high-dose quercetin supplements with felodipine unless cleared by the prescriber. If used, monitor for excessive blood-pressure lowering and dihydropyridine side effects, and keep the dose modest.

Stack Score

How it moves the number.

Effect on the composite score

If both Felodipine and Quercetin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Choi JS, Choi BC, Choi KE. Effect of quercetin on the pharmacokinetics of oral drugs that are CYP3A4 substrates. Int J Pharm. 2004.Needs sourceNo link

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