Interaction databaseSupplement × PrescriptionReviewed May 2026

Fexofenadine and Green Tea Extract, timing-sensitive.

Green tea extract can sharply reduce fexofenadine absorption when taken together. In a randomized crossover study, an EGCG-rich green tea extract reduced fexofenadine AUC and peak concentration by about 70%. This may make fexofenadine less effective for allergic rhinitis or hives.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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At a glance

Substances
Fexofenadine and Green Tea Extract
Pair type
Timing Sensitive
Evidence (highest tier)
Moderate
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored timing-sensitive row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Timing Sensitive · Moderate evidence

Timing Sensitive

What is happening. Green tea extract can sharply reduce fexofenadine absorption when taken together. In a randomized crossover study, an EGCG-rich green tea extract reduced fexofenadine AUC and peak concentration by about 70%. This may make fexofenadine less effective for allergic rhinitis or hives.

Mechanism. Fexofenadine requires intestinal uptake transport, including OATP1A2. EGCG and related green tea catechins inhibit OATP-mediated uptake in the gut, lowering fexofenadine absorption while leaving elimination half-life largely unchanged.

Recommendation. Take fexofenadine with water, not green tea extract or concentrated catechin products. Separate green tea extract from fexofenadine by at least 4 hours, and be consistent if you use both. If allergy control worsens after starting green tea extract, stop the extract or switch timing and reassess symptoms.

Minimum separation. 240

Sources (2)
  1. Misaka S, Ono Y, Taudte RV, et al. Exposure of fexofenadine, but not pseudoephedrine, is markedly decreased by green tea extract in healthy volunteers. Clin Pharmacol Ther. 2022;112(3):627-634. PMID 35678032
  2. Roth M, Timmermann BN, Hagenbuch B. Interactions of green tea catechins with organic anion-transporting polypeptides. Drug Metab Dispos. 2011;39(5):920-926. PMID 21278283

Stack Score

How this pair moves the number.

Effect on the composite score

If both Fexofenadine and Green Tea Extract are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).

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

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