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)
- 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
- 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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