Interaction databaseSupplement × PrescriptionReviewed May 2026

Fluconazole and Turmeric/Curcumin, a caution.

Curcumin inhibits CYP3A4 and P-glycoprotein in vitro and has altered the pharmacokinetics of CYP3A4 substrates such as amlodipine and budesonide in animal studies. Combining curcumin supplements with fluconazole adds another inhibitor to the same metabolic pathway, which can raise levels of co-prescribed drugs metabolized by CYP3A4.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Fluconazole and Turmeric/Curcumin
Pair type
Caution
Evidence (highest tier)
Emerging
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Emerging evidence

Caution

What is happening. Curcumin inhibits CYP3A4 and P-glycoprotein in vitro and has altered the pharmacokinetics of CYP3A4 substrates such as amlodipine and budesonide in animal studies. Combining curcumin supplements with fluconazole adds another inhibitor to the same metabolic pathway, which can raise levels of co-prescribed drugs metabolized by CYP3A4.

Mechanism. Curcumin is a moderate CYP3A4 and P-glycoprotein inhibitor. Combining with fluconazole compounds CYP3A4 inhibition and may slow clearance of substrate drugs.

Recommendation. Pause concentrated curcumin or turmeric extract supplements during your fluconazole course. Culinary turmeric in food is fine. Resume supplementation a few days after finishing fluconazole.

Sources (2)
  1. Zhang W, et al. Effects of curcumin on the pharmacokinetics of amlodipine in rats and its potential mechanism. Pharm Biol. 2020;58(1):465-468. PMID 32432949
  2. Pal D, Mitra AK. MDR- and CYP3A4-mediated drug-herbal interactions. Life Sci. 2006;78(18):2131-45. PMID 16442130

Stack Score

How this pair moves the number.

Effect on the composite score

If both Fluconazole and Turmeric/Curcumin 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 documented at /methodology/stack-score.

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