Interaction databaseSupplement × PrescriptionReviewed May 2026

Fluvoxamine and Green Tea Extract, a caution.

Fluvoxamine is a potent CYP1A2 inhibitor, and the caffeine in green tea extracts is metabolized almost entirely by CYP1A2. In healthy volunteers, fluvoxamine reduced caffeine clearance about five-fold and extended caffeine half-life from roughly 5 hours to 31 hours. Even low caffeine intake from a green tea supplement can produce jitteriness, palpitations, insomnia, and anxiety the next day.

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
Fluvoxamine and Green Tea Extract
Pair type
Caution
Evidence (highest tier)
Strong
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 · Strong evidence

Caution

What is happening. Fluvoxamine is a potent CYP1A2 inhibitor, and the caffeine in green tea extracts is metabolized almost entirely by CYP1A2. In healthy volunteers, fluvoxamine reduced caffeine clearance about five-fold and extended caffeine half-life from roughly 5 hours to 31 hours. Even low caffeine intake from a green tea supplement can produce jitteriness, palpitations, insomnia, and anxiety the next day.

Mechanism. Fluvoxamine inhibits hepatic CYP1A2, the primary metabolic enzyme for caffeine. Inhibition reduces caffeine clearance by about 80% and prolongs its half-life roughly six-fold, leading to caffeine accumulation.

Recommendation. Avoid caffeine-containing green tea extracts while on fluvoxamine. Decaffeinated green tea extract is the safer option. If you do drink green tea, keep intake low and avoid afternoon use to prevent insomnia from prolonged caffeine half-life.

Sources (2)
  1. Jeppesen U, Loft S, Poulsen HE, Brøsen K. A fluvoxamine-caffeine interaction study. Pharmacogenetics. 1996;6(3):213-22. PMID 8807660
  2. Culm-Merdek KE, von Moltke LL, Harmatz JS, Greenblatt DJ. Fluvoxamine impairs single-dose caffeine clearance without altering caffeine pharmacodynamics. Br J Clin Pharmacol. 2005;60(5):486-93. PMID 16236038

Stack Score

How this pair moves the number.

Effect on the composite score

If both Fluvoxamine and Green Tea Extract 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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