Food and medicine interaction

Green tea extract supplements and atorvastatin (Lipitor), a cholesterol-lowering statin

EstablishedEvidence level: established. Shown in drug labeling or in controlled studies in people.

Last reviewed

What can happen

Green tea extract can lower atorvastatin levels. In a randomized, double-blind crossover study in 12 healthy volunteers, 300 mg or 600 mg of extract cut atorvastatin exposure by about 22 to 24 percent; whether this changes cholesterol results was not tested.

Why it happens
Green tea catechins can block OATP drug transporters and drug-metabolizing enzymes involved in how atorvastatin is absorbed and handled.
At ordinary food amounts
The study used extract capsules taken with the statin. NCCIH notes the effect for green tea extract; it is unclear whether ordinary cups of brewed tea matter.

What to do

Tell your prescriber or pharmacist if you take green tea extract with atorvastatin, especially if your cholesterol results change. Do not stop or adjust your statin on your own.

Never stop or change a prescribed medicine without talking to the prescriber.

Common questions

Can I have green tea extract supplements while taking statins?

Tell your prescriber or pharmacist if you take green tea extract with atorvastatin, especially if your cholesterol results change. Do not stop or adjust your statin on your own. The study used extract capsules taken with the statin. NCCIH notes the effect for green tea extract; it is unclear whether ordinary cups of brewed tea matter.

Sources

  1. National Center for Complementary and Integrative Health. Green Tea.
  2. Abdelkawy KS, et al. Effects of Green Tea Extract on Atorvastatin Pharmacokinetics in Healthy Volunteers. Eur J Drug Metab Pharmacokinet. 2020. PMID 31997084.

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