Does Ginseng Tea Affect Birth Control Pills? Citrus Fruit Safety Explained - Obstetrics and Gynecology

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Will there be any impact?


Hello Doctor, I am taking the oral contraceptive pill (Yueh-Chi), but recently my family has been giving me a third of a cup of ginseng tea.
I would like to ask if this will have any effects.
Also, I know that I should avoid grapefruit while taking the pill; can I eat other citrus fruits, such as oranges? I've heard conflicting information about this, so I wanted to ask you.
Thank you for your help! 😊

Moon, 20~29 year old female. Ask Date: 2023/12/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2023/12/19

More Info


When it comes to the interaction between herbal teas, such as ginseng tea, and birth control pills, the consensus among medical professionals is generally that ginseng tea does not significantly affect the efficacy of birth control pills. Birth control pills, particularly those containing estrogen and progestin, work by preventing ovulation, thickening cervical mucus, and thinning the uterine lining. The primary concern with herbal supplements and teas is that they may influence liver enzymes that metabolize medications, potentially leading to altered drug levels in the body.

Ginseng, a popular herbal remedy, is known for its potential health benefits, including boosting energy and enhancing immune function. However, there is limited evidence to suggest that ginseng significantly impacts the metabolism of hormonal contraceptives. Most studies indicate that ginseng does not have a clinically relevant effect on the effectiveness of birth control pills. Therefore, consuming a small amount of ginseng tea, such as 1/3 cup, is unlikely to compromise the contraceptive effect of your birth control pill.

Regarding citrus fruits, particularly grapefruit, there is a well-documented interaction with certain medications, including some hormonal contraceptives. Grapefruit and grapefruit juice can inhibit the cytochrome P450 3A4 enzyme in the liver, which is responsible for metabolizing many drugs. This inhibition can lead to increased levels of the medication in the bloodstream, potentially enhancing side effects or risks associated with those medications. However, this interaction is primarily associated with grapefruit and not with other citrus fruits like oranges or tangerines.

Most citrus fruits, including oranges, do not have the same enzyme-inhibiting effects as grapefruit. Therefore, consuming oranges or other non-grapefruit citrus fruits while on birth control pills is generally considered safe and should not affect the efficacy of the pills. It is always wise to maintain a balanced diet, and including a variety of fruits can contribute to overall health without posing a risk to your contraceptive method.

In summary, drinking ginseng tea in moderation is unlikely to affect the effectiveness of your birth control pills. Similarly, consuming citrus fruits like oranges should not pose any risk to the efficacy of hormonal contraceptives. However, if you have any specific concerns or if you are taking other medications, it is always best to consult with your healthcare provider for personalized advice. They can provide guidance based on your individual health needs and any other medications you may be taking. Always prioritize open communication with your healthcare provider regarding any supplements or dietary changes you are considering while on medication.

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