Hi, I don't take Xanax but thought u may want to read this report about mixing Xanax with grapefruit juice:
Indeed, grapefruit juice reacts with Xanax (alprazolam). This is an example of a drug-beverage interaction that mainly occurs in the liver.
Before I go on to the details of this drug-beverage interaction, allow me to give a brief review of the liver metabolism of drugs. Every time we ingest a medication or other substances, 4 body processes are involved to convert this substance into an inactive and water-soluble product for elimination. These processes are absorption, distribution, metabolism, and elimination. Drug-drug or drug-food/herbs interactions can occur in any of theses processes but majority of them involve the liver metabolism.
Every time a drug is added to a regularly taken drug, drug-drug interactions are bound to occur. Fortunately, most of these interactions are subtle or clinically insignificant, but some can be serious and even deadly.
In the liver, there are several liver enzymes (mainly called cytochrome enzymes) involved in the metabolism (break down) of drugs and other substances. There are 5 major liver enzymes or cytochrome enzymes that are primarily involved in the metabolism of most drugs including the psychotropics. Drugs that depend on a specific liver enzyme for metabolism are
called "substrates" of that enzyme. As there are "substrates" of a specific liver enzyme, there are also drugs that inhibit or antagonize the action of a specific liver enzyme, and drugs that stimulate or activate the action of a specific liver enzyme. Drugs that inhibit the action of a specific liver enzyme are called "inhibitors" of that enzyme; those that activate or stimulate
the action of a specific liver enzyme are called "inducers" of that enzyme.
Enzyme inhibition leads to decreased metabolism of drugs that depend on this enzyme, leading to increased blood level and side effects. On the other hand, enzyme induction or activation leads to increased metabolism of drugs that depend on this enzyme, leading to decreased in blood level and loss of effectiveness.
Xanax is a substrate of the liver enzyme called cytochrome P450 3A4 or CYP3A4 for short. This means that Xanax mainly depends on this liver enzyme for its metabolism. G