Foods to avoid while taking imatinib
When taking imatinib, avoid consuming grapefruit and grapefruit-containing products, spicy and irritating foods, greasy high-fat foods, alcoholic beverages, and raw, cold, or unclean foods, as these may interfere with drug metabolism or worsen physical discomfort. If severe vomiting, diarrhea, or allergic reactions occur after consuming prohibited foods, seek medical attention promptly.
1. Grapefruit and grapefruit-containing products: Grapefruit contains furanocoumarins that inhibit the activity of liver enzymes responsible for drug metabolism, leading to increased blood concentrations of imatinib and potentially worsening adverse effects. These should be strictly avoided.
2. Spicy and irritating foods: Spicy ingredients such as chili peppers, Sichuan pepper, and raw garlic can irritate the gastrointestinal tract. Since imatinib itself may cause gastrointestinal discomfort, consuming these together may exacerbate symptoms like nausea and abdominal pain.

3. Greasy and high-fat foods: Fatty meats and fried foods increase the burden on the gastrointestinal system, impair drug absorption, and may trigger indigestion, thereby reducing the effectiveness of the medication.
4. Alcoholic beverages: Alcohol can damage liver function. As imatinib is primarily metabolized in the liver, drinking alcohol increases the liver's workload and may intensify gastrointestinal irritation caused by the drug.
5. Raw, cold, or unclean foods: Raw or cold foods such as sashimi and cold salads, or unclean food items, may carry harmful bacteria. Imatinib may affect immune function, increasing the risk of intestinal infections after consumption.
Diet should be light and easy to digest. Increase intake of fresh fruits and vegetables and high-quality protein sources. Maintain regular three meals a day with consistent timing and portion control; avoid overeating. All ingredients should be thoroughly cooked, using cooking methods such as steaming, boiling, or stewing to minimize gastrointestinal irritation and support optimal drug efficacy.