Medications and Foods That Change Urine Colour (Searchable Lookup)
Updated April 2026 - 25+ entries with onset times and clinical notes
Why this matters: One of the most common reasons for unexpected urine colour is a medication or food taken in the last 24-48 hours. This lookup lets you enter the substance and see what colour to expect, how quickly it appears, and when it clears. Most medication-related colour changes are harmless and expected.
25 results
| Name | Type | Colour | Onset | Concern? |
|---|---|---|---|---|
| Rifampin / rifampicin | medication | Orange-red | 1-4 hours | Usually no |
| Phenazopyridine (Pyridium, AZO) | medication | Bright orange | 1-2 hours | Usually no |
| Metronidazole (Flagyl) | medication | Dark brown | During course | Usually no |
| Nitrofurantoin | medication | Brown-yellow | During course | Usually no |
| Amitriptyline | medication | Blue-green | Days to weeks | Usually no |
| Methylene blue | medication | Blue-green | 1-4 hours | Usually no |
| Propofol | medication | Green | During/after infusion | Usually no |
| Indomethacin | medication | Blue-green | During use | Usually no |
| Riboflavin (B2) | medication | Bright yellow | 2-4 hours | Usually no |
| Levodopa (L-DOPA) | medication | Dark brown | During use | Usually no |
| Chloroquine / hydroxychloroquine | medication | Brown | During use | Usually no |
| Methyldopa | medication | Dark brown | During use | Usually no |
| Senna laxative | medication | Amber-brown | 6-12 hours | Usually no |
| Cascara | medication | Brown | 6-12 hours | Usually no |
| Sulfasalazine | medication | Orange | During use | Usually no |
| Vitamin C (ascorbic acid) megadose | medication | Orange tint | 2-6 hours | Usually no |
| Isoniazid (INH) | medication | Orange-brown | During course | Usually no |
| Beetroot | food | Pink-red | 2-8 hours | Usually no |
| Blackberries / bilberries | food | Pink-red | 2-6 hours | Usually no |
| Rhubarb | food | Brown | 2-6 hours | Usually no |
| Fava beans (broad beans) | food | Dark brown | 2-8 hours | Possible |
| Carrots / beta-carotene | food | Orange tint | Hours to days | Usually no |
| Asparagus | food | Greenish tint (+ odour) | 15-30 minutes | Usually no |
| Blue food dye (FD&C Blue No. 1) | food | Blue-green | 1-4 hours | Usually no |
| B12 (high dose) | medication | Red-pink (rare) | Hours | Usually no |
Common Questions
Why does rifampin turn urine orange?
Rifampin (rifampicin) is a reddish-orange pigment itself - it is derived from a bacterial compound called rifamycin, which naturally has a bright orange-red colour. When your body processes rifampin, it excretes the compound and its metabolites through urine, bile, and sweat. This produces orange-to-red urine within one to four hours of taking the medication. The effect persists throughout treatment and clears after the course ends. Rifampin also colours tears, sweat, and saliva orange - patients who wear soft contact lenses should switch to glasses during treatment as rifampin can permanently stain lenses.
Why do B vitamins turn urine bright yellow?
Riboflavin (vitamin B2) is a naturally fluorescent compound. Your body cannot store excess riboflavin - it is water soluble - so any intake above your immediate cellular needs is rapidly excreted through the kidneys. Even relatively small supplemental doses (5-10mg, which is the typical B-complex content) produce visibly brighter, more saturated yellow urine. The effect appears within two to four hours of taking the supplement and clears within four to eight hours. Taking vitamins with food and drinking plenty of water slightly dilutes the colour, but does not eliminate it.
Is any food-related colour change dangerous?
One specific scenario is dangerous: fava beans (broad beans) in people with G6PD deficiency. Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a genetic condition affecting red blood cells, more common in people of African, Mediterranean, and Middle Eastern descent. In these individuals, fava beans trigger haemolysis (breakdown of red blood cells), which can produce dark brown or even black urine from haemoglobin. If you have G6PD deficiency and develop dark urine after eating fava beans, this is a medical emergency - seek care promptly.
In people without G6PD deficiency, fava beans may produce mildly dark urine without haemolysis, which is harmless.
When to Be Concerned About Medication-Related Colour
Most medication-related urine colour changes are documented, expected, and harmless. However, pay attention to these situations:
- !The colour change is not listed as a known side effect of your medication - it may be a sign of drug-induced liver or kidney injury
- !You see the expected colour change plus other symptoms (yellow eyes, fatigue, nausea, swelling)
- !The colour is dramatically more intense than you expected, or does not clear after stopping the medication
- !You have G6PD deficiency and develop dark urine after fava beans, certain antimalarials, or infections
When in doubt, consult your pharmacist - they have access to comprehensive drug side effect profiles and can quickly confirm whether a colour change is expected or warrants GP review.
Sources: Mayo Clinic; DailyMed (NIH) drug information database; MedlinePlus drug information.