Interactions Between Grapefruit Juice and Cardiovascular Drugs
@article{Bailey2004InteractionsBG, title={Interactions Between Grapefruit Juice and Cardiovascular Drugs}, author={David G Bailey and George K Dresser}, journal={American Journal of Cardiovascular Drugs}, year={2004}, volume={4}, pages={281-297} }
Grapefruit juice can alter oral drug pharmacokinetics by different mechanisms. Irreversible inactivation of intestinal cytochrome P450 (CYP) 3A4 is produced by commercial grapefruit juice given as a single normal amount (e. g. 200–300mL) or by whole fresh fruit segments. As a result, presystemic metabolism is reduced and oral drug bioavailability increased. Enhanced oral drug bioavailability can occur 24 hours after juice consumption. Inhibition of P-glycoprotein (P-gp) is a possible mechanism…
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An overview of interactions between grapefruit juice and drugs
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The cause of this food-drug interaction is examined, the list of affected medications is discerned and the pharmacist is equipped with this knowledge and their role in counselling patients on options to avoid the possibility of a grapefruit- drug interaction is specified.
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The aim of this review is to outline the mechanisms of grapefruit-drug interactions and present a comprehensive summary of those agents affected and whether they are likely to be of clinical relevance.
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- 2008
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Characteristics of oral medications that may interact with grapefruit include extensive metabo- lism through the intestinal cytochrome P450 3A4 system, low bioavailability, and a narrow therapeutic index.
References
SHOWING 1-10 OF 99 REFERENCES
Grapefruit juice-drug interactions.
- MedicineBritish journal of clinical pharmacology
- 1998
In vitro findings support the flavonoid, naringin, or the furanocoumarin, 6',7'-dihydroxybergamottin, as being active ingredients, but a recent investigation indicated that neither of these substances made a major contribution to grapefruit juice-drug interactions in humans.
Drug Interactions with Grapefruit Juice
- MedicineClinical pharmacokinetics
- 1997
The consistent findings across studies of diverse cytochrome P450 (CYP3A) 3A substrates support the mechanistic hypothesis that 1 or more grapefruit juice components inhibit CYP3A enzymes in the gastrointestinal tract.
Drug Interactions with Grapefruit Juice
- MedicineDrug safety
- 1998
Concomitant intake with grapefruit juice increases the concentrations of many drugs in humans and in many cases has the clear potential to reach clinical relevance, as shown by an occasional change in drug effects or tolerability.
Grapefruit juice increases oral nimodipine bioavailability.
- MedicineInternational journal of clinical pharmacology and therapeutics
- 1998
There was evidence for a more pronounced hemodynamic response in the grapefruit juice period and the null hypothesis "relevant interaction" thus could not be rejected for the primary pharmacokinetic parameters AUC and Cmax.
Effects of grapefruit juice ingestion – pharmacokinetics and haemodynamics of intravenously and orally administered felodipine in healthy men
- MedicineEuropean Journal of Clinical Pharmacology
- 1997
The main acute effect of the grapefruit juice on the plasma concentrations of felodipine is mediated by inhibition of gut wall metabolism, which leads to an increase in the mean AUC and Cmax and the mean absolute bioavailability.
Grapefruit juice enhances intestinal absorption of the P-glycoprotein substrate talinolol.
- Biology, MedicineEuropean journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences
- 2001
Lack of effect of grapefruit juice on the pharmacokinetics and pharmacodynamics of amlodipine.
- Medicine, ChemistryBritish journal of clinical pharmacology
- 2000
Grapefruit juice has no appreciable effect on amlodipine pharmacodynamics or pharmacokinetics, including its stereoselective kinetics, and is unlikely to alter the profile of response in clinical practice.
Grapefruit juice increases felodipine oral availability in humans by decreasing intestinal CYP3A protein expression.
- MedicineThe Journal of clinical investigation
- 1997
A mechanism for the effect of grapefruit juice on oral felodipine kinetics is its selective downregulation of CYP3A4 in the small intestine.
Lack of effect of grapefruit juice on diltiazem bioavailability in normal subjects.
- BiologyDie Pharmazie
- 1994
TheBioavailability of the benzothiazepine calcium channel antagonist diltiazem remained unchanged, suggesting that factors other than biotransformation may contribute to the clear effect of grapefruit juice on the bioavailability of those substances.
Coadministration of grapefruit juice increases systemic exposure of diltiazem in healthy volunteers
- MedicineEuropean Journal of Clinical Pharmacology
- 2002
It is demonstrated that a single intake of grapefruit juice caused a slight but statistically significant increase in the systemic exposure of diltiazem, which may be responsible for inhibition of intestinal metabolism and/or P-glycoprotein efflux transport.