Guest guest Posted April 7, 2003 Report Share Posted April 7, 2003 I thought this was interesting... I am not advising anyone to try lowering their drug doses with grapefruit juice, but I thought this might be good information to pass around... Misty http://www..com Thought this might be of value...Khepri GRAPEFRUIT JUICE AND DRUGS The discovery that grapefruit juice could alter drug metabolism was the serendipitous result of using the juice as part of a placebo preparation in a drug test conducted in Canada (4). The drug felodipine (vasodilator, diuretic; used for hypertension) was being evaluated for interactions with alcohol. Alcohol did affect the way the drug functioned, resulting in more side effects, mainly postural lightheadedness due to hypotension. The plasma concentrations of the drug in the placebo group that had received grapefruit juice rather than alcohol, were surprisingly high. The same researchers then performed a follow-up study (5) using either grapefruit juice or orange juice; the grapefruit juice increased the bioavailability of nifedipine (similar to felodipine; both are calcium antagonists) by an average of 284% (that is, there was nearly 3 times the amount in the blood of those who consumed grapefruit juice as those who consumed water). Orange juice had no such effect, indicating that it was a particular component of grapefruit juice that was responsible for this marked effect. In the 10 years that followed, numerous drugs were found to respond the same way to grapefruit juice (100 medical journal articles around the world either described new findings of drug interaction or reviewed the growing number of cases). Adverse effects of combining grapefruit juice with drugs have been reported for calcium antagonists (used for lowering blood pressure), the benzodiazepines midazolam and triazolam (for depression), and terfenadine (antihistamine for allergies). The adverse effects are due to the greatly increased amount of drug in the bloodstream due to inhibited drug metabolism. The intentional combination of grapefruit juice and a lowered drug dose might yield a desired result of proper plasma levels of the drug with lower amounts ingested (hence, lower drug costs): this is an area of active research. Tax Center - File online, calculators, forms, and more Quote Link to comment Share on other sites More sharing options...
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