Grapefruit drug interactions

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Grapefruit Drug Interactions

Grapefruit drug interactions (/ˈɡreɪpˌfruːt drʌɡ ɪntərˈækʃənz/) refer to the potential adverse effects that can occur when grapefruit or its juice is consumed alongside certain medications. The phenomenon is due to the presence of certain chemicals in grapefruit that can interfere with the enzymes that break down (metabolize) drugs in your digestive system. This can lead to dangerously high levels of medication in the body, increasing the risk of side effects.

Etymology

The term "grapefruit drug interactions" is a combination of the words "grapefruit", a citrus fruit known for its sour to semi-sweet taste, and "drug interactions", which refers to the actions between two or more drugs or between a drug and a food, beverage, or supplement.

Mechanism of Interaction

The primary cause of grapefruit drug interactions is a group of chemicals known as furanocoumarins. These chemicals inhibit an enzyme in the body known as cytochrome P450 3A4 (CYP3A4), which is responsible for metabolizing many drugs. When CYP3A4 is inhibited, it can lead to an increased concentration of the drug in the bloodstream, which can enhance the effects of the medication and potentially lead to toxicity.

Common Drugs Affected

Some of the common drugs that can interact with grapefruit include statins (for cholesterol), calcium channel blockers (for high blood pressure), and certain immunosuppressants. It's important to note that not all medications within these categories will interact with grapefruit, and the severity of the interaction can vary between different drugs.

Prevention and Management

The best way to prevent grapefruit drug interactions is to avoid consuming grapefruit or grapefruit juice while taking medications known to interact with it. If grapefruit consumption cannot be avoided, it's important to discuss this with a healthcare provider to manage the potential risks.

See Also

References


External links

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