[guide.chat] warning don't mix medicine with grapefruit

  • From: vanessa <qwerty1234567a@xxxxxxxxx>
  • To: "GUIDE CHAT" <guide.chat@xxxxxxxxxxxxx>
  • Date: Tue, 27 Nov 2012 02:19:55 -0000

The fruit can cause overdoses of some drugs by stopping the medicines being 
broken down in the intestines and the liver.

The researchers who first identified the link said the number of drugs that 
became dangerous with grapefruit was increasing rapidly.

They were writing in the Canadian Medical Association Journal.

The team at the Lawson Health Research Institute in Canada said the number of 
drugs which had serious side effects with grapefruit had gone from 17 in 2008 
to 43 in 2012.

They include some drugs for a range of conditions including blood pressure, 
cancer and cholesterol-lowering statins and those taken to suppress the immune 
system after an organ transplant.

One tablet with a glass of grapefruit juice can be like taking five or 10 
tablets with a glass of water?

Dr David Bailey
Researcher
Chemicals in grapefruit, furanocoumarins, wipe out an enzyme which breaks the 
drugs down. It means much more of the drug escapes the digestive system than 
the body can handle.

Toxic
Three times the levels of one blood pressure drug, felodipine, was reported 
after patients had a glass of grapefruit juice compared with a glass of water.

The side effects are varied depending on the drug, but include stomach bleeds, 
altered heart beat, kidney damage and sudden death.

Dr David Bailey, one of the researchers, told the BBC: "One tablet with a glass 
of grapefruit juice can be like taking five or 10 tablets with a glass of water 
and people say I don't believe it, but I can show you that scientifically it is 
sound.

"So you can unintentionally go from a therapeutic level to a toxic level just 
by consuming grapefruit juice."

The report said: "We contend that there remains a lack of knowledge about this 
interaction in the general health care community."

They added: "Unless health care professionals are aware of the possibility that 
the adverse event they are seeing might have an origin in the recent addition 
of grapefruit to the patient's diet, it is very unlikely that they will 
investigate it."

Other citrus fruits such as Seville oranges, often used in marmalade, and limes 
have the same effect.

Neal Patel, from the Royal Pharmaceutical Society said: "Grapefruit isn't the 
only food that can cause issues, for example milk can stop the absorption of 
some antibiotics if taken at the same time.

"Although some of these interactions may not be clinically significant, some 
may lead to more serious outcomes.

"Pharmacists are the best port of call for anyone concerned about how their 
diet may affect their medication. Information about any interactions would 
always be included in the patient information leaflet that comes with the 
medicine."


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Vanessa The Google Girl.
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