Grapefruit Juice: The Hidden Dangers Of Drug Interaction
Grapefruit juice is one of the healthiest foods around, right?
A cup of unsweetened white grapefruit juice has only 100 calories, no fat, more than 100% of the recommended daily amount of vitamin C, and it s got a zingy taste that can really get you moving in the morning.
However, grapefruit juice (including the juice found in your morning grapefruit half) can interact with certain medications, leading to potentially serious consequences.
Which medications does grapefruit juice interact with?
Grapefruit juice can interact with many different drugs that people take to maintain their health. If you eat grapefruit or drink grapefruit juice, you should ask your prescribing health care provider and pharmacist about any drugs that you re currently
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* Valium (diazepam): This drug is used to treat certain seizure disorders and anxiety.
* Norvasc (amlodipine): This is one of the drugs called a calcium channel blocker. It is used to treat angina (chest pain related to malfunctioning arteries around the heart). Grapefruit juice interacts with many of the calcium channel blockers
* Pravachol (pravastatin): Like several of the statin drugs used to lower cholesterol, grapefruit juice can change the
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* Cordarone (Amiodarone): This drug is used to treat arrhythmias to correct irregular heart beat patterns.
What Are The Symptoms of These Interactions?
Use of any of these drugs while taking grapefruit juice can lead to serious complications. For example, the following have been observed in the interaction of each of the drugs above with grapefruit juice:
* Valium (diazepam): Grapefruit juice can cause you to feel sedated and might make it harder for you to control your muscular movements; driving can be dangerous
* Norvasc (amlodipine): Grapefruit interacts with several of the calcium channel blockers to provide a very fast heartrate ( tachycardia ) and/or a drop in blood pressure to
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* Pravachol (pravastatin): The statin drugs can interact with grapefruit juice to cause muscle toxicities, symptoms of which include muscle weakness, aches and shaking
* Cordarone (Amiodarone): Ironically, mixing this drug with grapefruit juice can cause an increase in the very condition it is intended to treat - arrhythmias
What Causes These Potentially Dangerous Interactions?
How can something as seemingly harmless as grapefruit juice affect the medications you take? It has to do with a special enzyme in your intestines and liver that help you absorb many oral drugs and then excrete them when you re done with the drug.
When a physician prescribes a specific dose of drug (for example, one pill of
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What Can I Do To Avoid Dangerous Drug Interactions?
If you are on medications that interact with grapefruit juices, avoid eating grapefruit or drinking grapefruit juice. Spacing out the drugs
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Kharasch, E. Influence of hepatic and intestinal cytochrome P4503A activity on the acute disposition and effects of oral transmucosal fentanyl citrate, Anesthesiology, Volume 101, issue 3, pages 729-737, 2004
Maskalyk, J., Grapefruit juice: potential drug interactions, Canadian Medical Association Journal, Volume
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Shapiro, L, Drug interactions: Proteins, pumps, and P-450s, Journal of the American Academy of Dermatology, Volume 47, issue 4, pages 467-84, 2002
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