Grapefruit Juice May Alter Your Prescription

Drinking grapefruit juice has been linked with health benefits such as the reduction of artery hardening and possible reduction of cancer risk. Additionally, grapefruit juice contains high levels of vitamin C. Despite its better properties, grapefruit juice does have disadvantages. According to recent evidence, it can interact with a number of medications, in some cases impairing the medications' absorption. This is important to note because about one in five Americans drinks grapefruit juice regularly and usually for breakfast-a time when medications are also commonly taken.

Research now reveals that grapefruit juice inhibits an enzyme in the intestines that is responsible for the natural breakdown and absorption of many medications. If this enzyme's action is blocked then the unabsorbed medication builds to sometimes toxic levels in the blood. It is not yet completely clear exactly what in the grapefruit is responsible for this effect.

The grapefruit juice-drug interaction can lead to unsafe levels of certain common drugs. Unhealthy blood levels of these medications can occur when patients taking them consume grapefruit juice. A decade of grapefruit juice research has focused on the medications with which grapefruit juice reacts. The following medications have been identified as interacting adversely with grapefruit juice consumption:

Statins (Cholesterol Drugs): Baycol (Cerivastatin), Mevacor (Lovastatin), Lipitor (Atorvastatin), Zocor (Simvastatin)
Antihistamines: Ebastine, Seldane (Terfenadine, taken off the U.S. market)
Calcium Channel Blockers (Blood Pressure Drugs): Nimotop (Nimodipine), Nitrendipine, Plendil (Felodipine), Pranidipine, Sular (Nisoldipine)
Psychiatric Medications: Buspar (Buspirone), Halcion (Triazolam), Tegretol (Carbamazepine), Valium (Diazepam), Versed (Midazolam)
Intestinal Medications:

Propulsid (Cisapride, taken off the U.S. market)

Immune Suppressants: Neoral (Cyclosporine), Prograf (Tacrolimus)
Pain Medications: Methadone
Impotence Drug: Viagra (Sildenafil)

The source of this information is a research review article published in the September, 2000, issue of Mayo Clinic Proceedings. Authors Garvan C. Kane, MD, and James J. Lipsky, MD, state in their conclusion that "from the existing studies we have attempted to extract the extent of the risk to our patients. Although there are no published case reports of adverse effects due to such interactions, we must assume they do occur." According to their article, individuals should avoid consuming grapefruit juice along with the medications mentioned unless advised otherwise by their doctor. Additional information may be available from a pharmacist.

To read the original article by Kane and Lipsky, go to www.mayo.edu/proceedings, then find "Back Issues" and go to "September, 2000."

Please note: This web site is provided for information and educational purposes only. Without the benefit of a dental examination, review of medical history and any necessary dental x-rays or other diagnostic aids, a doctor/ patient relationship will not be established. No attempt will be made to provide specific diagnosis or recommended courses of treatment. Dr. Loughran is licensed to practice in the state of Illinois.
The content is solely the opinion of Dr. Loughran and does not represent the thought and feelings of any organization or group. All rights are reserved. Permission to copy the content of any part of the web site is requested by the author. Thank you for your cooperation.
©2001 Family and Cosmetic Dentistry of Southern Illinois
   
Designed and maintained by
Pickle Rooster Productions