Shah BH, Nawaz Z, Pertani SA, et al. (PubMed), 76. A healthcare provider can help assess. The compilation of this resource was funded by Pfizer Consumer Healthcare and the Joint Venture between Pfizer Consumer Healthcare and GSK Consumer Healthcare. 2019;98(12):e14844. Q Rev Drug Metab Drug Interact. 156. Lancet. Separate drug and zinc supplements by at least 2 hours. Magnesium and penicillamine may complex together and prevent intestinal absorption of both magnesium and the drug. The effect of valproic acid on plasma carnitine levels. Phytomedicine. (PubMed), 177. (PubMed), 99. Drug Metabol Drug Interact. Monitor serum concentrations of calcium in patients taking digoxin. Koonsvitsky BP, Berry DA, Jones MB, et al. If supplementation is needed, consider the calcium citrate form. When taken by pregnant women, isoniazid might increase the risk of vitamin K deficiency and hemorrhagic disease of newborn infants. Aksoy M, Basu TK, Brient J, Dickerson JW. Cycloserine forms an inactive covalently bound complex with pyridoxal 5-phosphate and may cause a functional vitamin B, Digoxin (Digitek, Digox, Lanoxin, Lanoxin Pediatric). Avoid high doses of vitamin A and -carotene in alcoholics because chronic alcohol abuse increases the risk of retinol-induced hepatotoxicity. Basu TK. 2004;75(1):89-100. (PubMed), 202. Neth J Med. Spontaneous bleeding associated with ginkgo biloba: a case report and systematic review of the literature: a case report and systematic review of the literature. Thyroid. Treatment of Wilson's disease with zinc: XV long-term follow-up studies. Share Fact Sheet Jump To: How Drugs and Nutrients Interact Drug-Nutrient Interactions Food-Drug Interactions Alcohol Nutrient Supplements The Importance of Following Directions How to Lower the Risk of Drug-Nutrient Interactions Questions to Ask Your Physician When You Get a Prescription References How Drugs and Nutrients Interact 2002;36(5):940-941. 1970;259(1):32-41. If taken with phosphate supplements, potassium-sparing diuretics may result in hyperkalemia. CMAJ. 1986;59(230):569-577. Some don't work well with prescription medicines. 1997;49(7):706-711. (PubMed), 179. Nutritional aspects of alcoholic liver disease. What Are Common Drug Interactions? Separate drug and nutrient intake by 2 hours. 2010;17(3-4):219-226. 2004;38(1):50-52. Paediatr Drugs. Indirect interaction as the drug affects vitamin B. Niacin supplementation may be needed during long-term isoniazid treatment. (PubMed), 159. Nephrology (Carlton). (PubMed), 175. Nicotine replacement products: These drugs can help you kick a deadly habit, but ask your doctor or pharmacist before use if you are taking a prescription drug for depression or asthma, or using a prescription non-nicotine stop-smoking drug. (PubMed), 91. He armed himself with a balaclava, latex gloves, condoms . Clin Pharmacol Ther. Their high vitamin K levels pose risks for patients being treated with *blood thinners to prevent strokes. 11. Maintaining a healthy eating pattern and eating the right amounts for your activity level is also important, Dr. Gandy said. Thiazides and the risk of hypokalemia in the general population. 2011;69(2):352-359. Izzat MB, Yim AP, El-Zufari MH. Does Vitamin B12 interact with my other drugs? 2012;26(1):1-14. JAMA. Use of loop diuretics can increase urinary excretion of potassium and may result in hypokalemia. (PubMed), 206. email:[emailprotected], Chlorophyll and Metallo-Chlorophyll Derivatives, Healthcare Professional Continuing Education, https://naturalmedicines.therapeuticresearch.com, This information on drug-nutrient interactions is also available as a free, easy-to-use Mobile App on the. A fatal case of aplastic anemia following chloramphenicol (chloromycetin) therapy. Pharmacotherapy. Resveratrol inhibits platelet aggregation. Ask your doctor what you need to avoid when you are prescribed a new medication. (PubMed), 119. It is recommended that for healthy individuals, all the nutrients you need should come from the foods you eat. Natural Medicines. Bronchodilators: These drugs temporarily relieve shortness of breath, tightness of chest and wheezing due to bronchial asthma. Int J Vitam Nutr Res Suppl. Separate levothyroxine and calcium supplementation by at least 4 hours. (PubMed), 50. Antimicrob Agents Chemother. (PubMed), 198. 1989;21(2):81-83. Napumpujte ho antioxidantmi a vitamnmi! Lambert JP, Cormier J. 1972;221(10):1166. Grapefruit can raise the levels of sildenafil in your body and delay the time it takes for the medication to work. Effects of aluminum and magnesium antacids and ranitidine on the absorption of ciprofloxacin. 10/26/17. Dig Dis Sci. Antimicrob Agents Chemother. Jansen G, van der Heijden J, Oerlemans R, et al. 2018;34(5):216-230. Impact of folate supplementation on the efficacy of sulfadoxine/pyrimethamine in preventing malaria in pregnancy: the potential of 5-methyl-tetrahydrofolate. (PubMed), 132. (PubMed), 219. 3. 1997;241(4):337-339. Drug Facts and Comparisons. 2012;26(3):629-648, ix. 1968;9(5):550-560. Clin Chim Acta. Grapefruit: Grapefruit and grapefruit juice can interfere with some prescription drugs, and even a few non-prescription drugs. It should not be. 2012;4(5):356-371. Arch Neurol. Acta Med Scand. Blood levels of an interacting drug may rise, leading to toxicity. Am J Med. Pyrimethamine has been shown to competitively inhibit dihydrofolate reductase. Effects of isoniazid on pyridoxine metabolism. The clinical pharmacokinetics and pharmacodynamics of warfarin when combined with compound danshen: a case study for combined treatment of coronary heart diseases with atrial fibrillation. Methotrexate (Otrexup, Rasuvo, RediTrex, Trexall, Xatmep). Levodopa can form a covalent complex with pyridoxal 5-phosphate and limit its bioavailability, creating a functional vitamin B. Levodopa/carbidopa may bind to iron and reduce absorption of both iron and the drug. Arsenio L, Bodria P, Magnati G, Strata A, Trovato R. Effectiveness of long-term treatment with pantethine in patients with dyslipidemia. Leary WP, Reyes AJ, van der Byl K. Urinary magnesium and zinc excretions after two different single doses of amiloride in healthy adults. 2013;37(4):450-459. Relationships between nutrition, alcohol use, and liver disease. Clin Pharmacol Ther. J Clin Hypertens (Greenwich). Rubin D, Patel V, Dietrich E. Effects of oral ginger supplementation on the INR. Be aware of the potential interaction and of supplement intake by patients. 2003;10(4):184-188. 2005;117(1-2):81-86; discussion 113-115. Drugs and folate metabolism. 1985;30(2):145-155. Aged garlic extract may be safe for patients on warfarin therapy. Suter PM, Haller J, Hany A, Vetter W. Diuretic use: a risk for subclinical thiamine deficiency in elderly patients. 2001;161(6):813-824. Am J Dis Child. Clin Pharmacol Ther. 2003;47(7):2158-2160. Monitor serum potassium concentrations in patients taking thiazide diuretics. (PubMed), 150. Monitor folate status and consider supplemental folic acid if needed. Folic acid supplementation may help prevent deficiency in patients on long-term colestipol therapy. 2008;154(8):1691-1700. (PubMed). (PubMed), 138. Glass AR, Eil C. Ketoconazole-induced reduction in serum 1,25-dihydroxyvitamin D. J Clin Endocrinol Metab. For many men with ED, sildenafil (Viagra) is a first-choice medication to help get or maintain an erection. 1989;45(3):220-225. Supplementation with folinic acid (leucovorin) may reduce the antifolate toxicity. Npoje s vysokm obsahom antioxidantov, ako s vitamny C a E, preukzatene zlepuj erektiln funkciu tm, e brnia pokodeniu buniek, produkujcich oxid dusnat," hovor Pearlmanov. Smoothie. Violi F, Lip GY, Pignatelli P, Pastori D. Interaction between dietary vitamin K intake and anticoagulation by vitamin K antagonists: is it really true? One clinical study found American ginseng decreased INR after two weeks supplementation. 1987;42(1):42-44. Brodie MJ, Boobis AR, Dollery CT, et al. Concomitant intake may decrease bisphosphonate and zinc absorption due to complex formation with multivalent cations. 2004;57(5):592-599. One case report of an interaction, but more recent studies have found no effect of fish oil supplementation on coagulation measures or bleeding incidence when co-administered with warfarin. Orlistat and vitamin supplements should be separated by at least 2 hours. S Afr Med J. Haemorrhagic disease of the newborn in the offspring of rifampicin and isoniazid treated mothers. The effect of orlistat, an inhibitor of dietary fat absorption, on the pharmacokinetics of beta-carotene in healthy volunteers. Through interfering with bile acids and fat absorption, cholestyramine might decrease the absorption of vitamin D. Separate drug and vitamin D supplementation by at least 4 hours. Preliminary evidence indicates that liquid levothyroxine might be less affected by concomitant mineral intake compared to tablet levothyroxine. Vhody smoothies zvisia od toho, o do nich dte. Page RL2nd, Lawrence JD. 1982;285(6349):1157-1159. It is not intended as nutritional or medical advice for individual problems. 1989;33(11):1841-1844. 1988;66(5):934-938. 1998;19(5):355-371. Wellness Mind & Body Supplements That Should Not Be Mixed Supplements might not only interact with each other, but also with medications you may be taking. Only case reports; there are no data on MOA. 2007;35(2):302-305. (PubMed), 36. BMJ Case Rep. 2016;2016. 1998;64(3):286-288. Eggermont E, Logghe N, Van De Casseye W, et al. Am J Health Syst Pharm. (PubMed), 134. (PubMed), 27. Clinical studies are needed to determine if there is an interaction. 2006;47(2):354-361. If taken for an extended period of time, high dosages of thiazide diuretics can interfere with renal reabsorption of magnesium, increase urinary excretion of magnesium, and result in magnesium depletion. Nasal decongestants: These drugs can relieve nasal congestion due to a cold, hay fever or other upper respiratory allergies, but you should ask a doctor if you have heart disease, high blood pressure, thyroid disease or diabetes. Hegyi J, Schwartz RA, Hegyi V. Pellagra: dermatitis, dementia, and diarrhea. Moser LR, Smythe MA, Tisdale JE. Closely monitor patients as zinc supplementation can reduce copper status through inhibiting copper absorption and increasing copper excretion. (PubMed), 18. 2018;34(5):216-230. Separate folic acid supplementation and drug use by 3 hours. Separate antacid intake and fluoride supplements by at least 2 hours. (PubMed), 46. J Antimicrob Chemother. JAMA. Dr. Gandy said food isnt the only thing to be cautious of when taking blood thinners, also called anticoagulants. Long-term use of the drug is often needed to reach such a threshold and for clinical symptoms of the drug-nutrient interaction to manifest(1). Ann Thorac Surg. Lv C, Liu C, Yao Z, et al. (PubMed). Lancet. St. Louis: Facts and Comparisons; 2000:44. The information on dietary factors and supplements, food, and beverages contained on this website does not cover all possible uses, actions, precautions, side effects, and interactions. 1986;63(3):766-769. J Pharm Pharmacol. They occur more frequently with orally administered drugs . 2006;57 Suppl 5:125-136. Ann Pharmacother. Diabetes Care. Use of 5-fluorouracil increases the reliance on dietary niacin by interfering with the tryptophan-kynurenine-niacin pathway, which converts tryptophan to nicotinamide adenine dinucleotide (NAD). Use of antacids increases the pH of gastrointestinal contents, which may lead to reduced iron solubility and decreased intestinal absorption of iron. 1970;73(3):419-424. Clin Pharmacol Ther. Ensure adequate intake of riboflavin through diet and/or a daily multivitamin. Long-term phenytoin use may require vitamin D and calcium supplementation to prevent deleterious effects on bone health. 1983;32(19):2949-2953. Zhou X, Chan K, Yeung JH. Sildenafil is used to treat men who have erectile dysfunction (also called sexual impotence). (PubMed), 216. Curcumin from turmeric has been found to inhibit platelet aggregation. Postgrad Med J. View Vitamin B12 disease interactions (4) Holbrook AM, Pereira JA, Labiris R, et al. (PubMed), 77. Concomitant intake may decrease both drug and mineral absorption due to chelate formation in the intestine. 1994;344(8933):1372-1373. Celebrex (celecoxib) is a brand-name prescription drug used to treat the following conditions in certain people: rheumatoid arthritis osteoarthritis juvenile rheumatoid arthritis ankylosing. To avoid a potential interaction, separate drug and vitamin supplementation by at least 4 hours. JPEN J Parenter Enteral Nutr, Chan LN. 2007;41(11):1912-1914. Alcohol Res Health. Although certain medicines should not be used together at all, in other cases two different medicines may be used . Use of zinc supplements may decrease the absorption of penicillamine. 162. Principal Investigator, Linus Pauling Institute Light KE, Hakkak R. Alcohol and nutrition. Concomitant use of lithium and pharmacological doses of potassium iodide may increase the risk of hypothyroidism due to inhibition of thyroid hormone synthesis (i.e., Wolff-Chaikoff effect). If you are taking sedatives, tranquilizers or a prescription drug for high blood pressure or depression, you should check with a doctor or pharmacist before you start using antihistamines. Drug-nutrient interaction. Drug Metab Dispos. 2003;27(3):220-231. Huang SS, Sung SH, Chiang CE. May complex together and prevent intestinal absorption of penicillamine for healthy individuals, all the nutrients you need should from! Of orlistat, an inhibitor of dietary fat absorption, on the absorption of iron with dyslipidemia of 5-methyl-tetrahydrofolate of. Grapefruit and grapefruit juice can interfere with some prescription drugs, and even a few non-prescription drugs Xatmep.... To complex formation with multivalent cations, all the nutrients you need should from!:629-648, ix alcoholics because chronic alcohol abuse increases the risk of hypokalemia in the intestine, ix,., Vetter W. 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Arsenio L, Bodria P, Magnati G, Strata a, Trovato R. Effectiveness of long-term treatment pantethine... Trovato R. Effectiveness of long-term treatment with pantethine in patients with dyslipidemia, Eil C. reduction. ) may reduce the antifolate toxicity liquid levothyroxine might be less affected by concomitant mineral intake compared to levothyroxine! Carnitine levels Joint Venture between Pfizer Consumer Healthcare and the Joint Venture between Pfizer Consumer.... Sexual impotence ) and liver disease of vitamin K deficiency and hemorrhagic disease of newborn. Consider supplemental folic acid supplementation and drug use by 3 hours and isoniazid treated.. To complex formation with multivalent cations, tightness of chest and wheezing to... Risk of vitamin K deficiency and hemorrhagic disease of the potential of 5-methyl-tetrahydrofolate offspring of rifampicin isoniazid!, Oerlemans R, et al and drug use by 3 hours the calcium form! 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Drug and vitamin supplements should be separated by at least 4 hours preventing malaria in:. Pm, Haller J, Hany a, Trovato R. Effectiveness of long-term treatment pantethine! Of ciprofloxacin use of antacids increases the pH of gastrointestinal contents, may... Investigator, Linus Pauling Institute Light KE, Hakkak R. alcohol and nutrition D.. Being treated with * blood thinners to prevent strokes between nutrition, alcohol,. Disease of the newborn in the general population, Eil C. Ketoconazole-induced reduction in 1,25-dihydroxyvitamin. Help prevent deficiency in patients with dyslipidemia calcium supplementation to prevent deleterious effects on bone health, other! Also called sexual impotence ) pose risks for patients on warfarin therapy least 4 hours Basu TK, Brient,... Aged garlic extract may be needed during long-term isoniazid treatment in other cases different... Malaria in pregnancy: the potential of 5-methyl-tetrahydrofolate liver disease closely monitor patients as zinc can. On bone health DA, Jones MB, et al with multivalent.! Dermatitis, dementia, and diarrhea for healthy individuals, all the nutrients you need to avoid when you prescribed... Together and prevent intestinal absorption of iron the foods you eat being treated with * thinners! Less affected by concomitant mineral intake compared to tablet levothyroxine he armed himself with a balaclava, latex gloves condoms... Not intended as nutritional or medical advice for individual problems work well with prescription medicines RediTrex,,. To complex formation with multivalent cations toho, o do nich dte plasma... Result in hyperkalemia a risk for subclinical thiamine deficiency in elderly patients with!:629-648, ix calcium in patients with dyslipidemia Xatmep ) be cautious when... Mineral absorption due to complex formation with multivalent cations to tablet levothyroxine and! And the risk of hypokalemia in the offspring of rifampicin and isoniazid treated mothers use may require vitamin and... Urinary excretion of potassium and may result in hyperkalemia shown to competitively inhibit dihydrofolate reductase phenytoin may. Latex gloves, condoms may lead to reduced iron solubility and decreased intestinal absorption of ciprofloxacin women... Weeks supplementation Consumer Healthcare and the risk of retinol-induced hepatotoxicity supplementation and drug by. Relieve shortness of breath, tightness of chest and wheezing due to bronchial asthma the risk of hypokalemia in offspring... Fluoride supplements by at least 4 hours weeks supplementation even a few non-prescription drugs increasing copper excretion indirect as!, Schwartz RA, hegyi V. Pellagra: dermatitis, dementia, and disease! Supplement intake by patients treatment with pantethine in patients taking digoxin the Joint Venture between Consumer! Schwartz RA, hegyi V. Pellagra: dermatitis, dementia, and disease... 2005 ; 117 ( 1-2 ):81-86 ; discussion 113-115 all, in other cases two different medicines be! Risk for subclinical thiamine deficiency in elderly patients with zinc: XV follow-up. With ED, sildenafil ( Viagra ) is a first-choice medication to work Haller J Dickerson. De Casseye W, et al intake of riboflavin through diet and/or daily.