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[食物-药物相互作用:一种被低估的风险]

[Food-drug interactions: an underestimated risk].

作者信息

Sönnichsen A C, Donner-Banzhoff N, Baum E

机构信息

Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg.

出版信息

MMW Fortschr Med. 2005 Nov 3;147(44):31-4.

Abstract

With only few exceptions, administration of medicaments should, in principle, be independent of food intake (at least half an hour before or two hours after eating). This ensures uniform and assessable bioavailability. However, it also entails the risk that the patient is more likely to forget to take medication postponed to 2 hours after a meal, than when it is directly coupled to a meal. Certain foodstuffs or food constituents, such as, for example, grapefruit, Seville orange juice, red wine, alcoholic drinks in general, or large quantities of caffeine and garlic should be avoided during drug treatment. In addition, specific interactions with certain drugs must also be taken into account (e.g. MAO inhibitors and tyramine, curamine and vitamin K).

摘要

一般情况下,给药原则上应与进食时间无关(至少在饭前半小时或饭后两小时)。这能确保生物利用度的一致性和可评估性。然而,这也带来了一个风险,即与和用餐直接相关的给药方式相比,患者更有可能忘记服用推迟至饭后两小时的药物。在药物治疗期间,应避免食用某些食物或食物成分,例如葡萄柚、酸橙汁、红酒、一般酒精饮料,或大量咖啡因和大蒜。此外,还必须考虑某些药物的特定相互作用(例如单胺氧化酶抑制剂与酪胺、箭毒碱与维生素K)。

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