Trovato A, Nuhlicek D N, Midtling J E
Medical College of Wisconsin, Milwaukee.
Am Fam Physician. 1991 Nov;44(5):1651-8.
Drug-nutrient interactions are a commonly overlooked aspect of the prescribing practices of physicians. As more pharmaceutical agents become available, attention should be focused on interactions of drugs with foods and nutrients. Although drug-nutrient interactions are not as common as drug-drug interactions, they can have an impact on therapeutic outcome. Drugs can affect nutritional status by altering nutrient absorption, metabolism, utilization or excretion. Food, beverages and mineral or vitamin supplements can affect the absorption and effectiveness of drugs. Knowledge of drug-nutrient interactions can help reduce the incidence of these effects. Physicians should question patients about their dietary habits so that patients can be informed about possible interactions between a prescribed drug and foods and nutrients.
药物与营养物质的相互作用是医生处方实践中一个常被忽视的方面。随着越来越多的药物制剂可供使用,应将注意力集中在药物与食物和营养物质的相互作用上。虽然药物与营养物质的相互作用不像药物与药物的相互作用那么常见,但它们会对治疗效果产生影响。药物可通过改变营养物质的吸收、代谢、利用或排泄来影响营养状况。食物、饮料以及矿物质或维生素补充剂会影响药物的吸收和疗效。了解药物与营养物质的相互作用有助于减少这些影响的发生率。医生应询问患者的饮食习惯,以便让患者了解处方药与食物和营养物质之间可能存在的相互作用。