Cortés Matías, Díaz Rodrigo, Verdugo Samuel, Cabrera Salvador, Torres-Vergara Pablo
Facultad de Medicina, Universidad de Concepción, Concepción, Chile.
Departamento de Farmacia, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile.
Rev Med Chil. 2021 Jul;149(7):1036-1046. doi: 10.4067/s0034-98872021000701036.
Drug disposition in the human body is strongly influenced by transporters and metabolizing enzymes expressed in key organs including intestine, liver and kidney. Since drugs and chemicals present in foods such as fruit juices and herb-based products are substrates of the above-mentioned proteins, there is a high probability of pharmacokinetic interactions. Findings from preclinical and clinical studies helped to characterize the mechanisms by which the components of fruit juices and herbs act as perpetrators of pharmacokinetic interactions. The aim of this review is to provide an overview of pharmacokinetic fruit juice- and herb-drug interactions that could be relevant in the clinical setting.
人体中的药物处置受到包括肠道、肝脏和肾脏在内的关键器官中表达的转运蛋白和代谢酶的强烈影响。由于果汁和草药类产品等食物中存在的药物和化学物质是上述蛋白质的底物,因此存在药代动力学相互作用的高可能性。临床前和临床研究的结果有助于阐明果汁和草药的成分作为药代动力学相互作用肇事者的作用机制。本综述的目的是概述在临床环境中可能相关的药代动力学果汁-药物和草药-药物相互作用。