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用于减肥的膳食补充剂与药物相互作用

Dietary Supplements for Weight Loss and Drug Interactions.

作者信息

Rivas García Francisco, García Sierra José Antonio, Valverde-Merino Maria-Isabel, Zarzuelo Romero Maria Jose

机构信息

Municipal Health and Consumer Unit, Guadix City Council, 18500 Guadix, Spain.

Vircell S.L., Health Sciences Technology Park, 18016 Granada, Spain.

出版信息

Pharmaceuticals (Basel). 2024 Dec 9;17(12):1658. doi: 10.3390/ph17121658.

Abstract

Food supplements are used for a variety of purposes, one of which is weight reduction. As excess weight is a long-term condition, some supplements are expected to be used for long periods of time. The long-term use of these dietary supplements makes it highly likely that they will be combined with medications, increasing the risk of food supplement-drug interactions, which are not always known or disclosed, and can lead to serious health problems, as has been observed. This article discusses some of the compounds used as food supplements for weight reduction (green tea extract, , chitosan, quercetin and resveratrol) and the interactions they may cause with some drugs such as: dextromethorphan, buspirone, diclofenac, irinotecan, 5-fluorouracil, cytochrome P450 inducers and inhibitors, statins, orlistat, warfarina, acenocoumarol, fluoxetine, valproate, quetiapine, carbamazepine. This information is expected to be useful for healthcare professionals to detect and intervene on food supplement-drug interactions to ensure the optimization of therapy and patient safety.

摘要

食品补充剂有多种用途,其中之一是减肥。由于超重是一种长期状况,一些补充剂预计会长期使用。这些膳食补充剂的长期使用极有可能使其与药物联用,增加食品补充剂与药物相互作用的风险,而这些相互作用并不总是为人所知或披露,并且如已观察到的那样,可能导致严重的健康问题。本文讨论了一些用作减肥食品补充剂的化合物(绿茶提取物、壳聚糖、槲皮素和白藜芦醇)以及它们可能与某些药物产生的相互作用,这些药物包括:右美沙芬、丁螺环酮、双氯芬酸、伊立替康、5-氟尿嘧啶、细胞色素P450诱导剂和抑制剂、他汀类药物、奥利司他、华法林、醋硝香豆素、氟西汀、丙戊酸盐、喹硫平、卡马西平。预计这些信息对医疗保健专业人员检测和干预食品补充剂与药物的相互作用以确保治疗优化和患者安全会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0405/11678256/cbb525396593/pharmaceuticals-17-01658-g001.jpg

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