18/05/2020
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HERB-DRUG INTERACTIONS .
Concomitant oral administration of some herbal products and prescription drugs may affect human drug metabolism and alter drug bioavailability. This can increase the risk of serious (clinical) adverse reactions and toxicity, or decrease in efficacy.
This is because several phytoconstituents are inhibitors or inducers of cytochrome. Most of the herb-drug interactions occur due to either induction or inhibition of these enzymes.
Cytochrome P450 (CYP450) is a family of enzymes found mainly in the liver, but also in the small intestine, placenta, lungs and kidneys, which are responsible for the metabolism of some important endogenous substances and a variety of xenobiotics including therapeutic drugs.
Any inhibitory effect of herbal extracts on CYP may result in enhanced plasma and tissue concentrations leading to toxicity, while any inductive effect may cause reduced drug concentrations leading to decreased drug efficacy and treatment failure.
Considering the chances of herb-drug interaction, it is highly recommended to inform your health care practitioners about the e use of herbal medicines and natural supplements if you are taken prescription drugs, specially if they have a narrow therapeutic index ————————————————————————
REFERENCES:
1. Wang, K et al. Inhibition of CYP2C9 by natural: insight into the potencial risk of herb-drug interactions products. Drug Metabolism Reviews, 2020.
2. Mukherjee PK. Evidence-Based Validation of Herbal Medicine. Elsevier, 2015, 1774 p.
3. Elizabeth W. et al. Stockley's Herbal Medicines Interactions: A Guide to the Interactions of Herbal Medicines. Pharmaceutical Press, 2nd Ed, 2013, 528p.
4. Sprouse AA, van Breemen RB. Pharmacokinetic Interactions between Drugs and Botanical Dietary Supplements. Drug Metab Dispos. 2016;44,162‐171.
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̈uter . @ Berlin, Germany