Drug-nutrient interaction: a review
Keywords:
food-drug interactions, clinical pharmacology, absorption, food, drugsAbstract
Diet influences the whole life cycle, supplying nutrients required to maintain the human body. Functional and/or structural alterations, caused by diseases and acute or chronic infections, lead to the use of drugs in order to restore the health. The oral route is preferred for drug administration, owing to safety and convenience, among other reasons. The drug-nutrient interaction phenomenon can occur before or during gastrointestinal absorption, during distribution and storage in the tissues, in the biotransformation process, or even during excretion. Thus, to know the drugs whose rate of absorption and/or absorbed amount can be affected in the presence of food, as well as those that are not affected, is of fundamental importance. On the other hand, a
number of commonly used drugs, including antibiotics, antacids and laxatives, can cause malabsorption of nutrients. Therefore, the objective of this article is to present a review of the several aspects involved in the drug-nutrient interaction.
References
ANDERSON, K.E., CONNEY, A.H., KAPPAS, A. Nutrition and oxidative drug metabolism in man: relative influence of dietary lipids, carbohydrate, and protein. Clinical Pharmacology and Therapeutics, St. Louis MO, v.26, n.4, 493-501, 1979.
ANDERSON, K.E., CONNEY, A.H., KAPPAS, A. Nutritional influences on chemical biotransformations in humans. Nutrition Reviews, New York, v.40, n.6, p.161-171, 1982.
ANDERSON, K.E. Influences of diets and nutrition on clinical pharmacokinetics. Clinical Pharmacokinetics, Auckland, v.14, n.6, p.325-346, 1988.
BARREIRO, E.J., FRAGA, C.A.M. Química medicinal: as bases moleculares da ação dos fármacos. Porto Alegre : Artmed, 2001. 243p.
BASILE, A.C. Implicações clínicas das interferências alimento-medicamento-alimento na geriatria. Folha Médica, Rio de Janeiro, v.97, n.3, p.187-193, 1988.
BASILE, A.C. Fármaco e alimentos. In: SEIZI-OGA, I., AULUS, C.B. (Ed.). Medicamentos e suas interações. São Paulo : Atheneu, 1994. p.157-188.
CHEN, L.H., LIU, S., COOK NEWELL, M.E., BARNES, K. Survey of drug use by the elderly and possible impact of drugs on nutritional status. Drug-Nutrition. Interaction, New York, v.3, n.2, p.73-86, 1985.
CLARK, J.H., RUSSEL,G.J., FITZGERALD, J.F., NAGAMORI, K.E. Serum beta-carotene, retinol, and alpha-tocopherol levels during mineral oil therapy for constipation. American Journal of Diseases of Children, Chicago, v.141, n.11, p.1210-1212, 1987.
DUPUIS, L.L., KOREN, G., SILVERMAN, E.D., LAXER, R.M. Influence of food on the bioavailability of oral methotrexate in children. Journal of Rheumatology, Toronto, v.22, n.8, p.1570-1573, 1995.
DUVOISIN, R.C., SAGE, J. Parkinson’s Disease: a guide for patient and family. 4.ed. Philadelphia : Lippincott-Raven, 1996.
FLEISHER, D., CHENG, L., ZHOU, Y., PAO, L.H., KARIM, A. Drug, meal and formulation interaction influencing drug absorption after oral administration: clinical implication. Clinical Pharmacokinetics, Auckland, v.36, n.3, p.233-254, 1999.
FLODIM, N.W. Micronutrient supplements: toxicity and drug interactions. Progress in Food and Nutrition Science, Oxford, v.14, n.4, p.277-331, 1990.
GAI, M.N.H. Los alimentos como factor de modificación de la absorción de medicamentos: In: SIMPOSIO INTERNACIONAL DE BIODISPONIBILIDAD DE MEDICAMENTOS Y COLOQUIO SOBRE RELACIÓN UNIVERSIDAD E INDUSTRIA, 2., 1992, Santiago de Chile. Anais... Santiago de Chile : Universidad deChile, 1992. p.227-232.
GIL ESPARZA, A.M. Interacciones alimento-medicamento y autocuidado. Alimentaria, v.35, n.282, p.19-25, 1997.
GUYTON, A.C. Tratado de fisiologia médica. 8.ed. Rio de Janeiro : Guanabara Koogan, 1992. 862p.
HALSAS, M., HIETALA, J., VESKI, P., JURJENSON, H., MARVOLA, M. Morning versus evening dosing of ibuprofen using conventional and time-controlled release formulations. International Journal of Pharmaceutics, Amsterdam, v.189, n.2, p.179-185, 1999.
HAMAGUCHI, T., SHINKUMA, D., IRIE, T. Effect of a high-fat meal on the bioavailability of fenitoína in a commercial powder with a large particle size. International Journal of Clinical Pharmacology, Therapy, and Toxicology, Munchen, v.31, n.7, p.326-330, 1993.
HARRISON, L.I., RIEDEL, D.J., ARMSTRONG, K.E., GOLDLUST, M.B., EKHOLM, B.P. Effect of food on salsalate absorption. Therapeutic Drug Monitoring, New York, v.14, n.2, p.87-91, 1992.
HAYES, J.R., BORZELLECA, J.F. Nutrient interaction with drugs and other xenobiotics. Journal of the American Dietetic Association, Chicago, v.85, n.3, p.335-339, 1985.
HOYUMPA, A.M., SCHENKER, S. Major drug interactions: effect of liver disease, alcohol, and malnutrition. Annual Review of Medicine, Palo Alto, v.33, p.113-149, 1982.
INSOGNA, K.L., BORDLEY, D.R., CARO, J.E., LOCKWOOD, D.H. Osteomalacia and weakness from excessive antacid ingestion. JAMA, Chicago, v.244, n.22, p.2544-2546, 1980.
JOHNSON, B.F., O’GRADY, J., SABEY, G.A., BYE, C. Effect of a standard breakfast on digoxin absorption in normal subjects. Clinical Pharmacology and Therapeutics, St. Louis MO, v.23, n.3, p.315-319, 1978.
KEMPSTER, P.A., WAHLQVIST, M.L. Dietary factors in the management of parkinson’s disease. Nutrition Reviews, New York, v.52, n.2, p.51-58, 1994.
KIRK, J. Significant drug-nutrient interactions. American Family Physician, Kansas City MO, v.51, n.5, p.175-1182, 1995.
KRISHNASWAMY, K., USHASRI, V., NAIDU, A.N. The effect of malnutrition on the pharmacokinetics of phenylbutazone. Clinical Pharmacokinetics, Auckland, v.6, p.152-159, 1981.
LASSWELL, A.B., LORECK, E.S. Development of a program in accord with JCAHO standards for counseling on potential drug-food interactions. Journal of the American Dietetic Association, Chicago, v.92, n.9, p.1124-1125, 1992.
LAVELLE, J., FOLLANSBEE, S., TRAPNELL, C.B., BUHLES, W.C., GRIFFY, K.G., JUNG, D., DORR, A., CONNOR, J. Effect of food on the relative bioavailability of oral ganciclovir. Journal of Clinical Pharmacology, Hagerstown MD, v.36, n.3, p.238-241, 1996.
LIEDHOLM, H., WAHLIN-BOLL, E., MELANDER, A. Mechanisms and variations in the food effect on propranolol bioavailability. European Journal of Clinical Pharmacology, Berlin, v.38, n.5, p.469-475, 1990.
McCRAKEN, G.H., GINSBURG, C.M., CLAHSEN, J.C., THOMAS, M.L. Pharmacology evaluation of orally administered antibiotics in infants and children: effect of feeding on bioavailability. Pediatrics, Evanston IL, v.62, n.5, p.738-743, 1978.
MELANDER, A., DANIELSON, K., HANSON, A. Reduction of isoniazid bioavailability in normal men by concomitant intake of food. Acta Medica Scandinavica, Oslo, v.200, n.1/2, p.93-97, 1976. MELANDER, A., DANIELSON, K., HANSON, A., RUDELL, B., SCHERSTÉN, B., THULIN, T., WHALIN, E. Enhancement of hydralazine bioavailability by food. Clinical Pharmacology and Therapeutics, St. Louis MO, v.22, n.1, p.104-107, 1977.
MELANDER, A., LIEDHOLM, H., McLEAN, A. Concomitant food intake does enhance the bioavailability and effect of hydralazine. Clinical Pharmacology and Therapeutics, St. Louis MO, v.38, n.4, p.475-476, 1985.
MUNRO, H.N., SUTER, P.M., RUSSELL, R.M. Nutrition Requirements of the elderly. Annual Review of Nutrition, Palo Alto, v.7, p.23-49, 1987.
MURRAY, J.J., HEALY, M.D. Drug-mineral interaction: a new responsibility for the hospital dietitian. Journal of the American Dietetic Association, Chicago, v.91, n.1, p.66-73, 1991.
NEUVONEN, P.J., TURAKKA, H. Inhibitory effect of various iron salts on the absorption of tetracycline n man. European Journal of Clinical Pharmacology, Berlin, v.7, p.357-360, 1974.
NEUVONEN, P.J., KIVISTO, K.T., LEHTO, P. Interference of dairy products with the absorption of ciprofloxacin. Clinical Pharmacology and Therapeutics, St. Louis MO, v.50, n.5, p.498-502, 1991.
OHMAN, K.P., KAGEDAL, B., LARSSON, R., KARLBERG, B.E. Pharmacokinetics of captopril and its effects on blood pressure during acute and chronic administration and in relation to food intake. Journal of Cardiovascular Pharmacology, New York, v.7, p.20-24, 1985. Supplement 1.
OLIVEIRA, G.G. A Interação fármaco-nutriente sua importância na terapêutica. A Folha Médica, Rio de Janeiro, v.102, n.4, p.137-142, 1991.
PELLOCK, J.M., HOWELL, J., KENDING, E.L., BAKER, H. Pyridoxine deficiency in children treated with isoniazid. Chest, Park Ridge IL, v. 87, n.5, p.658-661, 1985.
QATO, M.K., MOHAMMED, F.A. Effect of food on the comparative bioavailability of two commercially available sustained-release tablet formulations containing nifedipine. STP Pharma Sciences, Paris, v.8, n.6, p.369-373, 1998.
RADULOVIC, L.L., CILLA, D.D., POSVAR, E.L., SEDMAN, A.J., WHITFIELD, L.R. Effect of food on the bioavailability of atorvastatin, an HMG-COA reductase inhibitor. Journal of Clinical Pharmacology, Hagerstown MD, v.35, n.10, p.990-994, 1995.
RANDINITIS, E.J., SEDMAN, A.J., WELLING, P.G., KINKEL, A.W. Effect of a high-fat meal on the bioavailability of a polymer-coated erytromycin particle tablet formulation. Journal of Clinical Pharmacology, Hagerstown MD, v.29, n.1, p.79-84, 1989.
REYNOLDS, J.E.F. Martindale: the extra pharmacopeia. 30.ed. London : Pharmaceutical Press, 1993. 2363p.
ROE, D.A. Drugs, diets and nutrition. American Pharmacy, Washington DC, v.18, n.10, p.62-64, 1978.
ROE, D.A. Nutrient and drug interactions. Nutrition Reviews, New York, v.42, n.4, p.141-154, 1984a.
ROE, D.A. Therapeutic significance of drug-nutrient interactions in the elderly. Pharmacological Reviews, Baltimore, v.36, n.2, p.109, 1984b.
ROE, D.A. Geriatric Nutrition. In: ROE, D.A. Therapeutic effects of drug-nutrient interactions in the elderly. Journal of the American Dietetic Association, Chicago, v.85, n.2, p.174-178, 181, 1985.
ROE, D.A. Drug and food interaction as they affect the nutrition of older individuals. Aging Clinical and Experimental Research, Milano, v.5, n.2, p.S51-S53, 1993. Supplement 1.
ROE, D.A. Medications and nutrition in the elderly. Primary Care, Philadelphia, v.21, n.1, p.135-147, 1994.
SATO, J., NAKATA, H., OWADA, E., KIKUTA, T., UMETSU, M., ITO, K. Influence of usual intake of dietary caffeine on single-dose kinetics of theophylline in healthy human subjects. European Journal of Clinical Pharmacology, Berlin, v.44, n.3, p.295-298, 1993.
SCHUMANN, K. Interaction between drug and vitamins at advanced. International Journal for Vitamin and Nutrition Research, Bern, v.69, n.3, p.173-178, 1999.
SELF, T.H., CHRISMAN, C.R., BACIEWICZ, A.M., BRONZE, M.S. Isoniazid drug and food interactions. American Journal of the Medical Sciences, Philadelphia, v.317, n.5, p.304-311, 1999.
SILVA, P. Farmacologia. 4.ed. Rio de Janeiro : Guanabara Koogan, 1994. 1450p.
SOUICH, P., CAILLÉ, G., PERREAULT, S. Influencia de los alimentos sobre la biodisponibilidad de los medicamentos. In: SIMPOSIO INTERNACIONAL DE BIODISPONIBILIDAD DE MEDICAMENTOS Y COLOQUIO SOBRE RELACIÓN UNIVERSIDAD E INDUSTRIA, 1., 1992, Santiago de Chile. Anais...Santiago de Chile : Universidad de Chile, 1992. p.53-69.
SWEET, R.A., BROWN, E.J., HEIMBERG, R.G. Monoamine oxidase inhibitor dietary restrictions: what are we asking patients to give up? Journal of Clinical Psychiatry, Memphis TN, v.56, n.5, p.196-210, 1995.
TERESI, M.E., MORGAN, D.E. Attitudes of healthcare professionals toward patient counseling on drug-nutrient interactions. Annals of Pharmacotherapy, Cincinnati, v.28, n.5, p.576-579, 1994.
THOMAS, J.A. Drug-nutrient interactions. Nutrition Reviews, New York, v.53, n.10, p.271-282, 1995.
TOOTHAKER, R.D., WELLING, P.G. The effect of food on drug bioavailability. Annual Review of Pharmacology and Toxicology, Palo Alto, v.20, p.173-199, 1980.
TROVATO, A., NUHLICEK, D.N., MIDTLING, J.E. Drug-nutrient interactions. American Family Physician, kansas City MO, v.44, n.5, p.1651-1658, 1991.
TRUSWELL, A.S. Nutrients in pharmacological doses, and adverse effects of foods in patients taking certain drugs. Journal of Science of Food and Agriculture, Sussex, v.26, n.7, p.1054-1074, 1975.
VARMA, R.J. Risk for drug-induced malnutrition is unchecked in elderly patients in nursing homes. Journal of the American Dietetic Association, Chicago, v.94, n.2, p.192-194, 1994.
WELLING, P.G. Influence of food and diet on gastrointestinal drug absorption: a review. Journal of Pharmacokinetics and Biopharmaceutics, New York, v.5, n.4, p.291-334, 1977.
WELLING, P.G. Bioavailability of erythromycin stearate: influence of food and fluid. Journal of Pharmaceutical Sciences, Washington DC, v.67, n.6, p.764-766, 1978.
WELLING, P.G., TSE, F.L.S. The influence of food on absorption of antimicrobial agents. Journal of Antimicrobial Chemotherapy, London, v.9, p.7-27, 1982.
WELLING, P.G. Interactions affecting drug absorption. Clinical Pharmacokinetics, Auckland, v.9, n.5, p.404-434, 1984.
WELLING, P.G. Effects of food on drug absorption. Pharmacology and Therapeutics, Oxford, v.43, n.3, p.425-441, 1989.
WESSEL, J.C., KOELEMAN, H.A., BONESCHANS, B., STEYN, H.S. Different types of breakfast and paracetamol absorption. International Journal of Clinical Pharmacology, Therapy, and Toxicology, Munchen, v.30, n.6, p.208-213, 1992.
WILLIAMS, L., DAVIS, J.A., LOWENTHAL, D.T. The influence of food on the absorption and metabolism of drugs. Clin. Nutr., v.77, n.4, p.815-829, 1993.
WIX, A.R., DOERING, P.L., HATTON, R.C. Drug-nutrition counseling programs in teaching hospitals. American Journal of Hospital Pharmacy, Washington DC, v.49, n.4, p.855-860, 1992.
YAMREUDEEWONG, W., HENANN, N.E., FAZIO, A., LOWER, D.L., CASSIDY, T. Drug-food interaction in clinical practice. Journal of Family Practice, East Norwalk CT, v.40, n.4, p.376-384, 1995.
ZENT, C., SMITH, P. Study of the effect of concomitant food on the bioavailability of rifampicin, isoniazid and pyrazinamide. Tubercle and Lung Disease, v.76, n.2, p.109-113, 1995.
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