[PDF] Nutrient-Drug Interactions and Food - Extension





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Les interactions entre les aliments et les médicaments dans la

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Le pa- ramètre vitesse d'absorption inter- vient surtout lors des premières prises du médicament; à l'état d'équilibre les aliments la modifient moins signi-.



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Nutrient-Drug Interactions and Food - Extension

May 1 2013 · Drug-nutrient interactions involve changes to a drug caused by a nutrient or changes to a nutrient as a result of the drug Food-drug interactions is a broader term that describes the effects of a drug on nutritional status Each of these interactions may lead to many complications Table 1 summarizes several possible interactions of drugs with



Searches related to interactions médicaments aliments PDF

à la prise de médicaments 235 ANOREXIE ET PERTE D'APPÉTIT 236 COUTE PSEUDO-MEMBRANEUSE 240 CONSTIPATION 242 DIARRHÉE 249 GLYCÉMIE (augmente) 256 GLYCÉMIE (diminue) 260 GOÛT (altération du) 263 IRRITATIONS GASTRO-INTESTINALES /TROUBLES DIGESTIFS / CRAMPES ABDOMINALES / DOULEURS ÉPIGASTRIQUES ET GASTRO-INTESTINALES 269 LIPÉMIE

Quels sont les différents types d’interactions aliments-Médica-ments ?

Le tableau énumère les interactions aliments-médica- ments les plus classiques dont le re- tentissement clinique est probable. Certains médicaments dont l’action se limite au tube digestif doivent être aussi peu résorbés que possible et font donc l’objet de recommandations particulières (ex: anti-acides, enzymes digestives, antifongiques locaux).

Quels sont les effets des médicaments avec l’alimentation prise d’aliments ?

Interactions des médicaments avec l’alimentation prise d’aliments. Ces interactions sont cliniquement significatives pour les médicaments à marge thérapeutique étroite, dont il importe que les concentrations moyennes soient confinées dans une fourchette bien définie (théophylline, phénytoïne, ci- closporine, etc.).

Comment les aliments affectent-ils l'absorption des médicaments ?

Les aliments peuvent augmenter, retarder ou réduire l'absorption des médicaments. Les aliments altèrent l'absorption de nombreux antibiotiques. Ils peuvent modifier le métabolisme des médicaments; p. ex., les régimes à forte teneur en protéines peuvent accélérer le métabolisme de certains médicaments en stimulant le cytochrome P-450.

Quels sont les facteurs qui influencent les interactions entre les aliments ?

Autres facteurs Dose et quantité d’aliments: Les interactions dépendent de la dose ad- ministrée et de la quantité d’aliments qui se rencontrent dans le tube diges- tif. Au-delà d’une certaine dose, selon le mécanisme impliqué, une interac- tion peut devenir insignifiante sur le plan clinique.

Fact Sheet No.

9.361 Food and Nutrition Series|Health

by L. Bellows and R. Moore* ?e complex interaction between food, nutrients, and drugs, make it di?cult to accurately determine the exact e?ects of these relationships in the body. A drug is de?ned as a substance used in the diagnosis, treatment, or prevention of a disease, or component of a medication. ?ere are many dramatic results and problems that may be caused by food- drug, drug-drug, and alcohol-food-drug interactions, and these vary from person to person. Drug-nutrient interactions involve changes to a drug caused by a nutrient, or changes to a nutrient as a result of the drug.

Food-drug interactions is a broader term that

describes the e?ects of a drug on nutritional status. Each of these interactions may lead to many complications. Table 1 summarizes several possible interactions of drugs with foods, nutrients, supplements, or other drugs, which may produce unexpected side-e?ects or cause additional health problems.

Effects of Food on Drug

Intake

Drug Absorption: Food or nutrients in the

stomach or intestine may act to reduce the absorption of a drug by delaying digestion, binding to minerals found in the food, or adhering to food particles. In other cases, the food may promote drug absorption.

Drug Breakdown: Food may act to

enhance or inhibit the metabolism of certain drugs in the body. Drug Excretion: Food and nutrients may act to alter the reabsorption and excretion of drugs from the kidney.

Other Actions: Certain food components

can lead to the enhancement or opposition of the e?ects of some drugs. Some examples of food and constituents found in food include: vitamins, minerals, fat, proteins, ca?eine, or alcohol.

Quick Facts

L. Bellows, Colorado State University Extension food and nutrition specialist and assistant professor; R. Moore, graduate student. 9/2013

Nutrient-Drug Interactions and Food

Effects of Drugs on Food

and Nutrition

Nutrient Absorption: Certain drugs

may increase, decrease, or prevent nutrient absorption in the gut.

Nutrient Breakdown: Drugs may speed up

the metabolism of certain nutrients, resulting in higher dietary requirements of that particular nutrient.

Nutrient Excretion: Drugs can increase or

decrease the urinary excretion of nutrients.

Side Effects of Drugs and Other Medications

Taste and Smell Alterations: Some drugs

may alter one's ability to taste and smell certain foods. Food intake may be a?ected due to alteration of taste sensation, reduced acuity to taste, or undesirable a?ertaste.

Gastrointestinal (GI) E?ects: Some drugs

can cause irritation to the digestive tract that includes stomach upset, nausea, vomiting, diarrhea, constipation, ulcers, and gastric bleeding. Some drugs may alter gastric acidity and damage mucosal surfaces leading to decreased nutrient absorption.

Appetite Changes: Alterations in appetite

may include suppression or stimulation of hunger leading to weight loss or weight gain.

Organ Toxicity: Since many drugs must

pass through the liver and kidney upon excretion, hepatotoxicity (liver damage) and nephrotoxicity (kidney damage) are of primary concern.

Metabolic E?ects: Some drugs may a?ect

blood glucose levels by stimulating the production of glucose or inhibiting its uptake.

Other drugs may inhibit insulin secretion,

decrease insulin sensitivity, or increase insulin clearance from the blood. ?is may lead to conditions known as hyperglycemia (high blood glucose), hypoglycemia (low blood glucose), or diabetes. Other medications may lead to abnormal lipid levels, causing elevated cholesterol or triglycerides.

Table 1. Food, Nutrient, and Drug Interactions.

Condition Drug Use Interactions/Guidelines Examples 1

Allergies

Food:

Exception

Other drugs

Avoid alcohol

Arthritis Food:

and Pain

Caffeine:

Avoid alcohol

Food:

Caffeine

Supplements

Avoid alcohol

Food:

Caffeine

Avoid alcohol

Food

Avoid alcohol

Asthma Food:

Caffeine:

Avoid alcohol

Cardio-Food:

vascular

Disorders

Table 1. Food and Drug Interactions. (continued)

Condition Drug Use Interactions/Guidelines Examples 1

Cardio-Food

vascular

Disorders

Other drugs

Avoid alcohol

Food:

Supplements:

Avoid alcohol

Food:

Avoid alcohol

Food: Food:

Supplements

Avoid alcohol

Food:

Supplements

Other drugs

Infections General Guidelines:

Food:

Supplements

Table 1. Food and Drug Interactions. (continued)

Condition DrugUse Interactions/Guidelines Examples 1

Infections

Food

Caffeine

Food Food

Exceptions

Food

Avoid alcohol

Food Food

Avoid alcohol

Food

Avoid alcohol

MoodFood

Disorders

Avoid alcohol

Food

Caffeine

Supplements

Avoid alcohol

Table 1. Food and Drug Interactions. (continued)

Condition DrugUse Interactions/Guidelines Examples 1

Mood Food

Disorders

Avoid alcohol

Food Food

Stomach

Food

Caffeine

Avoid alcohol

Seizures Food

Avoid alcohol

References

Avoid Food-Drug Interactions: A Guide

from the National Consumers

League and U.S. Food and Drug

Administration. Available at http://

www.fda.gov/downloads/Drugs/

ResourcesForYou/Consumers/

BuyingUsingMedicineSafely/

EnsuringSafeUseofMedicine/

GeneralUseofMedicine/UCM229033.

pdf last accessed on May 1, 2013.

Mahan, L.K., Escott-Stump, S., Raymond,

J.L., & Krause, M.V. (2012). Krause's

Food & the Nutrition Care Process. St.

Louis, MO: Elsevier/Saunders.

Pronsky, Zm. Food Medication

Interactions. 15th Edition. Birchrunville,

Pa: 2008.

U.S. Food and Drug Administration

(FDA).For Consumers: Avoiding

Drug Interactions. Available at

http://www.fda.gov/ForConsumers/

ConsumerUpdates/ucm096386.htm last

accessed on May 1, 2013.

U.S. Food and Drug Administration

(FDA). Council on Family Health.

Drug interactions: What You Should

Know. Available at http://www.fda.gov/

downloads/Drugs/ResourcesForYou/

UCM163355.pdf last accessed on May

1, 2013.

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