Document Detail

Is it really OK to take this with food? Old interactions with a new twist.
MedLine Citation:
PMID:  11936569     Owner:  NLM     Status:  MEDLINE    
In response to consumers' increased interest in preventive health care, the food industry is producing a variety of foods fortified with calcium, iron, and other minerals and vitamins. This well-meaning idea of food fortification is troubling in the context of clinical pharmacology. The recommended Food and Drug Administration (FDA) meal used in food-drug interaction studies is a high-fat, high-calorie meal with little nutritive value. While some drugs may appear to be safe when taken with food, this may not be true when fortified foods are considered. The mechanisms causing drug-fortified food interactions are the some well-known mechanisms that cause other drug-mineral interactions. Certain drugs may exhibit decreased absorption due to chelation and adsorption. Other drugs may have decreased absorption or increased excretion due to changes in gastric and/or urinary pH. The results of such interactions may be clinically insignificant or severe, including treatment failure, frequent dose changes, antibiotic resistance, and increased morbidity and mortality. Revisions of current regulatoryguidelines are necessary to take into account this potentially major source of "new" drug interactions.
Allison W Wallace; Guy W Amsden
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of clinical pharmacology     Volume:  42     ISSN:  0091-2700     ISO Abbreviation:  J Clin Pharmacol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-08     Completed Date:  2002-10-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0366372     Medline TA:  J Clin Pharmacol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  437-43     Citation Subset:  IM    
Clinical Pharmacology Research Center and Department of Adult and Pediatric Medicine, Basset Healthcare, Cooperstown, New York 13326, USA.
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MeSH Terms
Food, Fortified* / adverse effects,  statistics & numerical data
Food-Drug Interactions / physiology*
United States
United States Food and Drug Administration / legislation & jurisprudence*

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