抗生素药物、抗溃疡药物、降压药、降糖药、抗癌药物中的药物相互作用

Chiatali O. Doke, Ranjit S. Tiwari, Vijay B. Todekar, Abhijeet P. Mane, Viraj S. Sawant, Ganesh V. Sawant
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摘要

酱汁经常与治疗药物结合使用,提高了调味品-药物关系的可能性。一篇广泛的文献综述将报道的调味品-药物关系与临床意义联系起来,其中许多来自病例报告和有限的临床依从性。已发表的病例报告显示,长期服用华法林治疗的病例同时服用丹参,抗凝血和出血效果增强。大蒜(Allium sativum)降低了沙奎那韦(saquinavir)的管下注意时间(AUC)和最大管下注意,而利托那韦(ritonavir)和扑热息痛(acetaminophen)则没有。与氯丙胺联用时,蒿草可增加华法林的凝血时间和跨国正常化率,引起低血糖。银杏叶(银杏)与华法林或阿司匹林(乙酰水杨酸)联合会导致出血,与噻嗪类利尿剂联合会导致血压升高,与曲唑酮联合会导致昏迷。这些酱料经常与治疗药物共同使用,提高了药物-调味品关系的可能性,这可能具有重要的临床意义,基于越来越多的类似相互作用的临床报告。与草药一起销售的药物是一个重大的安全问题,特别是对于治疗指标较窄的药物(例如华法林和地高辛)。由于药物的药代动力学和/或药效学可能会因与草药联合使用而改变,因此可能会发生潜在的严重甚至可能危及生命的不良反应。由于药物与酱料关系的临床意义,确定可能与草药相互作用的药物和正在开发的复合物非常重要。使用适当的体外和体内方法及时识别类似药物可能对药物开发具有重要的反指控。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Herb Drug Interaction in Antibiotic Drug, Antiulcer Drug, Antihypertensive Drug, Antidiabetic Drug, Anticancer Drug
Sauces are frequently administered in combination with remedial medicines, raising the eventuality of condiment- medicine relations. An expansive review of the literature linked reported condiment- medicine relations with clinical significance, numerous of which are from case reports and limited clinical compliances. Cases have been published reporting enhanced anticoagulation and bleeding when cases on long- term warfarin remedy also took Salvia miltiorrhiza (danshen). Allium sativum (garlic) dropped the area under the tube attention- time wind (AUC) and maximum tube attention of saquinavir, but not ritonavir and paracetamol (acetaminophen), in levies. A. sativum increased the clotting time and transnational normalised rate of warfarin and caused hypoglycaemia when taken with chlorpropamide. Ginkgo biloba (ginkgo) caused bleeding when combined with warfarin or aspirin (acetylsalicylic acid), raised blood pressure when combined with a thiazide diuretic and indeed caused coma when combined with trazodone in cases. These sauces are frequentlyco-administered with remedial medicines raising the eventuality of medicine – condiment relations, which may have important clinical significance grounded on an adding number of clinical reports of similar interactions. The commerce of medicines with herbal drugs is a significant safety concern, especially for medicines with narrow remedial indicators (e.g. warfarin and digoxin). Because the pharmacokinetics and/ or pharmacodynamics of the medicine may be altered by combination with herbal remedies, potentially severe and maybe indeed life- hanging adverse responses may do. Because of the clinical significance of medicine relations with sauces, it's important to identify medicines and composites in development that may interact with herbal drugs. Timely identification of similar medicines using proper in vitro and in vivo approaches may have important counteraccusations for medicine development.
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