Interaction of Statins with Grapefruit Juice

Authors : Müge ATEŞ, Selma ŞAHİN

Pages : 337-358

Doi:10.55262/fabadeczacilik.1187441

View : 65 | Download : 83

Publication Date : 2023-08-01

Article Type : Review Paper

Abstract :Grapefruit juice, which discovered to interact with felodipine for the first time, is now known to interact with more that 80 drugs. Statins are among the drugs that interact with grapefruit juice. Grapefruit juice-statin interactions were first investigated in 1998 in human pharmacokinetic studies with lovastatin and simvastatin. The pharmacokinetic and pharmacodynamic basis of the interaction has been extensively investigated in studies. Flavonoids and furanocoumarins, the main components of grapefruit juice, have been reported to cause drug interactions. Furthermore, statin-grapefruit juice interactions occur mostly through inhibition of cytochrome-3A4 insert ignore into journalissuearticles values(CYP3A4);, to a lesser extent through inhibition of P-glycoprotein insert ignore into journalissuearticles values(P-gp); and organic anion transporting polypeptides insert ignore into journalissuearticles values(OATPs);. Changes in plasma drug levels as a result of interaction may increase the side-effect of statins or reduce their therapeutic efficacy. Therefore, patients using statins are generally advised to avoid grapefruit juice consumption.
Keywords : Grapefruit juice, drug interaction, statins, CYP3A4, P gp, OATP