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Introduction and classification: Herbal-Drug and Herb-Food Interactions

Definition

  • A drug interaction occurs when a medication, herbal supplement, or food affects the way another substance works in the body, leading to increased, decreased, or harmful effects.

  • Herb-food interactions refer to the effects of herbal supplements when consumed with certain foods or beverages, which can alter their absorption, metabolism, or elimination.

Classification of Drug Interactions

There are three primary types of drug interactions:

Classification of Drug Interactions

Drug-Drug Interaction

  • Occurs when two or more drugs interact, altering their safety or effectiveness.

  • May result from changes in drug metabolism, transport, or receptor activity.

Examples

  • Warfarin + Aspirin → Increased risk of bleeding.

  • Ciprofloxacin + Theophylline → Increased toxicity risk.

Drug-Food Interaction

  • Happens when foods or beverages affect the metabolism, absorption, or transport of drugs.

  • Can either increase or decrease drug effects, leading to side effects or reduced efficacy.

Examples

  • Grapefruit juice + Certain medications → Increases drug blood levels, leading to toxicity.

  • Vitamin K-rich foods + Warfarin → Reduces the anticoagulant effect, increasing clot risk.

Drug-Disease Interaction

  • Occurs when a medication worsens an existing medical condition.

  • Can result from changes in drug metabolism, receptor interactions, or side effects.

Examples

  • Beta-blockers in asthma patients → Worsens breathing difficulties.

  • NSAIDs in renal impairment → Deteriorates kidney function.


Study of Herbal Drugs: Possible Side Effects and Interactions


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