When Drugs and Foods Fight, You Lose

Medicine is supposed to help you, right? But sometimes drugs don't work the way you expect in combination with the foods you eat.

The majority of medicines are not affected by foods, but drug-food interactions are still possible with some prescriptions. "Even over-the-counter medicines can cause problems," says Los Angeles pharmacist Claudine Kozah.

"Read directions, warnings and interaction precautions that are printed on the medicine labels and packages while you're still at the pharmacy," cautions Kozah. "Be especially careful to read medicine labels when giving medicine to children."

Certain drugs lose their potency when consumed with certain foods. For example, avoid dairy foods, antacids or vitamins containing iron while taking tetracycline (brand names Achromycin or Sumycin). The calcium and iron in these products may interfere with the antibiotic's effectiveness, says Kozah. Ditto with these other common antibiotics: ciprofloxacin (brand name Cipro), levofloxacin (brand name Levaquin), ofloxacin (brand name Floxin) and trovafloxacin (Trovan).

Some drug-food interactions are beneficial. That's the case with statin drugs, which reduce the production of LDL -- bad cholesterol. Albuquerque, N.M., cardiologist Joe Wise, M.D., says lovastatin (brand name Mevacor) should be taken with evening meals to enhance absorption.

Caffeine can cause problems for people taking brand name drugs for acid reflux, heartburn or acid indigestion. Los Angeles gastroenterologist Dale Prokupek, M.D., says chocolate, tea, coffee or colas may combine with Tagamet, Pepcid, Zantac or Axid formulas to irritate the stomach and impair healing.Dangerous drug-food interactions are a hazard with MAO inhibitors. These are medications containing monoamine oxidase prescribed for mood disorders. People taking the brand name drugs Nardil and Parnate may risk a rapid, potentially fatal increase in blood pressure if they consume foods or alcoholic beverages containing the compound tyramine.Dairy products contain tyramine, so people taking MAO inhibitors can't eat cheese, yogurt or sour cream. Animal products such as beef or chicken liver, cured meats such as sausage and salami, game meat, caviar and dried fish are forbidden. Taking MAO inhibitors rules out avocados, bananas, raisins, sauerkraut, soy sauce, miso soup, fava beans, yeast extracts and ginseng. Also, anything containing caffeine.
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Source: Health & Wellness

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