Question

For this discussion forum, find three interactions between medications and nutrients (food). List the interaction, foods to avoid while taking the medication, and describe key points that should be included in client education regarding the interactions.
You can use Epocrates to find your information https://online.epocrates.com/, or Medline Plus http://www.nlm.nih.gov/medlineplus/druginformation.html, or any other evidence based resource.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

Answer 1

Food-Drug interactions:

You have presumably heard the notices not to drink grapefruit juice with cholesterol medicine. Nevertheless, that is not the main mix of sustenance and medications to evade. Grapefruit juice can interface with various different pharmaceuticals, both remedy and over-the-counter. Furthermore, numerous different sustenances regularly cooperate with drugs, as well.

Steve Plogsted, BS, PharmD, BCNSP, CNSC, clinical drug specialist with Nutrition Support Service of Nationwide Children's Hospital in Columbus, Ohio, fills us in on five nourishments that most ordinarily associate with medicines.

Grapefruit Juice

"Grapefruit juice can connect with drugs in different ways," says Plogsted. One route is by expanding the ingestion of specific medications — similar to the case with a few, yet not all, cholesterol-bringing down statins. MedinePlus prescribes maintaining a strategic distance from grapefruit juice on the off chance that you are taking statins.

Grapefruit juice can likewise make the body utilize medicates anomalous, bringing about lower or higher than typical blood levels of the medication. Numerous meds are influenced along these lines, including antihistamines, pulse drugs, thyroid substitution drugs, contraception, stomach corrosive blocking drugs, and the hack suppressant dextromethorphan. It's best to stay away from or essentially decrease admission of grapefruit juice when taking these pharmaceuticals.

Be that as it may, why is grapefruit juice of concern and not different citrus juices? As indicated by Plogsted, grapefruit juice contains a class of mixes called furanocoumarins, which act in the body to modify the qualities of these medicines. Squeezed orange and different citrus juices don't contain these mixes. There is some worry for Seville oranges and the pummelo, which are relatives of the grapefruit.

Green Leafy Vegetables

Blood-diminishing medications, for example, Coumadin® (warfarin) meddle with vitamin K-subordinate coagulating factors. Eating excessively green verdant vegetables, which are high in vitamin K, can diminish the capacity of blood-thinners to avoid coagulating. Be that as it may, you don't need to surrender greens through and through. Issues emerge from altogether and all of a sudden expanding or diminishing admission, as it can change the viability of the prescription. So eat your greens in predictable sums.

Normal Black Licorice (Glycyrrhiza)

As indicated by Plogsted, glycyrrhiza — a characteristic fixing used to make dark licorice — can drain the collection of potassium while causing an expanded maintenance of sodium. At the point when the body is exhausted of potassium, the action of digoxin, a medicine used to treat heart disappointment, can be extraordinarily improved, bringing about the heart not thumping appropriately.

Glycyrrhiza can likewise diminish the adequacy of hypertension medications. What's more, individuals taking Coumadin® (warfarin) ought to be careful that glycyrrhiza can separate the medication, bringing about an expansion in the body's thickening instrument.

Exorbitant measures of normal licorice ought to be maintained a strategic distance from when taking these solutions. Notwithstanding, Plogsted takes note of that falsely enhanced dark licorice doesn't contain glycyrrhiza and isn't of concern.

Salt Substitutes

Purchasers taking digoxin for heart disappointment or ACE inhibitors for hypertension ought to be cautious with salt substitutes, which frequently supplant sodium with potassium. With an expanded utilization of potassium, the viability of digoxin can be diminished, bringing about heart disappointment. Furthermore, those taking ACE inhibitors may see a critical increment in blood potassium levels, as these medications are known to expand potassium.

"There is no genuine need to evade salt substitutes, in spite of the fact that care ought to be taken when utilizing the item," say Plogsted. "On the off chance that the purchaser has diminished kidney work they ought to talk about the utilization of salt substitutes with their specialist."

Tyramine-Containing Foods

High blood levels of the amino corrosive tyramine can cause an expansion in circulatory strain. A few medicines meddle with the breakdown of tyramine, including monoamine oxidase inhibitors (MAOIs) which treat discouragement, and medications used to treat the side effects of Parkinson's malady. Plogsted exhorts those taking these medications to avoid tyramine-rich sustenances. The rundown is long and incorporates, yet isn't restricted to: chocolate, matured and develop cheeses, smoked and matured/aged meats, wieners, some handled lunch meats, aged soy items and draft lagers (canned and packaged brews are OK).

While getting a remedy for another pharmaceutical or taking another over-the-counter medication, Plogsted encourages shoppers to dependably read tranquilize cautioning marks and ask their doctor as well as drug specialist about which nourishments or different medications they ought to keep away from or be worried about taking.