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The mechanisms of pharmacokinetic food-drug interactions - A perspective from the UNGAP group

M. Koziolek, S. Alcaro, P. Augustijns, AW. Basit, M. Grimm, B. Hens, CL. Hoad, P. Jedamzik, CM. Madla, M. Maliepaard, L. Marciani, A. Maruca, N. Parrott, P. Pávek, CJH. Porter, C. Reppas, D. van Riet-Nales, J. Rubbens, M. Statelova, NL....

. 2019 ; 134 (-) : 31-59. [pub] 20190408

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc19044889

The simultaneous intake of food and drugs can have a strong impact on drug release, absorption, distribution, metabolism and/or elimination and consequently, on the efficacy and safety of pharmacotherapy. As such, food-drug interactions are one of the main challenges in oral drug administration. Whereas pharmacokinetic (PK) food-drug interactions can have a variety of causes, pharmacodynamic (PD) food-drug interactions occur due to specific pharmacological interactions between a drug and particular drinks or food. In recent years, extensive efforts were made to elucidate the mechanisms that drive pharmacokinetic food-drug interactions. Their occurrence depends mainly on the properties of the drug substance, the formulation and a multitude of physiological factors. Every intake of food or drink changes the physiological conditions in the human gastrointestinal tract. Therefore, a precise understanding of how different foods and drinks affect the processes of drug absorption, distribution, metabolism and/or elimination as well as formulation performance is important in order to be able to predict and avoid such interactions. Furthermore, it must be considered that beverages such as milk, grapefruit juice and alcohol can also lead to specific food-drug interactions. In this regard, the growing use of food supplements and functional food requires urgent attention in oral pharmacotherapy. Recently, a new consortium in Understanding Gastrointestinal Absorption-related Processes (UNGAP) was established through COST, a funding organisation of the European Union supporting translational research across Europe. In this review of the UNGAP Working group "Food-Drug Interface", the different mechanisms that can lead to pharmacokinetic food-drug interactions are discussed and summarised from different expert perspectives.

ARC Centre of Excellence in Convergent Bio Nano Science and Technology Monash Institute of Pharmaceutical Sciences Monash University 381 Royal Parade Parkville Victoria 3052 Australia

Charles University Faculty of Pharmacy in Hradec Králové Heyrovského 1203 50005 Hradec Králové Czech Republic

Department of Biopharmaceutics and Pharmaceutical Technology University of Greifswald Center of Drug Absorption and Transport Felix Hausdorff Str 3 D 17487 Greifswald Germany

Department of Health Sciences University Magna Græcia of Catanzaro Campus Universitario S Venuta Viale Europa 88100 Catanzaro Italy

Department of Pharmacy School of Health Sciences National and Kapodistrian University of Athens Panepistimiopolis 157 84 Athens Greece

Drug Delivery and Disposition KU Leuven Herestraat 49 Gasthuisberg O and N2 Box 921 3000 Leuven Belgium

Drug Delivery Disposition and Dynamics Monash Institute of Pharmaceutical Sciences Monash University 381 Royal Parade Parkville Victoria 3052 Australia

Laboratory of Biotransformation Institute of Microbiology CAS Vídeňská 1083 CZ 142 20 Prague Czech Republic

Medicines Evaluation Board in the Netherlands PKPD Department Utrecht the Netherlands

Medicines Evaluation Board in the Netherlands Quality Department Utrecht the Netherlands

Net4Science Academic Spinoff University Magna Græcia of Catanzaro Campus Universitario S Venuta Viale Europa 88100 Catanzaro Italy

NIHR Nottingham Biomedical Research Centre Nottingham University Hospitals NHS Trust and the University of Nottingham Nottingham United Kingdom

Nottingham Digestive Diseases Centre School of Medicine University of Nottingham Nottingham United Kingdom

Pharma Research and Early Development Roche Innovation Center Basel F Hoffmann La Roche Ltd Basel Switzerland

Sir Peter Mansfield Imaging Centre School of Physics and Astronomy University of Nottingham Nottingham United Kingdom

UCL School of Pharmacy University College London 29 39 Brunswick Square London WC1N 1AX United Kingdom

University of Zagreb Faculty of Pharmacy and Biochemistry A Kovačića 1 10000 Zagreb Croatia

Citace poskytuje Crossref.org

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