Medications: Interactions with Diet, Herbs, Dietary Supplements and Probiotics

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: 20 June 2025 | Viewed by 2319

Special Issue Editors


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Municipal Health and Consumer Unit, Guadix City Council (Granada), School of Health Sciences, Valencia International University, Valencia, Spain
Interests: bioethics; parenteral nutrition; health education; pharmacy
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Guest Editor
Pharmaceutical Care Research Group, University of Granada, Granada, Spain
Interests: pharmaceutical care; nutritional sciences; health education; pharmacy education; social pharmacy; community pharmacy services

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Guest Editor
Faculty of Pharmacy, University of Granada, Granada, Spain
Interests: pharmaceutical care; health education; pharmacy education; social pharmacy

Special Issue Information

Dear Colleagues,

The optimal result of any pharmacological treatment depends on a variety of factors. However, one that has recently received significant attention due to its importance concerns the interactions that can occur between medications, foods and dietary supplements. These interactions can lead to an increase or a decrease in the plasma concentration of the drug; therefore, in both cases, health may be affected either due to possible toxicity or the absence of therapeutic action.

The objective of this Special Issue is to update the available scientific and clinically relevant evidence on the main interactions that can occur, exploring how healthcare professionals can intervene to prevent them and thus guarantee the optimization of pharmacological treatment while reducing healthcare costs associated with morbidity and mortality.

Dr. Francisco Rivas
Dr. María Isabel Valverde Merino
Dr. Maria José Zarzuelo Romero
Guest Editors

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Keywords

  • food–drug interactions
  • dietary supplements
  • probiotics
  • herb–drug interaction

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Published Papers (2 papers)

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Research

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14 pages, 11171 KiB  
Article
Quinazolinone Derivative MR2938 Protects DSS-Induced Barrier Dysfunction in Mice Through Regulating Gut Microbiota
by Ling Lv, Mireguli Maimaitiming, Jichen Yang, Shuli Xia, Xin Li, Pingyuan Wang, Zhiqing Liu and Chang-Yun Wang
Pharmaceuticals 2025, 18(1), 123; https://doi.org/10.3390/ph18010123 - 17 Jan 2025
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Abstract
Background/Objectives: Ulcerative colitis (UC), a chronic inflammatory bowel disease (IBD), is characterized by colorectal immune infiltration and significant microbiota compositional changes. Gut microbiota homeostasis is necessary to maintain the healthy state of humans. MR2938, a quinazolin-4(3H)-one derivative derived from the marine natural [...] Read more.
Background/Objectives: Ulcerative colitis (UC), a chronic inflammatory bowel disease (IBD), is characterized by colorectal immune infiltration and significant microbiota compositional changes. Gut microbiota homeostasis is necessary to maintain the healthy state of humans. MR2938, a quinazolin-4(3H)-one derivative derived from the marine natural product penipanoid C, alleviated DSS-induced colitis in a dose-dependent manner. Herein, we aimed to investigate the impact of MR2938 on the gut microbiota in dextran sodium sulfate (DSS)-induced colitis in mice and to elucidate the role of the gut microbiota in the therapeutic mechanism of MR2938 for alleviating colitis. Methods: Acute colitis was induced with DSS in mice. Mice were administered with 100 mg/kg or 50 mg/kg of MR2938. Cecal content was also preserved in liquid nitrogen and subsequently analyzed following 16S RNA sequencing. Antibiotic cocktail-induced microbiome depletion was performed to further investigate the relationship between MR2938 and gut microbiota. The inflammatory factor levels were performed by quantitative polymerase chain reaction (qPCR) and enzyme-linked immunosorbent assay (ELISA). Alcian blue staining and immunofluorescence were used to estimate the intestinal barrier. Results: The 16S rRNA sequencing revealed microbiota modulation by MR2938. Compared with the model group, the 100 mg/kg MR2938 group was associated with higher abundances of Entercoccus and a lower abundance of Staphylococcus, while the 50 mg/kg MR2938 group was associated with higher abundances of Lactobacillus and a lower abundance of Staphylococcus. The antibiotic-mediated microbiota depletion experiments demonstrated that the gut microbiota primarily contributed to barrier function protection, with little impact on inflammatory factor levels during the MR2938 treatment. Conclusions: These findings suggest that intestinal flora play a crucial role in MR2938’s therapeutic mechanism for alleviating colitis. Full article
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Review

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14 pages, 785 KiB  
Review
Dietary Supplements for Weight Loss and Drug Interactions
by Francisco Rivas García, José Antonio García Sierra, Maria-Isabel Valverde-Merino and Maria Jose Zarzuelo Romero
Pharmaceuticals 2024, 17(12), 1658; https://doi.org/10.3390/ph17121658 - 9 Dec 2024
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Abstract
Food supplements are used for a variety of purposes, one of which is weight reduction. As excess weight is a long-term condition, some supplements are expected to be used for long periods of time. The long-term use of these dietary supplements makes it [...] Read more.
Food supplements are used for a variety of purposes, one of which is weight reduction. As excess weight is a long-term condition, some supplements are expected to be used for long periods of time. The long-term use of these dietary supplements makes it highly likely that they will be combined with medications, increasing the risk of food supplement–drug interactions, which are not always known or disclosed, and can lead to serious health problems, as has been observed. This article discusses some of the compounds used as food supplements for weight reduction (green tea extract, Garcinia cambogia, chitosan, quercetin and resveratrol) and the interactions they may cause with some drugs such as: dextromethorphan, buspirone, diclofenac, irinotecan, 5-fluorouracil, cytochrome P450 inducers and inhibitors, statins, orlistat, warfarina, acenocoumarol, fluoxetine, valproate, quetiapine, carbamazepine. This information is expected to be useful for healthcare professionals to detect and intervene on food supplement–drug interactions to ensure the optimization of therapy and patient safety. Full article
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