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Medical Forum / General / Cardiology / October 2004

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Dr andrew chung re grapfriut

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mrmalins - 24 Oct 2004 22:19 GMT
I see that" Doe" is saying that grapefruit  can react with drugs  like
amiodarone and other cardiac medication to increase the dose. now as I am on
this drug and others for arrhythmia ,enlarged heart, and leaking valves
should I question the pharmacist or cardiac specialist next month when I see
him at the clinic,   or is this   Doe    some kind of Nut!    your advice
would be appreciated.     john.m
Tiger Lily - 24 Oct 2004 22:22 GMT
www.rxlist.com

enter the name of your drug and look up the side affects and
contra-indications

> I see that" Doe" is saying that grapefruit  can react with drugs  like
> amiodarone and other cardiac medication to increase the dose. now as I am on
> this drug and others for arrhythmia ,enlarged heart, and leaking valves
> should I question the pharmacist or cardiac specialist next month when I see
> him at the clinic,   or is this   Doe    some kind of Nut!    your advice
> would be appreciated.     john.m
fresh~horses - 25 Oct 2004 00:09 GMT
> I see that" Doe" is saying that grapefruit  can react with drugs  like
> amiodarone and other cardiac medication to increase the dose. now as I am on
> this drug and others for arrhythmia ,enlarged heart, and leaking valves
> should I question the pharmacist or cardiac specialist next month when I see
> him at the clinic,   or is this   Doe    some kind of Nut!    your advice
> would be appreciated.     john.m

John

You may find this article helpful.
http://www.cmaj.ca/cgi/content/full/167/3/279

Zee
Dr. Andrew B. Chung, MD/PhD - 25 Oct 2004 00:48 GMT
> I see that" Doe" is saying that grapefruit  can react with drugs  like
> amiodarone and other cardiac medication to increase the dose.

It can.

> now as I am on
> this drug and others for arrhythmia ,enlarged heart, and leaking valves
> should I question the pharmacist or cardiac specialist next month when I see
> him at the clinic,

Yes.

>   or is this   Doe    some kind of Nut!

Doe worries a lot about folks getting iron overload.

>    your advice
> would be appreciated.  

You are welcome.

All praises belong to my heavenly Father, Whom I love with all my heart,
soul, mind, and strength :-)

>   john.m

You will be in my prayers, dear John whom I love, in Christ's name.


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
mrmalins - 25 Oct 2004 08:16 GMT
> It can.
>
[quoted text clipped - 14 lines]
>
> You will be in my prayers, dear John whom I love, in Christ's name.

,> Dr. Andrew B. Chung

     Thank you  for  your prayers, I need them.  Its only the medication
that's keeps me alive all 12x  per day. Regards the grapefruit theory, is it
that the juice dissolves the enteric coating of the long acting drug and
therefore you get the dosage to quickly? Doe's warning is to technical for
me to understand...john.m
Dr. Andrew B. Chung, MD/PhD - 25 Oct 2004 12:33 GMT
> > It can.
> >
[quoted text clipped - 18 lines]
> >
>       Thank you  for  your prayers, I need them.

Would suggest you praise God.  Everything that I am and that I do is
because of Him.

>  Its only the medication
> that's keeps me alive all 12x  per day.

We are all alive through His grace.

> Regards the grapefruit theory, is it
> that the juice dissolves the enteric coating of the long acting drug and
> therefore you get the dosage to quickly?

No.  It has a substance that inhibits how the body metabolizes (breaks
down) the drugs.

> Doe's warning is to technical for
> me to understand...

Hope you understand what I have written.

You remain in my prayers, dear John whom I love.


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
Don Kirkman - 26 Oct 2004 20:00 GMT
It seems to me I heard somewhere that mrmalins wrote in article
<U%Ued.217$WV3.97@newsfe5-gui.ntli.net>:

>I see that" Doe" is saying that grapefruit  can react with drugs  like
>amiodarone and other cardiac medication to increase the dose. now as I am on
>this drug and others for arrhythmia ,enlarged heart, and leaking valves
>should I question the pharmacist or cardiac specialist next month when I see
>him at the clinic,   or is this   Doe    some kind of Nut!    your advice
>would be appreciated.     john.m

Doe is a nut known in many newsgroups for his obsession with iron and
his rehashing of widely known information often where it is off topic;
he should be ignored.  The link Zee posted is one of many with helpful
information about the way grapefruit juice interacts with drugs (I'm not
medical, but I think it potentiates the medication rather than
interfering with it).  By all means if you use grapefruit discuss with
your doctor how it might interact with your own meds.
Signature

Don
donkirk@covad.net

mrmalins - 26 Oct 2004 22:12 GMT
> It seems to me I heard somewhere that mrmalins wrote in article
> <U%Ued.217$WV3.97@newsfe5-gui.ntli.net>:
[quoted text clipped - 6 lines]
> interfering with it).  By all means if you use grapefruit discuss with
> your doctor how it might interact with your own meds.

    Thanks Don ,that's what I was thinking  re doe" rusty" theories. I saw
my pharmacist today and showed him a copy of this posting,I don't think he
was very pleased to see it!and referred to the Mims directory which they all
have including the GPs' and there was  no reference to it at all , as being
contra indicated,so I said that perhaps there will be when someone sues the
drug company, they must know about it. It will be interesting when I see my
cardiologist next week !   john.m
Derek F. - 31 Oct 2004 21:10 GMT
> It seems to me I heard somewhere that mrmalins wrote in article
> <U%Ued.217$WV3.97@newsfe5-gui.ntli.net>:
[quoted text clipped - 15 lines]
> interfering with it).  By all means if you use grapefruit discuss with
> your doctor how it might interact with your own meds.
Three years ago neither my UK doctor or pharmacist knew about the reaction
of  verapamil to grapefruit when I mentioned it. Now it is a warning on the
pack.
For more information
http://www.vhpharmsci.com/Newsletters/1990s-NEWS/Article22.htm
Derek..
Dee Randall - 29 Oct 2004 14:13 GMT
> I see that" Doe" is saying that grapefruit  can react with drugs  like
> amiodarone and other cardiac medication to increase the dose. now as I am on
> this drug and others for arrhythmia ,enlarged heart, and leaking valves
> should I question the pharmacist or cardiac specialist next month when I see
> him at the clinic,   or is this   Doe    some kind of Nut!    your advice
> would be appreciated.     john.m

I will not quote verbatim as I can't,  but one prominent doctor/author  on
Sunday morning program said that grapefruit should not be eaten when using
ANY medication. To be on the safe side, cutting out eating grapefruit seems
like a pretty easy thing to do if one is concerned about any reaction.
Dee
Jim Chinnis - 29 Oct 2004 18:22 GMT
"Dee Randall" <deedoveyatshenteldotnet> wrote in part:

>> I see that" Doe" is saying that grapefruit  can react with drugs  like
>> amiodarone and other cardiac medication to increase the dose. now as I am
[quoted text clipped - 10 lines]
>like a pretty easy thing to do if one is concerned about any reaction.
>Dee

Exactly.
--
Jim Chinnis   Warrenton, Virginia, USA
 
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