Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature

In cardiology, acetylsalicylic acid (ASA) and warfarin are among the most commonly used prophylactic therapies against thromboembolic events. Drug–drug interactions are generally well-known. Less known are the drug–nutrient interactions (DNIs), impeding drug absorption and altering micronutritional...

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Main Authors: David Renaud, Alexander Höller, Miriam Michel
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/7/950
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author David Renaud
Alexander Höller
Miriam Michel
author_facet David Renaud
Alexander Höller
Miriam Michel
author_sort David Renaud
collection DOAJ
description In cardiology, acetylsalicylic acid (ASA) and warfarin are among the most commonly used prophylactic therapies against thromboembolic events. Drug–drug interactions are generally well-known. Less known are the drug–nutrient interactions (DNIs), impeding drug absorption and altering micronutritional status. ASA and warfarin might influence the micronutritional status of patients through different mechanisms such as binding or modification of binding properties of ligands, absorption, transport, cellular use or concentration, or excretion. Our article reviews the drug–nutrient interactions that alter micronutritional status. Some of these mechanisms could be investigated with the aim to potentiate the drug effects. DNIs are seen occasionally in ASA and warfarin and could be managed through simple strategies such as risk stratification of DNIs on an individual patient basis; micronutritional status assessment as part of the medical history; extensive use of the drug–interaction probability scale to reference little-known interactions, and application of a personal, predictive, and preventive medical model using omics.
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spelling doaj.art-7fce45f521dd4247a29ea650db8b96ce2024-04-12T13:24:12ZengMDPI AGNutrients2072-66432024-03-0116795010.3390/nu16070950Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the LiteratureDavid Renaud0Alexander Höller1Miriam Michel2DIU MAPS, Fundamental and Biomedical Sciences, Paris-Cité University, 75006 Paris, FranceDepartment of Nutrition and Dietetics, University Hospital Innsbruck, 6020 Innsbruck, AustriaDepartment of Child and Adolescent Health, Division of Pediatrics III—Cardiology, Pulmonology, Allergology and Cystic Fibrosis, Medical University of Innsbruck, 6020 Innsbruck, AustriaIn cardiology, acetylsalicylic acid (ASA) and warfarin are among the most commonly used prophylactic therapies against thromboembolic events. Drug–drug interactions are generally well-known. Less known are the drug–nutrient interactions (DNIs), impeding drug absorption and altering micronutritional status. ASA and warfarin might influence the micronutritional status of patients through different mechanisms such as binding or modification of binding properties of ligands, absorption, transport, cellular use or concentration, or excretion. Our article reviews the drug–nutrient interactions that alter micronutritional status. Some of these mechanisms could be investigated with the aim to potentiate the drug effects. DNIs are seen occasionally in ASA and warfarin and could be managed through simple strategies such as risk stratification of DNIs on an individual patient basis; micronutritional status assessment as part of the medical history; extensive use of the drug–interaction probability scale to reference little-known interactions, and application of a personal, predictive, and preventive medical model using omics.https://www.mdpi.com/2072-6643/16/7/950acetylsalicylic acidwarfarinmicronutrientdeficiencypotentiationdrug–nutrient interaction
spellingShingle David Renaud
Alexander Höller
Miriam Michel
Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
Nutrients
acetylsalicylic acid
warfarin
micronutrient
deficiency
potentiation
drug–nutrient interaction
title Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
title_full Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
title_fullStr Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
title_full_unstemmed Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
title_short Potential Drug–Nutrient Interactions of 45 Vitamins, Minerals, Trace Elements, and Associated Dietary Compounds with Acetylsalicylic Acid and Warfarin—A Review of the Literature
title_sort potential drug nutrient interactions of 45 vitamins minerals trace elements and associated dietary compounds with acetylsalicylic acid and warfarin a review of the literature
topic acetylsalicylic acid
warfarin
micronutrient
deficiency
potentiation
drug–nutrient interaction
url https://www.mdpi.com/2072-6643/16/7/950
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