Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review

Background: Herb–drug interactions are nowadays an important decision factor in many healthcare interventions. Patients with cardiovascular risk factors such as hyperlipidemia and hypertension are usually prescribed long-term treatments. We need more informed decision tools to direct future clinical...

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Main Authors: Jose M. Prieto-Garcia, Louise Graham, Osamah Alkhabbaz, Andre L. D. A. Mazzari
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Plants
Subjects:
Online Access:https://www.mdpi.com/2223-7747/12/3/623
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author Jose M. Prieto-Garcia
Louise Graham
Osamah Alkhabbaz
Andre L. D. A. Mazzari
author_facet Jose M. Prieto-Garcia
Louise Graham
Osamah Alkhabbaz
Andre L. D. A. Mazzari
author_sort Jose M. Prieto-Garcia
collection DOAJ
description Background: Herb–drug interactions are nowadays an important decision factor in many healthcare interventions. Patients with cardiovascular risk factors such as hyperlipidemia and hypertension are usually prescribed long-term treatments. We need more informed decision tools to direct future clinical research and decision making to avoid HDI occurrences in this group. Methods: A scoping review was conducted using data from online databases such as PUBMED, the National Library of Medicine, and the electronic Medicines Compendium. Included studies consisted of the reported effects on Phase 1/2 and P-glycoprotein of herbal medicines listed in the medicines agencies of Latin America and Europe and drugs used for cardiovascular conditions (statins, diuretics, beta blockers, calcium channel blockers, and ACE inhibitors). The cross tabulation of the results allowed for finding potential HDI. Results and conclusions: as per the preclinical data reviewed here, we encourage more clinical research on whether drugs with apparently very low interaction risk, such as pravastatin, nadolol, and nimodipine/nitrendipine, may help prevent HDI when statins, beta blockers, and calcium channel blockers, respectively, are prescribed for long-term treatments.
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spelling doaj.art-d8ce134b86854548898279b2b6a848512023-11-16T17:45:04ZengMDPI AGPlants2223-77472023-01-0112362310.3390/plants12030623Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping ReviewJose M. Prieto-Garcia0Louise Graham1Osamah Alkhabbaz2Andre L. D. A. Mazzari3Centre for Natural Products Discovery, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKCentre for Natural Products Discovery, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKCentre for Natural Products Discovery, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKSchool of Pharmacy, University College London, London WC1N 1AX, UKBackground: Herb–drug interactions are nowadays an important decision factor in many healthcare interventions. Patients with cardiovascular risk factors such as hyperlipidemia and hypertension are usually prescribed long-term treatments. We need more informed decision tools to direct future clinical research and decision making to avoid HDI occurrences in this group. Methods: A scoping review was conducted using data from online databases such as PUBMED, the National Library of Medicine, and the electronic Medicines Compendium. Included studies consisted of the reported effects on Phase 1/2 and P-glycoprotein of herbal medicines listed in the medicines agencies of Latin America and Europe and drugs used for cardiovascular conditions (statins, diuretics, beta blockers, calcium channel blockers, and ACE inhibitors). The cross tabulation of the results allowed for finding potential HDI. Results and conclusions: as per the preclinical data reviewed here, we encourage more clinical research on whether drugs with apparently very low interaction risk, such as pravastatin, nadolol, and nimodipine/nitrendipine, may help prevent HDI when statins, beta blockers, and calcium channel blockers, respectively, are prescribed for long-term treatments.https://www.mdpi.com/2223-7747/12/3/623BrazilEuropeherb–drug interactionscardiovascularhypertensionhyperlipidemia
spellingShingle Jose M. Prieto-Garcia
Louise Graham
Osamah Alkhabbaz
Andre L. D. A. Mazzari
Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
Plants
Brazil
Europe
herb–drug interactions
cardiovascular
hypertension
hyperlipidemia
title Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
title_full Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
title_fullStr Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
title_full_unstemmed Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
title_short Potential Pharmacokinetic Interactions of Common Cardiovascular Drugs and Selected European and Latin American Herbal Medicines: A Scoping Review
title_sort potential pharmacokinetic interactions of common cardiovascular drugs and selected european and latin american herbal medicines a scoping review
topic Brazil
Europe
herb–drug interactions
cardiovascular
hypertension
hyperlipidemia
url https://www.mdpi.com/2223-7747/12/3/623
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