Interaction of citrus juices with felodipine and nifedipine

Lancet. 1991 Feb 2;337(8736):268-9. doi: 10.1016/0140-6736(91)90872-m.

Abstract

Six men with borderline hypertension took felodipine 5 mg with water, grapefruit juice, or orange juice. The mean felodipine bioavailability with grapefruit juice was 284 (range 164-469)% of that with water. The dehydrofelodipine/felodipine AUC ratio was lower, diastolic blood pressure lower, and heart rate higher with grapefruit juice than with water. Vasodilatation-related side-effects were more frequent. Orange juice had no such effects. Six healthy men took nifedipine 10 mg with water or grapefruit juice; the bioavailability with grapefruit juice was 134 (108-169)% of that with water.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biological Availability
  • Blood Pressure / drug effects
  • Citrus / metabolism*
  • Drug Interactions
  • Evaluation Studies as Topic
  • Felodipine / administration & dosage
  • Felodipine / blood
  • Felodipine / pharmacokinetics*
  • Heart Rate / drug effects
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Nifedipine / administration & dosage
  • Nifedipine / blood
  • Nifedipine / pharmacokinetics*

Substances

  • Nifedipine
  • Felodipine