Grapefruit juice improves anticancer drug efficacy

Researchers at the University of Chicago School of Medicine found that the combination of grapefruit juice and anticancer drugs has more than triple the dose of similar anticancer drugs. It also helps patients to avoid the side effects associated with large doses of anticancer drugs and can reduce medical expenses.

It is believed that grapefruit juice can organize certain enzymes in the intestine (these enzymes will decompose certain drugs), allowing more drugs to enter the bloodstream. Therefore, doctors often advise patients not to eat grapefruit when taking certain drugs. Doing so can cause serious side effects or overdose.

The head of the new study, Dr. Isla Cohen, said that grapefruit can significantly increase the level of many drugs in the blood. For a long time, this has been considered a great danger of overdose. The new study aims to explore the feasibility of using grapefruit juice to increase the efficacy of sirolimus. The drug, also known as rapamycin, is a drug that prevents organ transplant rejection and is an anti-cancer drug.

The latest findings show that drinking 8 ounces of grapefruit juice daily can increase the efficacy of sirolimus by 350%. Ketoconazole slows drug metabolism and increases sirolimus by 500%. Scientists say that after several hours of grapefruit juice, its effect on intestinal enzymes begins to play, and the effect lasts for several days.

Dr. Cohen and his colleagues organized three simultaneous sirolimus trials. 138 incurable cancer patients were treated with sirolimus, sirolimus + ketoconazole, and sirolimus + grapefruit juice.

The optimal dose for sirolimus treatment is approximately 90 mg per week. However, if the dose exceeds 45 mg, it will cause serious stomach problems such as nausea and diarrhea. Therefore, only patients taking sirolimus will be taken twice a week for 45 mg. The optimal drug doses for the other two groups were relatively lower. Patients in the “sirolimus + ketoconazole” group only needed 16 mg of sirolimus per week. Patients in the "Sirolimus + Grapefruit Juice" group need to take 25-35 milligrams of sirolimus per week.

Experts cautioned that before taking medications, be sure to carefully read warnings about adverse side effects of drugs and specific foods to prevent accidents. When the situation is not clear, you should ask the doctor.

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