Non tutti sanno che erbe e integratori alimentari possono non soltanto interagire con i farmaci, ma anche interferire con la loro azione. Spesso, infatti, si dà per scontato che le sostanze naturali, perché appunto “naturali” abbiano un effetto blando o non facciano male. Le cose non stanno esattamente in questo modo, in quanto farmaci e supplementi erboristici/integratori dietetici, ma anche gli alimenti, possono provocare effetti collaterali a causa delle interazioni fra i diversi principi attivi.
Alcuni, ad esempio, sanno che il pompelmo (idem per i preparati/integratori a base di pompelmo) interagisce con numerosi farmaci, tra cui: statine, calcio antagonisti e immunosoppressori. Ma non si tratta di un caso isolato ed è per questo che, prima di assumere qualsiasi farmaco o/e prodotto naturale (tisane, integratori alimentari, ecc.) è sempre preferibile consultare le indicazioni di Farmacovigilanza.
Il concetto non è di certo nuovo, tuttavia uno studio revisionale pubblicato sull’International Journal of Clinical Practice ne conferma ancora una volta la validità. Secondo l’indagine condotta dal team di ricercatori dell’Università di Farmacia di Taiwan, almeno metà dei pazienti con malattie croniche o tumori fa uso di rimedi naturali e integratori dietetici in combinazione con i medicinali prescritti. Le sostanze che più spesso provocano gravi problemi sono l’iperico (o erba di San Giovanni), il ginkgo biloba, il calcio e il ferro. Mentre echinacea, ioimbina e semi di lino sono i prodotti con la lista più lunga di possibili controindicazioni. Tra i farmaci, invece, l’acido acetilsalicilico, warfarina, insulina, ticlopidina e digossina fanno registrare il maggior numero di interazioni.
Come hanno spiegato gli autori dello studio revisionale:
Per lo più le interazioni provocano effetti negativi di intensità moderata; in 1 caso su 4 le conseguenze sono consistenti. In quasi la metà dei casi i problemi derivano dal fatto che erbe e supplementi alterano i processi di assorbimento, distribuzione ed eliminazione del farmaco prescritto. Per lo più le conseguenze sono disturbi gastrointestinali (16%), neurologici (14%) o genitourinari (12%).
Le prove sulle possibili interazioni e degli effetti collaterali che derivano dall’uso di erbe e farmaci sono sempre più numerose e sebbene le conoscenze in merito siano tutt’oggi incomplete alcuni dati sono noti ed è importante conoscerli.
Ad esempio, l’arancio amaro (citrus aurantium), utilizzato come supplemento nelle diete in quanto aiuta a bruciare i grassi, in combinazione con gli inibitori della MAO (farmaci antidepressivi), può causare l’insorgenza di una grave ipertensione. Per la verità, chi assume questi medicinali deve fare attenzione anche ai cibi che contengono tiramina e in particolare ai formaggi.
La bromelina, mix di enzimi estratti dalla pianta dell’ananas, viene spesso venduta come prodotto dietetico e anticellulite, ma per le sue proprietà anticoagulanti, quando somministrata in pazienti trattati con pentossifillina, può aumentare il rischio di eccessivo sanguinamento. Per gli stessi motivi, può essere pericolosa quando somministrata con eparina e warfarin (farmaci anticoagulanti). Inoltre, può aumentare l’assorbimento di tetracicline ed amoxicillina (antibiotici).
Anche gli effetti dell’echinacea non sono da sottovalutare, è in grado di inibire il metabolismo del midazolam (usato nel campo dell’anestesia) e della caffeina. Per effetto della sua attività farmacologica, l’echinacea può dare interazioni farmacocinetiche con farmaci che alterano il sistema immunitario. L’uso della pianta dovrebbe essere evitato in pazienti trattati con farmaci antineoplastici, inibitori della proteasi, inibitori nucleosidici e non nucleosidici della trascrittasi inversa, corticosteroidi o immunosoppressori.
Il ginkgo biloba, utilizzato contro l’invecchiamento precoce, ma anche per la cura dei disturbi della circolazione periferica come ritenzione idrica e cellulite, aumenta l’effetto di anticoagulanti, antiaggreganti piastrinici, antidepressivi, diltiazem e nifedipina. Riduce l’azione di antiepilettici, beta bloccanti e nicardipina. In associazione a fluoxetina e buspirone dà disturbi psichici e può indurre lo stato comatoso se abbinato ad alte dosi di trazodone.
Chiaramente, non sempre le interazioni di erbe e integratori fra loro o con i farmaci sono negative: a volte possono rivelarsi utili, se ad esempio un prodotto riduce la possibilità di effetti collaterali di un medicinale o ne rende possibile l’uso a un dosaggio inferiore.
Via| Farmacovigilanza; Photo Credit| Thinkstock
Sono a dieta e sto prendendo le barrette herbalife che sono tutte naturali e mi sostituiscono un pasto. Ma non mi hanno mai detto che ci sono interferenze con altri prodotti, a parte i soliti mix di farmaci da evitare. Penso che l’importante sia sempre leggere le istruzioni per non correre rischi ed in caso di dubbi, chiedere al proprio medico di famiglia.
I don’t ordinarily comment but I gotta say thanks for the post on this one : D.
La compatibilité du logiciel de suivi mobile est très bonne et il est compatible avec presque tous les appareils Android et iOS. Après avoir installé le logiciel de suivi sur le téléphone cible, vous pouvez afficher l’historique des appels du téléphone, les messages de conversation, les photos, les vidéos, suivre la position GPS de l’appareil, activer le microphone du téléphone et enregistrer l’emplacement environnant.
I’d forever want to be update on new posts on this website , saved to bookmarks! .
Ao tentar espionar o telefone de alguém, você precisa garantir que o software não seja encontrado por eles depois de instalado.
Wow, awesome weblog format! How long have you ever been running a blog for? you made blogging look easy. The entire look of your web site is wonderful, let alone the content material!
There is visibly a bunch to realize about this. I suppose you made some nice points in features also.
Thank you for some other informative blog. The place else may I get that kind of info written in such a perfect method? I’ve a venture that I’m simply now working on, and I have been on the glance out for such information.
It’s a game. Five dollars is free. Try it It’s not an easy game ->-> 바카라사이트.com
What is Alpha Tonic? Alpha Tonic stands as a natural health supplement designed to comprehensively address men’s overall well-being.
I think that is among the most significant information for me. And i’m satisfied reading your article. However want to observation on few common issues, The web site taste is wonderful, the articles is truly great : D. Excellent activity, cheers
I used to be suggested this web site by way of my cousin. I’m not certain whether this submit is written through him as no one else understand such distinct about my difficulty. You’re wonderful! Thanks!
Merely wanna remark that you have a very nice website , I enjoy the design and style it actually stands out.
Thanks a bunch for sharing this with all folks you actually understand what you are talking about! Bookmarked. Kindly also consult with my web site =). We could have a hyperlink alternate contract between us!
Very interesting topic, appreciate it for putting up. “What passes for optimism is most often the effect of an intellectual error.” by Raymond Claud Ferdinan Aron.
Thank you, I’ve recently been looking for info about this topic for a long time and yours is the best I have discovered till now. However, what in regards to the conclusion? Are you certain about the source?
Attractive section of content. I just stumbled upon your site and in accession capital to assert that I get actually enjoyed account your blog posts. Anyway I will be subscribing to your feeds and even I achievement you access consistently quickly.
Perfect work you have done, this website is really cool with great information.
I have been exploring for a bit for any high-quality articles or blog posts on this sort of house . Exploring in Yahoo I finally stumbled upon this web site. Studying this information So i am happy to convey that I’ve an incredibly just right uncanny feeling I came upon exactly what I needed. I such a lot no doubt will make sure to don’t fail to remember this site and give it a look regularly.
FitSpresso stands out as a leading weight loss product currently dominating the market. This potent supplement asserts its ability to facilitate healthy weight loss naturally, free from any adverse side effects. Its formulation incorporates clinically studied ingredients that synergistically contribute to promoting natural fat burning, elevating metabolism, and sustaining enduring weight loss.
Boostaro is one of the dietary supplements available in the market that caters to men with erectile dysfunction and sexual health issues.
FitSpresso stands out as a leading weight loss product currently dominating the market. This potent supplement asserts its ability to facilitate healthy weight loss naturally, free from any adverse side effects. Its formulation incorporates clinically studied ingredients that synergistically contribute to promoting natural fat burning, elevating metabolism, and sustaining enduring weight loss.
Sight Care is a 100 natural and safe supplement that was developed after many years of studies by the best scientists, made to solve the nutritional deficiencies of our eyes, rejuvenating and restoring our perfect vision.
Emperor’s Vigor Tonic is a clinically researched natural male health formula that contains a proprietary blend of carefully selected ingredients. It contains minerals and essential nutrients that improve blood circulation and enhance overall health. The Emperor’s Vigor Tonic energy booster supports male health by addressing a specific enzyme in your body that can boost blood flow and nitric oxide production.
The Sumatra Slim Belly Tonic emerges as a groundbreaking solution in the realm of weight management, embodying a tropical formula meticulously crafted to support healthy weight loss. It is a culmination of a proprietary blend featuring eight natural ingredients, each playing a crucial role in fostering an environment conducive to shedding unwanted pounds.
Super-Duper blog! I am loving it!! Will come back again. I am taking your feeds also.
CEREBROZEN aims to improve your hearing naturally. By taking drops of CEREBROZEN’s highly concentrated liquid formula daily, you can purportedly support healthy hearing and boost overall ear health.
Valuable info. Lucky me I found your web site unintentionally, and I am surprised why this twist of fate didn’t happened earlier! I bookmarked it.
I feel this is one of the most significant information for me. And i’m glad studying your article. But wanna statement on few general issues, The site style is great, the articles is in reality excellent : D. Just right task, cheers
I really like what you guys tend to be up too. This sort of clever work and exposure! Keep up the good works guys I’ve you guys to our blogroll.
I was curious if you ever considered changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or 2 images. Maybe you could space it out better?
Hey there, I think your website might be having browser compatibility issues. When I look at your website in Chrome, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, wonderful blog!
I?¦ve recently started a blog, the information you provide on this website has helped me greatly. Thanks for all of your time & work.
Nice read, I just passed this onto a friend who was doing some research on that. And he just bought me lunch since I found it for him smile Thus let me rephrase that: Thank you for lunch! “But O the truth, the truth. The many eyes That look on it The diverse things they see.” by George Meredith.
You are my inhalation, I have few blogs and often run out from brand :). “Actions lie louder than words.” by Carolyn Wells.
Some genuinely good info , Glad I detected this.
Perfect piece of work you have done, this internet site is really cool with superb information.
hi!,I like your writing very much! share we communicate more about your post on AOL? I require a specialist on this area to solve my problem. May be that’s you! Looking forward to see you.
You can definitely see your skills in the work you write. The world hopes for more passionate writers like you who are not afraid to say how they believe. Always follow your heart.
Excellent weblog right here! Also your website quite a bit up fast! What host are you the usage of? Can I am getting your associate link in your host? I want my website loaded up as quickly as yours lol
Hey there! Someone in my Facebook group shared this website with us so I came to check it out. I’m definitely enjoying the information. I’m book-marking and will be tweeting this to my followers! Outstanding blog and fantastic design and style.
I conceive other website owners should take this site as an model, very clean and fantastic user pleasant layout.
I conceive this website has got some very excellent information for everyone : D.
Somebody essentially help to make seriously articles I would state. This is the first time I frequented your website page and thus far? I surprised with the research you made to make this particular publish amazing. Excellent job!
Enjoyed looking at this, very good stuff, thankyou. “The fox knows many things, but the hedgehog knows one big thing.” by Archilocus.
Everything is very open and very clear explanation of issues. was truly information. Your website is very useful. Thanks for sharing.
naturally like your web site but you need to take a look at the spelling on several of your posts. Several of them are rife with spelling issues and I in finding it very bothersome to inform the truth then again I will certainly come again again.
Lovely blog! I am loving it!! Will be back later to read some more. I am taking your feeds also
Thanks for your marvelous posting! I seriously enjoyed reading it, you will be a great author.I will remember to bookmark your blog and will come back in the foreseeable future. I want to encourage that you continue your great job, have a nice afternoon!
Keep working ,impressive job!
Wonderful blog! I found it while surfing around on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Appreciate it