「健康食品」の安全性・有効性情報の収載データ分析から示される健康食品と医薬品の併用における注目すべき有害事象

病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている.そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分析し,注目すべき事項を検討した.事例は,『健康食品』の安全性・有効性情報(HFNet)の収載論文64報,その中の患者71名を対象とした.その結果,症状としては肝障害,医薬品としては抗てんかん剤,抗悪性腫瘍剤,不整脈用剤,血液凝固阻止剤等のハイリスク薬が,健康食品と医薬品の相互作用において注目すべき事項であることが明らかとなった.また,論文中の健康食品の素材・成分に関する情報が曖昧で不十分な点が,相互作用の影響を検討する際の障害となることが示...

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Published inShokuhin eiseigaku zasshi Vol. 59; no. 2; pp. 80 - 88
Main Authors 佐藤, 陽子, 千葉, 剛, 梅垣, 敬三, 小島, 彩子
Format Journal Article
LanguageJapanese
Published 公益社団法人 日本食品衛生学会 25.04.2018
日本食品衛生学会
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ISSN0015-6426
1882-1006
DOI10.3358/shokueishi.59.80

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Abstract 病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている.そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分析し,注目すべき事項を検討した.事例は,『健康食品』の安全性・有効性情報(HFNet)の収載論文64報,その中の患者71名を対象とした.その結果,症状としては肝障害,医薬品としては抗てんかん剤,抗悪性腫瘍剤,不整脈用剤,血液凝固阻止剤等のハイリスク薬が,健康食品と医薬品の相互作用において注目すべき事項であることが明らかとなった.また,論文中の健康食品の素材・成分に関する情報が曖昧で不十分な点が,相互作用の影響を検討する際の障害となることが示唆された.
AbstractList 病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている。そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分析し,注目すべき事項を検討した。事例は,「健康食品」の安全性・有効性情報(HFNet)の収載論文64報,その中の患者71名を対象とした。その結果,症状としては肝障害,医薬品としては抗てんかん剤,抗悪性腫瘍剤,不整脈用剤,血液凝固阻止剤等のハイリスク薬が,健康食品と医薬品の相互作用において注目すべき事項であることが明らかとなった。また,論文中の健康食品の素材・成分に関する情報が曖昧で不十分な点が,相互作用の影響を検討する際の障害となることが示唆された。
病者が健康食品を摂取している状況から, 健康食品と医薬品の併用による有害事象の発生が懸念されている. そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分析し, 注目すべき事項を検討した. 事例は, 『健康食品』の安全性・有効性情報(HFNet)の収載論文64報, その中の患者71名を対象とした. その結果, 症状としては肝障害, 医薬品としては抗てんかん剤, 抗悪性腫瘍剤, 不整脈用剤, 血液凝固阻止剤等のハイリスク薬が, 健康食品と医薬品の相互作用において注目すべき事項であることが明らかとなった. また, 論文中の健康食品の素材・成分に関する情報が曖昧で不十分な点が, 相互作用の影響を検討する際の障害となることが示唆された.
病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている.そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分析し,注目すべき事項を検討した.事例は,『健康食品』の安全性・有効性情報(HFNet)の収載論文64報,その中の患者71名を対象とした.その結果,症状としては肝障害,医薬品としては抗てんかん剤,抗悪性腫瘍剤,不整脈用剤,血液凝固阻止剤等のハイリスク薬が,健康食品と医薬品の相互作用において注目すべき事項であることが明らかとなった.また,論文中の健康食品の素材・成分に関する情報が曖昧で不十分な点が,相互作用の影響を検討する際の障害となることが示唆された.
Author 千葉, 剛
梅垣, 敬三
小島, 彩子
佐藤, 陽子
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References_xml – reference: 19) Bossaer, J. B., Odle, B. L. Probable etoposide interaction with Echinacea. J. Diet. Suppl., 9, 90–95 (2012).
– reference: 39) Tamura, S., Warabi, Y., Matsubara, S. Severe liver dysfunction possibly caused by the combination of interferon beta-1b therapy and melilot (sweet clover) supplement. J. Clin. Pharm. Ther., 37, 724–725 (2012).
– reference: 15) Kang, Y. C., Chen, M. H., Lai, S. L. Potentially unsafe herb-drug interactions between a commercial product of noni juice and phenytoin—A case report. Acta Neurol. Taiwan, 24, 43–46 (2015).
– reference: 34) Iwasa, M., Yamamoto, M., Tanaka, Y., Kaito, M., Adachi, Y. Spirulina-associated hepatotoxicity. Am. J. Gastroenterol., 97, 3212–3213 (2002).
– reference: 41) Wanmuang, H., Leopairut, J., Kositchaiwat, C., Wananukul, W., Bunyaratvej, S. Fatal fulminant hepatitis associated with Ganoderma lucidum (Lingzhi) mushroom powder. J. Med. Assoc. Thai, 90, 179–181 (2007).
– reference: 2) Chiba, T., Sato, Y., Suzuki, S., Umegaki, K. Concomitant use of dietary supplements and medicines in patients due to miscommunication with physicians in Japan. Nutrients, 7, 2947–2960 (2015).
– reference: 26) Miyamoto, K., Kawai, H., Aoyama, R., Watanabe, H., Suzuki, K., Suga, N., Kitagawa, W., Miura, N., Nishikawa, K., Imai, H. Torsades de Pointes induced by a combination of garenoxacin and disopyramide and other cytochrome P450, family 3, subfamily A polypeptide-4-influencing drugs during hypokalemia due to licorice. Clin. Exp. Nephrol., 14, 164–167 (2010).
– reference: 29) Kijima, M., Honda, H., Hayakawa, T., Suzuki, T., Matuda, K., Shimooka, Y. A case of complete atrioventricular block induced by doxifluridine and dietary supplement. Shinzo, 43, 1096–1101 (2011).
– reference: 1) Chiba, T., Sato, Y., Nakanishi, T., Yokotani, K., Suzuki, S., Umegaki, K. Inappropriate usage of dietary supplements in patients by miscommunication with physicians in Japan. Nutrients, 6, 5392–5404 (2014).
– reference: 7) Adachi, M., Takane, H., Shinozuka, K., Moriki, K., Ogawa, K., Kaneda, T., Shiinoki, Y., Shimada, M. Analysis of pharmaceutical interventions administered to inpatients who were taking dietary supplements and establishment of a management algorithm. Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences), 42, 217–227 (2016).
– reference: 16) Mrzljak, A., Kosuta, I., Skrtic, A., Kanizaj, T. F., Vrhovac, R. Drug-induced liver injury associated with noni (Morinda citrifolia) juice and phenobarbital. Case Rep. Gastroenterol., 7, 19–24 (2013).
– reference: 38) Lowe, H., Cusano, N. E., Binkley, N., Blaner, W. S., Bilezikian, J. P. Vitamin D toxicity due to a commonly available “over the counter” remedy from the Dominican Republic. J. Clin. Endocrinol. Metab., 96, 291–295 (2011).
– reference: 6) Alsanad, S. M., Howard, R. L., Williamson, E. M. An assessment of the impact of herb–drug combinations used by cancer patients. BMC Complement Altern Med., 16, 393 (2016).
– reference: 13) Striano, P., Zara, F., Minetti, C., Striano, S. Chitosan may decrease serum valproate and increase the risk of seizure reappearance. BMJ, 339, b3751 (2009).
– reference: 9) Will-Shahab, L., Bauer, S., Kunter, U., Roots, I., Brattstrom, A. St John's wort extract (Ze 117) does not alter the pharmacokinetics of a low-dose oral contraceptive. Eur. J. Clin. Pharmacol., 65, 287–294 (2009).
– reference: 32) Leitolf, H., Dixit, K. C., Higham, C. E., Brabant, G. Licorice- or more? Exp. Clin. Endocrinol. Diabetes, 118, 250–253 (2010).
– reference: 31) Farese, R. V., Jr., Biglieri, E. G., Shackleton, C. H., Irony, I., Gomez-Fontes, R. Licorice-induced hypermineralocorticoidism. N. Engl. J. Med., 325, 1223–1227 (1991).
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Snippet 病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている.そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分...
病者が健康食品を摂取している状況から, 健康食品と医薬品の併用による有害事象の発生が懸念されている. そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分...
病者が健康食品を摂取している状況から,健康食品と医薬品の併用による有害事象の発生が懸念されている。そこで過去の有害事象を症状の重篤度と医薬品の薬効の視点で分...
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jstage
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SubjectTerms ハイリスク医薬品
健康食品
有害事象
相互作用
Title 「健康食品」の安全性・有効性情報の収載データ分析から示される健康食品と医薬品の併用における注目すべき有害事象
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