Experiment 67116

Details

PropertyValue
Pharmacology
Administration routeORAL
OrganismHypericum perforatum (CLUSIACEAE)
CitationKARLIOVA,M: TREICHEL,U: MALAGO,M: FRILLING,A: GERKEN,G: BROELSCH,CE:. (2000). INTERACTION OF HYPERICUM PERFORATUM (ST.JOHN'S WORT)WITH CYCLOSPORIN A METABOLISM IN A PATIENT AFTER LIVER TRANSPLANTATION.. 33(5)
Amount utilized
Compound isolated
Disease63-YEAR-OLD PATIENT WHO RECEIVED A LIVER ALLOGRAFT FOR CRYPTOGENIC LIVER CIRRHOSIS IN 1998. THIS PATIENT DEVELOPED SEVERE ACUTE REJECTION 14 MONTHS AFTER TRANSPLANTATION WHICH WAS ASSOCIATED WITH A SUDDEN DROP IN CYCLOSPORIN A LEVELS. TWO WEEKS PREVIOUSLY, HE HAD STARTED TAKING THE HERBAL HYPERICUM PERFORATUM (2X900MG/DAY) FOR INCREASING EPISODES OF DEPRESSION. THE CYCLOSPORIN A DOSAGE LATER HAD TO BE DOUBLED, WHICH CAUSED SOME SIDE EFFECTS. FINALLY, AN ASSESSMENT OF ORAL CYCLOSPORIN A RESOPTION SUGGESTED AN ENHANCED CYCLOSPORIN A METABOLISM. HYPERICUM PERFORATUM WAS STOPPED. BOTH CYCLOSPORIN A DOSAGE AND BLOOD LEVELS IMMEDIATELY RETURNED TO NORMAL. THE LIVER FUNCTION RECOVERED COMPLETELY. IN CONCLUSION, THIS OBSERVATION IS PREVIOUSLY UNDESCRIBED DRUG INTERACTION OF A WIDELY USED HERBAL DRUG.(HYPERICUM PERFORATUM,I.E.ST.JOHN'S WORT) IN A PATIENT AFTER LIVER TRANSPLANTATION.
Dose amount1.8 GM
Number1
Qualitative resultACTIVE
AnimalHUMAN ADULT
Per unitDAY
Dose expressionDOSE
ExtractHYDRO-ALCOHOLIC EXT
GenderMALE