Experiment 68112
Worktypes
Details
| Property | Value |
|---|---|
| Pharmacology | |
| Administration route | ORAL |
| Organism | Citrus paradisi (RUTACEAE) |
| Citation | GOHO,C:. (2001). ORAL MIDAZOLAM - GRAPEFRUIT JUICE DRUG INTERACTION.. 23(4) |
| Amount utilized | |
| Compound isolated | |
| Disease | IF THE INJECTIBLE FORM OF MIDAZOLAM IS ADMINISTERED ORALLY ITS BITTER TASTE REQUIRES GTHE USE OF A FLAVORING AGENT. GRAPEFRUIT JUICE IS CONTRAINDICATED FOR THIS PURPOSE AS IT INHIBITS CYTOCHROME P450 (CYP) 3A4. CYP 3A4 IS LOCATED IN THE INTESTINE AND LIVER. INHIBITION OF THIS CYTOCHROME RESULTS IN DELAYED ABSORPTIONA ND REDUCED FIRST PASS EFFECT ON MIDAZOLAM. THIS RESULTS IN THE INCREASED BLOOD PLASMA LEVELS OF MIDAZOLAM OF 56% AND INCREASED MIDAZOLAM BIAVAILABILITY OF 35%. THIS CAN RESULT IN EXCESSIVE LEVELS OF SEDATION FOR THE PEDIATRIC PATIENT. GRAPEFRUIT JUICE IS THEREFORE, CONTRAINDICATED FOR USE WITH ORAL MIDAZOLAM. |
| Number | 1 |
| Qualitative result | ACTIVE |
| Animal | HUMAN CHILD |
| Dose expression | DOSE |
| Extract | JUICE |
| Gender | GIVEN TO BOTH SEXES |