Article
Grapefruit juice inhibits the metabolic activation of clopidogrel.
Clinical pharmacology and therapeutics - 1 Mar 2014
Holmberg M T, Tornio A, Neuvonen M, Neuvonen P J, Backman J T, Niemi M
Abstract excerpt
Cytochrome P450 (CYP) enzymes, including CYP2C19 and CYP3A4, participate in the bioactivation of clopidogrel. Grapefruit juice constituents potently inactivate intestinal CYP3A4 and have been shown to inhibit CYP2C19 as well. In a randomized crossover study, 14 healthy volunteers ingested 200 ml...
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