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At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
- National Institute of Diabetes and Digestive and Kidney Diseases; The Kidneys and How They Work; September 9 2010
- "Nutrition Research"; Pomegranate Juice Is Potentially Better Than Apple Juice in Improving Antioxidant Function in Elderly Subjects; Changjiang Guo, et al.; Feb 2008
- "Nutrition Research"; Pomegranate Juice Is Potentially Better Than Apple Juice in Improving Antioxidant Function in Elderly Subjects; Changjiang Guo, et al.; Feb 2008
- National Center for Biotechnology Information; Rhabdomyolysis; August 13 2009
- National Center for Biotechnology Information; Rhabdomyolysis; August 13 2009
- "American Journal of Cardiology"; Rhabdomyolysis Associated with Pomegranate Juice Consumption; Alexey Sorokin, et al.; Sep 1 2006
- "American Journal of Cardiology"; Rhabdomyolysis Associated with Pomegranate Juice Consumption; Alexey Sorokin, et al.; Sep 1 2006
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Kidney Function & Pomegranate Juice
Pomegranate juice contains high concentrations of nutrients and may improve your blood pressure and cardiovascular function and reduce risk of certain conditions. The kidneys function to keep your blood clean and chemically balanced. Drinking pomegranate juice and taking certain medications increases your risk of kidney damage. Consult your doctor about kidney function and drinking pomegranate juice.
Kidney Function
Healthy kidneys process approximately 200 quarts of blood to sift out two quarts of waste and extra water for excretion through your urine. Your kidneys remove these wastes from blood to help your body prevent a buildup of toxins that can cause diseases and severe conditions. The kidneys regulate the balance of certain minerals and hormones, such as:
- sodium
- potassium
- phosphorus
- erythropoietin
- calcitriol
Kidney damage causes dysfunction or failure of the kidneys to partially or completely filter the blood. Kidney disease can be serious and require dialysis or transplantation to maintain life.
- Healthy kidneys process approximately 200 quarts of blood to sift out two quarts of waste and extra water for excretion through your urine.
Pomegranate Juice
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Pomegranate juice contains high concentrations of antioxidants called polyphenols, anthocyanins and tannins. In fact, the amount of antioxidants in pomegranate juice exceeds that found in most other fruit juices, red wine and green tea. ; Feb 2008').
Rhabdomyolysis
Drinking pomegranate juice while taking statin drugs may increase your risk of rhabdomyolysis, a serious condition characterized by the breakdown of muscle fibers that enter the bloodstream and are harmful to the kidneys, often resulting in kidney damage. Scientists at Hartford Hospital in Connecticut report a case of a patient being treated for high cholesterol with medications who developed rhabdomyolysis three weeks after drinking pomegranate juice, according to research published in the "American Journal of Cardiology" in September 2006 3. Physicians were successfully treating him for 17 months with rosuvastatin, a statin medication for treatment of high cholesterol and ezetimibe, a drug that prevents absorption of cholesterol, and he had no signs of rhabdomyolysis prior to drinking pomegranate juice. However, three weeks after drinking pomegranate juice while taking these medications, the patient had symptoms of the condition. The scientists conclude pomegranate juice interacts with certain liver enzymes that increase concentration of statins that stay in the body and in turn cause rhabdomyolysis. Symptoms of rhabdomyolysis include dark red urine, fatigue, muscle aches and joint pain. Acute kidney failure occurs in many patients with rhabdomyolysis. Early treatment of rhabdomyolysis reduces your risk of chronic kidney failure.
- Drinking pomegranate juice while taking statin drugs may increase your risk of rhabdomyolysis, a serious condition characterized by the breakdown of muscle fibers that enter the bloodstream and are harmful to the kidneys, often resulting in kidney damage.
Considerations
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Pomegranate juice is relatively safe, even if consumed daily. However, little is known regarding the risks of drinking pomegranate juice and development of rhabdomyolysis when taking medication. Nonetheless, rhabdomyolysis is associated with statin drugs 3. As a precaution always consult your doctor about drinking pomegranate juice when taking statins or other types of medications.
- Pomegranate juice is relatively safe, even if consumed daily.
- However, little is known regarding the risks of drinking pomegranate juice and development of rhabdomyolysis when taking medication.
Related Articles
References
- Healthcastle Nutrition; Pomegranate - the Rising Star; Gloria Tsang; December 2005
- "Nutrition Research"; Pomegranate Juice Is Potentially Better Than Apple Juice in Improving Antioxidant Function in Elderly Subjects; Changjiang Guo, et al.; Feb 2008
- "American Journal of Cardiology"; Rhabdomyolysis Associated with Pomegranate Juice Consumption; Alexey Sorokin, et al.; Sep 1 2006
- Pomegranate. Professional Monograph. Natural Medicine Database. Therapeutic Resource Center. 5/6/2019
- Bassiri-Jahromi S. Punica granatum (Pomegranate) activity in health promotion and cancer prevention. Oncol Rev. 2018;12(1):345. Published 2018 Jan 30. doi:10.4081/oncol.2018.345
- Bhadbhade SJ, Acharya AB, Rodrigues SV, et al. The antiplaque efficacy of pomegranate mouthrinse. Quintessence International. 2011;42(1):29-36.
- Danesi F, Ferguson LR. Could Pomegranate Juice Help in the Control of Inflammatory Diseases?. Nutrients. 2017;9(9):958. Published 2017 Aug 30. doi:10.3390/nu9090958
- Hidaka M, Okumura M, Fujita K, Ogikubo T, Yamasaki K, Iwakiri T, Setoguchi N, Arimori K. Effects of pomegranate juice on human cytochrome p450 3A (CYP3A) and carbamazepine pharmacokinetics in rats. Drug Metabolism and Disposition. 33.5 (2005):644-8.
- Ismail T, Sestili P, Akhtar S. Pomegranate peel and fruit extracts: a review of potential anti-inflammatory and anti-infective effects. Journal of Ethnopharmacology. 2012;143(2):397-3405.
- Kim H, Yoon YJ, Shon JH, Cha IJ, Shin JG, Liu KH. Inhibitory effects of fruit juices on CYP3A activity. Drug Metabolism and Disposition. 34.4 (2006):521-3.
- Sahebkar, A., Ferri, C., Giorgini, P., Bo, S., Nachtigal, P., & Grassi, D. (2017). Effects of pomegranate juice on blood pressure: A systematic review and meta-analysis of randomized controlled trials. Pharmacological Research, 115, 149–161. doi:10.1016/j.phrs.2016.11.018
- Sharma P, McClees SF, Afaq F. Pomegranate for Prevention and Treatment of Cancer: An Update. Molecules. 2017;22(1):177. Published 2017 Jan 24. doi:10.3390/molecules22010177
- Sorokin AV, Duncan B, Panetta R, Thompson PD. Rhabdomyolysis associated with pomegranate juice consumption. American Journal of Cardiology. 98.5 (2006):705-6.
- Taheri Rouhi SZ, Sarker MMR, Rahmat A, Alkahtani SA, Othman F. The effect of pomegranate fresh juice versus pomegranate seed powder on metabolic indices, lipid profile, inflammatory biomarkers, and the histopathology of pancreatic islets of Langerhans in streptozotocin-nicotinamide induced type 2 diabetic Sprague-Dawley rats [published correction appears in BMC Complement Altern Med. 2017 Apr 13;17 (1):214]. BMC Complement Altern Med. 2017;17(1):156. Published 2017 Mar 14. doi:10.1186/s12906-017-1667-6
- Wang D, Özen C, Abu-Reidah IM, et al. Vasculoprotective Effects of Pomegranate (Punica granatum L.). Front Pharmacol. 2018;9:544. Published 2018 May 24. doi:10.3389/fphar.2018.00544
- Zarfeshany A, Asgary S, Javanmard SH. Potent health effects of pomegranate. Adv Biomed Res. 2014;3:100. Published 2014 Mar 25. doi:10.4103/2277-9175.129371
Writer Bio
Jeffrey Traister is a writer and filmmaker. For more than 25 years, he has covered nutrition and medicine for health-care companies and publishers, also producing digital video for websites, DVDs and commercials. Trained in digital filmmaking at The New School, Traister also holds a Master of Science in human nutrition and medicine from the Columbia University College of Physicians and Surgeons.