Side Effects of Grapefruit Seed Extract
Grapefruit is high in vitamin C, soluble fiber, and antioxidants which makes it a good addition to any diet. A 2006 study in the "Journal of Agricultural and Food Chemistry" found that grapefruit can help lower blood triglyceride levels, especially in patients suffering from coronary artery disease. As a dietary supplement, it is available as grapefruit seed extract in pill, liquid or powder form. You should always consult your doctor before you take any supplement.
Effect on Enzymes
Grapefruit can inhibit the activity of certain liver and small intestine enzymes, reports a 1996 study in the journal, "Drug Metabolism and Disposition." Enzymes are catalysts that cause reactions to occur. In this case, the effect is on the digestive system. By inhibiting this enzymatic activity, concentrations of medications which rely on this mechanism for digestion can reach higher concentrations in the blood. According to Drugs.com, adverse reactions may result if you are taking calcium channel blockers or estrogen. The reduction of enzymatic activity can lead to elevated concentrations of these drugs in your blood.
- Grapefruit can inhibit the activity of certain liver and small intestine enzymes, reports a 1996 study in the journal, "Drug Metabolism and Disposition."
- By inhibiting this enzymatic activity, concentrations of medications which rely on this mechanism for digestion can reach higher concentrations in the blood.
Muscle Weakness
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Because grapefruit seed extract affects liver function, the risk for interactions with prescription drugs that also interact with the liver can be increased by taking this herbal supplement. Statin drugs are prescribed to lower blood cholesterol levels, but also have the potential to cause liver damage. The decrease in enzyme function can increase the concentration of these drugs. A rare side effect of statin drugs is a muscle weakening disease called Rhabdomyolysis. Because grapefruit seed extract alters statin metabolism, the possibility exists that you may be more at risk of developing this condition, according to a 2003 study in the "Journal of the American Medical Association."
- Because grapefruit seed extract affects liver function, the risk for interactions with prescription drugs that also interact with the liver can be increased by taking this herbal supplement.
Decreased Absorption of Medications
Grapefruit seed extract can also impair your body's ability to absorb medications, thereby decreasing their effectiveness. Fexofenadine is a non-sedating antihistamine prescribed for seasonal allergies. Grapefruit seed extract can inhibit your body's absorption of this drug by your system. It can also affect the absorption of other drugs including itraconazole, an antifungal, antibiotic and quinidine. Quinidine is an anti-malaria drug. However, it also is used for treating irregular heartbeat patterns. Grapefruit seed extract can potentially have very serious side effects on your cardiovascular system. Do not take grapefruit seed extract if you are on prescription medications without discussing possible drug interactions with your doctor.
- Grapefruit seed extract can also impair your body's ability to absorb medications, thereby decreasing their effectiveness.
- Grapefruit seed extract can inhibit your body's absorption of this drug by your system.
Related Articles
References
- Journal of Agricultural and Food Chemistry: Red Grapefruit Positively Influences Serum Triglyceride Level
- Drug Metabolism and Disposition: Identification of 6',7'-Dihydroxybergamottin, A Cytochrome P450 Inhibitor, in Grapefruit Juice
- Drugs.com: Grapefruit
- Journal of the American Medical Association: Statin-Associated Myopathy
- Drugs.com: Itraconazole
- Drugs.com: Quinidine
- Kang ST, Son HK, Lee HJ, Choi JS, Choi YI, Lee JJ. Effects of Grapefruit Seed Extract on Oxidative Stability and Quality Properties of Cured Chicken Breast. Korean J Food Sci Anim Resour. 2017;37(3):429–439. doi:10.5851/kosfa.2017.37.3.429
- Salehi B, Fokou PVT, Sharifi-Rad M, et al. The Therapeutic Potential of Naringenin: A Review of Clinical Trials. Pharmaceuticals (Basel). 2019;12(1):11. Published 2019 Jan 10. doi:10.3390/ph12010011
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- Dembinski A, Warzecha Z, Konturek SJ, et al. Extract of grapefruit-seed reduces acute pancreatitis induced by ischemia/reperfusion in rats: possible implication of tissue antioxidants. J Physiol Pharmacol. 2004;55(4):811–821.
- Cardellina, J.H. The Adulteration of Commercial “Grapefruit Seed Extract” with Synthetic, Antimicrobial and Disinfectant Compounds. HerbalGram (American Botanical Council) 2012; 94:62-66. HerbalGram.org
- Dwyer JT, Coates PM, Smith MJ. Dietary Supplements: Regulatory Challenges and Research Resources. Nutrients. 2018;10(1):41. Published 2018 Jan 4. doi:10.3390/nu10010041
- de Boer A, Bast A, Godschalk R. Dietary supplement intake during pregnancy; better safe than sorry?. Regul Toxicol Pharmacol. 2018;95:442–447. doi:10.1016/j.yrtph.2018.03.014
- Taghizadeh M, Malekian E, Memarzadeh MR, Mohammadi AA, Asemi Z. Grape Seed Extract Supplementation and the Effects on the Biomarkers of Oxidative Stress and Metabolic Profiles in Female Volleyball Players: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Iran Red Crescent Med J. 2016;18(9):e31314. Published 2016 Jul 17. doi:10.5812/ircmj.31314
- Den Hartogh DJ, Tsiani E. Antidiabetic Properties of Naringenin: A Citrus Fruit Polyphenol. Biomolecules. 2019;9(3):99. Published 2019 Mar 12. doi:10.3390/biom9030099
- Grapefruit Seed Extract. The Natural Medicines Database. Therapeutic Research Center. 2019
- Blumenthal, Mark. Adulteration of Grapefruit Seed Extract. American Botanical Council. 2012
- Dembinski A, Warzecha Z, Konturek SJ, Ceranowicz P, Dembinski M, Pawlik WW, Kusnierz-Cabala B, Naskalski JW. "Extract of grapefruit-seed reduces acute pancreatitis induced by ischemia/reperfusion in rats: possible implication of tissue antioxidants." J Physiol Pharmacol. 2004 Dec;55(4):811-21.
- Heggers JP, Cottingham J, Gusman J, Reagor L, McCoy L, Carino E, Cox R, Zhao JG. "The effectiveness of processed grapefruit-seed extract as an antibacterial agent: II. Mechanism of action and in vitro toxicity." J Altern Complement Med. 2002 Jun;8(3):333-40.
- Kang ST, Son HK, Lee HJ, Choi JS, Choi YI, Lee JJ. Effects of Grapefruit Seed Extract on Oxidative Stability and Quality Properties of Cured Chicken Breast. Korean J Food Sci Anim Resour. 2017;37(3):429–439. doi:10.5851/kosfa.2017.37.3.429
- Landberg R, Sun Q, Rimm EB, Cassidy A, Scalbert A, Mantzoros CS, Hu FB, van Dam RM. "Selected dietary flavonoids are associated with markers of inflammation and endothelial dysfunction in U.S. women." J Nutr. 2011 Apr 1;141(4):618-25.
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Chris Dinesen Rogers has been online marketing for more than eight years. She has grown her own art business through SEO and social media and is a consultant specializing in SEO and website development. Her past work experience includes teaching pre-nursing students beginning biology, human anatomy and physiology. Rogers's more than 10 years in conservation makes her equally at home in the outdoors.