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Asadi‐Pooya AA, Zeraatpisheh Z, Rostaminejad M, Damabi N. Caffeinated drinks, fruit juices, and epilepsy: A systematic review. Acta Neurol Scand 2022; 145:127-138. [PMID: 34694642 DOI: 10.1111/ane.13544] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/28/2021] [Accepted: 10/12/2021] [Indexed: 12/01/2022]
Abstract
The aim of this systematic review was to provide the required information regarding different aspects of the relationship between epilepsy/antiseizure medications and non-alcoholic drinks. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement were followed. MEDLINE and Scopus from the inception until 7 August 2021 were systematically searched. These key words were used: "epilepsy" OR "seizure" OR "antiepileptic" OR "antiseizure" OR "anticonvulsant" AND "coffee" OR "tea" OR "soda" OR "juice" OR "drink" OR "cola" OR "diet" (35 key word combinations). The primary search yielded 21 458 publications (PubMed, n = 4778; Scopus, n = 16 680). Only 50 studies met all the inclusion criteria and were included in the current systematic review. In total, 17 articles investigated various non-alcoholic drinks in human studies, 11 studies were case reports/series, and 22 articles were animal/in vitro studies. None of the studies provided a class 1 of evidence. There is limited evidence suggesting that certain drinks (eg, caffeinated energy drinks) might trigger seizures. Patients with epilepsy should avoid excessive consumption of certain fruit juices (eg, grapefruit, lime, pomegranate, kinnow, and star fruit) and caffeinated drinks. However, daily coffee and tea intake can be part of a healthy balanced diet, and their consumption does not need to be stopped in patients with epilepsy. Coffee/tea consumption is not harmful if consumed at levels of 200 mg (caffeine) in one sitting (about 2½ cups of coffee) or 400 mg daily (about five cups of coffee).
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Affiliation(s)
- Ali A. Asadi‐Pooya
- Epilepsy Research Center Shiraz University of Medical Sciences Shiraz Iran
- Jefferson Comprehensive Epilepsy Centre Department of Neurology Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Zahra Zeraatpisheh
- Epilepsy Research Center Shiraz University of Medical Sciences Shiraz Iran
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Hens B, Bermejo M, Cristofoletti R, Amidon GE, Amidon GL. Application of the Gastrointestinal Simulator (GIS) Coupled with In Silico Modeling to Measure the Impact of Coca-Cola ® on the Luminal and Systemic Behavior of Loratadine (BCS Class 2b). Pharmaceutics 2020; 12:pharmaceutics12060566. [PMID: 32570975 PMCID: PMC7355706 DOI: 10.3390/pharmaceutics12060566] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 06/04/2020] [Accepted: 06/16/2020] [Indexed: 01/07/2023] Open
Abstract
In the present work, we explored if Coca-Cola® had a beneficial impact on the systemic outcome of the weakly basic drug loratadine (Wal-itin®, immediate-release formulation, 10 mg, generic drug product). To map the contribution of underlying physiological variables that may positively impact the intestinal absorption of loratadine, a multi-compartmental and dynamic dissolution device was built, namely the Gastrointestinal Simulator (GIS). The luminal behavior of one immediate-release (IR) tablet of 10 mg of loratadine was tested under four different fasted state test conditions in the GIS: (i) with 250 mL of water and applying a predetermined gastric half-life (t1/2,G) of 15 min; (ii) with 250 mL of water and applying a t1/2,G of 30 min; (iii) with 250 mL of Coca-Cola® and a t1/2,G of 15 min; (iv) with 250 mL of Coca-Cola® and a t1/2,G of 30 min. After initiating the experiments, solution concentrations and solubility were measured in the withdrawn samples, and pH was monitored. To address the impact of the present CO2 in Coca-Cola® on the disintegration time of the tablet, additional disintegration experiments were performed in a single-vessel applying tap water and sparkling water as dissolution media. These experiments demonstrated the faster disintegration of the tablet in the presence of sparkling water, as the present CO2 facilitates the release of the drug. The buffer capacity of Coca-Cola® in the presence of FaSSGF was 4-fold higher than the buffer capacity of tap water in the presence of FaSSGF. After performing the in vitro experiments, the obtained results were used as input for a two-compartmental pharmacokinetic (PK) modeling approach to predict the systemic concentrations. These simulations pointed out that (i) the present CO2 in Coca-Cola® is responsible for the enhancement in drug release and dissolution and that (ii) a delay in gastric emptying rate will sustain the supersaturated concentrations of loratadine in the intestinal regions of the GI tract, resulting in an enhanced driving force for intestinal absorption. Therefore, co-administration of loratadine with Coca-Cola® will highly likely result in an increased systemic exposure compared to co-administration of loratadine with tap water. The mechanistic insights that were obtained from this work will serve as a scientific basis to evaluate the impact of Coca-Cola® on the systemic exposure of weakly basic drugs for patients on acid-reducing agents in future work.
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Affiliation(s)
- Bart Hens
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109-1065, USA; (B.H.); (M.B.); (G.E.A.)
- Department of Pharmaceutical and Pharmacological Sciences, Faculty of Pharmaceutical Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium
| | - Marival Bermejo
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109-1065, USA; (B.H.); (M.B.); (G.E.A.)
- Department Engineering Pharmacy Section, Miguel Hernandez University, San Juan de Alicante, 03550 Alicante, Spain
| | - Rodrigo Cristofoletti
- Center for Pharmacometrics and Systems Pharmacology, Department of Pharmaceutics, College of Pharmacy, University of Florida, Orlando, FL 32827, USA;
| | - Gregory E. Amidon
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109-1065, USA; (B.H.); (M.B.); (G.E.A.)
| | - Gordon L. Amidon
- Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109-1065, USA; (B.H.); (M.B.); (G.E.A.)
- Correspondence: ; Tel.: +1-734-764-2226; Fax: +1-734-764-6282
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Nomani H, Moghadam AT, Emami SA, Mohammadpour AH, Johnston TP, Sahebkar A. Drug interactions of cola-containing drinks. Clin Nutr 2019; 38:2545-2551. [DOI: 10.1016/j.clnu.2019.01.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 01/27/2019] [Accepted: 01/29/2019] [Indexed: 10/27/2022]
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Ge S, Wang P, Liu H, Lin P, Gao J, Wang R, Iramina K, Zhang Q, Zheng W. Neural Activity and Decoding of Action Observation Using Combined EEG and fNIRS Measurement. Front Hum Neurosci 2019; 13:357. [PMID: 31680910 PMCID: PMC6803538 DOI: 10.3389/fnhum.2019.00357] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Accepted: 09/24/2019] [Indexed: 12/17/2022] Open
Abstract
In a social world, observing the actions of others is fundamental to understanding what they are doing, as well as their intentions and feelings. Studies of the neural basis and decoding of action observation are important for understanding action-related processes and have implications for cognitive, social neuroscience, and human-machine interaction (HMI). In the current study, we first investigated temporal-spatial dynamics during action observation using a combined 64-channel electroencephalography (EEG) and 48-channel functional near-infrared spectroscopy (fNIRS) system. We measured brain activation while 16 healthy participants observed three action tasks: (1) grasping a cup with the intention of drinking; (2) grasping a cup with the intention of moving it; and (3) touching a cup with an unclear intention. The EEG and fNIRS source analysis results revealed the dynamic involvement of both the mirror neuron system (MNS) and the theory of mind (ToM)/mentalizing network during action observation. The source analysis results suggested that the extent to which these two systems were engaged was determined by the clarity of the intention of the observed action. Based on the difference in neural activity observed among different action-observation tasks in the first experiment, we conducted a second experiment to classify the neural processes underlying action observation using a feature classification method. We constructed complex brain networks based on the EEG and fNIRS data. Fusing features from both EEG and fNIRS complex brain networks resulted in a classification accuracy of 72.7% for the three action observation tasks. This study provides a theoretical and empirical basis for elucidating the neural mechanisms of action observation and intention understanding, and a feasible method for decoding the underlying neural processes.
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Affiliation(s)
- Sheng Ge
- Key Laboratory of Child Development and Learning Science of Ministry of Education, School of Biological Science and Medical Engineering, Southeast University, Nanjing, China
| | - Peng Wang
- Key Laboratory of Child Development and Learning Science of Ministry of Education, School of Biological Science and Medical Engineering, Southeast University, Nanjing, China
| | - Hui Liu
- Key Laboratory of Child Development and Learning Science of Ministry of Education, School of Biological Science and Medical Engineering, Southeast University, Nanjing, China
| | - Pan Lin
- Department of Psychology and Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
- College of Biomedical Engineering, South-Central University for Nationalities, Wuhan, China
| | - Junfeng Gao
- College of Biomedical Engineering, South-Central University for Nationalities, Wuhan, China
| | - Ruimin Wang
- Department of Graduate School of Systems Life Sciences, Kyushu University, Fukuoka, Japan
| | - Keiji Iramina
- Department of Graduate School of Systems Life Sciences, Kyushu University, Fukuoka, Japan
| | - Quan Zhang
- Neural Systems Group, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States
| | - Wenming Zheng
- Key Laboratory of Child Development and Learning Science of Ministry of Education, School of Biological Science and Medical Engineering, Southeast University, Nanjing, China
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Van Den Abeele J, Rubbens J, Brouwers J, Augustijns P. The dynamic gastric environment and its impact on drug and formulation behaviour. Eur J Pharm Sci 2017; 96:207-231. [DOI: 10.1016/j.ejps.2016.08.060] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Revised: 08/30/2016] [Accepted: 08/30/2016] [Indexed: 02/08/2023]
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Interaction of carbamazepine with herbs, dietary supplements, and food: a systematic review. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2013; 2013:898261. [PMID: 24023584 PMCID: PMC3760091 DOI: 10.1155/2013/898261] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Accepted: 07/17/2013] [Indexed: 11/17/2022]
Abstract
Background. Carbamazepine (CBZ) is a first-line antiepileptic drug which may be prone to drug interactions. Systematic review of herb- and food-drug interactions on CBZ is warranted to provide guidance for medical professionals when prescribing CBZ. Method. A systematic review was conducted on six English databases and four Chinese databases. Results. 196 out of 3179 articles fulfilled inclusion criteria, of which 74 articles were reviewed and 33 herbal products/dietary supplement/food interacting with CBZ were identified. No fatal or severe interactions were documented. The majority of the interactions were pharmacokinetic-based (80%). Traditional Chinese medicine accounted for most of the interactions (n = 17), followed by food (n = 10), dietary supplements (n = 3), and other herbs/botanicals (n = 3). Coadministration of 11 and 12 of the studied herbal products/dietary supplement/food significantly decreased or increased the plasma concentrations of CBZ. Regarding pharmacodynamic interaction, Xiao-yao-san, melatonin, and alcohol increased the side effects of CBZ while caffeine lowered the antiepileptic efficacy of CBZ. Conclusion. This review provides a comprehensive summary of the documented interactions between CBZ and herbal products/food/dietary supplements which assists healthcare professionals to identify potential herb-drug and food-drug interactions, thereby preventing potential adverse events and improving patients' therapeutic outcomes when prescribing CBZ.
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Xu CH, Cheng G, Liu Y, Tian Y, Yan J, Zou MJ. Effect of the timing of food intake on the absorption and bioavailability of carbamazepine immediate-release tablets in beagle dogs. Biopharm Drug Dispos 2012; 33:30-8. [DOI: 10.1002/bdd.1772] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2011] [Revised: 12/10/2011] [Accepted: 01/14/2012] [Indexed: 11/09/2022]
Affiliation(s)
- Cai-hong Xu
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
| | - Gang Cheng
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
| | - Yi Liu
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
| | - Ye Tian
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
| | - Jing Yan
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
| | - Mei-juan Zou
- Department of Pharmaceutics; Shenyang Pharmaceutical University; Wenhua Road 103; Shenyang; 110016; Liaoning Province; PR China
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Guneysel O, Onur O, Denizbasi A, Saritemur M. Carbamazepine overdose after exposure to simethicone: a case report. J Med Case Rep 2008; 2:242. [PMID: 18652684 PMCID: PMC2495000 DOI: 10.1186/1752-1947-2-242] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2007] [Accepted: 07/24/2008] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Carbamazepine is an anticonvulsant drug and is also used as a treatment for patients with manic-depressive illness, post-herpetic neuralgia or phantom limb pain. The drug itself has many drug interactions. Simethicone is an antifoaming agent and is reported to be an inert material with no known drug interaction with carbamazepine. CASE PRESENTATION We present a case of a patient who was routinely using carbamazepine 400 mg three times per day and levetiracetam 500 mg twice daily, and experienced carbamazepine overdose after exposure to simethicone. After cessation of simethicone therapy normal drug levels of carbamazepine were obtained again with the standard dose of the drug. The mechanism of interaction is unknown but the risk of overdose should be considered when prescribing simethicone to a patient who is using carbamazepine. CONCLUSION Simethicone and carbamazepine, when taken together, may be a cause of carbamazepine toxicity. The risk of carbamazepine overdose should be considered when prescribing simethicone to a patient who is using carbamazepine.
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Affiliation(s)
- Ozlem Guneysel
- Marmara University, School of Medicine, Department of Emergency Medicine, Istanbul, Turkey
| | - Ozge Onur
- Marmara University, School of Medicine, Department of Emergency Medicine, Istanbul, Turkey
| | - Arzu Denizbasi
- Marmara University, School of Medicine, Department of Emergency Medicine, Istanbul, Turkey
| | - Murat Saritemur
- Marmara University, School of Medicine, Department of Emergency Medicine, Istanbul, Turkey
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