title: Drug and nutrition interactions: not just food for thought.
abstract: OBJECTIVE
  The management of drug-drug interactions - from recognition of the interaction potential, to addressing the negative consequences - are well-recognized and avoided, or rapidly addressed when identified clinically. Drug-nutrition interactions are no less important than drug-drug interactions in patient care. Unfortunately, beyond those caused by food, these interactions are less commonly recognized or identified and managed. This article will re-introduce the topic of drug-nutrition interactions to clinicians.
  
  
  CONCLUSIONS
  Although many clinicians are acutely aware of and vigilant for potential drug-drug interactions, most are less aware of the possibility of drug-nutrition interactions beyond classic food-drug interactions. Interaction can occur between a drug and a nutrient, multiple nutrients, food in general, specific foods or components, or nutrition status. An interaction is considered clinically significant if it alters therapeutic drug response and/or compromises nutrition status. Mechanistically the interactions may be physicochemical reactions, actions at membrane transporters or metabolizing enzymes, or an influence on physiologic function. Appreciating the many types of drug-nutrition interactions will aid the clinician and have the potential to influence patient outcome.
  
  
  CONCLUSIONS
  Ongoing advances in knowledge about drug and nutrition interactions have potential to improve patient care. Drug-nutrition interactions need to be better recognized, understood on a mechanistic basis, predicted, and managed as necessary.
authors.affiliation: University of Pennsylvania, Philadelphia, PA, USA. boullata@nursing.upenn.edu
authors.forename: J I
authors.initials: JI
authors.lastname: Boullata
mesh_terms: D005502:Food; D018565:Food-Drug Interactions / Q000502:physiology*; D006801:Humans; D009752:Nutritional Status / Q000502:physiology; D004364:Pharmaceutical Preparations / Q000378:metabolism*
chemical_list: D004364:Pharmaceutical Preparations
keywords: drug interactions; food; nutrient; nutrition; safety