2018
DOI: 10.1007/s00228-018-2436-2
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Role of (−)-epigallocatechin gallate in the pharmacokinetic interaction between nadolol and green tea in healthy volunteers

Abstract: EGCG is suggested to be a key contributor to the interaction of green tea with nadolol. Moreover, even a single coadministration of green tea may significantly affect nadolol pharmacokinetics.

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Cited by 46 publications
(57 citation statements)
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“…EGCG in improving the efficacy of oral nifedipine for treating pregnancy‐induced severe pre‐eclampsia is safe and effective . And single administration of EGCG may also significantly affect the pharmacokinetics of Nadolol …”
Section: Natural Polyphenols Nrf2 Activators In Multiple Disease Modelsmentioning
confidence: 99%
See 1 more Smart Citation
“…EGCG in improving the efficacy of oral nifedipine for treating pregnancy‐induced severe pre‐eclampsia is safe and effective . And single administration of EGCG may also significantly affect the pharmacokinetics of Nadolol …”
Section: Natural Polyphenols Nrf2 Activators In Multiple Disease Modelsmentioning
confidence: 99%
“…[83] And single administration of EGCG may also significantly affect the pharmacokinetics of Nadolol. [84] Gallic acid (GA, 14), a natural polyphenol, has been shown to have a variety of health-promoting effects. Feng et al showed that GA inhibited t-BHP-induced hepatotoxicity by inducing ERK (extracellular regulated kinase)/Nrf2-mediated antioxidant signaling pathway to increase Nrf2 nuclear translocation and its target protein expression, including HO-1, GCLC (glutamate cysteine ligase catalytic), and GSH (glutathione).…”
Section: Other Polyphenolsmentioning
confidence: 99%
“…Interestingly, CYP3A-based drug interaction with beverages is confined to grapefruit juice (GFJ), which inhibits CYP3A metabolic activity and thus elevates the bioavailability of drugs that undergo intestinal metabolism mediated by CYP3A (Bailey et al, 1989(Bailey et al, , 1991He et al, 1998;Fukuda et al, 2000). On the other hand, OATP2B1mediated drug interaction with beverages has been shown by coadministration with GFJ, orange juice (OJ), apple juice (AJ), and, most recently, green tea, which inhibits OATP2B1 transport activity, resulting in a decrease of the bioavailability of substrate drugs (Dresser et al, 2002;Misaka et al, 2014;Yu et al, 2017;Abe et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Flavonoids (such as epicatechin and catechin), furanocoumarins and alkaloids (such as caffeine) found in fruits, vegetables and herbs have been reported to modulate the activities of drug transporters such as Pglycoprotein and metabolizing enzymes [10,25]. For example, green tea extract and/or (−)-epigallocatechin-3gallate was demonstrated to reduce the bioavailability of quetiapine, sunitinib, clozapine, and nadolol by influencing the activities of drug-metabolizing enzymes and drug transporters [26].…”
Section: Discussionmentioning
confidence: 99%
“…P-glycoprotein (P-gp), a major efflux pump for lipophilic and cationic drugs, and cytochrome P450 enzymes (CYP450s) have been demonstrated to play important roles in the oral bioavailability of many drugs and drugdrug interactions [8,9]. Green tea catechins have been demonstrated to influence the activities of drug transporters such as P-glycoprotein and organic anion transporting polypeptides in vitro [10]. Studies by Misaka et al [11] to probe the effects of the oral administration of (−)-epigallocatechin-3-gallate (EGCG) and green tea extract (GTE) on pharmacokinetic properties of nadolol, revealed a significant decrease in the maximum plasma concentration (C max ) and area under the concentration curve (AUC) of nadolol by 85% and 74%, respectively.…”
Section: Introductionmentioning
confidence: 99%