2008
DOI: 10.1007/s12272-001-1250-1
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The effect of coenzyme Q10 on the pharmacokinetic parameters of theophylline

Abstract: Interaction of a drug with other drugs and dietary supplements is becoming an emerging issue for patients and health insurance authorities due to awareness of adverse drug event. In this study, we examined the effects of coenzyme Q10 (CoQ10), one of the most popular dietary supplements, on the pharmacokinetic parameters of theophylline in rats. The pharmacokinetic parameters of theophylline changed significantly when the drug was administered after five consecutive days of pretreatment with CoQ10. Time to reac… Show more

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Cited by 9 publications
(6 citation statements)
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“…The study examined relatively short-term effects of CoQ 10 administration. Longer term CoQ 10 supplementation could have some safety concerns, as CoQ 10 could precipitate drug-drug interactions—in animal studies, CoQ 10 supplementation has been shown to affect metabolism of theophylline [ 26 ], and in vitro , affect transport by P-glycoprotein, an intestinal drug transporter [ 27 ]. CoQ 10 supplementation could also alter the oral bioavailability of digoxin and verapamil, both P-glycoprotein substrates.…”
Section: Discussionmentioning
confidence: 99%
“…The study examined relatively short-term effects of CoQ 10 administration. Longer term CoQ 10 supplementation could have some safety concerns, as CoQ 10 could precipitate drug-drug interactions—in animal studies, CoQ 10 supplementation has been shown to affect metabolism of theophylline [ 26 ], and in vitro , affect transport by P-glycoprotein, an intestinal drug transporter [ 27 ]. CoQ 10 supplementation could also alter the oral bioavailability of digoxin and verapamil, both P-glycoprotein substrates.…”
Section: Discussionmentioning
confidence: 99%
“…Specifically, the authors found that pentagalloylglucose, which is a component of tannic acid, was able to interfere with the CoQ10 pathway: At low concentration inhibiting the electron transport system, while at high concentration impairing the structural integrity of the mitochondrial membrane. Consistently, CoQ10 was found to affect the pharmacokinetic parameters of theophylline [27], an alkaloid of the xanthine family.…”
Section: Resultsmentioning
confidence: 69%
“…Th e time to achieve maximum plasma concentrations is signifi cantly prolonged. Th e maximum concentrations of theophylline in plasma and AUC concentration were increased by about 100% [47].…”
Section: Coenzyme Q-10mentioning
confidence: 97%