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Grapefruit (citrus paradisi, pomelo, toronja)

 

Classes: Cardiovascular, Herbals; Oncology, Herbals

Suggested dosing of Citrus paradisi, pomelo (grapefruit)

 

No typical dosage

>4 glasses juice/day for pharmacologic effects Or

1 to 9 glasses daily, or 240 mL of double-strength juice BId

 

Suggested uses of Citrus paradisi, pomelo (grapefruit)

Atherosclerosis, asthma, atopic dermatitis, cancer, fiber supplement, hematocrit reduction, hypercholesterolemia, potassium supplement, psoriasis, vitamin C supplement, weight loss aid

 

Efficacy

Insufficient reliable evidence

 

Citrus paradisi, pomelo (grapefruit) adverse (side) effects

Decreased hematocrit

 

Warnings

Contraindications

None reported

 

Cautions

Concurrent CYP3A4 substrates

Concurrent interactive agents

 

Pregnancy and lactation

Pregnancy category: avoid excess

Lactation: avoid excess

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Citrus paradisi, pomelo (grapefruit)

Metabolism: N/A

Excretion: N/A

Enzyme Inhibited: CYP3A4

 

Mechanism of action

Source of potassium, vit C, pectin

Pectin decrease cholesterol & promote regression of atherosclerosis