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Many times we hear from our parents or some elders not to have grapefruit juice if you are taking any cholesterol medications. This is not the only combination of food and drugs which should be avoided, there are so many other combinations too. Grapefruit juice can react with other medications too and similarly many other foods can interact with drugs too. Steve Plogsted, BS, PharmD, BCNSP, CNSC, clinical pharmacist with Nutrition Support Service of Nationwide Children’s Hospital in Columbus, Ohio, tells us about the most commonly reactive five foods that react with other medications. So let’s discuss these foods. 1. GRAPEFRUIT JUICE “Grapefruit juice has the ability to interact with medications in numerous ways,” says Plogsted. One way is to increase the absorption of certain drugs, this is the case with some cholesterol-lowering statins but not with all sort of drugs. MedinePlus recommends you not to have grapefruit juice if you are taking any sort of cholesterol lowering me...

Due to advances in HIV care and treatment, many women living with HIV (HIV+) are living longer, healthier lives. As women living with HIV think about their futures, some are deciding to have the babies they always wanted. The good news is that advances in HIV treatment have also greatly lowered the chances that a mother will pass HIV on to her baby (also known as perinatal HIV transmission, or vertical transmission; also sometimes called “mother-to-child” transmission). The World Health Organization reports HIV that can be perinatally transmitted as much as 45 percent of the time when mothers are not taking HIV drugs. However, with HIV treatment, the chances of perinatal transmission can be less than five in 100 births. According to the US Centers for Disease Control and Prevention (CDC), if the mother takes HIV drugs and is virally suppressed (viral load is undetectable), the chances of transmission can be less than one in 100. It is also important to note that studie...

Table of Contents How Drugs Are Metabolized Drugs That Slow Down Metabolism Drugs That Speed Up Metabolism Other Types of Drug Interactions Drugs and Other Substances That May Interact with HIV Medications Other Types of Drugs That May Interact with HIV Drugs Food Taking Care of Yourself In order for a drug to work properly, a person must take the correct dose at the correct time so that the right amount of drug enters the bloodstream. Before an HIV drug is approved, researchers study different doses and choose one that is both safe and effective. The dose has to be high enough to stop HIV from making copies of itself, but not so high that it causes a lot of side effects. All people living with HIV (HIV+) who are on treatment take more than one HIV drug, even if they only take one pill. Some pills contain more than one drug; for example, Truvada is a pill that contains the HIV drugs Emtriva (emtricitabine) and Viread (tenofovir disoproxil fumarate). Many p...

Table of Contents The Aging HIV Population Is Growing Living and Aging with HIV Aging-Related Health Challenges What Else Can You Do? Stigma and the Need for Social Support for Older Adults Living with HIV Taking Care of Yourself The Aging HIV Population Is Growing Worldwide, more than four million people 50 years and older are living with HIV (HIV+). According to UNAIDS, the proportion of older adults living with HIV continues to increase in all regions. For the first time since the HIV pandemic began, more than one in ten adults living with HIV is 50 or over in low- and middle-income countries. In high-income countries, approximately three in ten adults living with HIV are 50 or over. In the US, HIV began mostly as a disease of young men, but today the epidemic impacts people of all ages, including older people (age 50 and over). While 50 may not seem ‘old,’ it is often the age currently used by organizations that keep track of health-related statistics (e.g., the U...