近期大量上市！但凡吃药，最好别吃这种水果→

Core Viewpoint - The article highlights the health risks associated with consuming grapefruit, particularly its interaction with various medications, which can lead to increased drug levels in the bloodstream and potential overdose effects [3][4][5]. Summary by Sections Grapefruit Overview - Grapefruit, known for its rich aroma and refreshing taste, is popular among all age groups and is currently in season [2]. Health Risks - Grapefruit contains a compound called "furanocoumarin," which inhibits the activity of the CYP3A4 enzyme in the liver, essential for metabolizing many medications [4]. - This inhibition can lead to an accumulation of drugs in the bloodstream, resulting in overdose-like symptoms and increased side effects [4][5]. Affected Medications - A variety of medications are affected by grapefruit, including common antihypertensives, antibiotics, pain relievers, and medications for special conditions like cancer and insomnia [8]. - It is noted that over 85 medications are known to interact with grapefruit, with about half of these potentially causing severe adverse reactions [9]. Specific Drug Examples - The article lists several categories of drugs that are significantly impacted by grapefruit, including: - Antihypertensives (e.g., amlodipine, nifedipine) [6] - Cholesterol-lowering drugs (e.g., atorvastatin, simvastatin) [10] - Anticancer medications (e.g., erlotinib, lapatinib) [10] - Pain medications (e.g., oxycodone, fentanyl) [11] Recommendations - It is advised to avoid grapefruit entirely during medication use, as even consuming it hours apart does not mitigate the risk due to the prolonged enzyme inhibition [13][14]. - Grapefruit-flavored products, such as drinks or jams, should also be avoided if they contain grapefruit extract [15]. - Other citrus fruits like oranges and lemons also contain furanocoumarin but in lower amounts, thus should be consumed with caution [16][18].