What to do if someone mistakenly ingests food contraindicated by medication requirements?

Clash Royale CLAN TAG#URR8PPP

up vote
1
down vote

favorite

In the past I have read a couple of times that one should not consume milk-based-products when taking certain medication for a certain amount of time before and after taking the product. To be a little bit more concrete, for certain types of Antibiotica this seems to be the case (Doxycyclin, etc.).

I'm of course completely fine with obeying that rule but as we're all humans and sometimes forget things, I wonder what I'm supposed to do if I accidentally drink a glass of milk and should take, let's say the Antibiotica, in the next hour. Should I run to my doctor? Or am I supposed to wait two/three hours and then take the medicine? Or should I just take it normally and hope that it works out?

I tried to look up the answer but besides some forum-posts there doesn't seem to be any kind of "official" statement (from a pharma company or something equivalent) about how to handle such a situation (or at least I wasn't able to find it).

Can someone maybe explain what the right reaction in such a case would be?

medications antibiotics

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

add a comment | 

up vote
1
down vote

favorite

In the past I have read a couple of times that one should not consume milk-based-products when taking certain medication for a certain amount of time before and after taking the product. To be a little bit more concrete, for certain types of Antibiotica this seems to be the case (Doxycyclin, etc.).

I'm of course completely fine with obeying that rule but as we're all humans and sometimes forget things, I wonder what I'm supposed to do if I accidentally drink a glass of milk and should take, let's say the Antibiotica, in the next hour. Should I run to my doctor? Or am I supposed to wait two/three hours and then take the medicine? Or should I just take it normally and hope that it works out?

I tried to look up the answer but besides some forum-posts there doesn't seem to be any kind of "official" statement (from a pharma company or something equivalent) about how to handle such a situation (or at least I wasn't able to find it).

Can someone maybe explain what the right reaction in such a case would be?

medications antibiotics

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

add a comment | 

up vote
1
down vote

favorite

up vote
1
down vote

favorite

In the past I have read a couple of times that one should not consume milk-based-products when taking certain medication for a certain amount of time before and after taking the product. To be a little bit more concrete, for certain types of Antibiotica this seems to be the case (Doxycyclin, etc.).

I'm of course completely fine with obeying that rule but as we're all humans and sometimes forget things, I wonder what I'm supposed to do if I accidentally drink a glass of milk and should take, let's say the Antibiotica, in the next hour. Should I run to my doctor? Or am I supposed to wait two/three hours and then take the medicine? Or should I just take it normally and hope that it works out?

I tried to look up the answer but besides some forum-posts there doesn't seem to be any kind of "official" statement (from a pharma company or something equivalent) about how to handle such a situation (or at least I wasn't able to find it).

Can someone maybe explain what the right reaction in such a case would be?

medications antibiotics

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

In the past I have read a couple of times that one should not consume milk-based-products when taking certain medication for a certain amount of time before and after taking the product. To be a little bit more concrete, for certain types of Antibiotica this seems to be the case (Doxycyclin, etc.).

I'm of course completely fine with obeying that rule but as we're all humans and sometimes forget things, I wonder what I'm supposed to do if I accidentally drink a glass of milk and should take, let's say the Antibiotica, in the next hour. Should I run to my doctor? Or am I supposed to wait two/three hours and then take the medicine? Or should I just take it normally and hope that it works out?

I tried to look up the answer but besides some forum-posts there doesn't seem to be any kind of "official" statement (from a pharma company or something equivalent) about how to handle such a situation (or at least I wasn't able to find it).

Can someone maybe explain what the right reaction in such a case would be?

medications antibiotics

medications antibiotics

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

share|improve this question

share|improve this question

edited 6 hours ago

JohnP♦

5,40922149

edited 6 hours ago

JohnP♦

5,40922149

edited 6 hours ago

JohnP♦

5,40922149

5,40922149

asked 7 hours ago

Manuel Schubert

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

asked 7 hours ago

Manuel Schubert

61

asked 7 hours ago

Manuel Schubert

61

61

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

New contributor

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

Manuel Schubert is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
Check out our Code of Conduct.

add a comment | 

add a comment | 

2 Answers
2

active

oldest

votes

up vote
3
down vote

Doxycycline is a chelating agent. As such it will form a metallo-tetracycline complex in the gut which is basically not absorbed. So, you don't get the benefit of the tetracycline. So, you should take them 3 hours before or after meals. And if you have taken it with a glass of milk, the sensible thing to do is take it again after a few hours.

Tetracyclines have a high affinity to form chelates with polyvalent metallic cations such as Fe+++, Fe++, Al+++, Mg++ and Ca++. Many of these tetracycline-metal complexes are either insoluble or otherwise poorly absorbable from the gastro-intestinal tract. Milk and other dairy products, antacids containing polyvalent cations, as well as various iron salts ingested simultaneously with tetracycline derivatives, might interfere with their absorption by 50 to 90% or even more.

https://www.ncbi.nlm.nih.gov/pubmed/946598

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

add a comment | 

up vote
1
down vote

Dietary restrictions on medication are for a variety of reasons:

Interactions that prevent absorption/action - this could include foods that somehow bind with the active ingredient of the drug and therefore limit it's action. The result could be similar to forgetting to take the medication at all.

Interactions that prevent enzymatic breakdown - these are common with certain liver enzymes that are involved in metabolism of drugs but can also be inhibited by foods. They could cause levels of the drug to build up to higher than expected levels because the active ingredient is not metabolized by the next dose.

Foods that cause similar effects to the drug - for example, drugs that cause drowsiness should typically not be taken with alcohol.

Because of the variety of reasons and uncertain level of severity for different drugs and different foods, all you should do is ask your doctor. You could also ask your pharmacist: it is also their job to know about interactions with drugs and they may be able to advise you. Your healthcare provider may also have something like a nurse's hotline that you can call in to, and they can either help you directly or guide you to other resources.

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

• 
  
  
  

  
  

  
  
  
  
  
  

  
  Can you please provide reliable references to back your claims?
  – Chris Rogers
  3 hours ago
  

  
  
  
  

add a comment | 

Your Answer

StackExchange.ready(function()
var channelOptions =
tags: "".split(" "),
id: "607"
;
initTagRenderer("".split(" "), "".split(" "), channelOptions);

StackExchange.using("externalEditor", function()
// Have to fire editor after snippets, if snippets enabled
if (StackExchange.settings.snippets.snippetsEnabled)
StackExchange.using("snippets", function()
createEditor();
);

else
createEditor();

);

function createEditor()
StackExchange.prepareEditor(
heartbeatType: 'answer',
convertImagesToLinks: false,
noModals: false,
showLowRepImageUploadWarning: true,
reputationToPostImages: null,
bindNavPrevention: true,
postfix: "",
noCode: true, onDemand: true,
discardSelector: ".discard-answer"
,immediatelyShowMarkdownHelp:true
);



);

Manuel Schubert is a new contributor. Be nice, and check out our Code of Conduct.

 

draft saved

draft discarded

Sign up or log in

StackExchange.ready(function ()
StackExchange.helpers.onClickDraftSave('#login-link');
);

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Post as a guest

Name Email

StackExchange.ready(
function ()
StackExchange.openid.initPostLogin('.new-post-login', 'https%3a%2f%2fmedicalsciences.stackexchange.com%2fquestions%2f17787%2fwhat-to-do-if-someone-mistakenly-ingests-food-contraindicated-by-medication-requ%23new-answer', 'question_page');

);

Post as a guest

Name Email

2 Answers
2

active

oldest

votes

2 Answers
2

active

oldest

votes

active

oldest

votes

active

oldest

votes

up vote
3
down vote

Doxycycline is a chelating agent. As such it will form a metallo-tetracycline complex in the gut which is basically not absorbed. So, you don't get the benefit of the tetracycline. So, you should take them 3 hours before or after meals. And if you have taken it with a glass of milk, the sensible thing to do is take it again after a few hours.

Tetracyclines have a high affinity to form chelates with polyvalent metallic cations such as Fe+++, Fe++, Al+++, Mg++ and Ca++. Many of these tetracycline-metal complexes are either insoluble or otherwise poorly absorbable from the gastro-intestinal tract. Milk and other dairy products, antacids containing polyvalent cations, as well as various iron salts ingested simultaneously with tetracycline derivatives, might interfere with their absorption by 50 to 90% or even more.

https://www.ncbi.nlm.nih.gov/pubmed/946598

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

add a comment | 

up vote
3
down vote

Doxycycline is a chelating agent. As such it will form a metallo-tetracycline complex in the gut which is basically not absorbed. So, you don't get the benefit of the tetracycline. So, you should take them 3 hours before or after meals. And if you have taken it with a glass of milk, the sensible thing to do is take it again after a few hours.

Tetracyclines have a high affinity to form chelates with polyvalent metallic cations such as Fe+++, Fe++, Al+++, Mg++ and Ca++. Many of these tetracycline-metal complexes are either insoluble or otherwise poorly absorbable from the gastro-intestinal tract. Milk and other dairy products, antacids containing polyvalent cations, as well as various iron salts ingested simultaneously with tetracycline derivatives, might interfere with their absorption by 50 to 90% or even more.

https://www.ncbi.nlm.nih.gov/pubmed/946598

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

add a comment | 

up vote
3
down vote

up vote
3
down vote

Doxycycline is a chelating agent. As such it will form a metallo-tetracycline complex in the gut which is basically not absorbed. So, you don't get the benefit of the tetracycline. So, you should take them 3 hours before or after meals. And if you have taken it with a glass of milk, the sensible thing to do is take it again after a few hours.

Tetracyclines have a high affinity to form chelates with polyvalent metallic cations such as Fe+++, Fe++, Al+++, Mg++ and Ca++. Many of these tetracycline-metal complexes are either insoluble or otherwise poorly absorbable from the gastro-intestinal tract. Milk and other dairy products, antacids containing polyvalent cations, as well as various iron salts ingested simultaneously with tetracycline derivatives, might interfere with their absorption by 50 to 90% or even more.

https://www.ncbi.nlm.nih.gov/pubmed/946598

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

Doxycycline is a chelating agent. As such it will form a metallo-tetracycline complex in the gut which is basically not absorbed. So, you don't get the benefit of the tetracycline. So, you should take them 3 hours before or after meals. And if you have taken it with a glass of milk, the sensible thing to do is take it again after a few hours.

Tetracyclines have a high affinity to form chelates with polyvalent metallic cations such as Fe+++, Fe++, Al+++, Mg++ and Ca++. Many of these tetracycline-metal complexes are either insoluble or otherwise poorly absorbable from the gastro-intestinal tract. Milk and other dairy products, antacids containing polyvalent cations, as well as various iron salts ingested simultaneously with tetracycline derivatives, might interfere with their absorption by 50 to 90% or even more.

https://www.ncbi.nlm.nih.gov/pubmed/946598

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

share|improve this answer

share|improve this answer

answered 2 hours ago

Graham Chiu

5,1111744

answered 2 hours ago

Graham Chiu

5,1111744

answered 2 hours ago

Graham Chiu

5,1111744

5,1111744

add a comment | 

add a comment | 

up vote
1
down vote

Dietary restrictions on medication are for a variety of reasons:

Interactions that prevent absorption/action - this could include foods that somehow bind with the active ingredient of the drug and therefore limit it's action. The result could be similar to forgetting to take the medication at all.

Interactions that prevent enzymatic breakdown - these are common with certain liver enzymes that are involved in metabolism of drugs but can also be inhibited by foods. They could cause levels of the drug to build up to higher than expected levels because the active ingredient is not metabolized by the next dose.

Foods that cause similar effects to the drug - for example, drugs that cause drowsiness should typically not be taken with alcohol.

Because of the variety of reasons and uncertain level of severity for different drugs and different foods, all you should do is ask your doctor. You could also ask your pharmacist: it is also their job to know about interactions with drugs and they may be able to advise you. Your healthcare provider may also have something like a nurse's hotline that you can call in to, and they can either help you directly or guide you to other resources.

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

• 
  
  
  

  
  

  
  
  
  
  
  

  
  Can you please provide reliable references to back your claims?
  – Chris Rogers
  3 hours ago
  

  
  
  
  

add a comment | 

up vote
1
down vote

Dietary restrictions on medication are for a variety of reasons:

Interactions that prevent absorption/action - this could include foods that somehow bind with the active ingredient of the drug and therefore limit it's action. The result could be similar to forgetting to take the medication at all.

Interactions that prevent enzymatic breakdown - these are common with certain liver enzymes that are involved in metabolism of drugs but can also be inhibited by foods. They could cause levels of the drug to build up to higher than expected levels because the active ingredient is not metabolized by the next dose.

Foods that cause similar effects to the drug - for example, drugs that cause drowsiness should typically not be taken with alcohol.

Because of the variety of reasons and uncertain level of severity for different drugs and different foods, all you should do is ask your doctor. You could also ask your pharmacist: it is also their job to know about interactions with drugs and they may be able to advise you. Your healthcare provider may also have something like a nurse's hotline that you can call in to, and they can either help you directly or guide you to other resources.

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

• 
  
  
  

  
  

  
  
  
  
  
  

  
  Can you please provide reliable references to back your claims?
  – Chris Rogers
  3 hours ago
  

  
  
  
  

add a comment | 

up vote
1
down vote

up vote
1
down vote

Dietary restrictions on medication are for a variety of reasons:

Interactions that prevent absorption/action - this could include foods that somehow bind with the active ingredient of the drug and therefore limit it's action. The result could be similar to forgetting to take the medication at all.

Interactions that prevent enzymatic breakdown - these are common with certain liver enzymes that are involved in metabolism of drugs but can also be inhibited by foods. They could cause levels of the drug to build up to higher than expected levels because the active ingredient is not metabolized by the next dose.

Foods that cause similar effects to the drug - for example, drugs that cause drowsiness should typically not be taken with alcohol.

Because of the variety of reasons and uncertain level of severity for different drugs and different foods, all you should do is ask your doctor. You could also ask your pharmacist: it is also their job to know about interactions with drugs and they may be able to advise you. Your healthcare provider may also have something like a nurse's hotline that you can call in to, and they can either help you directly or guide you to other resources.

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

Dietary restrictions on medication are for a variety of reasons:

Interactions that prevent absorption/action - this could include foods that somehow bind with the active ingredient of the drug and therefore limit it's action. The result could be similar to forgetting to take the medication at all.

Interactions that prevent enzymatic breakdown - these are common with certain liver enzymes that are involved in metabolism of drugs but can also be inhibited by foods. They could cause levels of the drug to build up to higher than expected levels because the active ingredient is not metabolized by the next dose.

Foods that cause similar effects to the drug - for example, drugs that cause drowsiness should typically not be taken with alcohol.

Because of the variety of reasons and uncertain level of severity for different drugs and different foods, all you should do is ask your doctor. You could also ask your pharmacist: it is also their job to know about interactions with drugs and they may be able to advise you. Your healthcare provider may also have something like a nurse's hotline that you can call in to, and they can either help you directly or guide you to other resources.

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

share|improve this answer

share|improve this answer

answered 7 hours ago

Bryan Krause

1,056315

answered 7 hours ago

Bryan Krause

1,056315

answered 7 hours ago

Bryan Krause

1,056315

1,056315

• 
  
  
  

  
  

  
  
  
  
  
  

  
  Can you please provide reliable references to back your claims?
  – Chris Rogers
  3 hours ago
  

  
  
  
  

add a comment | 

• 
  
  
  

  
  

  
  
  
  
  
  

  
  Can you please provide reliable references to back your claims?
  – Chris Rogers
  3 hours ago
  

  
  
  
  

Can you please provide reliable references to back your claims?
– Chris Rogers
3 hours ago

Can you please provide reliable references to back your claims?
– Chris Rogers
3 hours ago

add a comment | 

Manuel Schubert is a new contributor. Be nice, and check out our Code of Conduct.

 

draft saved

draft discarded

Manuel Schubert is a new contributor. Be nice, and check out our Code of Conduct.

Manuel Schubert is a new contributor. Be nice, and check out our Code of Conduct.

Manuel Schubert is a new contributor. Be nice, and check out our Code of Conduct.

 

draft saved

draft discarded

Sign up or log in

StackExchange.ready(function ()
StackExchange.helpers.onClickDraftSave('#login-link');
);

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Post as a guest

Name Email

StackExchange.ready(
function ()
StackExchange.openid.initPostLogin('.new-post-login', 'https%3a%2f%2fmedicalsciences.stackexchange.com%2fquestions%2f17787%2fwhat-to-do-if-someone-mistakenly-ingests-food-contraindicated-by-medication-requ%23new-answer', 'question_page');

);

Post as a guest

Name Email

Sign up or log in

StackExchange.ready(function ()
StackExchange.helpers.onClickDraftSave('#login-link');
);

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Post as a guest

Name Email

Sign up or log in

StackExchange.ready(function ()
StackExchange.helpers.onClickDraftSave('#login-link');
);

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Post as a guest

Name Email

Sign up or log in

StackExchange.ready(function ()
StackExchange.helpers.onClickDraftSave('#login-link');
);

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Sign up using Google

Sign up using Facebook

Sign up using Email and Password

Post as a guest

Name Email

Name Email

Name

Email

Name Email

Name

Email