New feature seeks to answer your health questions

Today, the Las Vegas Review-Journal starts a weekly feature that will try to match readers’ health-related questions with answers from Southern Nevada medical and health care professionals.

Confused about an odd term your doctor used? Hear about a study on the news and wonder what it means for you? Not sure what a particular drug you’re taking does?

Drop us a line and we’ll look for a medical professional to clear it all up for you. Understand, however, that we’ll take general questions, but won’t ask for a diagnosis, second opinion or individualized treatment plan.

Send a short note with your question to: “Health Q&A,” Las Vegas Review-Journal, P.O. Box 70, Las Vegas, NV 89125-0070. Or, send an email to (put “Health Q&A” in the subject line). Either way, be sure to include your name, age, address and a daytime phone number.

Today, we begin with a quirky caution you’ll find on the informational sheets you receive with some prescription medications: Do not drink grapefruit juice, or even eat grapefruit, while taking the drug.

Scott Stolte, a doctor of pharmacy and dean of the College of Pharmacy at Roseman University of Health Sciences in Henderson, estimates that there are “at least 80, and probably more drugs” that contain the no-grapefruit caution.

Why? Because grapefruit and grapefruit juice can interact with some medications, causing, in some cases, dangerous results.

Stolte said grapefruit and grapefruit juice contain compounds that inhibit enzymes in the body that are responsible for breaking down, or metabolizing, drugs.

So drink grapefruit juice while taking the drug, and the drug will be metabolized more slowly, staying in your body longer and at higher concentrations than it’s meant to, creating the potential for harmful side effects. Follow your regular dosing schedule (one that assumes you’re not drinking grapefruit juice), and the chance of concentrating dangerously high levels of the drug in your body occurs, along with the potential of increasing, sometimes dangerously, the drug’s effects.

Note, too, that it’s not necessarily just grapefruit juice or grapefruit, Stolte says. “There are other fruits that have grapefruit as a hybrid component to them, and they can have the same interactions.”

Among common drugs that are susceptible to grapefruit-related problems are some statins used to treat high cholesterol, some painkillers, codeine, several drugs used in psychiatric treatment, the anti-anxiety mediation Valium, the anti-depressive Zoloft, calcium channel blockers used to treat high blood pressure and angina, and protease inhibitors used in treating HIV.

The good news, Stolte says, is that other, similar, drugs that carry less risk of a grapefruit interaction almost always can be substituted for the problematic drugs. In the meantime, though, read the literature that comes with your prescription medications and ask your doctor or pharmacist if in doubt.

A harmful interaction between a drug and grapefruit or grapefruit juice is potentially serious, Stolte adds, “and I think people tend to minimize how harmful it can be.”

Contact reporter John Przybys at or 702-383-0280.

Celebrity photographer dedicates dance book to Las Vegas shooting victims
Behind the scenes with local celebrity photographer Jerry Metellus as he talks about his Dance For Vegas coffee book dedicated to the 58 victims of the October 1 shooting. (Marcus Villagran/Las Vegas Review-Journal) @marcusvillagran
Dreamsickle Kids Foundation founder Gina Glass talks awareness
Gina Glass, 35, founded Dreamsickle Kids Foundation to raise awareness for sickle cell disease in Nevada. (Jessie Bekker/Las Vegas Review-Journal)
The Meadows School founding kindergarten teacher retires after 34 years at the school
Linda Verbon, founder of the The Meadows School's kindergarten program and the first faculty member hired at the school, retired in the spring after 34 years at The Meadows. (K.M. Cannon/Las Vegas Review-Journal)
Kids become firefighters at Fire Station 98 open house
Henderson residents wore fire hats, learned about CPR and met firefighters at the Fire Station 98 open house Saturday, August 11, 2018. (Marcus Villagran Las Vegas Review-Journal) @brokejournalist
People from all over the world attend RollerCon 2018
RollerCon 2018 is a five-day convention focused on the roller derby community and culture at Westgate in Las Vegas. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
Camp Broadway teaches kids how to sing and dance
The Smith Center's seventh annual Camp Broadway musical theater program gives 150 kids ages 6-17 an opportunity to learn musical theater skills from industry professionals over a five-day period. Marcus Villagran/ Las Vegas Review-Journal @brokejournalist
Las Vegas police officer on being PETA's Sexiest Vegan Next Door
Las Vegas police officer David Anthony talks vegan lifestyle and how he feels about being voted PETA's sexiest Vegan next door from his home on Monday, July 9, 2018. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
'NO H8' Campaign comes to Las Vegas
Hundreds of locals participate in the NO H8 campaign founded by Adam Bouska and Jeff Parshley as a response to Proposition 8, a California ban on same-sex marriage. The campaign has since evolved to represent equal treatment for all. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
Over 40,000 People Attend The 4th Of July Parade In Summerlin In Las Vegas
Over 40,000 People Attend The 4th Of July Parade In Summerlin In Las Vegas. (Janna Karel Las Vegas Review-Journal)
Star Wars and Golden Knights mashup at downtown art shop
Star Wars and Vegas Golden Knights fans attend the Boba Fett Golden Knight Paint Class at The Bubblegum Gallery in Las Vegas, Friday, June 29, 2018. (Marcus Villagran/Las Vegas Review-Journal) @brokejournalist
News Headlines
Add Event
Home Front Page Footer Listing
You May Like

You May Like