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PharmacoNutrition

The interface between prescribed medicines and nutritional factors is so overlooked that it is commonly referred to as drug-nutrient interactions and/or drug-food interactions.

Clinical category

PharmacoNutrition as a suitable name as it encompasses the broad scope of the field including both direct and indirect drug-food and drug-nutrient interactions. Those conducting research in this field would be Pharmaco-nutrologists.

Primary contributors to clinical exclusion

Research aspects

Research papers are scattered across a plethora of journals and subjects. The studies are mostly small.

Assumptions - for which there is no evidence

Food intake will cover the drug-induced nutrient losses. Food is benign and unlikely to interact with pharmaceuticals.

Health professional training

The training for doctors, pharmacists, and most other health professionals does not include a significant nutrition component. This is surprising given 80+% of western ill-health has an underlying negative nutrition component.

Who will fund and conduct the research?

Pharmaceutical industry

The regulatory processes do not require negative nutritional impacts of pharmaceutical products to be included in the drug discovery process.

Governmental research bodies

The number of similarly worthwhile research projects competing for funding is steadily increasing whilst the funding sources and are generally not increasing.

Philanthropic bodies

Philanthropic bodies either support a specific area of research or dispense smaller grants to a larger number of applicants. Sadly, there aren’t any philanthropic bodies with a particular interest in this area of expertise.

Medications & Nutrition Platform

The online platform Medications & Nutrition provides a comprehensive range of clinically-useful, referenced, research evidence that is presented in a dot point format to improve accessibility to the latest research for busy clinicians. Examples of integration formats are included in the Case study component of our MedNut Mail series.

April 26, 2022

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Templates for common clinical observations 4

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April 19, 2022

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Elevated pyridoxine and pharmaconutrition

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April 5, 2022

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Falls and pharmaconutrition

​A fall is defined as an event in which a person inadvertently comes to rest on the ground or other ...

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March 29, 2022

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Nutrition support products and pharmaconutrition

Mechanisms and consequences  Nutrition support products are typically administered if a person has lost weight or has very poor appetite, ...

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March 22, 2022

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Templates for common clinical observations 3

​Templates are useful to ensure inclusion of relevant points and to streamline work efficiency. Further, they can be amended as ...

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March 15, 2022

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Constipation audits and pharmaconutrition

Mechanisms and consequences  Enter your text here..Constipation is a common side effect of many prescribed medications and contributes to further ...

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March 8, 2022

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Biotin and pharmaconutrition

Mechanisms and consequences  Biotin is a B vitamin that helps the body break down fats, carbohydrates, and proteins and is ...

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March 1, 2022

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Templates for common clinical observations 2

Time-saving templates  Templates are useful for ensuring essential information is passed on without any aspect being overlooked as they can ...

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February 22, 2022

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MELAS and pharmaconutrition

Providing care when limited evidence  MELAS (Mitochondrial Encephalomyopathy Lactic Acidosis and Stroke-like) is caused by mutations in mitochondrial DNA and ...

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February 8, 2022

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Carnitine and 3 epilepsy medications

Guest case study  This email is based on a question from a reader. I have a client who is tube ...

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February 1, 2022

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Deafness and pharmaconutrition

​Deafness is a multifactorial, global health issue that is commonly inadequately managed in healthcare services; for example a person who ...

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January 25, 2022

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Templates for common clinical observations

Time saving templates  From a practical, work efficiency perspective, many of the people we see are prescribed similar combinations of ...

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January 11, 2022

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Should we have nutrient budgets?

Pros and cons of nutrient budgets  Money and nutrients have some surprising commonalities – similar income/intake on a relatively regular ...

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January 4, 2022

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When should glycaemic levels be checked?

Mechanisms and consequences  Commonly the pre-breakfast BSLs may be the only routine monitoring strategy for those with long term diabetes ...

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December 28, 2021

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Potential pharmaconutrition research topics 4

​Some people can be prescribed medications from a very young age eg diabetes, epilepsy, and will consume a range of ...

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December 21, 2021

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Climate change – a personal reflection

Mining and nutrition  Call for emergency action to limit global temperature increases, restore biodiversity, and protect health: Wealthy nations must ...

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December 7, 2021

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Metformin and weight loss

Mechanisms and consequences  “Can you see Mr EYOM (Eighty Year Old Man) – he’s been losing weight?” The weight graph ...

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November 30, 2021

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Iron supplements and gut microbiota

Mechanisms and outcomes  Iron supplements are generally prescribed if serum iron levels are low. Poorly absorbed iron, typically from sources ...

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November 25, 2021

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Potential pharmaconutrition research topics 3

Potential research topics  Nutrition research, including pharmaconutrition, is an interesting and challenging field, with an added dimension that is not ...

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October 26, 2021

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Potential pharmaconutrition research topics 2

Potential research topics  In the early 1990s a Canadian research team was investigating whether alcohol interacted with nifedipine/felodipine and unexpectedly ...

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