학술논문

Vitamin D: Pharmacokinetics and Safety When Used in Conjunction with the Pharmaceutical Drugs Used in Cancer Patients: A Systematic Review.
Document Type
Article
Source
Cancers. Mar2013, Vol. 5 Issue 1, p255-280. 26p. 1 Diagram, 5 Charts.
Subject
*THERAPEUTIC use of vitamin D
*CANCER chemotherapy
*COMBINATION drug therapy
*DIETARY supplements
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDLINE
*PATIENT safety
*PHARMACOKINETICS
*SYSTEMATIC reviews
*CHOLECALCIFEROL
*CALCITRIOL
Language
ISSN
2072-6694
Abstract
Vitamin D has reported anti-cancer and anti-inflammatory properties modulated through gene transcription and non-genomic signaling cascades. The purpose of this review was to summarize the available research on interactions and pharmacokinetics between vitamin D and the pharmaceutical drugs used in patients with cancer. Hypercalcemia was the most frequently reported side effect that occurred in high dose calcitriol. The half-life of 25(OH)D3 and/or 1,25(OH)2D3 was found to be impacted by cimetidine; rosuvastatin; prednisone and possibly some chemotherapy drugs. No unusual adverse effects in cancer patients; beyond what is expected from high dose 1,25(OH)2D3 supplementation, were revealed through this review. While sufficient evidence is lacking, supplementation with 1,25(OH)2D3 during chemotherapy appears to have a low risk of interaction. Further interactions with vitamin D3 have not been studied. [ABSTRACT FROM AUTHOR]