AI Article Synopsis

  • The study aimed to assess how blackseed oil (BSO) affects the pharmacokinetics of prednisolone by potentially inhibiting p-glycoprotein (p-gp).
  • Three groups of rats received either a control, verapamil (a known p-gp inhibitor), or BSO before being administered prednisolone, with subsequent blood samples analyzed for drug concentrations.
  • Results showed that BSO significantly reduced the maximum plasma concentration and area under the curve for prednisolone compared to controls, indicating a potential interaction that could affect drug efficacy, suggesting caution for patients using BSO with prednisolone.

Article Abstract

Objectives: To investigate the effect of blackseed oil (BSO) single dose on prednisolone pharmacokinetics via p-gp inhibition.

Methods: Three groups of rats (n = 5) were orally administered the vehicle, verapamil (50 mg/kg) or BSO (5 ml/kg) 15 min prior to prednisolone (5 mg/kg) administration. Blood samples were collected over 24 h and quantified. Non-compartmental analysis was employed to calculate maximum plasma concentration (Cmax), area under the curve (AUC0-last), time to reach Cmax (Tmax), apparent clearance (CL/F), and half-life (t1/2). Statistical significance was considered at p<0.05.

Results: Prednisolone Cmax and AUC0-last decreased by 65% and 25% in the BSO group compared to the negative control (P < .0001, .0029, respectively) while they increased by 1.75-folds and 8-folds in verapamil group (P < .0001). Tmax was achieved at 0.16, 0.5, and 0.25 h in the negative control, verapamil, and BSO-treated groups, respectively. CL/F in the treatment group was 1.3-fold and 10-fold higher compared to the negative and positive control, respectively, whereas the t1/2 remained comparable.

Conclusion: Administration of BSO decreased prednisolone Cmax and AUC0-last in rats indicating that there is a herb-drug interaction; however, p-gp inhibition cannot be concluded. Patients relying on folk medicine in chronic illnesses treatment might need to avoid combining BSO with prednisolone.

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Source
http://dx.doi.org/10.1093/jpp/rgad110DOI Listing

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