Skip to main content
Log in

Effect of guar gum, a fibre preparation, on digoxin and penicillin absorption in man

  • Short Communications
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The effect of guar gum on the absorption of digoxin and phenoxymethyl penicillin was studied in a double blind study in 10 healthy volunteers. Guar gum reduced serum digoxin concentration during the early absorption period, but a similar amount of digoxin was found in 24 h urine whether given with or without guar gum. Both the peak penicillin concentration and the area under the serum curve were significantly reduced by the gum.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Allonen H, Iisalo E, Nuortio L (1975) Effect of reserpine, desipramine and phenytoin on digoxin induced arrhythmias and myocardial uptake of digoxin in guinea pigs. Acta Pharmacol Toxicol 37: 8–16

    Google Scholar 

  • Aro A, Uusitupa M, Voutilainen E, Hersio K, Korhonen T, Siitonen O (1981) Improved diabetic control and hypocholesterolemic effect induced by long-term dietary supplementation with guar gum in Type 2 (insulin-independent) diabetes. Diabetologia 21: 29–33

    Google Scholar 

  • Brown DD, Juhl RP, Warner SL (1977) Decreased bioavailability of digoxin produced by dietary fiber and cholestyramine. Am J Cardiol 39: 297

    Google Scholar 

  • Holt S, Heading RC, Carter DC, Prescott LF, Tothill P (1979) Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol. Lancet 1: 636–639

    Google Scholar 

  • Jenkins DJA, Goff DV, Leeds AR, Alberti KGMM, Wolever TMS, Gassull MA, Hockaday TDR (1976) Unabsorbable carbohydrates and diabetes: decreased postprandial hypoglycemia. Lancet 2: 172–174

    Google Scholar 

  • Kasper H, Zilly W, Fassl H, Fehle F (1979) The effect of dietary fiber on postprandial serum digoxin concentration in man. Am J Clin Nutr 32: 2436–2438

    Google Scholar 

  • Keller F, Rietbrock N (1977) Bioavailability of digoxin: some pitfalls and problems. Int J Clin Pharmacol 15: 549–556

    Google Scholar 

  • Kritchevsky D (1978) Fiber, lipids and atherosclerosis. Am J Clin Nutr 31: 567–574

    Google Scholar 

  • Lembcke B, Häsler K, Kramer P, Caspary WF, Creutzfeldt W (1982) Plasma digoxin concentrations during administration of dietary fibre (guar gum) in man. Z Gastroenterol 20: 164–167

    Google Scholar 

  • Magnusson JO, Bargdahl P, Bogentoft C, Jonsson UE (1982) Metabolism of digoxin and absorption site. Br J Clin Pharmacol 14: 284–285

    Google Scholar 

  • Manninen V, Apajalahti A, Melin J, Karesoja M (1973) Altered absorption of digoxin in patients given propantheline and metoclopramide. Lancet 1: 398–400

    Google Scholar 

  • Mirta Soci M, Parrott EL (1980) Influence of viscosity on absorption from nitrofurantoin suspensions. J Pharm Sci 69: 403–406

    Google Scholar 

  • Reeves DS, Phillips J, Williams JD, Wise R (eds) (1978) Laboratory methods in antimicrobial chemotherapy. Churchill Livingstone, Edinburgh London New York

    Google Scholar 

  • Shima K, Tanaka A, Ikegami H, Tabata M, Sawazaki N, Kumahara Y (1983) Effect of dietary fiber, glucomannan, on absorption of sulfonylurea in man. Horm Metabol Res 15: 1–3

    Google Scholar 

  • Smith TW, Butler VP, Haber E (1969) Determination of therapeutic and toxic serum digoxin concentrations by radioimmunoassay. N Engl J Med 28: 1212–1216

    Google Scholar 

  • Welling PG, Tse FLS (1982) The influence of food on the absorption of antimicrobial agents. J Antimicrob Chemother 9: 7–27

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huupponen, R., Seppälä, P. & Iisalo, E. Effect of guar gum, a fibre preparation, on digoxin and penicillin absorption in man. Eur J Clin Pharmacol 26, 279–281 (1984). https://doi.org/10.1007/BF00630301

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00630301

Key words

Navigation