Hypertension: The Impact of Bananas and Vitamin C - Pharmacology

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Hypertension and Bananas


Hello:
1.
Why should patients with hypertension avoid eating bananas? What is the reason?
2.
Why should individuals with uric acid crystals avoid consuming large amounts of vitamin C?
3.
Is it safe to take traditional Chinese medicine and Western medicine together? If not, why?

Li Zi Xian, 40~49 year old female. Ask Date: 2003/06/10

Dr. Zheng Shuwen reply Pharmacology


Question 1: Why should patients with hypertension avoid eating bananas? What is the reason? Answer: Not all patients with hypertension need to avoid bananas; it depends on the medications you are taking.
If you are on angiotensin-converting enzyme inhibitors (ACEIs), such as Enalapril (Renitec®), these medications can increase blood potassium levels.
Foods rich in potassium, such as bananas, dried apricots, dates, figs, raisins, and prunes, can further elevate potassium levels when taken with these medications, potentially leading to cardiac toxicity.
Below is a list of potassium-rich foods for your reference (potassium content in mg/lb):
- Soybeans: 7607
- Lima Beans, Mature: 6936
- Soybean Powder: 4150
- Wheat Germ: 3751
- Almonds: 3506
- Brazil Nuts: 3243
- Filberts: 3193
- Dates: 2939
- Pecans: 2735
- Rye, Whole Grain: 2118
- Butternut Squash: 1546
- Apricots: 1198
- Winter Squash: 1189
- Bananas: 1141
- Corn Meal: 1125
- Pumpkins: 1080
Question 2: Why should individuals with uric acid crystals avoid consuming large amounts of vitamin C? Answer: High doses of vitamin C can acidify urine, making it more difficult for uric acid to be excreted, which increases the likelihood of kidney stone formation.
Question 3: Can traditional Chinese medicine (TCM) and Western medicine be taken together? If not, why? Answer: The compatibility of TCM and Western medicine depends on the physical and chemical properties of the medications involved.
In fact, both types of medications have their own therapeutic effects and adverse reactions.
When used appropriately together, they can enhance each other's benefits, improve efficacy, and reduce side effects.
However, not all TCM and Western medications can be combined; indiscriminate mixing may lead to interactions that diminish effectiveness or cause adverse effects.
Therefore, caution is necessary when combining TCM and Western medicine.
If combination is required, even if there are no contraindications, it is advisable to space the administration of the medications apart for safety.
If you wish to combine TCM and Western medicine, discuss the timing of use with your physician or pharmacist during your consultation, or consult with a community pharmacist to safeguard your health.
Below are common adverse effects from combining TCM and Western medicine for your reference:
1.
Diabetic patients taking Western hypoglycemic medications should avoid TCM containing ginseng, licorice, or deer antler, such as Shi Quan Da Bu Tang, Si Jun Zi Tang, or Bu Zhong Yi Qi Tang, as these ingredients can promote the body's catabolism of carbohydrates, leading to decreased glucose breakdown and increased blood sugar levels, thereby reducing the effectiveness of hypoglycemic medications.

2.
Tetracycline should not be taken with gypsum or talc, as these TCMs contain calcium sulfate, which can form poorly absorbed complexes with tetracycline, leading to ineffectiveness.

3.
Patients with hypertension should not take antihypertensive medications simultaneously with TCM containing ephedra, such as Ma Xing Shi Gan Tang, Da Qing Long Tang, or Ge Gen Tang, as ephedra can cause vasoconstriction and elevate blood pressure, reducing the efficacy of antihypertensive drugs.

4.
Sulfonamides should not be used long-term with TCM containing organic acids, such as hawthorn, black plum, or Schisandra, to avoid the crystallization of sulfonamides in urine, which can lead to adverse reactions like hematuria or urinary retention.

Reply Date: 2003/06/10

More Info


Hypertension, commonly known as high blood pressure, is a significant health concern that can lead to serious cardiovascular issues if not managed properly. Your questions about bananas, vitamin C, and the interaction between traditional Chinese medicine (TCM) and Western medicine are quite relevant for individuals dealing with hypertension and related health conditions.

1. Bananas and Hypertension: Contrary to the belief that bananas should be avoided by individuals with high blood pressure, they are actually beneficial. Bananas are rich in potassium, which helps to counteract the effects of sodium in the body. High potassium intake is associated with lower blood pressure levels. The confusion may arise from the fact that bananas contain some sugar and carbohydrates, which could be a concern for individuals with diabetes or those monitoring their carbohydrate intake. However, for most people with hypertension, bananas can be a healthy addition to their diet, especially when consumed in moderation.

2. Vitamin C and Uric Acid Crystals: Vitamin C is generally considered beneficial for overall health, including cardiovascular health. However, excessive intake of vitamin C can lead to increased uric acid levels in some individuals, particularly those predisposed to gout or with existing uric acid crystal issues. High levels of uric acid can lead to the formation of crystals in the joints, causing pain and inflammation. Therefore, individuals with a history of gout or high uric acid levels should monitor their vitamin C intake and consult with a healthcare provider to determine an appropriate dosage.

3. Combining Traditional Chinese Medicine and Western Medicine: The concurrent use of TCM and Western medicine is a topic of considerable debate. While some patients find relief and benefits from combining both approaches, it is crucial to consult with healthcare professionals before doing so. Certain herbs in TCM can interact with prescription medications, potentially altering their effectiveness or causing adverse effects. For instance, some herbal supplements may have blood-thinning properties, which could enhance the effects of anticoagulant medications, leading to an increased risk of bleeding. Therefore, it is essential to inform your healthcare provider about any TCM treatments you are considering or currently using.

4. General Dietary Recommendations for Hypertension: In addition to the specific foods mentioned, individuals with hypertension should focus on a heart-healthy diet. This includes:
- Fruits and Vegetables: Aim for a variety of colors and types, as they provide essential vitamins, minerals, and antioxidants.

- Whole Grains: Foods like brown rice, quinoa, and whole wheat bread can help maintain healthy blood pressure levels.

- Lean Proteins: Incorporate sources such as fish, poultry, beans, and legumes while limiting red meat and processed meats.

- Healthy Fats: Opt for unsaturated fats found in olive oil, avocados, and nuts while avoiding trans fats and excessive saturated fats.

- Limit Sodium: Reducing salt intake is crucial for managing blood pressure. Aim for less than 2,300 mg of sodium per day, or even lower if advised by a healthcare provider.

In conclusion, managing hypertension involves a comprehensive approach that includes dietary modifications, regular physical activity, and adherence to prescribed medications. Always consult with healthcare professionals before making significant changes to your diet or medication regimen, especially when considering the integration of different medical practices.

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