Q. . Grapes juice to be avoided in patient getting?? A. Warferin B. Heparin C. Cyclosporine D. Penicillin
Warferin
The reason being?
Grape juice is a CYP3A4 microsomal enzyme inhibitor and warfarin is being metabolised by this CYP3A4..hence if given togethr it will lead to toxicity due to lack of metabolism
Warfarin đ¤
Penicilin
A.warfarin