Evidence map›Paper›PMID 39993734›Full record

ArticleBritish journal of clinical pharmacology2025

Investigation of a broad-spectrum micronutrient formulation as a possible precipitant of pharmacokinetic micronutrient-drug interactions.

Bess M Kew, Matthew P Doogue, Richard McNeill, Mei Zhang, Julia J Rucklidge, Christopher M Frampton, Roger T Mulder, Ben Beaglehole

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bess M KewDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-1442-626X
Matthew P DoogueDepartment of Clinical Pharmacology, Christchurch Hospital, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-2525-6307
Richard McNeillDepartment of Clinical Pharmacology, Christchurch Hospital, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-9876-9368
Mei ZhangDepartment of Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0003-0174-9278
Julia J RucklidgeSchool of Psychology, Speech, and Hearing, University of Canterbury, Christchurch, New Zealand.ORCID https://orcid.org/0000-0003-3793-7342
Christopher M FramptonDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0003-0603-5661
Roger T MulderDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Ben BeagleholeDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-9521-1745

Funding

Calgary Foundation 20213796
6 · The paper itself

Abstract

aimsDaily broad-spectrum micronutrients are being used by the general public and formulations are receiving research interest in mental health settings. Despite concerns about combining medicines and broad-spectrum micronutrients in mental health care, there have not been any formal evaluations of potential interactions. Our objective was to evaluate a broad-spectrum micronutrient formula as a potential precipitant of pharmacokinetic drug-drug interactions through inhibition or induction of cytochrome P450 (CYP) enzymes.

methodsThis was a single-centre pharmacokinetic study. Twelve healthy participants received broad-spectrum micronutrients for 14 days (Days 1-14). Participants were administered a 'cocktail' of selective CYP probes midazolam 2 mg (CYP3A), dextromethorphan 30 mg (CYP2D6), losartan 25 mg (CYP2C9), omeprazole 20 mg (CYP2CI9) and caffeine 100 mg (CYP1A2) on Day 0 and Day 14, before taking and while taking broad-spectrum micronutrients. Plasma drug concentrations were measured at baseline and for 8 h following cocktail administration. AUC, C

resultsPre- and post-micronutrient geometric means (SD) for AUC

conclusionsBroad-spectrum micronutrients are unlikely to be a major precipitant of pharmacokinetic drug-drug interactions.

Indexed as

Cytochrome P-450 Enzyme InhibitorsMicronutrientsAdultArea Under CurveCaffeineCytochrome P-450 Enzyme SystemDextromethorphanDrug InteractionsFemaleHealthy VolunteersHumansLosartanMaleMidazolamMiddle AgedOmeprazoleCaffeineCytochrome P-450 Enzyme InhibitorsCytochrome P-450 Enzyme SystemDextromethorphanLosartanMicronutrientsMidazolamOmeprazolecytochromes P450interactionsmental healthmicronutrientspharmacokinetic

Identifiers

PMID39993734
PMCPMC12199100

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.