Abstract
Introduction: Drug and food interaction is a condition in which nutritional factors present in food have an influence significant effect on drug therapy, both potentially increasing or decreasing the effect of drug therapy. Indonesian people have a habit of taking medicine by using food or drink. Bananas are the primadona that are often consumed to speed up the swallowing process and reduce the bitter taste of medicine. It turns out that the consumption of bananas together with ACE inhibitors can increase the risk of hyperkalemia. Lack of information about the effects caused by drug and food interactions, so it is necessary to do related research. Objective: This study aims to determine the interaction of giving ramipril together with Ambon banana on the risk of hyperkalemia. Methods: A real experimental study while still adhering to the Covid'19 health protocol. White rats were divided into 4 groups, conditioned by hypertension, then intervened with ramipril and Ambon banana. Blood serum was taken and analyzed using UV spectrophotometry to obtain serum potassium levels. The levels obtained were analyzed using the One Way Anova Test. Results: The mean serum potassium level of the positive control group was 4.93±0.58; negative control 4.13±0.60; normal control 4.76±0.59 and treatment 5.10±0.38. The highest serum potassium level was in the ramipril treatment group together with Ambon banana, but still in the normal range of 3.60–5.50 mmol/L. One Way Anova test results (p = 0.054). (p>0.05) showed no significant difference. Conclusion: There is no specific increase in levels of ramipril concurrently with Ambon banana so it does not have the potential to cause the risk of hyperkalemia.
 
 Keywords: Drug Interaction, Ramipril, Ambon Banana, Serum Potassium, Hyperkalemia
Highlights
Drug and food interaction is a condition in which nutritional factors present in food have a significant influence effect on drug therapy, both potentially increasing or decreasing the effect of drug therapy
Drug interaction with food is a condition where the nutritional factors present in food can have a significant influence on the therapy of a drug [4]
Of the four groups of test animals, all of them met the range of serum potassium levels
Summary
Drug and food interaction is a condition in which nutritional factors present in food have a significant influence effect on drug therapy, both potentially increasing or decreasing the effect of drug therapy. Objective: This study aims to determine the interaction of giving ramipril together with Ambon banana on the risk of hyperkalemia. The highest serum potassium level was in the ramipril treatment group together with Ambon banana, but still in the normal range of 3.60– 5.50 mmol/L. Conclusion: There is no specific increase in levels of ramipril concurrently with Ambon banana so it does not have the potential to cause the risk of hyperkalemia. Drug interaction with food is a condition where the nutritional factors present in food can have a significant influence on the therapy of a drug [4]. The types of bananas consumed are usually varied, one of which is commonly consumed by the wider community is the Ambon banana [14]
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