CoQ10 and Ancillary Prescription Drugs
As with most nutrients, CoQ10 reacts to particular drugs. Since CoQ10 is present in most cells in the human body, CoQ10 doesn't react in any serious way to any prescription drug - or the drug wouldn't pass FDA standards. However, certain drugs have been shown to affect the way or efficiency with which CoQ10 works in the body.
Oral agents that lower blood sugar such as glyburide and lipid-lowering drugs such as gemfibrozil and statins (lovastatin, pravastatin, and simvastatin) limit the effectiveness of CoQ10. This class of drugs cause a reduction in serum levels of CoQ10, resulting in this limitation.
Beta-blockers, or drugs that slow the heart rate and reduce blood pressure, work at slowing the CoQ10-assisted reactions. As we mentioned, CoQ10 is a "coenzyme" which means that it assists other enzymes in the body at completing its chemical tasks. Beta blockers, rather than reducing the effectiveness of CoQ10 itself, affect the processes and enzymes that it is CoQ10's responsibility to assist. This may be due to the fact that CoQ10 has been used in high blood pressure patients to increase the contractile force of the heart. By reducing the heart rate with drugs, you limit the need of CoQ10 to increase the heart's strength.
The one instance in which CoQ10 has been shown to decrease the effectiveness of a drug itself was the drug warfarin - an anticoagulant, or a blood thinner which prevents clotting. CoQ10 can reduce the effectiveness of this drug.
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