Pharmacokinetic and metabolic effects of American ginseng (Panax quinquefolius) in healthy volunteers receiving the HIV protease inhibitor indinavir
2008

Effects of American Ginseng on Insulin Resistance in Healthy Volunteers Taking Indinavir

Sample size: 13 publication 10 minutes Evidence: moderate

Author Information

Author(s): Andrade Adriana SA, Hendrix Craig, Parsons Teresa L, Caballero Benjamin, Yuan Chun-Su, Flexner Charles W, Dobs Adrian S, Brown Todd T

Primary Institution: The Johns Hopkins University

Hypothesis

Can American ginseng reverse insulin resistance induced by the HIV protease inhibitor indinavir?

Conclusion

Indinavir decreases insulin sensitivity, which is not improved by American ginseng co-administration.

Supporting Evidence

  • Indinavir administration decreased insulin sensitivity by an average of 14.8%.
  • American ginseng did not significantly alter the pharmacokinetics of indinavir.
  • Insulin sensitivity remained unchanged after co-administration of indinavir and ginseng.

Takeaway

This study looked at whether American ginseng could help people taking a specific HIV medication that makes it harder for their bodies to use insulin. It found that ginseng didn't help with this problem.

Methodology

Healthy volunteers received indinavir for 3 days, followed by co-administration with American ginseng for 14 days, with assessments of insulin sensitivity and pharmacokinetics.

Potential Biases

Potential bias due to the exclusion of women and the majority of participants being African-American.

Limitations

The study only included male participants and had a small sample size, which may limit generalizability.

Participant Demographics

13 healthy volunteers, all male, aged 26-53, with a mean age of 42.9; 12 African-American and 2 white.

Statistical Information

P-Value

0.03

Confidence Interval

95% CI for various PK parameters

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6882-8-50

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