OAT3 inhibitors for Bumetanide - Probenecid, but also Aspirin, Chlorogenic acid (Coffee), Epicatechin (Cocoa, Cinnamon) and more.
Today’s post is about OAT3, highlighted by the green lines. The interventions reduce renal excretion and raise plasma concentration rather than directly improving transport across the BBB Today’s post is a collaboration. Our reader Ling pointed out research trying to boost the bioavailability of bumetanide using something clever called an OAT3 inhibitor. This would reduce the rate at which the body excretes bumetanide and thus potentially improve its therapeutic effect. Petra, our reader from Greece, pointed out that in her son Bumetanide seemed to work better when taken with Greek coffee and that that Greek Grandpas like to take their diuretics with a steaming Greek coffee. Most people, me included, automatically think caffeine when someone mentions coffee. So I assumed that caffeine might be an OAT3 inhibitor and I did make some experiments on that basis. There is no research data to support caffeine as an OAT3 inhibitor. Recently I was again looking for other potential Bumetan...