Which category of medication, when taken alongside Borage, might increase the toxic effects of PAs by affecting liver processing speed?

Answer

CYP3A4 inducers

There is a recognized potential for drug interactions where certain medications can influence how the body metabolizes borage compounds. Specifically, drugs known as CYP3A4 inducers—substances that accelerate the liver's enzyme activity responsible for breaking down other chemicals—can affect borage processing. If the liver breaks down the borage compounds too quickly, it can potentially alter the balance of how the body handles the toxic pyrrolizidine alkaloids (PAs), theoretically increasing their damaging effects on the liver by overwhelming detoxification pathways or altering metabolite formation.

Which category of medication, when taken alongside Borage, might increase the toxic effects of PAs by affecting liver processing speed?
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