Grapefruit Juice and Your Medications May Not Mix


The Food and Drug Administration wants you to know that grapefruit juice may be a problem with some medications.

  •  Ask your pharmacist or other health care professional if you can have fresh grapefruit or grapefruit juice while using your medication. If you can’t, you may want to ask if you can have other juices with the medicine.
  • Read the Medication Guide or patient information sheet that comes with your prescription medicine to find out if it could interact with grapefruit juice. Some may advise not to take the drug with grapefruit juice. If it’s OK to have grapefruit juice, there will be no mention of it in the guide or information sheet.
  • Read the Drug Facts label on your non-prescription medicine, which will let you know if you shouldn’t have grapefruit or other fruit juices with it.

  • If you must avoid grapefruit juice with your medicine, check the label of bottles of fruit juice or drinks flavored with fruit juice to make sure they don’t contain grapefruit juice.
  • Seville oranges (often used to make orange marmalade) and tangelos (a cross between tangerines and grapefruit) affect the same enzyme as grapefruit juice, so avoid these fruits as well if your medicine interacts with grapefruit juice.


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Choosing from the Protein Foods Group


The United States Dept. of Agriculture (USDA) issued the following information sheet as an aid for shopping and preparing foods from the Protein Foods Group.

Go Lean with Protein:

    • Start with a lean protein choice:
      • The leanest beef cuts include round steaks and roasts (eye of round, top round, bottom round, round tip), top loin, top sirloin, and chuck shoulder and arm roasts.
      • The leanest pork choices include pork loin, tenderloin, center loin, and ham.
      • Choose extra lean ground beef. The label should say at least “90% lean.” You may be able to find ground beef that is 93% or 95% lean.
      • Buy skinless chicken parts, or take off the skin before cooking.
      • Boneless skinless chicken breasts and turkey cutlets are the leanest poultry choices.
      • Choose lean turkey, roast beef, ham, or low-fat luncheon meats for sandwiches instead of luncheon/deli meats with more fat, such as regular bologna or salami.
    • Keep your protein lean:
      • Trim away all of the visible fat from meats and poultry before cooking.
      • Broil, grill, roast, poach, or boil meat, poultry, or fish instead of frying.
      • Drain off any fat that appears during cooking.
      • Skip or limit the breading on meat, poultry, or fish. Breading adds calories. It will also cause the food to soak up more fat during frying.
      • Prepare beans and peas without added fats.
      • Choose and prepare foods without high fat sauces or gravies.

Vary Your Protein Choices:

    • Choose seafood at least twice a week as the main protein food. Look for seafood rich in omega-3 fatty acids, such as salmon, trout, and herring. Some ideas are:
      • Salmon steak or filet
      • Salmon loaf
      • Grilled or baked trout
    • Choose beans, peas, or soy products as a main dish or part of a protein fortified meal often. Some choices are:
      • Chili with kidney or pinto beans
      • Stir- fried tofu
      • Split pea, lentil, minestrone, or white bean soups
      • Baked beans
      • Black bean enchiladas
      • Garbanzo or kidney beans on a chef’s salad
      • Rice and beans
      • Veggie burgers
      • Hummus (chickpeas) spread on pita bread
    • Choose unsalted nuts as a snack, on salads, or in main dishes as your protein. Use nuts to replace meat or poultry, not in addition to these items:
      • Use pine nuts in pesto sauce for pasta.
      • Add slivered almonds to steamed vegetables.
      • Add toasted peanuts or cashews to a vegetable stir fry instead of meat.
      • Sprinkle a few nuts on top of low-fat ice cream or frozen yogurt.
      • Add walnuts or pecans to a green salad instead of cheese or meat.

What to Look for on the Food Label:

    • Check the Nutrition Facts label for the saturated fat, Trans fat, cholesterol, and sodium content of packaged foods.
      • Processed meats such as hams, sausages, frankfurters, and luncheon or deli meats have added sodium. Check the ingredient and Nutrition Facts label to help limit sodium intake.
      • Fresh chicken, turkey, and pork that have been enhanced with a salt-containing solution also have added sodium. Check the product label for statements such as “self-basting” or “contains up to __% of __.”
      • Lower fat versions of many processed meats are available. Look on the Nutrition Facts label to choose products with less fat and saturated fat.

Keep It Safe to Eat:

    • Separate raw, cooked and ready-to-eat foods.
    • Do not wash or rinse meat or poultry.
    • Wash cutting boards, knives, utensils and counter tops in hot soapy water after preparing each food item and before going on to the next one.
    • Store raw meat, poultry and seafood on the bottom shelf of the refrigerator so juices don’t drip onto other foods.
    • Cook foods to a safe temperature to kill microorganisms. Use a meat thermometer, which measures the internal temperature of cooked meat and poultry, to make sure that the meat is cooked all the way through.
    • Chill (refrigerate) perishable food promptly and defrost foods properly. Refrigerate or freeze perishables, prepared food and leftovers within two hours.
    • Plan ahead to defrost foods. Never defrost food on the kitchen counter at room temperature. Thaw food by placing it in the refrigerator, submerging air-tight packaged food in cold tap water (change water every 30 minutes), or defrosting on a plate in the microwave.
    • Avoid raw or partially cooked eggs or foods containing raw eggs and raw or undercooked meat and poultry.
    • Women who may become pregnant, pregnant women, nursing mothers, and young children should avoid some types of fish as their protein. Click here or call SAFEFOOD for more information on the best fish to eat.

Source: USDA,

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The Holiday Buffet

holiday Holiday buffets are a popular way to entertain, but these kinds of food service, where foods are left out for long periods of time, can be a health hazard.

Here are some tips from the U.S. Department of Agriculture Meat and Poultry Hotline to help you have a safe holiday party.

Safe Food Handling
Always serve food on clean plates — not those previously holding raw meat and poultry. Otherwise, bacteria which may have been present in raw meat juices can cross contaminate the food to be served.

Cook Thoroughly
If you are cooking holiday foods ahead of time for your party, be sure to cook foods thoroughly to safe minimum internal temperatures.

  • Cook all raw beef, pork, lamb and veal steaks, chops, and roasts to a minimum internal temperature of 145 °F as measured with a food thermometer before removing meat from the heat source. For safety and quality, allow meat to rest for at least three minutes before carving or consuming. For reasons of personal preference, consumers may choose to cook meat to higher temperatures.
  • Cook all raw ground beef, pork, lamb, and veal to an internal temperature of 160 °F as measured with a food thermometer.
  • Cook all poultry to a safe minimum internal temperature of 165 °F as measured with a food thermometer.

Use Shallow Containers to Store Holiday Foods
Divide holiday cooked foods into shallow containers to store in the refrigerator or freezer until serving. This encourages rapid, even cooling. Reheat hot foods to 165 °F. Arrange and serve food on several small platters rather than on one large platter. Keep the rest of the food hot in the oven (set at 200-250 °F) or cold in the refrigerator until serving time. This way foods will be held at a safe temperature for a longer period of time. REPLACE empty platters rather than adding fresh food to a dish that already had food in it. Many people’s hands may have been taking food from the dish, which has also been sitting out at room temperature.

The Two-Hour Rule for Holiday Buffets
Holiday foods should not sit at room temperature for more than two hours. Keep track of how long foods have been sitting on the buffet table and discard anything there two hours or more.

Keep Hot Foods HOT And Cold Foods COLD
Hot foods should be held at 140 °F or warmer. On the buffet table you can keep hot foods hot with chafing dishes, slow cookers, and warming trays. Cold foods should be held at 40 °F or colder. Keep foods cold by nesting dishes in bowls of ice. Otherwise, use small serving trays and replace them.

Foodborne Bacteria
Bacteria are everywhere but a few types especially like to crash parties. Staphylococcus aureus, Clostridium perfringens and Listeria monocytogenes frequent people’s hands and steam tables. And unlike microorganisms that cause food to spoil, harmful or pathogenic bacteria cannot be smelled or tasted. Prevention is safe food handling.

If illness occurs, however, contact a health professional and describe the symptoms.

Staphylococcus aureus
Staphylococcus (“staph”) bacteria are found on our skin, in infected cuts and pimples, and in our noses and throats. They are spread by improper food handling. Prevention includes washing hands and utensils before preparing and handling foods and not letting prepared foods — particularly cooked and cured meats and cheese and meat salads — sit at room temperature more than two hours. Thorough cooking destroys “staph” bacteria but staphylococcal enterotoxin is resistant to heat, refrigeration and freezing.

Clostridium perfringens
Perfringens” is called the “cafeteria germ” because it may be found in foods served in quantity and left for long periods of time on inadequately maintained steam tables or at room temperature. Prevention is to divide large portions of cooked foods such as beef, turkey, gravy, dressing, stews and casseroles into smaller portions for serving and cooling. Keep cooked foods hot or cold, not lukewarm.

Listeria monocytogenes
Because Listeria bacteria multiply, although slowly, at refrigeration temperatures, these bacteria can be found in cold foods typically served on buffets. To avoid serving foods containing Listeria, follow “keep refrigerated” label directions and carefully observe “sell by” and “use by” dates on processed products, and thoroughly reheat frozen or refrigerated processed meat and poultry products before consumption.

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Reasons Not to Give Your Dog Bones

bonesIt’s the holidays and you want your dog to share in the treats of the season. Before you share bones from the holiday roast, please read what the Food an Drug Administration wants you to know why giving your dog bones is a bad idea. Here is what they had to say:

You’ve just finished a big weekend family dinner and you are wondering what to do with the bones from the ham and roast, when in trots your big black Labrador Retriever. It’s hard to resist those longing, puppy-dog eyes.Your veterinarian has told you it’s a bad idea to give bones to your dog, but you’ve done so in the past with no harm done.

“Some people think it’s OK to give dogs large bones to chew on” says Carmela Stamper, a veterinarian in the Center for Veterinary Medicine (CVM) at the Food and Drug Administration (FDA).

“Giving your dog a bone might lead to an unexpected trip to your veterinarian, a possible emergency surgery, or even death for your pet.”FDA has received about 35 reports of pet illnesses related to bone treats and seven reports of product problems, such as bones shattering when pulled from their packaging. The reports, sent in by pet owners and veterinarians, involved about 45 dogs.

A variety of commercially-available bone treats for dogs—including treats described as “Ham Bones,” “Pork Femur Bones,” “Rib Bones,” and “Smokey Knuckle Bones”—were listed in the reports. Many of these products differ from uncooked butcher-type bones because they are processed and packaged for sale as dog treats. The products may be dried through a smoking process or by baking, and may contain other ingredients such as preservatives, seasonings, and smoke flavorings.

Pet owners and veterinarians have reported the following illnesses in dogs that have eaten bone treats:

  • Gastrointestinal obstruction (blockage in the digestive tract)
  • Choking
  • Cuts and wounds in the mouth or on the tonsils
  • Vomiting
  • Diarrhea
  • Bleeding from the rectum, and
  • Death. Approximately eight dogs reportedly died after eating a bone treat.

Remember that your dog can pick up bones while out on a walk. He could also get into the kitchen trash and eat bones that you may have thrown away.

Talk with your veterinarian about other toys or treats that are most appropriate for your dog,” says Stamper. “There are many available products made with different materials for dogs to chew on.”“We recommend supervising your dog with any chew toy or treat, especially one she hasn’t had before,” adds Stamper. “And if she ‘just isn’t acting right,’ call your veterinarian right away!”

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‘Lucky 13’ Tips for a Safe Halloween

Safe Halloween‘Lucky 13’ Tips for a Safe Halloween is a pass along for the Food and Drug Administration, the Consumer Product Safety Commission and the Centers for Disease Control and Prevention.

Whether you’re goblin or ghoul, vampire or witch, poor costume choices—including decorative contact lenses and flammable costumes—and face paint allergies can haunt you long after Halloween if they cause injury.

Enjoy a safe and happy Halloween by following these “lucky 13” guidelines:

  1. Wear costumes made of fire-retardant materials; look for “flame resistant” on the label. If you make your costume, use flame-resistant fabrics such as polyester or nylon to be safe.
  2. Wear bright, reflective costumes or add strips of reflective tape and be safe because you’ll be more visible; make sure the costumes aren’t so long that you’re in danger of tripping.
  3. Wear makeup and hats, to be safe, rather than masks that can obscure your vision.
  4. To be on the safe side, test the makeup you plan to use by putting a small amount on your arm a couple of days in advance. If a rash, redness, swelling, or other signs of irritation develop where the makeup was applied, that’s a sign of a possible allergy.
  5. Check FDA’s list of color additives to see if makeup additives are FDA approved and safe for use. If they aren’t approved for their intended use, don’t use it.
  6. It is not a safe to wear decorative contact lenses unless you have seen an eye care professional and gotten a proper lens fitting and instructions for using the lenses.

Safe Treats

Eating sweet treats is also a big part of the fun on Halloween. If you’re trick-or-treating, health and safety experts say you should remember these tips:

  1. Don’t let your kids eat candy until it has been inspected at home.
  2. Trick-or-treaters should eat a snack before heading out, so they won’t be tempted to nibble on treats that haven’t been inspected.
  3. Tell children not to accept—or eat—anything that isn’t commercially wrapped.
  4. Parents of very young children should remove any choking hazards such as gum, peanuts, hard candies, or small toys.
  5. Inspect commercially wrapped treats for signs of tampering, such as an unusual appearance or discoloration, tiny pinholes, or tears in wrappers. Throw away anything that looks suspicious.

For party goers and party throwers, FDA recommends the following safe tips for two seasonal favorites:

  1. Look for the warning label to avoid juice that hasn’t been pasteurized or otherwise processed, especially packaged juice products that may have been made on site. When in doubt, ask! Always ask if you are unsure if a juice product is pasteurized or not. Normally, the juice found in your grocer’s frozen food case, refrigerated section, or on the shelf in boxes, bottles, or cans is pasteurized.
  2. Before bobbing for apples—a favorite Halloween game—reduce the amount of bacteria that might be on apples by thoroughly rinsing them under cool running water. As an added precaution, use a produce brush to remove surface dirt.

Eye Safety

FDA joins eye care professionals—including the American Academy of Ophthalmology, the American Association for Pediatric Ophthalmology and Strabismus, the Contact Lens Association of Ophthalmologists and the American Optometric Association—in discouraging consumers from using decorative contact lenses.

These experts warn that buying any kind of contact lenses without an examination and a prescription from an eye care professional can cause serious eye disorders and infections, which may lead to permanent vision loss. Despite the fact that it’s illegal to sell decorative contact lenses without a valid prescription, FDA says the lenses are sold on the Internet and in retail shops and salons—particularly around Halloween.

The decorative lenses make the wearer’s eyes appear to glow in the dark, create the illusion of vertical “cat eyes,” or change the wearer’s eye color.

“Although unauthorized use of decorative contact lenses is a concern year-round, Halloween is the time when people may be inclined to use them, perhaps as costume accessories,” says FDA eye expert Bernard Lepri, O.D., M.S., M.Ed.. “What troubles us is when they are bought and used without a valid prescription, without the involvement of a qualified eye care professional, or without appropriate follow-up care, this can lead to significant risks of eye injuries, including blindness.”

This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.


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