Review Article

Carica papaya L. Leaf: A Systematic Scoping Review on Biological Safety and Herb-Drug Interactions

Table 7

Herb-drug interaction studies of C. papaya leaf.

Author, year [ref.]Study type (animal model, if any)C. papaya formulation details (formulation; dose; frequency; duration; biomarker)Drug candidate(s) of interactionOutcome of interactionProposed type of interaction

Fakeye, 2007 [60]In vivo (rat)Dried C. papaya leaf 96% ethanolic extract;
5 mg/kg and 10 mg/kg;
3 and 7 days;
NS
Metformin, glimepirideEnhanced hypoglycaemic effectPharmacokinetic + pharmacodynamic
Sanella, 2009 [61]In vitroDried C. papaya leaf decoction;
100 and 150 μg/mL;
NA;
Total flavanoids (expressed as rutin)
ArtemisininSynergisim in inhibiting growth of Plasmodium falciparumPharmacodynamic
Onaku, 2011 [62]In vivo (mouse)Fresh C. papaya leaf crude aqueous extract;
50–200 mg/kg;
At 4, 24, 48 and 72 hours after Plasmodium berghei infection;
NS
ArtemisininAntagonism in percentage reduction of parasitaemia (P. berghei)Pharmacodynamic
Oga, 2012 [63]In vitroDried C. papaya leaf decoction of aqueous extract;
0.02–20 mg/mL;
Single dose;
NA;
NS
DigoxinInhibition of p-glycoprotein transport of digoxinPharmacokinetic
Ukpo, 2017 [64]In vivo (rabbit)Freeze-dried crude C. papaya leaf aqueous extract;
500 mg/kg;
Single dose;
NA;
NS
CiprofloxacinReduced absorption and serum half-life of ciprofloxacinPharmacokinetic
Sanella, 2019 [65]In vivo (mouse) and in vitroDried C. papaya leaf decoction;
100 and 150 μg/mL (in vitro), 250 mg/kg/day (in vivo);
14 days (in vivo);
Total flavanoids (expressed as rutin)
ArtemisininSubsynergism in inhibiting P. falciparum growthPharmacodynamic

NA = not applicable, NS = not specified.