Vitamins and Minerals - Vitamins (single agents)
See also Sections 19(c) Parenteral vitamins, minerals and nutrition and 19(d) Oral and parenteral electrolytes
Entries in this section are based on information provided on the product packaging.
Ascorbic Acid (vitamin C)
Use: Vitamin C deficiency e.g. scurvy (capillary fragility, normocytic/ macrocytic anaemia, cartilage/ bone lesions, delayed wound healing.
RDI: 45 mg/day. Pregnancy: 55-60 mg/day. Lactation: 80-85 mg/day.
Precautions: High doses; (especially G6PD deficiency); prolonged use; renal oxalate calculi.
Interactions: Iron (may increase iron absorption in iron deficiency), oral contraceptives, fluphenazine, warfarin.
Biotin
Use: Biotin deficiency (dermatitis, alopecia, conjunctivitis, CNS abnormality, developmental delay in infants.
Adequate intake: Females: 25 mcg/day. Males: 30 mcg/day. Pregnancy: 30 mcg/day. Lactation: 35 mcg/day.
Cyanocobalamin (vitamin B12)
Use: Vitamin B12 deficiency (haematological, neurological, gastrointestinal abnormalities).
RDI: 2.4 mcg/day. Pregnancy: 2.6 mcg/day. Lactation: 2.8 mcg/day.
Precautions: Tobacco amblyopia.
Interactions: Possible: mesalazine, neomycin, H2- receptor antagonists, colchicine, oral contraceptives.
Folic Acid
Use: Folic acid deficiency
RDI: 400 mcg/day. Pregnancy: 600 mcg/day. Lactation: 500 mcg/day.
UL: 1,100 mcg/day.
Contraindications: Untreated vitamin B12 deficiency.
Precautions: Establish diagnosis (esp. vitamin B12 status).
Interactions: Sulfonamides, antiepileptics, alcohol, antituberculous drugs, methotrexate, trimethoprim, pyrimethamine.
Nicotinic Acid (niacin, nicotinamide, vitamin B3)
Use: Vitamin B3 deficiency; pellagra;hypercholesterolaemia; hypertriglyceridaemia; vasodilation.
RDI: Females: 14 mg/day. Males: 16 mg/day. Pregnancy: 18 mg/day. Lactation: 17 mg/day.
UL: 35 mg/day. Pregnancy: 30 mg/day.
Precautions: Peptic ulcer disease; diabetes; gout; impaired hepatic function.
Interactions: Statins, insulins, oral hypoglycaemics.
Adverse effects: Flushing.
Pantothentic Acid (vitamin B5)
Use: Vitamin B5 supplementation.
Adequate intake: Females: 4 mg/day. Males: 6 mg/day. Pregnancy: 5 mg/day. Lactation: 6 mg/day.
Pyridoxine (vitamin B6)
Use: Vitamin B6 deficiency e.g. dermatitis, macrocytic anaemia, neurological abnormalities (usually drug induced).
RDI: Females: 1.3-1.5 mg/day. Males: 1.3-1.7 mg/day. Pregnancy: 1.9 mg/day. Lactation: 2 mg/day.
UL: 50 mg/day.
Precautions: Long-term use (peripheral neuropathy risk).
Interactions: Levodopa, phenobarbital, isoniazid, penicillamine, oral contraceptives.
Adverse effects: High doses may cause peripheral neuropathy.
Riboflavine (vitamin B2)
Use: Vitamin B2 deficiency (growth disturbance, dermatitis, anaemia, oral mucosa inflammation).
RDI: Females: 1.1-1.3 mg/day. Males: 1.3-1.6 mg/day. Pregnancy: 1.4 mg/day. Lactation: 1.6 mg/day.
Thiamine (vitamin B1)
Use: Vitamin B1 deficiency e.g. Beri-beri, Wernicke- Korsakoff syndrome.
RDI: Females: 1.1 mg/day. Males: 1.2 mg/day. Pregnancy, lactation: 1.4 mg/day.
PBS Brand Substitution
Interchangeable brands in this section.
Folic acid:
Megafol ↔ Foltabs.