Vitamins
Water-soluble vitamins
B and C
Fat-soluble vitamins
A,D,E,K
Action
-Act as coenzymes to activate a variety of proteins on enzymes that catalyze biochemical activity
Indications
-Treatment of vitamin deficiencies, as dietary supplements, and as specific therapy
Contraindications
- Pregnancy category C
Adverse effects
GI upset
Drug-Drug interactions
-Fat-soluble vitamins may not be absorbed if given concurrently with mineral oil, cholestyramine, or colestipol
Vitamin A
-Useful for wound healing
Hypervitaminosis A
-Mouth ulcers, cracked fingernails, bone pain, loss of appetite, cracked corners of mouth, blurry vision , dizziness
Vitamin C (Ascorbic acid)
- Renal calculi with high doses
Hypervitaminosis D
-Fatigue, loss of appetite, weight loss, excessive thirst, excessive urination, dehydration, constipation, irritability, nervousness
Vitamin E
-Useful in wound healing
Vitamin E toxicity
-Nausea, gastric distress, abdominal cramps, diarrhea, headache, fatigue, easy bruising and bleeding
Vitamin K
- Death can occur with IV route
Vitamin K toxicity
-Jaundice, hyperbilirubinemia, hemolytic anemia
Thiamine
-Often used in alcoholics