How to Grow Vitamin Sales in Your Practice
Transcript of How to Grow Vitamin Sales in Your Practice
How to Grow Vitamin Sales in Your Practice with Pamela Smith, M.D., MPH, MS
PRESENTED BY:
PRESENTED BY:
• Three nutrients for all patients • Nutritional depletions caused by
medications • Nutritional therapies for clinical conditions
Three Great Ways to Increase Nutritional Sales
Three Nutrients For All Patients
PRESENTED BY:
• Multivitamin • Probiotics • Omega-3-Fatty Acids
Three Nutrients
Nutritional Depletions Caused by Medications
PRESENTED BY:
• Pelton, R. and LaValle, J., The Nutritional Cost of Drugs. 2nd Ed. Englewood, CO: Morton Publishing Company, 2004.
• Smith, P., What You Must Know About Vitamins, Minerals, Herbs, and More. Garden City Park, NY: Square One Publishers, 2008.
• Braun, L., and Cohen, M., Herbs and Natural Supplements: An Evidence-Based Guide. 4th Ed. Volume 2. Australia: Elsevier, 2015.
References
PRESENTED BY:
• It is estimated that about 30% of side effects from medications are related to drug-induced pharmaceutical deficiencies.
Vagnini, F., et al., “Preventing pharmaceutical-induced nutrient deficiencies,” Life Extensions March 2006; p. 72-9.
Nutritional Deficiencies Caused by Medications
PRESENTED BY:
• Taking aluminum antacids may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin A Folic acid Vitamin D Calcium Chromium Iron Magnesium Phosphorus Zinc
Aluminum Antacids
PRESENTED BY:
• Cashman, K., et al., “Optimal nutritional: calcium, magnesium, and phosphorus,” Pro Nutr Soc 1999; 58:477-87.
• Herzog, P., “Effect of antacids on mineral metabolism,” Z. Gatroenterol 1983; 21(Suppl):177-26.
References
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Coenzyme Q-10 Melatonin
Atenolol/Propranolol
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Biotin Inositol Thiamine Riboflavin Niacin
Ciprofloxacin
Vitamin B6 Vitamin B12 Vitamin K Zinc Bifidobacteria bifidum,
Lactobacillus acidophilus
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Beta-carotene Folic acid Vitamin A Vitamin B12 Vitamin D Vitamin E Vitamin K Iron
Colesevelam (WelChol)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Thiamine Calcium Magnesium Phosphorus Potassium
Digoxin (Lanoxin)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin B6 Magnesium Phosphorus Potassium Sodium Zinc Coenzyme Q-10
Enalapril Plus Hydrochlorothiazide (Vaseretic)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Folic acid Thiamine Vitamin B12 Vitamin D Calcium Iron Zinc
Famotidine (Pepcid)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Melatonin
Fluoxetine (Prozac)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin A Folic Acid Vitamin B6 Vitamin C Vitamin D Vitamin K Calcium Magnesium
Fluticasone (Flonase)
Potassium Selenium Zinc Melatonin
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Thiamine Vitamin B6 Vitamin C Calcium Chloride
Furosemide (Lasix)
Magnesium Phosphorus Potassium Sodium Zinc
PRESENTED BY:
• Zenuk, C., et al., “Thiamine deficiency in congestive heart failure patients receiving long-term furosemide therapy,” Can Jour Clin Pharmacol 2013; 10:184-88.
References
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Folic acid Vitamin B12 Sodium Coenzyme Q-10
Glyburide and Metformin (Glucovance)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Glutathione Selenium
Hydrocodone and Acetaminophen
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Folic acid Vitamin D Calcium Iron Phosphorus Zinc
Magnesium Hydroxide (MOM)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Beta-carotene Folic acid Thiamine Vitamin B12 Iron Sodium Zinc
Omeprazole (Prilosec)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Folic acid Magnesium Tyrosine Riboflavin Niacin
Oral Contraceptives That Contain Synthetic Estrogen and Progestin
Vitamin B6 Vitamin B12 Vitamin C Zinc
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Folic acid Vitamin C Iron Potassium Sodium
Oxycodone Plus ASA (Percodan)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Biotin Folic acid Thiamine Vitamin B12 Vitamin D
Phenytoin (Dilantin)
Vitamin K Calcium Phosphorus Carnitine
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin A Vitamins B6 & B12 Folic acid Vitamin C Vitamin D Vitamin K
Prednisone
Calcium Magnesium Potassium Selenium Zinc Chromium
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin B6 Magnesium
Raloxifene (Evista)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Thiamine Folic acid Vitamin B12 Vitamin D Calcium Iron Zinc
Ranitidine (Zantac)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Magnesium Phosphorus Potassium Sodium Zinc Coenzyme Q-10
The Sartans (Micardis/Diovan)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Beta-carotene Vitamin E Coenzyme Q-10
Simvastatin (Zocor)
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Biotin Folic Acid Inositol Thiamine Riboflavin Niacin Vitamin B6 Vitamin B12
Tetracycline
Vitamin C Vitamin K Calcium Iron Magnesium Zinc Bifidobacteria bifidum Lactobacillus acidophilus
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Thiamine Vitamin B6 Phosphorus
Theophylline
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Chromium Iron Manganese Phosphorus Folic acid
Tums (Calcium Carbonate)
Nutritional Depletions by Class of Drug
Antacids
PRESENTED BY:
• Antacids that contain magnesium and aluminum hydroxide deplete the body of calcium, phosphate, and folic acid.
D’Erasmo, E., et al., “Drug induced osteomalacia,” Recenti Prog Med 1998; 89(10): 529-33.
• Antacids that contain sodium bicarbonate deplete the body of potassium and folic acid.
Rhodes, J., “Side effects of antacids treatments,” Antacids in the Eighties. Halter F, (Ed.) Munchen, Germany: Urban & Schwarzenberg, 1982; p.99-102.
Antacids
PRESENTED BY:
• Antacids deplete the body of folic acid. Russell, R., et al., “Effect of antacid and H2 receptor
antagonists on the intestinal absorption of folic acid,” Jour Lab Clin Med 1988; 112:458-63.
Antacids (Cont.)
Antibiotics
PRESENTED BY:
• Antibiotics destroy the good bacteria in the GI tract which causes the following nutritional deficiencies
B vitamins: B1, B2, B3, B5, B6, B12, biotin, inositol, folate
Vitamin K
Antibiotics in General
PRESENTED BY:
• Isoniazid depletes the body of B3, B6, vitamin D and calcium.
• Ethambutol depletes the body of zinc and copper.
• Rifampin depletes the body of vitamin D. • Cyclosporine depletes the body of vitamins
B3, B6, B12, calcium, magnesium, vitamin K and folic acid.
• PABA depletes the body of B12.
Antibiotics That Treat TB
PRESENTED BY:
• Harkness, R., et al., “Mosby’s Handbook of Drug- Herb and Drug-Supplements Interactions. St. Louis: Mosby, 2003.
References
PRESENTED BY:
• Aminoglycosides deplete the body of the following.
Calcium
Nitrogen
Potassium
Sodium
Vitamin A & beta-carotene
Aminoglycosides
Most of the B vitamins
Vitamin K
Magnesium
Friendly GI bacteria
PRESENTED BY:
• Elliott, C., et al., “Gentamycin effects on urinary electrolyte excretion in healthy subjects,” Clin Pharm Ther 2000; 67:16-21.
References
PRESENTED BY:
• Hydroxychloroquine as hydroxyquinone given to patients that are on long-term dialysis decreases the levels of calcium and vitamin D.
Antimalarial Antibiotics
PRESENTED BY:
• Penicillins deplete the body of the following. Potassium
All B vitamins
Vitamin K
Vitamin C
Friendly GI bacteria
Penicillins
PRESENTED BY:
• Tetracyclines deplete the body of the following nutrients.
Calcium
Magnesium
Iron
Zinc
Tetracycline Antibiotics
Vitamins B6 and B12
Vitamin K
Vitamin C
Friendly GI bacteria
PRESENTED BY:
• Trimethoprim depletes the body of folic acid.
Trimethoprim
PRESENTED BY:
• Sulfa drugs and trimethoprim deplete the body of the following nutrients.
Biotin
Folic acid
Inositol
B vitamins
Vitamin K
Friendly GI bacteria
Sulfa Drugs and Trimethoprim
PRESENTED BY:
• Macrolides deplete the body of the following. Vitamins B1, B2, B3, B6, B12
Folic acid
Vitamin K
Biotin
Inositol
Friendly GI bacteria
Macrolides
PRESENTED BY:
• Quinolones deplete the body of the following. Vitamins B1, B2, B3, B6, B12
Folic acid
Vitamin K
Biotin
Inositol
Fluroquinolones
Calcium
Magnesium
Iron
Potassium
Friendly GI bacteria
PRESENTED BY:
• Cephalosporins deplete the body of the following.
Vitamins B1, B2, B3, B6, B12
Folic acid
Vitamin K
Biotin
Inositol
Friendly GI bacteria
Cephalosporins
PRESENTED BY:
• Neomycin depletes the body of the following. Beta-carotene
Calcium
Magnesium
Iron
Potassium
Vitamin B12
Neomycin
Anticonvulsants
PRESENTED BY:
• Barbiturates depletes the body of calcium, folic acid, vitamin D, vitamin K, and biotin.
• Phenytoin depletes the body of biotin, calcium, folic acid, vitamin B1, vitamin B12, vitamin D, vitamin E, vitamin K, phosphorus, carnitine, and folic acid.
• Carbamazepine depletes the body of biotin, folic acid, vitamin D, vitamin E, and folic acid.
• Primidone depletes the body of biotin, calcium, vitamin D, vitamin K, and folic acid.
• Valproic acid depletes the body of folic acid, carnitine, copper, selenium, vitamin B6, vitamin E, zinc, and folic acid.
Anticonvulsants
PRESENTED BY:
• D'Erasmo, et al., “Drug-induced osteomalacia,” Recenti Prog Med 1998; 89:529-33.
• Kishi, et al. “Mechanism for reduction of serum folate by antiepileptic drugs during prolonged therapy,” Jour Neurol Sci 1997; 145:109-12.
• Mock et al. “Disturbances in biotin metabolism in children undergoing long-term anticonvulsant therapy,” Jour Pediatr Gastroenterol Nutr 1998; 26: 245-50.
• VanWouwe , J., “Carnitine deficiency during valproic acid treatment,” Int Jour Vitamin Nutr Res 1995; 65(3): 211-14.
References
Diabetes and Insulin Resistance
PRESENTED BY:
• Sulfonylureas deplete the body of coenzyme Q-10 and vitamin E.
Sulfonylureas
PRESENTED BY:
• Biguanides, such as metformin deplete the body of the following.
Vitamin B12
Vitamin E
Folic acid
Coenzyme Q-10
Biguanides
Zhao-Wei, T., et al., “Risk factors of vitamin B12 deficiency in patients receiving metformin,” Arch of Int Med 2006; Oct 9, p. 1975-79.
PRESENTED BY:
• Wulffele, et al. “Effects of short-term treatment with metformin on serum levels of homocysteine, folate and vitamin B12 in type 2 diabetes mellitus: a randomized placebo-controlled trial,” Jour Intern Med. 2003; 254:455-63.
• Pongchaidecha, et al., “Effect of metformin on plasma homocysteine, vitamin B12 and folic acid: a cross-sectional study in patients with type 2 diabetes mellitus,” Jou Med Assoc Thai 2004; 87:780-87.
• Wile, D., et al., “Association of metformin, elevated homocysteine, methlmalonic acid levels and the clinically worsened diabetic peripheral neuropathy,” Diabetes Care 2010; 33:156–61.
References
PRESENTED BY:
• Insulin may deplete the body of DHEA.
Insulin
Antifungal Medications
PRESENTED BY:
• Amphotericin depletes the body of calcium, magnesium, potassium, and sodium.
Antifungal Medications
Anti-Inflammatory Medications
PRESENTED BY:
• Taking this medication may deplete the body of/increase the need for/or interfere with the activity of the following nutrients.
Vitamin A
Vitamins B6 and B12
Folic acid
Vitamin C
Vitamin D
Vitamin K
Corticosteroids
Calcium
Magnesium
Potassium
Selenium
Zinc
Chromium
PRESENTED BY:
• Lems W., et al. “Effect of low dose prednisone (with calcium and calcitriol supplementation) on calcium and bone metabolism in healthy volunteers,” Brit Jour Rheumatol 1998; 37(1): 27-33.
Reference
PRESENTED BY:
• Sulfasalazine: depletes the body of folic acid. • Indomethacin: depletes the body of iron,
vitamin C, and folic acid. • Salicylates deplete the body of vitamin C,
calcium, folic acid, iron, sodium, potassium, and B5.
• NSAIDs: deplete the body of folic acid and melatonin.
Other Anti-Inflammatory Meds
PRESENTED BY:
• Baggott, et al., “Inhibition of folate-dependent enzymes by nonsteroidal anti-inflammatory drugs,” Biochem Jour 1992; 282 (Pt 1):197-202.
• Loh, H., et al., “The effects of aspirin on the metabolic availability of ascorbic acid in human beings,” Jour Clin Pharmacol 1973; 13(11):480-6.
• Lawrence, V., et al., “Aspirin and folate binding in vivo and in vitro studies of serum binding and urinary excretion of endogenous folate,” Jour Lab Clin Med 1984; 103(6):944-8.
• Nain, et al., “Acetylsalicylic acid-induced biochemical changes in gastric juice,” Indian Jour Gastroenterol 1996; 56:421-29.
References
Anti-Parkinson Medication
PRESENTED BY:
• Levodopa depletes the body of potassium, SAMe, vitamin B6, and coenzyme Q-10.
Levodopa
Medication for Protozoals
PRESENTED BY:
• Pentamidine depletes the body of magnesium.
Medications for Protozoals
Antiviral Medications
PRESENTED BY:
• Reverse transcriptase inhibitors such as Zidovudine (AZT) and related drugs deplete the body of vitamin B12, copper, zinc, and L-carnitine.
• Foscarnet depletes the body of calcium, magnesium, and potassium.
Antiviral Medications
PRESENTED BY:
• Baum, M., et al., “Zidovudine-associated adverse reactions in a longitudinal study of asymptomatic HIV-1-infected homosexual males,” Jour Acquir Immune Def Syn 1991; 4(12):1218-26.
• Moretti, et al. “L-carnitine reduces lymphocyte apoptosis and oxidant stress in HIV-1-infected subjects treated with zidovudine and didanosine,” Antioxid Redox Signal 2002; 4:391-403.
• Dalakas, M., et al., “Zidovudine-induced mitochondrial myopathy is associated with muscle carnitine deficiency and lipid storage,” Ann Neurol 1994; 35(4): 82-87.
References
Bronchodilators
PRESENTED BY:
• Theophylline depletes the body of vitamin B6. Reynolds, Rf., et al., “Depressed plasma pyridoxal
phosphate concentrations in adult asthmatics,” Amer Jour Clin Nutr 1985; 41:684-88.
• Use the activated form of vitamin B6, pyridoxal-5-phosphate, since this medication depletes the body of the activated form of vitamin B6.
Shimizu, T., et al., “Theophylline attenuates circulating vitamin B6 levels in children with asthma,” Pharmacology 1994; 49:392-97.
Theophylline
PRESENTED BY:
• Likewise, another study revealed that supplementing with vitamin B6 reduced some of the side effects of theophylline such as headaches, sleep disorders, nausea, and irritability.
Bartel, P., et al., “Vitamin B6 supplementation and theophylline-related effects in humans,” Amer Jour Clin Nutr 1994; 60:93-99.
Theophylline (Cont.)
PRESENTED BY:
• B-adrenergic agonists deplete the body of the following nutrients.
Potassium
Phosphorus
Calcium
Magnesium
B-Adrenergic Agonists
Rakhmanina, et al, “Hypokalemia in an asthmatic child from abuse of albuterol metered dose inhaler.” Pediatr Emerg Care 1998; 14:145-47.
Cardiovascular Medications
PRESENTED BY:
• Cardiac glycosides such as digoxin deplete the body of calcium, magnesium, phosphorus, and vitamin B1.
Cardiovascular Medications
Anti-Hypertensive Medications
PRESENTED BY:
• Hydralazine containing medications deplete the body of the following.
Vitamin B6
Coenzyme Q-10
Hydralazine
PRESENTED BY:
• Loop diuretics deplete the body of the following.
Potassium
Magnesium
Calcium
Vitamin B1
Vitamin B6
Vitamin C
Sodium
Zinc
Loop Diuretics
PRESENTED BY:
• Potassium sparing diuretics deplete the body of the following.
Calcium
Folic acid
Magnesium
Phosphorus
Zinc
Potassium Sparing Diuretics
PRESENTED BY:
• Thiazide diuretics deplete the body of the following.
Magnesium
Potassium
Sodium
Zinc
Coenzyme Q-10
Thiazide Diuretics
Pak, G., “Correction of thiazide-induced hypomagnesiumia by potassium-magnesium citrate from review of prior trials,” Clin Nephrol 2000; 54:271-75.
PRESENTED BY:
• Beta blockers deplete the body of the following nutrients.
Coenzyme Q-10
Melatonin
Beta Blockers
Kishi, T., et al., “Bioenergetics in Clinical Med XV: Inhibition of coenzyme Q-10 enzymes by clinically used adrenergic blockers of beta receptors,” Res Common Chem Pathol Pharmacol 1977; 17:157-64. Stoschitzky, K., et al., “Influence of beta blockers in melatonin release,” Eur Jour Clin Pharmacol 1999; 55(2):11-45.
PRESENTED BY:
• No depletion of chromium is known with beta blockers. However, beta blockers can lower HDL. To combat this give chromium 200 micrograms qd.
Beta Blockers (Cont.)
PRESENTED BY:
• ACE inhibitors deplete the body of zinc. • ACE inhibitors have the potential to deplete
the body of the following nutrients. Sodium
Vitamin B6
Magnesium
Phosphorus
Potassium
Coenzyme Q-10
Ace Inhibitors
PRESENTED BY:
• Angiotension II receptor blockers deplete the body of the following nutrients.
Zinc
Calcium
Magnesium
Phosphorus
Coenzyme Q-10
Angiotensin II Receptor Blockers (ARB)
PRESENTED BY:
• Chlorthalidone depletes the body of zinc.
Chlorthalidone
PRESENTED BY:
• Central acting medications such as clonidine and methyldopa deplete the body of coenzyme Q-10.
Central Acting Medications
PRESENTED BY:
• Calcium channel blockers deplete the body of the following.
Vitamin D
Magnesium
Potassium
Calcium Channel Blockers
PRESENTED BY:
• Golik, et al. “Effects of captopril and enalapril on zinc metabolism in hypertensive patients,” Jour Amer Coll Nutr 1998; 17:75-8.
• Stoschitzky, K., et al., “Influence of beta-blockers on melatonin release,” Eur J Clin Pharmacol 1999; Apr; 55(2):111-15.
• Golik, A., et al., “Effects of captopril and enalpril on zinc metabolism in hypertensive patients,” Jour Am Coll Nutr 1998; 17:75-80.
• Paparrigopoulos, T., “Melatonin response to atenolol administration in depression: indication of beta-adrenoceptor dysfunction in a subtype of depression,” Acta Psychiatr Scand 2002; 106(6):440-45.
References
PRESENTED BY:
• Quamme, G., “Renal magnesium handling: new insights in understanding old problems.” Kidney Int 1997; 52(5):1180-95.
References (Cont.)
Cholesterol Lowering Medications
PRESENTED BY:
• Statin drugs deplete the body of the following nutrients.
Coenzyme Q-10
Vitamin D
Vitamin E (tocopherols and tocotrienols)
Omega-3-fatty acids
Zinc
HMG CoA Reductase Inhibitors
Carnitine
Selenium
Copper
Vitamin K2
Vitamin A
Creatine
PRESENTED BY:
• Vercelli, L., et al., “Chinese red rice depletes muscle coenzyme Q10 and maintains muscle damage after discontinuation of statin treatment,” Jour Amer Geriatr Soc 2006; 54(4):718-20.
• Bargossi A., et al., “Exogenous CoQ10 supplementation prevents plasma ubiquinone reduction induced by HMG-CoA reductase inhibitors,” Mol Aspects Med 1994; 15(Suppl):S187-93.
• Langsjoen P., et al., “The clinical use of HMG CoA-reductase inhibitors and the associated depletion of coenzyme Q10. A review of animal and human publications,” Biofactors 2003;18(1-4):101-11.
• Garnett, W., “Interactions with hydroxymethylglutaryl-coenzyme A reductase inhibitors,” Amer Jour Health Syst Pharm 1995; 52:1639-45.
References
PRESENTED BY:
• Hargreaves, I., et al., “The effect of HMG-CoA reductase inhibitors on coenzyme Q10: possible biochemical/clinical implications,” Drug Saf 2005;28(8):659-676.
• Mabuchi, H., et al., “Reduction of serum ubiquinol-10 and ubiquinone-10 levels by atorvastatin in hypercholesterolemic patients,” Jour Atheroscler Thromb. 2005;12(2):111-19.
• Folkers, K., et al., “Lovastatin decreases coenzyme Q-10 levels in humans,” Proc Nat Acad Sci USA 1990; 87:8931-34.
References (Cont.)
PRESENTED BY:
• HMG CoA reductase inhibitors interfere with vitamin K and selenium.
HMG CoA Reductase Inhibitors (Cont.)
PRESENTED BY:
• Bile acid sequestrants Cholestyramine depletes the body of vitamins A, D,
E, K, B12, folic acid, beta-carotene, calcium, iron, magnesium, phosphorus, and zinc.
Colestipol depletes the body of vitamins A, D, E, K, B12, folic acid, beta-carotene, and iron.
Bile Acid Sequestrants
Harkness, R., et al., “Mosby’s Handbook of Drug- Herb and Drug-Supplements Interactions. St. Louis: Mosby, 2003.
PRESENTED BY:
• Fibrates deplete the body of the following. Vitamin E
Copper
Zinc
Vitamin B12
Fibrates
PRESENTED BY:
• Gemfibrozil depletes the body of the following.
Coenzyme Q-10
Vitamin E
Gamma tocopherol
Gemfibrozil
Electrolyte Replacement
PRESENTED BY:
• Time released potassium chloride can deplete the body of vitamin B12.
Electrolyte Replacement
Female Hormones
PRESENTED BY:
• Oral contraceptives deplete the body of. Folic acid
Vitamins B1, B2, B3 (estrogen inhibits the conversion of tryptophan to niacin), B6, B12
Vitamin C
Vitamin E
Magnesium
Selenium
Zinc
Tyrosine
Oral Contraceptives
PRESENTED BY:
• Kishi, H., et al. ,“Deficiency of vitamin B6 in women taking contraceptive formulations,” Res Commun Chem Pathol Pharmacol 1997; 17(2):282-93.
• Shojania, A., Can Med Assoc Jour. 1982; 126(3):244-47.
• Sanpitak, N., et al., Lancet 1974 ;May; 1(7862):836-37.
• Prasad, A., et al., Amer Jour Obstet Gynecol 1976; Aug 15; 125(8):1063-69.
• Li, X., et al., “Megaloblastic changes in the cervical epithelium associated with oral contraceptives and changes after treatment with folic acid,” Chung Hua Fu Chan Ko Tsa Chih 1995; 30(7):410-13.
References
PRESENTED BY:
• Moller, S., Neuropsychobiology 1981; 7(4): 92-200.
• Moller, S., et al. “Tyrosine metabolism in users of oral contraceptives,” Life Sci 1995; 56(9):687-95.
• Palan, P., et al., “Effects of menstrual cycle and oral contraceptive use on serum levels of lipid-soluble antioxidants,” Amer Jour Obstet Gynecol 2006; 194(5):e35-e38.
• Nash, A., et al., “Metabolic effects of OPCs w/ 30 and 50 mcg estrogen,” Med Jour Aust 1979; Sept 22; 2(6):277-81.
References (Cont.)
PRESENTED BY:
• Estrogen replacement of any kind (natural or synthetic) deplete the body of the following nutrients.
Vitamin B6
Magnesium
Folic acid
Vitamin B12
Zinc
Estrogen Replacement Therapy
PRESENTED BY:
• Muneyyirci-Delale, et al., “Serum ionized magnesium and calcium in women after menopause: inverse relation of estrogen with ionized magnesium,” Fertil Steril 1999; 71:869-72.
• Haspels, A., et al. “Disturbance of tryptophan metabolism and its correction during oestrogen treatment in postmenopausal women,” Maturitas 1978; 1(1):15-20.
• Seelig, M., “Interrelationships of magnesium and estrogen in cardiovascular and bone disorders, eclampsia, migraine and premenstrual syndrome,” Jour Amer Coll Nutr 1993; 12(4):442-58.
References
Gout Medications
PRESENTED BY:
• Colchicine depletes the body of the following nutrients.
Vitamin B12
Sodium
Potassium
Beta-carotene
Calcium
Phosphorus
Colchicine
Laxatives
PRESENTED BY:
• Laxatives that contain mineral oil can deplete the body of the following nutrients.
Fat soluble vitamins such as vitamins A, D, E, K
Beta-carotene
Coenzyme Q-10
Alpha lipoic acid
Calcium
Phosphorus
• Bisacodyl can cause potassium depletion. • Sodium phosphate enema depletes the body of
calcium and magnesium.
Mineral Oil Laxatives
PRESENTED BY:
• Clark, et al., “Serum beta-carotene, retinol and alpha-tocopherol levels during mineral oil therapy for constipation,” Amer Jour Dis Child 1987; 141:1210-2
• Ritsema, G., et al., “Potassium supplements prevent serious hypokalemia in colon cleansing,” Clin Radiol 1994; 49(12):874-76.
• Ehrenpreis, E., et al. “Symptomatic hypocalcemia, hypomagnesemia, and hyperphosphatemia secondary to Fleet’s PhosphoSoda colonoscopy preparation in a patient with a jejunoileal bypass,” Dig Dis Sci. 1997; 42(4):858-60.
References
Psychotherapeutic Medications
PRESENTED BY:
• Tricyclic Antidepressants deplete the body of the following nutrients.
Vitamin B2
Coenzyme Q-10
Tricyclic Antidepressants
PRESENTED BY:
• SSRIs deplete the body of melatonin and iodine.
Serotonin Reuptake Inhibitors (SSRIs)
PRESENTED BY:
• SARIs deplete the body of coenzyme Q-10 and vitamin B12.
Serotonin Antagonist and Reuptake Inhibitors (SARIs)
PRESENTED BY:
• Phenothiazines deplete the body of the following.
Vitamin B2
Coenzyme Q-10
Melatonin
Phenothiazines
PRESENTED BY:
• Phenelzine depletes the body of vitamin B6.
Monoamine Oxidase Inhibitors
PRESENTED BY:
• Haloperidol depletes the body of melatonin and vitamin E.
Haloperidol
PRESENTED BY:
• Lithium depletes the body of inositol.
Lithium
PRESENTED BY:
• Diazepam and alprazolam both deplete the body of melatonin.
McIntyre, I., et al. “Alterations to plasma melatonin and cortisol after evening alprazolam administration in humans,” Chronobiol Int 1993; 10(3): 205-13.
Wakabayashi, H., et al., “Effects of diazepam administration on melatonin synthesis in the rat pineal gland in vivo,” Chem Pharm Bull (Tokyo). 1991; 39(10): 2674-76.
Barbiturates
Anabolic Steroids
PRESENTED BY:
• Deplete the body of iron.
Anabolic Steroids
Thyroid Medications
PRESENTED BY:
• T4 supplementation depletes the body of the following nutrients.
Iron
Thyroid Medications
Medications for Ulcers
PRESENTED BY:
• H-2 blockers deplete the body of the following.
Vitamin B12
Vitamin D
Calcium
Iron
Zinc
Folic acid
H-2 Blockers
PRESENTED BY:
• Odes, H., et al., “Effect of cimetidine on hepatic vitamin D metabolism in humans,” 1990; 46(2):61-4.
• Sturniolo, G., et al., “Inhibition of gastric acid secretion reduces zinc absorption in man,” Jour Amer Coll Nutr. 1991; 10(4):372-5.
• Russell, R., et al., “Effect of antacid and H2 receptor antagonists on the intestinal absorption of folic acid,” Jour Lab Clin Med 1988; 112(4):458-63.
• Force, G., “Effect of histamine H2-receptor antagonists on vitamin B12 absorption,” Ann Pharmacother 1992; 26:1283-86.
References
PRESENTED BY:
• Proton pump inhibitors deplete the body of vitamin B12.
• PPIs also decrease the absorption of the following nutrients:
Magnesium
Calcium
Vitamin B12
Iron
Vitamin C
B-carotene
Proton Pump Inhibitors (PPIs)
Heidelbaugh, J., “Proton pump inhibitors and risk of vitamin and mineral deficiency: evidence and clinical implications,” Ther Adv Drug Saf 2013; 4(3):125-33.
PRESENTED BY:
• Marcuard, et al., “Omeprazole therapy causes malabsorption of cyanocobalamin,” Ann Int Med 1994; 120:211-15.
• Valuck, R., et al., “A case-control study on adverse effects: H2 blockers or proton pump inhibitor use and risk of vitamin B12 deficiency in older adults,” Jour Clin Epidemiol 2004; 57:422-28.
• Yang, Y., et al., “Long-term proton pump inhibitor therapy and risk of hip fracture,” JAMA 2006; 296(24):2947-53.
References
Other Medications
PRESENTED BY:
• Methotrexate depletes the body of folic acid.
Methotrexate
PRESENTED BY:
• Penicillamine depletes the body of the following.
Copper
Vitamin B6
Magnesium
Zinc
Penicillamine
PRESENTED BY:
• Orlistat depletes the body of beta carotene and vitamins A and E.
Zhi, J, et al., “The effect of Orlistat, an inhibitor of dietary fat absorption, on the pharmacokinetics of beta-carotene in healthy volunteers,” Jour Clinical Pharmacology 1996; 36:152-59.
Melia, A., et al, “The effect of Orlistat, an inhibitor of dietary fat absorption, on the absorption of vitamins A and E in healthy volunteers,” Jour Clinical Pharm 1996; 36:647-53.
Orlistat
PRESENTED BY:
• Xenical depletes the body of the following nutrients.
Beta-carotene
Vitamin A
Vitamin D
Vitamin E
Vitamin K
Xenical
PRESENTED BY:
• Extended release KCL depletes the body of vitamin B12.
Palva, I., et al. “Drug-induced malabsorption of vitamin B12. IV. Malabsorption and deficiency of B12 during treatment with slow-release potassium chloride,” Acta Med Scand 1972; 191(4): 355-7.
Potassium: Extended Release
PRESENTED BY:
• Bisphosphonates deplete the body of the following nutrients.
Calcium
Magnesium
Phosphorus
Bisphosphonates
PRESENTED BY:
• Plaquenil depletes the body of the following nutrients.
Calcium
Vitamin B6
Vitamin D
Plaquenil
OTC Medications
PRESENTED BY:
• Acetaminophen depletes the body of glutathione.
Acetaminophen
Nutrients Depleted by Which Medications
PRESENTED BY:
• Cholestyramine • Colchicine • Colchicine • Colestipol
Drugs That Deplete The Body of B-Carotene
• Mineral oil • Neomycin • Orlistat • Probenicid
PRESENTED BY:
• Aminoglycosides • Cephalosporins • Chemotherapeutics • Co-trimoxazole • Fluroquinolones
Drugs That Deplete The Body Of Bifidobacteria Bifidum
• Macrolides • Penicillins • Sulfonamides • Tetracyclines
PRESENTED BY:
• Aminoglycosides • Barbiturates • Carbamazepine • Cephalosporins • Fluoroquinolones • Macrolides • Penicillins
Drugs That Deplete The Body Of Biotin
• Phenobarbital • Phenytoin • Primidone • Sulfonamides • Tetracyclines • Trimethoprim
PRESENTED BY:
• Aluminum hydroxide-containing products
• Aminoglycosides
• Amphotericin B
• Aspirin
• Barbiturates
• Bumetanide
• Carbamazepine
• Cholestyramine
Drugs That Deplete The Body of Calcium
• Cimetidine
• Colchicine
• Corticosteroids
• Cycloserine
• Digoxin
• EDTA
• Ethacrynic acid
• Estrogen
PRESENTED BY:
• Famotidine
• Fosphenytoin
• Furosemide
• HCTZ
• Magnesium-containing products
• Methotrexate
• Mineral oil
• Nizatidine
Drugs That Deplete The Body of Calcium (Cont.)
• Phenobarbital
• Phenytoin
• Ranitidine
• Sucralfate
• Tetracyclines
• Torsemide
• Triamterine
• Zonisamide
PRESENTED BY:
• Avacavir • Delavirdine • Didanosine • Lamivudine • Nevirapine
Drugs That Deplete The Body Of Carnitine
• Stavudine • Valproic acid • Zalcitabine • Zidovudine
PRESENTED BY:
• Corticosteroids
Drugs That Deplete The Body Of Chromium
PRESENTED BY:
• Acebutolol
• Acetohexamide
• Advicor
• Amitriptyline
• Amiloride
• Amoxapine
• Atorvastatin
• Benzthiazide
Drugs That Deplete The Body Of Coenzyme Q-10
• B-blockers: propranolol, atenolol, metoprolol
• Cerivastatin
• Chlorothiazide
• Chlorpromazine
• Clomipramine
• Clonidine
• Desipramine
• Doxepin
PRESENTED BY:
• Enoxacin
• Fenofibrate
• Fluphenazine
• Fluvastatine
• Gemfibrozil
• Glimepiride
• Glyburide
• Haloperidol
• Hydralazine
Drugs That Deplete The Body Of Coenzyme Q-10 (Cont.)
• Hydralazine and hydrochlorothiazide
• Hydralazine, hydrochlorothiazide, reserpine
• Hydrochlorothiazide
• Imipramine
• Indapamide
• Lovastatin
• Mesoridazine
PRESENTED BY:
• Metformin
• Methyclothiazide
• Methyldopa
• Metolazone
• Nortriptyline
• Perphenazine
• Polythiazide
Drugs That Deplete The Body Of Coenzyme Q-10 (Cont.)
• Pravastatin
• Procholorperazine
• Promazine
• Promethazine
• Protriptyline
• Quinethazone
• Simvastatin
PRESENTED BY:
• Thiethylperazine
• Thioridazine
• Tolazamide
• Tolbutamide
• Triclomethiazide
• Trifluoperazine
• Trimipramine
Drugs That Deplete The Body Of Coenzyme Q-10 (Cont.)
PRESENTED BY:
• Abacavir • Clofibrate • Didanosine • Delavirdine • Lamivudine • Stavudine • Ethambutol
Drugs That Deplete The Body Of Copper
• Fenofibrate • Nevirapine • NSAIDs • Pencillamine • Valproic acid • Zalcitabine • Zidovudine
PRESENTED BY:
• Amiloride
• Aluminum containing antacids
• Aspirin
• Barbiturates
• Carbamazepine
• Cholestyramine
• Choline magnesium trisalicylate
• Choline salicylate
• Cimetidine
Drugs That Deplete The Body Of Folic Acid
• Co-trimoxazole
• Colestipol
• Corticosteroids
• Cox-2 inhibitors
• Cycloserine
• Diflunsal
• Estrogens (conjugated)
• Ethsuximide
• Famotidine
• 5-Fluorouracil
• Fosphenytoin
PRESENTED BY:
• Hydrochlorothiazide and triamterene
• Indomethacin
• Magnesium-containing antacids
• Metformin
• Methotrexate
• Nizatidine
• NSAIDs
• Oral contraceptives
• Phenobarbital
Drugs That Deplete The Body Of Folic Acid (Cont.)
• Phenytoin
• Primidone
• Ranitidine
• Salsalate
• Sulfasalazine
• Triamterine
• Trimethoprim
• Valproic acid and related drugs
• Zonisamide
PRESENTED BY:
• Aminoglycosides • Cephalosporins • Fluoroquinolones • Macrolides • Penicillins
Drugs That Deplete The Body Of Inositol
• Sulfonamides • Tetracyclines • Trimethoprim • Zonisamide
PRESENTED BY:
• Aspirin
• Cholestyramine
• Choline magnesium trisalicylate
• Choline salicylate
• Cimetidine
• Choestipol
• Famotidine
• Indomethacin
Drugs That Deplete The Body Of Iron
• Levothyroxine
• Neomycin
• Nizatidine
• Penicillamine
• Ranitidine
• Salicylates
• Stanozolol
• Tetracyclines
PRESENTED BY:
• Leonard, J., et al., “In vitro binding of various biological substances by two hypocholesterolaemic resins: cholestyramine and colestipol,” Arzneim Forsch-Drug Res 1979; 29:979-81.
• Leenders, K., et al, “Blood in one Rheusus monkey using (Fe-52)-citrate and positron emission tomograph (PET): influence of haloperidol,” Jour Neural Transm 1994; 43(Suppl):123-32.
• Harkness, J., et al., “Penicillamine nephropathy and iron,” Lancet 1982; 2:1368-69.
• Brouwers, J., “Drug interactions with quinolone antibacterials,” Drug Safety 1992; 7(4):268-81.
References
PRESENTED BY:
• Duckes, D., et al., Applied Therapeutics: The Clinical Use of Drugs. 6th Ed. Philadelphia: Lippincott & Wilkins, 1995, p. 24-7.
• Neuvonen, P., “Interactions with the absorption of tetracyclines,” Drugs 1976; 11(1):45-54.
• Potgieter, M., et al., “Effect of oral tetracycline on iron absorption from iron (III)-hydroxide polymoltose complex in patients with iron deficiency anemia/a single-centre randomized controlled isotope study,” Arzneimittelforschung 2007; 57(6A):376-84.
References (Cont.)
PRESENTED BY:
• Shakir, K., et al., “Ferrous sulfate-induced increase in requirement for thyroxine in a patient with primary hypothyroidism,” South Med Jour 1997; 90(6):637-39.
References (Cont.)
PRESENTED BY:
• Aminoglycosides • Cephalosporins • Co-trimoxazole • Fluoroquinolones
Drugs That Deplete The Body Of Lactobacillus Acidophilus
• Macrolides • Penicillins • Sulfonamides • Tetracyclines
PRESENTED BY:
• Aminoglycosides
• Amphotericin B
• B-agonists
• Benzthiazide
• Bleomycin
• Bumetanide
• Carbenicillin
• Carboplatin
• Cetuximab
Drugs That Deplete The Body Of Magnesium
• Chlorothiazide
• Cholestyramine
• Chlorthalidone
• Cisplatinum
• Corticosteroids
• Cycloserine
• Diethylstilbesterol
• Digoxin
• Estrogens (conjugated)
• Ethacrynic acid
PRESENTED BY:
• Foscarnet
• Furosemide
• Gentamycin
• Hydrochlorothizide
• Hydroflumethiazide
• Indapamide
• Metolazone
• Oral contraceptives
• Panitumumab
• Pencillamine
Drugs That Deplete The Body Of Magnesium (Cont.)
• Pentamidine
• Polythiazide
• Quinestrol
• Quinethazone
• Tacrolimus
• Tetracyclines
• Torsemide
• Trichlormethiazide
• Vinblastine
PRESENTED BY:
• Alprazolam • Atenolol • Chlorpromazine • Diazepam • Haloperidol
Drugs That Deplete The Body Of Melatonin
• Hydroxyzine • Metoprolol • NSAIDs • Propranolol
PRESENTED BY:
• Aluminum hydroxide-containing medications
• Cholesytramine • Colchicine • Digoxin • Magnesium-containing compounds
Drugs That Deplete The Body Of Phosphorus
PRESENTED BY:
• Acetazolamide
• Albuterol
• Aminoglycosides
• Amphotericin B
• Aspirin
• Benzthiazide
• Bisacodyl
• Bumetanide
• Chlorothiazide
Drugs That Deplete The Body Of Potassium
• Choline magnesium trisalicylate
• Choline salicylate
• Colchicine
• Corticosteroids
• Ethacrynic acid
• Foscarnet
• Furosemide
• Hydrochlorothiazide
• Hydroflumethiazide
PRESENTED BY:
• Indapamide
• Levodopa
• Methyclothiazide
• Metolazone
• Nifedipine
• Penicillins
• Polythiazide
Drugs That Deplete The Body Of Potassium (Cont.)
• Quinethazone
• Ritodrine
• Sodium bicarbonate
• Terbutaline
• Torsemide
• Trichlormethiazide
• Verapamil
PRESENTED BY:
• Levodopa
Drugs That Deplete The Body Of SAMe
PRESENTED BY:
• Corticosteroids • Oral contraceptives • Valproic acid
Drugs That Deplete The Body Of Selenium
PRESENTED BY:
• Benazepril
• Benzthiazide
• Bumetanide
• Catopril
• Chlorothiazide
• Chlorothalidone
• Cholestyramine
• Cimetidine
• Clofibrate
• Corticosteroids
Drugs That Deplete The Body Of Zinc
• Enalapril
• Ethacrynic acid
• Ethambutol
• Famotidine
• Fenofibrate
• Fosinopril
• Furosemide
• Hydrochlorothiazide
• Hydroflumethiazide
• Indapamide
PRESENTED BY:
• Lisinopril
• Methyclothiazide
• Metolazone
• Moexipril
• Nevirapine
• Nizatidine
• Oral contraceptives
• Pencillamine
• Polythiazide
• Quionapril
Drugs That Deplete The Body Of Zinc (Cont.)
• Quinethazone
• Ramipril
• Ranitidine
• Tetracycline
• Torsemide
• Trandolapril
• Triamterene
• Trichlomethiazide
• Valproic acid
• Zidovudine
PRESENTED BY:
• Ace inhibitors
• Acetazolamide
• Aminoglycosides
• Amphotericin B
• Aspirin/salicylates
• Choline magnesium trisalicylate
• Choline salicylate
• Colchicine
Drugs That Deplete The Body Of Sodium
• Hydroflumethiazide
• Indapamide
• Loop diuretics
• SSRI: Zoloft, Paxil, Prosac
• Thiazide diuretics
PRESENTED BY:
• Cholestyramine • Cholestipol • Corticosteroids • Mineral oil • Neomycin
Drugs That Deplete The Body Of Vitamn A (Retinol)
PRESENTED BY:
• Aminoglycosides
• Bumetanide
• Cephalosporins
• Ethacrynic acid
• Fluoroquinolones
• Furosemide
• Macrolides
• Oral contraceptives
Drugs That Deplete The Body Of Vitamin B1 (Thiamin)
• Penicillins
• Phenytoin
• Sulfonamides
• Tetracyclines
• Theophylline
• Torsemide
• Trimethoprim
• Zonisamide
PRESENTED BY:
• Acetophenazine
• Adriamycin
• Aminoglycosides
• Amitriptyline
• Amoxapine
• Cephalosporins
• Chlorpromazine
• Clomipramine
• Desipramine
Drugs That Deplete The Body Of Riboflavin (B2)
• Doxepin
• Fluoroquinolones
• Fluphenazine
• Imipramine
• Macrolides
• Mesoridazine
• Methdilazine
• Methotrimeprazine
• Nortriptyline
PRESENTED BY:
• Oral contraceptives
• Penicillins
• Perphenazine
• Phenothiazines
• Phenytoin
• Prochlorperazine
• Promazine
• Promethazine
Drugs That Deplete The Body Of Riboflavin (B2) (Cont.)
• Protriptyline
• Sulfonamides
• Tetracyclines
• Theophylline
• Trioridazine
• Trifluoperazine
• Trimethoprim
• Trimipramine
PRESENTED BY:
• Bianchi, A., et al., “Role of magnesium, coenzyme Q-10, riboflavin, and vitamin B12 in migraine prophylaxis,” Vitamins Hormones 2004; 69:297-312.
Reference
PRESENTED BY:
• Aminoglycosides
• Cephalosporins
• Cycloserine
• Estrogens (conjugated)
• Estrogens (esterified)
• Fluoroquinolones
• Isoniazid
Drugs That Deplete The Body Of Niacin (B3)
• Macrolides
• Oral contraceptives
• Penicillins
• Sulfonamides
• Tetracylines
• Trimethoprim
PRESENTED BY:
• Aspirin and salicylates Plesofski, N., “Pantothenic acid,” Oregon: Linus
Pauling Institute, 2002.
Drugs That Deplete The Body Of Pantothenic Acid (B5)
PRESENTED BY:
• Aminoglycosides
• Bumetanide
• Cephalosporins
• Diethylstilbesterol
• Estrogens (conjugated)
• Estrogens (esterified)
• Ethacrynic acid
• Fluoroquinolones
• Furosemide
Drugs That Deplete The Body Of Pyridoxine (B6)
• Hydralazine
• Isoniazid
• Levodopa
• Macrolides
• Oral contraceptives
• Penicillamine
• Penicillins
• Phenelzine
• Phenobarbital
PRESENTED BY:
• Quinestrol
• Sulfonamides
• Tetracyclines
• Theophylline
• Torsemide
• Trimethoprim
Drugs That Deplete The Body Of Pyridoxine (B6) (Cont.)
PRESENTED BY:
• Miller, J., et al., “Effect of L-dopa on plasma homocysteine in PD patients: relationship to B- vitamin status,” Neurology 2003; 60(7):1125-29.
Reference
PRESENTED BY:
• Aminoglycosides
• Carbamazepine
• Cephalosporins
• Chlorotrianisene
• Cholestyramine
• Cimetidine
• Clofibrate
• Colchicine
• Colestipol
Drugs That Deplete The Body Of Cyanocobalamin (B12)
• Co-trimoxazole
• Famotidine
• Fluoroquinolones
• Lansoprazole
• Lithium
• Macrolides
• Metformin
• Neomycin
• Nevirapine
PRESENTED BY:
• Nizatidine
• Omeprazole
• Oral contraceptives
• Penicillins
• Phenytoin
• Potassium chloride (time-release)
• Prednisolone
• Ranitidine
Drugs That Deplete The Body Of Cyanocobalamin (B12) (Cont.)
• Sulfonamides
• Tetracyclines
• Trimethoprim
• Zidovudine
PRESENTED BY:
• Karabiber, H., et al., “Effects of valproate and carbamazepine on serum levels of homocysteine, vitamin B12, and folic acid,” Brain Dev 2003; 25(2):113-15.
• Laine, L., et al., “Review article: potential gastrointestinal effects of long-term acid suppression with proton pump inhibitors,” Aliment Pharmacol Ther 2000; 14(6):651-58.
• Schenk, B., et al., “Atropic gastritis during long-term omeprazole therapy affects serum vitamin B12 levels,” Alimnet Pharmacol Ther 1999; 13(10):1343-46.
References
PRESENTED BY:
• Marcuard, S., et al., “Omeprazole therapy causes malabsorption of cyanocobalamin (vitamin B12),” Ann Inter Med 1994; 120(3):211-15.
• Saltzman, J., et al., “Effect of hypochlorhydria due to omeprazole treatment of atrophic gastritis on protein-bound vitamin B12 absorption,” Jour Amer Coll Nutri 1994; 13(6):584-91.
• Valuck, R., et al., “A case-control study on adverse effects: H-2 blocker or proton pump inhibitor use and risk of vitamin B12 deficiency in older adults,” Jour Clin Epidemiol 2004; 57(4):422-28.
• Lamb, J., et al., “Proton pump inhibitor and histamine 2 receptor antagonist use and vitamin B12 deficiency,” JAMA 2013; 310(22):2435-42.
References (Cont.)
PRESENTED BY:
• Sutterlin, M., et al., “Serum folate and vitamin B12 levels in women using modern oral contraceptives (OC) containing 20 mcg ethinyl estradiol,” Eur Jour Obstet Gynecol Repro Biol 2003; 107(1):57-61.
• Cervanties, P., et al., “Vitamin B12 and folate levels and lithium administration in patients with affective disorders,” Biol Psychiatry 1999; 45(2):214-21.
• Sahin, M., et al., “Effects of metformin or rosiglitazone on serum concentrations of homocysteine, folate, and vitamin B12 in patients with type 2 diabetes mellitus,” Jour Diabetes Complications 2007; 21(2):118-23.
References (Cont.)
PRESENTED BY:
• Dastur, D., et al., “Effect of prolonged anticonvulsant medication in epileptic patients: serum lipids, vitamins B6, B12, folic acid, proteins, and fine structure of liver,” Epilepsia 1987; 28(2):147-59.
• Frequin, S., et al., “Decreased vitamin B12 and folate levels in cerebral spinal fluid and serum multiple sclerosis patients after high-dose intravenous methylprednisolone,” Jour Neurol 1993; 240(5):305-08.
References (Cont.)
PRESENTED BY:
• Aspirin
• Bumetanide
• Choline magnesium trisalicylate
• Choline salicylate
• Corticosteroids
• Ethacrynic acid
Drugs That Deplete The Body Of Vitamin C
• Furosemide
• Indomethacin
• Oral contraceptives
• Sulfonamides
• Tetracyclines
• Torsemide
PRESENTED BY:
• Barbiturates
• Carbamazepine
• Cholestyramine
• Cimetidine
• Colestipol
• Corticosteroids
• Famotidine
• Fosphenytoin
• Isoniazid
Drugs That Deplete The Body Of Vitamin D
• Ketoconazole
• Mineral oil
• Nizatidine
• Phenobarbital
• Phenytoin
• Ranitidine
• Rifampin
• Valproate
PRESENTED BY:
• Cholestyramine • Clofibrate • Colestipol • Fenofibrate • Gemfibrozil
Drugs That Deplete The Body Of Vitamin E (Alpha Tocopherol)
• Haloperidol • Mineral oil • Oral contraceptives • Statin drugs
PRESENTED BY:
• Palan, P. et al., “Effects of menstrual cycle and oral contraceptive use on serum levels of lipid-soluble antioxidants,” Amer Jour Obs Gynecol 2006; 194(5):35-8.
• Galli, F., et al., “Do statins cause myopathy by lowering vitamin E levels?” Med Hypotheses 2010; 74(4):707-09.
References
PRESENTED BY:
• Aminoglycosides • Barbiturates • Cephalosporins • Cholestyramine • Fluoroquinolones • Fosphenytoin • Macrolides
Drugs That Deplete The Body Of Vitamin K
• Mineral oil • Penicillins • Phenobarbital • Phenytoin • Sulfonamides • Trimethoprim
Nutritional Therapies For Clinical Conditions
PRESENTED BY:
• Replacement of DHEA if it is low with adrenal support
• Adaptogenic herbs • Calming herbs • Stress reduction techniques • If cortisol is high in the evening then add
phosphatidylserine 300 mg which may be taken any time of the day.
Treatment of Hyperadrenalism
PRESENTED BY:
• Nutrients (give multivitamin) Vitamin C
B vitamins
Calcium
Magnesium
Zinc
Treatment of Hyperadrenalism (Cont.)
Selenium
Copper
Sodium
Manganese
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