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Vitamin B3
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Vitamin B3 (Niacin)

Integrated Medicine

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Vitamin B-3, otherwise known as niacin, acts like other B vitamins to create enzymes that are essential to metabolic cell activity, synthesize hormones, repair genetic material, and maintain normal functioning of the nervous system. Great sources of this vitamin may be found in meat, fish, and whole grains.

How This Vitamin Works in Your Body:
May treat pellagra
Decreases cholesterol and triglycerides in blood
Large doses dilate blood vessels
Handles ear ringing and dizziness
Essential for genetic material repair
Potential reduction in heart attacks, depression, and migraine headaches
Poor digestion could be improved.

The following may benefit from this Vtamin:
Anyone with poor dietary intake
Pregnant or breastfeeding women
Substance abusers
Severe burn or injury patients
Infants with congenital metabolic disorders

Where This Vitamin is Found:
Beef liver
Brewer’s yeast
Chicken, white meat
Dried beans/peas
Fortified cereals
Halibut
Peanut butter
Peanuts
Pork/ham
Potatoes
Salmon
Soybeans
Swordfish
Tuna
Turkey

How to Use:
Available as:
Liquid: the best form due to its high bioavailability and fast absorption. Always choose liquid as your first choice when supplementing your diet.

Tablets: available

Recommended Daily Intakes
Men: 16 mg
Women: 14 mg
Pregnancy: 18 mg
Lactation: 17 mg

Cautions:
Consult your doctor if you have:
Diabetes
Gout
Gallbladder or liver disease
Arterial bleeding
Glaucoma

Over 55:
Individualized doses recommended.

Pregnancy:
Do not use. Fetus may be at risk.

Breastfeeding:
Always consult doctor during lactation. Keep within DRI.

Storage:
Heat and/or moisture may alter the vitamin. Refrigeration is recommended.

Symptoms of Deficiency:
Symptoms include dermatitis on the hands and face, weakness, loss of appetite, sore mouth, diarrhea, anxiety, depression, and dementia.

Overdose:
Signs of Overdose:
Signs of an overdose may include body flush, nausea, diarrhea, weakness, lightheadedness, headache, fainting, high blood sugar, high uric acid, heart-rhythm disturbances, and jaundice.

Side Effects:
Reaction or effect : What to do
Abdominal pain : Discontinue. Consult doctor immediately.
Urine Darkening : No action needed.
Diarrhea : Discontinue. Refer to your doctor soon.
Headache : Discontinue. Refer to your doctor soon.
Faintness : Discontinue. Refer to your doctor soon.
Feeling hot : No action needed.
Jaundice : Discontinue. Consult doctor immediately.
Dry Skin : Discontinue. Refer to your doctor soon.

Interactions:
Interacts with : Combined effect
Antidiabetics : Reduction in antidiabetic effect.
Beta-adrenergic blockers : Incredibly low blood pressures.
Chenodiol : Reduction in chenodiol effect.
Guanethidine : Raises guanethidine effect.
Isoniazid : Reduction in niacin effect.
Mecamylamine : Incredible reduction in blood pressure.
Pargyline : Incredible reduction in blood pressure.
Ursodiol : Reduction in ursodiol effect.
Tobacco : Reduction in niacin effect.
Alcohol : Incredible reduction in blood pressure.

Acidophilus (Lactobacillus)
Blue-Green Algae (Spirulina, Spirulina Maxima) Spirulina Platensis
Calcium (Calcium citrate) Calcium Gluconate)
Choline
Chondroitin Sulfate
Coenzyme Q (CoQ, Ubiquinoe, Coenzyme Q10)
Conjugated Linoleic Acid (CLA)
Creatine
Dehydroepiandrosterone (DHEA)
Desiccated Liver (Dessicated Liver)
Gamma-Linolenic Acid (GLA) Evening Primrose Oil)
Ginkgo Biloba (Ginkgoaceae)
Ginseng (Asian, American, Korean, Chinese, Panax, Quinquefolius)
Inositol (Myoinositol)
Iron (Ferrous Sulfate)

 
Jojoba (Goatnut, Simmondsia Chinensis)
L-Carnitine
Lecithin (Phosphatidylcholine)
Magnesium
Melatonin
Omega 3 Fatty Acids
Para-Aminobenzoic Acid (PABA)
Potassium (Potassium Chloride, Trikates)
Pregnenolone
Royal Jelly
Vitamin B-1 (Thiamine)
Vitamin B-2 (Riboflavin)
Vitamin B-3 (Niacin)
Vitamin B-5 (Pantothenic Acid)

 
Vitamin B-6 (Pyridoxine, pyridoxal phosphate)
Vitamin B-9 (Folic Acid) Folate, Pteroyiglutamic Acid) Folacin)
Vitamin B-12 (Cyanocobalamin)
Vitamin C (Ascorbic Acid)
Vitamin D (cholecalciferol, sunshine vitamin)
Vitamin E (alpha-tocopherol)
Vitamin H (Biotin)
Vitamin K (Phytonadione)
Vitamin P (Bioflavonoids, Phytochemicals)

Niacin May Lower Cholesterol Without Affecting Glucose Levels

The B vitamin niacin (nicotinic acid) is well-known to positively affect cholesterol levels, particularly by increasing levels of HDL cholesterol, but is not currently recommended for diabetic patients due to concerns that it might adversely impact upon control of blood glucose levels.

However, the authors of a new study note that this recommendation is not based upon adequate evidence, so they decided to investigate further both the safety and efficacy of niacin in diabetic patients.

A prospective, randomized, placebo-controlled clinical trial was conducted in 6 clinical centers from August 1993 to December 1995.

A total of 468 participants were studied, including 125 with diabetes, who had diagnosed peripheral arterial disease.

Participants were randomly assigned to receive niacin - 3000 mg/d or maximum tolerated dosage or placebo for up to 60 weeks.

Researchers measured cholesterol, glucose, hemoglobin A1c (HbA1c), alanine aminotransferase, and uric acid levels, in addition to monitoring hypoglycemic drug use; compliance; and adverse events.

Niacin use had similar effects on lipid parameters in patients with and without diabetes such as:

  • Increased HDL cholesterol by 29% in both groups
  • Decreased triglycerides by 23% and 28%
  • Decreased LDL cholesterol by 8% and 9%

However, glucose levels were modestly increased by niacin by 8.7 and 6.3 mg/dL in participants with and without diabetes, respectively.

Levels of HbA1c were unchanged by niacin use in participants with diabetes.

The authors state that "Our study suggests that lipid-modifying dosages of niacin can be safely used in patients with diabetes and that niacin therapy may be considered as an alternative to statin drugs or fibrates for patients with diabetes in whom these agents are not tolerated or fail to sufficiently correct hypertriglyceridemia or low HDL-C levels."

JAMA 2000;284:1263-1270

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This information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition.
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Last Modified : 05/28/06 09:37 AM