Pregnancy niacin

Niacin is contraindicated in patients with known hypersensitivity to niacin, active peptic ulcer, hepatic dysfunction, and arterial bleeding. The drug is used cautiously in patients with renal dysfunction, high alcohol consumption, unstable angina, gout, and pregnancy (Category C). 

Changes in hormonal status may result in considerable changes in this ratio, between 7 to 30 mg of dietary tryptophan equivalent to 1 mg ofpreformed niacin in late pregnancy. The intake of tryptophan also affects the ratio. At low intakes, 1 mg of tryptophan may be equivalent to only 1/125 mg of preformed niacin (Nakagawa et al., 1969). 

Niacin is a nutritional supplement used during periods of deficiency known as pellagra and for the treatment of dyslipidemia. Niacin needs may increase during chronic illness such as diabetes mellitus, malignancy, metabolic diseases, hyperthyroidism, infections, chronic fever, alcoholism, and during pregnancy and lactation. 

In one study of 87 infants born to women who were given therapeutic doses of niacin at any time during pregnancy, there were two infants born with congenital anomalies. 

Bs niacin Be pyridoxine Eggs, meat, Ever, beans, peas, enriched bread and cereals Lean meat, leafy green vegetables, whole-grain cereals, yeast, bananas Male 15-19 mg/day Female 13-15 mg/day Pregnancy 18 mg/day Lactating 20 mg/day... 

Contraindications Thiamine patients with renal dysfunction Riboflavin patients with renal dysfunction Niacin or nicotinic acid hypersensitivity to niacin or tartrazine active peptic ulcer, severe hypotension, hepatic dysfunction, arterial hemorrhaging Caution diabetes mellitus, gallbladder disease, gout, history of jaundice or Uver disease. Pyridoxine IV therapy in cardiac patients Caution megadosage in pregnancy... 

The individual vitamin demand varies widely and is also dependent on the personal constitution. Stressful situations and e.g. pregnancy require a higher vitamin intake. For men, the recommended daily dose of Vitamin A, Bj, B2, Bg, K and niacin is usually higher than for women. There are series of studies, which confirm the breadth of application and the tolerability of vitamins and other micronutrients. The pharmacological effects with high doses of antioxidant provitamins and vitamins (especially )S-carotene and Vitamins C and E) in the treatment of cardiovascular and other diseases have been encouraging, albeit further controlled clinical studies will be needed to substantiate these observations. 

Vitamins are a well-known group of compounds that are essential for human health. Water-soluble vitamins include folate (vitamin B9) to create DNA. Folate also plays an important role in preventing birth defects during early pregnancy. Thiamine is the first vitamin of the B-complex (vitamin Bl) that researchers discovered. It allows the body to break down alcohol and metabolize carbohydrates and amino acids. Like many other B vitamins, riboflavin (vitamin B2) helps the body to metabolize carbohydrates, proteins, and fat. Niacin (vitamin B3) protects the health of skin cells and keeps the digestive system functioning properly. Pantothenic acid (vitamin B5) and biotin allow the body to obtain energy from macronutrients such as carbohydrates, proteins, and fats. Vitamin B6 (pyridoxine) acts as a coenzyme, which means it helps chemical reactions to take place. It also plays a vital role in the creation of nonessential amino acids. 

There are numerous sources of niacin that are essential and these include poultry, fish (tuna, salmon), meat (beef), yeast, legumes, milk and fortified eereals. In addition, niacin is naturally occurring in tiny amounts and the human body can make nicotinic acid from the metabolism of dietary tryptophan (Vosper 2009). The body requires tryptophan for two main reasons (i) for the synthesis of niacin and (ii) to raise serotonin levels, which is essential for the regulation of sleep, appetite and mood. The vast majority of proteins contain about 1 % of tryptophan and it is suggested that approximately 100 g of protein intake a day will be sufficient to ensure optimum levels of niacin in the body. The recommended dose of niacin is higher when there is an increase in physiological states such as pregnancy and lactation. Importantly, the Committee of Medical Aspects of Food Policy (COMA) in the UK stated that the Reference Nutrient Intake (RNI) for niacin was 17 mg/day and 13 mg/day. 

The average content of niacin in human breast milk is 8 mg (65.6 pmol) per 1000 kcal (4200 kJ), and this is the basis for the recommendations (and dietary reference values) for infants up to 6 months. In the UK, the Reference Nutrient Intake niacin increment during pregnancy is nil, and during lactation it is 2 mg per day. 

Many tissues are affected by riboflavin deficiency (aribofla-vinosis). Riboflavin deficiency requires 3-4 months of deprivation to manifest and symptoms include lesions on the lips, inflammation of the tongue, lowered levels of white and red blood cells, excessive sensitivity to pain and vascu-larisation of the cornea. Deficiency also results in decreased conversion of tryptophan into niacin. A test for deficiency is to measure glutathione reductase levels, which are depressed when riboflavin levels are low as are xanthine oxidase levels. There is a link between riboflavin deficiency in pregnancy and the development of pre-eclampsia. However, supplementation with riboflavin in a trial indicated that there was no effect on the prevention of pre-eclampsia. Alcoholics are at increased risk of riboflavin deficiency as... 

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