Thiamine pyridoxine and

Add and dissolve with mixing in the following order ascorbic acid, thiamine, pyridoxine, and caramel. Rinse the caramel container with approximately 3 mL of water, and add the rinsings. 

Treatment of chronic alcohol toxicity involves replacement of nutritional deficiencies such as thiamine, pyridoxine, and vitamins K and C. Correction of dehydration, electrolyte imbalance, and acid-base imbalances is of paramount importance. Chronic abuse may be associated with dependence liability. 

Thiamine, pyridoxine and niacin are ionic, and riboflavin is non-ionic at the pH used to pair the ions of the ionic samples. The development of a... 

In two infants and a 6 year old child who received prolonged intravenous nutrition and MVI (USV Pharm.) at a dose of 1 ml per day, we found that the urinary excretion of unbound thiamine, pyridoxine and riboflavin was extremely high, suggesting that... 

FIGURE 16 HPLC chromatogram of water-soluble vitamins using ion-pair chromatography. LC conditions and peak identification are shown in the inset.The retention times of basic analytes (pyridoxine and thiamine) are strongly dependent of the concentration of ion-pairing reagent (1-hexanesulfonate) in the mobile phase. Reprinted with permission from Reference 17. 

The SP procedure of water-soluble vitamins from multivitamin tablets is particularly challenging due to the diverse analytes of varied hydrophobicities and pfC. Water-soluble vitamins (WSVs) include ascorbic acid (vitamin C), niacin, niacinamide, pyridoxine (vitamin B ), thiamine (vitamin Bj), folic acid, riboflavin (vitamin B2) and others. While most WSVs are highly water soluble, riboflavin is quite hydrophobic and insoluble in water. Folic acid is acidic while pyridoxine and thiamine are basic. In addition, ascorbic acid is light sensitive and easily oxidized. The extraction strategy employed was a two-step approach using mixed solvents of different polarity and acidity as follows ... 

Thiamine, riboflavin, nicotinamide, pyridoxine, and folic acid can be determined together by using DAD, but pantothenic acid and biotin do not have adequate sensitivity for UV detection in complex matrices. 

Where patients are at risk of Wernicke s encephalopathy - for example, because of chronic alcohol abuse, hyperemesis gravidarum, or malnutrition - they should be given thiamine. In many countries no intravenous preparation of thiamine alone is available, and the compound preparations that are available are prone to cause anaphylactoid reactions, so they should be given by slow infusion, and with adequate facilities for resuscitation. A high potency preparation (Pabrinex ) that contains thiamine 250 mg in 10 ml with ascorbic acid, nicotinamide, pyridoxine and riboflavin, can be given by intravenous infusion over 10 min. 

The B-group is a heterogeneous collection of water-soluble vitamins, most of which function as co-enzymes or are precursors of co-enzymes. The B-group vitamins are thiamin, riboflavin, niacin, biotin, pantothenic acid, pyridoxine (and related substances, vitamin B6), folate and cobalamin (and its derivatives, vitamin B12). 

Thiamine, biotin and pyridoxine (vitamin B) coenzymes are grouped together because they catalyze similar phenomena, i.e., the removal of a carboxyl group, COOH, from a metabolite. However, each requires different specific circumstances. Thiamine coenzyme decarboxylates only alpha-keto acids, is frequently accompanied by dehydrogenation, and is mainly associated with carbohydrate metabolism. Biotin enzymes do not require the alpha-keto configuration, are readily reversible, and are concerned primarily with lipid metabolism. Pyridoxine coenzymes perform nonoxidative decarboxylation and are closely allied with amino acid metabolism. 

Yeast protein is easily digested (87%) and provides amino acids essential to human nutrition. Most commercial yeasts show the following pattern of amino acids, among others, as percent of protein 8.2% lysine 5.5% valine 7.9% leucine 2.5% methionine 4.5% phenylalanine 1.2% tryptophan 1.6% cystine 4% histidine 5% tyrosine and 5% arginine. The usual therapeutic dose of dried yeast is 40 grams/day, which supplies significant daily needs of thiamine, riboflavin, niacin, pyridoxine, and general protein. 

Table 26 HPLC Methods for Simultaneously Quantitating Thiamine, Riboflavin, and Pyridoxine in Food... 

GW Chase, WO Landen, RR Eitenmiller, A-GM Soliman. Liquid chromatographic determination of thiamine, riboflavin, and pyridoxine in infant formula. J AOAC Int 75 561-565, 1992. 

The desugaring of cane juice concentrates the heat- and alkali-stable vitamins in the final molasses. Even after this accumulation, only myo-inositol may have reached the level of minimum dietary requirements.109 Niacin, pantothenic acid and riboflavin are also present in significant quantities109 the thiamine, pyridoxin, pantothenic acid, biotin and folic acid contents of molasses have been estimated by bioassay.110 111 The biotin content of Hawaiian and Cuban molasses was 2.1 and 1.7 gammas per gram, respectively.119 The antistiffness factor (closely related to stigmasterol) has been found in cane molasses.88 89 The distillery slop from the yeast fermentation of molasses is marketed as a vitamin concentrate this product also contains vitamins originating in the yeast. 

Organic supplements Small amount of vitamins (myo-inositol, thiamine, nicotinic acid, pyridoxine, and so on.), amino acids (usually omitted but sometimes used with advantage), and other undefined supplements (meat, malt, and yeast extract, and protein hydrolysates, and so on.). 

Treatment should include correction of metabolic acidosis, inhibition of ethylene glycol metabolism and if necessary, extracorporeal elimination of the parent alcohol and metabolites. Acidemia likely increases tissue penetration of toxic metabolites and hinders renal clearance. Although evidence is lacking, bicarbonate administration should be given to correct acidemia. Although more expensive, fomepizole is preferred to ethanol for ADH inhibition due to proven efficacy, predictable pharmacokinetics, and lack of adverse effects [105]. Inhibition of ADH with fomepizole prevents formation of toxic metabolites and renal injury, and improves add-base status [106]. Elimination half-life of ethylene glycol with fomepizole in patients with preserved renal function is approximately 20 hours [107]. Pyridoxine and thiamine should be administered to promote glyoxyhc add conversion less toxic metabolites than oxalate [108]. 

Vitamin B complex is the collective term for a number of water-soluble vitamins found particularly in dairy products, cereals and liver.Vitamin B (thiamine) is used by mouth for dietary supplement purposes and by injection in emergency treatment of Wernicke-Korsakoff syndrome. Vitamin B2 (riboflavin) is a constituent of the coenzyme FAD (flavine adenine dinucleotide) and FMN (flavine mononucleotide) and is therefore important in cellular respiration. Vitamin Be (pyridoxine) is a coenzyme for decarboxylases and transamination, and is concerned with many metabolic processes. Overdose causes peripheral neuropathy. It may be used medically for vomiting and radiation sickness and for premenstrual tension. Pyridoxine has a negative interaction with the therapeutic use of levodopa in parkinsonism by enhancing levodopa decarboxylation to dopamine in the periphery, which does not then reach the brain. The antitubercular drug isoniazid interferes with pyridoxine, and causes a deficiency leading to peripheral neuritis that may need to be corrected with dietary supplements. Vitamin B ... 

Figure 32-10 Chromatograms illustrating separations of mixtures of ionic and nonionic compounds by ion-pair chromatography. Compounds (1) niacinamide, (2) pyridoxine, (3) riboflavin, (4) thiamine. At pH 3.5, niacinamide is strongly ionized, while riboflavin is nonionic. Pyridoxine and thiamine are weakly ionized. Column pt-Bondapak, C g, 4 mm X 30 cm. Mobile phase ...

Chronic overdrinking or binge-drinking alcoholism causes deficiencies of folate, thiamine, pyridoxine, vitamin A, and zinc, the combination of which causes multiple risks for disease, but mostly for cancer. 

Several highly significant vitamins are water-soluble and heterocychc in nature and further, their utility in the co-enzymes into which they are incorporated, can only be understood on the basis of their intrinsic heterocychc reactivity. We consider in detail firstly the two important pyridine-containing vitamins -vitamin B3 (niacin or nicotinamide) and vitamin Bg (pyridoxine) and then the thiazole-containing thiamin (vitamin Bj). 

It gives rise to the 2, 2,3,4, and 4 carbon atoms of pyridoxine and also to the pyrimidine ring of thiamin. See Chapter 25. 

Besides these studies with individual vitamins, there are studies with rats that had received none of the vitamins of the B group (Morgan and Yudkin, 1957). With 20% sorbitol in the diet, the animals grew well for the 13 weeks of the experiment. The diets were such that they would not produce deficiences of vitamin B12, biotin, or niacin however, we can conclude that sorbitol can spare simultaneously at least thiamine, riboflavin, pantothenic acid, pyridoxine and folic acid. 

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