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Abstract. Vitamin B3 is part of vitamin B complex that plays an essential role in metabolism. Niacin is necessary for the
body to produce enzymes that help releasing energy in the form of glucose. Vitamin B3 plays a role in maintaining healthy
skin and digestive system; it also has a role in normal development of nerves and reduction of total cholesterol.
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is an autosomal recessive metabolic disorder caused by
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organic alcohol, sterol, identified in the cell membrane and impaired transport of neutral amino acids in the brush side of the
tissues of the body being carried in the blood. intestinal mucosa and proximal tubules of renal glomerulus.
pellagra, characterized by a red scaly rash and effects associated with niacin therapy. The British
sensitivity to sunlight. journal of ophthalmology, 79 (1): 54-56.
JACONELLO P., 1992, Niacin versus niacinamide.
Symptoms of overdose (toxicity) Canadian Medical Association journal, 147 (7):
Nicotinamide dose of about 3000mg can cause 990.
side effects like nausea, vomiting, signs and MCKENNEY J. M., PROCTOR J. D., HARRIS
symptoms of liver toxicity (J. I. Rader et al., 1992; T. S., CHINCHILI V. M., 1994, A comparison of
A. Dalton and R. S. Berry, 1992; J. M. McKenney et the efficacy and toxic effects of sustained- vs
al., 1994) and failure to glucose tolerance (blood immediate-release niacin in hypercholesterolemic
sugar increased by about 5-10% which leads to patients. JAMA: the journal of the American
hiperglycemia or diabetes). In severe cases of Medical Association, 271 (9): 672-677.
overdose with niacin (3g to 9g per day of niacin), PITSAVAS S., ANDREOU C., BASCIALLA F.,
hepatic dysfunction may occur and fulminant BOZIKAS V. P., KARAVATOS A., 2004,
hepatitis 9 (D. J. Fischer et al., 1991). Another sign of Pellagra encephalopathy following B-complex
toxicity with niacin, that commonly occurs in many vitamin treatment without niacin. International
patients, is skin redness (vasodilator effect), fatigue, journal of psychiatry in medicine, 34 (1): 91-95.
and acanthosis nigricans 10, at doses ranging between PRAKASH R., GANDOTRA S., SINGH L. K.,
30mg and 3000mg of niacin (J. M. McKenney et al., DAS B., LAKRA A., 2008, Rapid resolution of
1994). Also, in patients treated with high doses of delusional parasitosis in pellagra with niacin
nicotinic acid, nonspecific gastrointestinal effects can augmentation therapy. General hospital
occur. psychiatry, 30 (6): 581-584.
In some cases, niacin overdose (1,5g - 5g of RADER J. I., CALVERT R. J., HATHCOCK J.
niacin per day) can produce significant ocular effects N., 1992, Hepatic toxicity of unmodified and
as blurry vision, toxic amblyopia 11, macular edema 12 time-release preparations of niacin. The
or cystic maculopathy (F. W. Fraunfelder et al., American journal of medicine, 92 (1): 77-81.
1995). It appears that ocular effects induced by niacin STANDING COMMITTEE ON THE
overdose may be reversible and dose-dependent. SCIENTIFIC EVALUATION OF DIETARY
REFERENCE INTAKES AND ITS PANEL
Conclusion ON FOLATE, OTHER B VITAMINS, AND
The most important role of niacin is in energy CHOLINE, SUBCOMMITTEE ON UPPER
production and in reduction of total cholesterol. REFERENCE LEVELS OF NUTRIENTS,
FOOD AND NUTRITION BOARD,
Bibliography INSTITUTE OF MEDICINE, 1998, Dietary
Reference Intakes for Thiamin, Riboflavin,
CANNER P. L., BERGE K. G., WENGER N. K., Niacin, Vitamin B6, Folate, Vitamin B12,
STAMLER J., FRIEDMAN L., PRINEAS R. Pantothenic Acid, Biotin, and Choline. National
J., FRIEDEWALD W., 1986, Fifteen year Academy Press Washington, D.C.: 58-422.
mortality in Coronary Drug Project patients: YEUNG D. L., LAQUATRA I., 2003, Heinz
long-term benefit with niacin. Journal of the handbook of nutrition (ninth edition). H. J. Heinz
American College of Cardiology, 8 (6): 1245- Company, electronic format article (pdf): 69-116.
1255.
DALTON T. A., BERRY R. S., 1992, Hepatotoxicity
associated with sustained-release niacin. The
American journal of medicine, 93 (1): 102-104.
FISCHER D. J., KNOGHT L. L., VESTAL R. E.,
1991, Fulminant hepatic failure following low-
dose sustained-release niacin therapy in hospital.
The Western journal of medicine, 155 (4): 410-
412.
FRAUNFELDER F. W., FRAUNFELDER F. T.,
ILLINGWORTH D. R., 1995, Adverse ocular
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acute contagious or infectious disease, produced by chronic
hepatitis B virus, which can cause serious long term health
problems.
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velvety hyperpigmentation of the skin; it usually occurs in
places where the skin folds.
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visual impairment (optic nerve damage) which may be caused
by tobacco, alcohol, certain medications or vitamin deficiency or
overdose.
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accumulation of fluid in the macula (yellow spot - oval
depression in the posterior retina pole of the eye).