Vitamin poisoning
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ICD-10 | E67.0-E67.3 |
---|---|
ICD-9 | 278.2, 278.4 |
Vitamin poisoning, or hypervitaminosis, refers to a condition of high storage levels of vitamins, which can lead to toxic symptoms. The medical names of the different conditions are derived from the vitamin involved: an excess of vitamin A, for example, is called "hypervitaminosis A".
High dosage vitamin A; high dosage, slow release vitamin B3; and very high dosage vitamin B6 alone (i.e. without vitamin B complex) are sometimes associated with vitamin side effects that usually rapidly cease with supplement reduction or cessation. Conversely, certain vitamins do not produce toxicity in excess levels. Vitamin C has been used in dosages over 100,000 mg for serious illness — over 1000 times the daily recommended intake — without ill effects. However, Vitamin C does have a pronounced laxative effect, typically when intake of vitamin C is in the range of 5-20 grams per day for a person in normal "good health".[1]
High doses of mineral supplements can also lead to side effects and toxicity. Mineral-supplement poisoning does occur occasionally due to excessive and unusual intake of iron-containing supplements, including some multivitamins. Hypervitaminosis with multivitamins is uncommon.[citation needed]
[edit] Comparative safety statistics
Death by vitamin poisoning appears to be quite rare in the US, typically none in a given year. However before 1998, several deaths per year were typically associated with pharmaceutical iron-containing supplements, especially brightly-colored, sugar-coated, high-potency iron supplements, and most deaths were children.[2] Unit packaging restrictions on supplements with more than 30 mg iron have since reduced deaths to 0 or 1 per year.[3] These statistics compare with 59 deaths due to aspirin poisoning in 2003,[4] 147 deaths associated with acetaminophen-containing products in 2003,[5] and an average of 54 deaths per year due to lightning for 1990-2003.[6]
[edit] See also
[edit] References
- ^ Vitamin C, Titrating To Bowel Tolerance, Anascorbemia, And Acute Induced Scurvy Robert F. Cathcart, III, M.D. 1994
- ^ http://archpedi.ama-assn.org/cgi/content/full/159/6/557
- ^ http://archpedi.ama-assn.org/cgi/content/full/159/6/557/POA40361T1
- ^ http://www.aapcc.org/Annual%20Reports/03report/Annual%20Report%202003.pdf
- ^ http://www.aapcc.org/Annual%20Reports/03report/Annual%20Report%202003.pdf
- ^ http://www.lightningsafety.com/nlsi_lls/fatalities_us.html