Treatment of a deficiency of B vitamins
Primarily treatment of a lack of vitamins of group B is carried out on an outpatient basis. First of all, to fill the lack of nutrients, the diet is adjusted, which must necessarily include foods rich in one or another vitamin. Therefore, the more valuable and diverse the person's table, the less likely the development of vitamin deficiency and the deficit of a particular substance.
If any circumstances have led to a shortage of a certain vitamin, or the disease has worsened, a certain substance of the vitamin group will help to overcome it, then medicinal medicines (analogues of natural vitamins) are prescribed, which more rapidly replenish, and also in the complex treatment of a specific pathology maintain the effectiveness effects of drugs of other pharmacological groups.
Preparations from vitamin B deficiency
The modern pharmacological industry simply "flooded" drugstores of various kinds with synthesized, semi-synthetic and natural vitamins and vitamin-mineral complexes. Therefore, if the problem is not so essential to support the patient's body, the doctor can designate such a complex. For example, it can be materna, pikovit, undovit, vitrum, benfogamma and many others.
- Materna is a vitamin and mineral complex specially designed for pregnant women or women who are only planning to conceive. Reception mode - one tablet once a day. If necessary, this dosage can be corrected by a doctor.
If there is a shortage of a certain vitamin B substance, then the doctor prescribes to his patient more specific preparations for a deficiency of B vitamins.
With a deficiency of B1, such drugs as thio-vitamin, thiamine, aneurine, and thiamine pyrophosphate can effectively compensate for its shortage.
The drug is introduced into the patient in various ways. What method is preferred by the attending physician only. B1, depending on the clinical picture, can be administered subcutaneously, intramuscularly, intravenously or orally.
The daily dosage of this vitamin is caused by sexual and age-related as well.
For men, the daily amount of B1 is from 1.2 to 2.1 mg. A woman should receive it in the range of 1.1 to 1.5 mg, while during pregnancy this dosage is increased by 0.4 mg, and during lactation by 0.6 mg. Older people should consume daily from 1.2 to 1.4 mg of thiamine. For babies, the dosage used depends on the age and falls within the limits of 0.3 to 1.5 mg.
Starting parenteral administration should be started with a small dosage and with adequate tolerability, the amount administered can be increased, the administered dosage of the drug varies, and depending on the active substance active. For example, in the thiamine chloride solution for adults, 20-50 mg is prescribed, and when a thiamine bromide solution is administered, 30-60 mg once a day.
Children this ratio is thiamine chloride - 12.5 mg or thiamine bromide - 15 mg.
The duration of the treatment course can be from 10 to 30 days.
Simultaneously, other medications can be added to the protocol of treatment, the basis of which are vitamins of a number of B.
In the case of a lack of vitamin B2, in addition to adequate nutrition, the doctor prescribes such drugs as riboflavin, beflavin, lactoben, betavitam, vitamin B2, ribovin, ovoflavin, vitaplex B2, lactoflavin, flavitol, vitaflavin, beflavit, flavaxin.
The drug is administered orally for an adult patient at 5 to 10 mg per day. If the patient's condition is severe, then this dose can be increased and taken at 10 mg three times throughout the day. Duration of treatment is from two weeks to one and a half months.
In small patients, depending on the age, the drug is administered in a dosage of 2 to 5 mg, and in a severe clinical picture and up to 10 mg per day.
The necessary justified daily dosage is for adults - about 2.5 mg, for people whose work is associated with high physical exertion - up to 3 mg. Newborn half a year to a year - 0.6 mg. Babies, whose age falls into the interval:
- from year to year and a half - 1.1 mg;
- from one and a half to two - 1.2 mg;
- from two to four - 1.4 mg;
- from four to six, 1.6 mg;
- from six to ten, 1.9 mg;
- from 11 to 13 - 2.3 mg;
- from 14 to 17 (young men) - 2.5 mg;
- from 14 to 17 (girls) - 2.2 mg.
Treatment for vitamin B3 deficiency reduces to the appointment of the drug nicotinamide, the active substance of which is nicotinic acid. Or its analogues pelmen, benikod, nikamid, aminicotin, niacinamide, endobion, nicofort, beepella, niacetite, nicotop.
The drug nicotinamide is administered after meals at a dosage of 15-25 mg for adults and 5-10 mg for children. Usually, two appointments are given throughout the day.
Orally, nicotinic acid is administered in an amount of 50 mg per day.
Every day a healthy body should receive at least 4 g of vitamin B4, in a stressful situation this figure increases to 6 mg. Suitable preparations gliatilin, choline.
The adult patient is assigned one capsule throughout the day along with the food. Duration of treatment - up to a month.
When there is a deficiency in the body of a patient pantothenic acid or B5. The daily need for an adult organism in this substance is 5 mg, and with heavy physical exertion and up to 7 mg. For small children, this figure is 2 ml, for schoolchildren - 4 mg.
- Deficiency of vitamin B6 is compensated by taking a drug pyridoxine hydrochloride or pyridoxine.
The drug for prophylactic purposes is taken in a daily dosage: adults - 2 - 5 mg; children - 2 mg.
For medical purposes: adults - 20 - 30 mg one - two times throughout the day; small patients - the dose is prescribed by the attending doctor depending on the weight of the child's body.
Pyridoxine in solutions is administered subcutaneously, intramuscularly or intravenously: children 20 mg per day; adults - 50 - 100 mg daily allowance.
The duration of the course is from two weeks to a month. If necessary, after the break, the course can be repeated.
In the case when a lack of vitamin B7 is detected, a specialist can prescribe such a medicine as biotin, or its analogs are excited, femicode, selenzin, deacur, beauty, perfexyl, medobyotin, vitrum, aneran, imidine.
- Biotin is prescribed for two tablets in the process of eating, once during the day.
If studies show that the patient suffers from a B8 deficiency, he begins to receive inositol, inositol. Its daily dosage for an adult is 1-1.5 g. At treatment, the daily dosage is from 0.6 to 2.4 g. The starting amount is 0.6-0.8 g, which gradually increases with normal tolerance of the drug.
When Vitamin B9 is deficient, the treating doctor introduces folic acid in the protocol of treatment, or its analogues: mamifol, ascofol, folacin, folicle.
The starting dose of the drug is 1 mg per day for children and adults. Subsequently, with normal tolerability, this amount is increased, bringing adults up to 5 mg, children - at the discretion of the treating doctor.
Duration of treatment - up to a month.
- When diagnosing a B10 deficiency, the doctor needs to inject the patient with parahaminobenzoic acid, the dosage of which is 0.1 to 0.5 g three to four times throughout the day. The duration of therapy is 20 days.
In the case when there is a shortage of vitamin B11 (carnitine), drugs are prescribed with its base component.
The daily need for this substance corresponds to the figures from 0.3 to 1.5 g, depending on the age of the patient and his need to engage in heavy physical or mental labor.
- Carnitine is administered intravenously drip, in the absence of allergy to the drug, the dose is 5-10 ml of a 10% solution, which is diluted immediately before infusion of 200 ml of 0.9% sodium chloride solution.
In the form of capsules, take one twice a day.
Deficiency in the body of vitamin B12, the attending physician can be suppressed by cyanocobalamin, vibicon, vitamin B12, astenin B12, astigmat B12, dankavit B12, kobavit and others.
- Cyanocobalamin is taken as a solution administered intravenously. The prescribed amount of the drug is 0.1 to 0.2 mg once daily. In this case, the medication is prescribed a day before the onset of remission. If necessary, the dosage of the drug can be changed to a daily intake of 0.1 - 0.5 mg. The course of treatment is mostly ten days.
Nutrition with a deficiency of B vitamins
Products - this is the main source of energy, vitamins and minerals, which directly participate in all processes occurring in the body. Therefore, nutrition with a lack of B vitamins should capture all those products that are able to replenish their daily supply. Since each vitamin has its preferential preferences, therefore, we will consider which foods are most rich in one or another substance.
Meat, by-products: brains, kidneys, liver.
Whole grain, black bread.
Cereals: brown rice, buckwheat, barley, oatmeal, semolina.
Plants family legumes: peas, beans.
Fresh egg yolk.
In a small amount of butter.
Sweet pepper, spinach, Brussels sprouts, potatoes.
Meat of cod.
50% of thiamine is broken down by heat treatment and freezing.
Meat and liver: kidney, liver, heart.
Milk and dairy products: hard cheese, cream, milk, cottage cheese, kefir, butter and others.
Groats: buckwheat and oatmeal.
Rye flour, confectionery and brewer's yeast.
Coffee beans, black tea.
Spinach, another leaf salad.
Meat: poultry, fat pork, lamb, veal.
By-products: kidneys, brains, liver (beef), heart.
Nuts are best hazelnuts and Wolves (walnuts).
Cereals: buckwheat, pearl barley.
Vegetables: white cabbage, cauliflower, kohlrabi, eggplant, asparagus, carrots, tomatoes, sweet pepper, garlic.
Peaches, melon and apricots.
Sweets reduce the content of B3 in the human body. Freezing does not affect this vitamin, whereas during heat treatment, half of B3 "leaves".
Meat, fish, eggs.
Sour-milk products, especially cottage cheese.
Decoctions of medicinal herbs: mother - and - stepmother, plantain, St. John's wort, yarrow, chicory, dandelion.
Baking and brewing yeast.
Liver, kidneys, other offal.
Whole-grain bread, uncooked grain.
Dishes from not crushed croup.
Raw egg yolk.
Salad vegetables and green parts of cultivated plants: tops of carrots, onions, radish, radishes.
Meat of turkey and fish.
Royal royal jelly.
Meat: rabbit, chicken and lamb.
Yeast and wheat bread.
The liver of beef.
Nuts: peanuts, Greek.
Porridge: pearl barley, wheat, barley.
Vegetables: colored and red cabbage, garlic, potatoes, tomatoes.
Bakery products from wholemeal flour.
Liver of beef, heart, kidneys.
Fresh yolk of a chicken egg.
Nuts: almonds, peanuts, greek.
Peas and carrots.
Orange and apple.
Somewhat less in:
Cottage cheese and other fermented milk products.
Vine and plums.
White cabbage, cauliflower.
In unpolished rice.
Meat of veal and pork.
Wheat germ and bran.
Fish caviar and fish.
Whole grains and other wholemeal products.
Sesame and oil from it.
From vegetables: various cabbage, carrots, onions.
Berries and fruits: watermelons, blackberries, grapefruit, gooseberries, citrus fruits, raisins, nutmeg.
All by-products: liver, brains (veal), kidneys.
Beans: peas, beans.
Beer and baker's yeast.
Any cheeses: melted, rennet, hard.
Fish caviar and fish (horse mackerel, tuna, cod, salmon).
Kashi: oatmeal, barley, oats, buckwheat, millet.
Vegetables: carrot, pumpkin, eggplant, asparagus, cabbage, sweet red pepper, beets, tomatoes, cucumbers, lentils.
Fruits and vegetables: bananas, oranges, currants, apricots, strawberries, watermelon, avocado, melon, peach, raspberry, rosehip.
Greens: spinach, lettuce, onion greens.
Nuts: peanuts, almonds, walnuts, hazelnuts.
Herbal cultures: peppermint and lemon mint, millennial, dandelion, birch, nettle, plantain.
Chicken meat, beef, lamb, pork.
AT 10 O'CLOCK
By-products: kidneys, liver.
Nuts and seeds (sunflower).
Bran (wheat, oats, rice) and wholemeal products.
Vegetables: carrots, vegetable leafy greens, potatoes, cabbage.
Meat of poultry, pork, lamb, beef.
But it should be remembered that under the influence of high temperatures some amount of vitamin substance is destroyed. Proceeding from this, the daily norm of B11 can only be replenished with food products hard.
Fish: salmon, herring, sardines, flounder, trout, halibut, cod.
Seafood: shrimps, squid, scallops, oysters, crawfish.
Meat: chicken, beef. By-products: lungs, liver, brains, heart, kidneys and liver pate. Eggs (raw yolk).
Soy and sea kale.
Dairy and sour-milk products.