|
| |
| Antibiotic
Medications |
|
|
| Aminoglycosides |
|
|
 | Gentamicin
|
 | Neomycin
|
 | Tobramycin
|
|

|
|
| Depletions |
|
|
| Calcium |
|
|
Osteoporosis (bone loss) is the primary disease
associated with long-term calcium deficiency; it may be
associated with bone pain and spinal deformity. Depleted
levels can also cause muscle cramps, irregular
heartbeat, and depression.
|

|
|
| Iron |
|
|
Depleted levels of iron may lead to anemia and
weakened immune function. In the event of anemia,
symptoms include dizziness, fatigue, shortness of
breath, pale skin color, and possibly irregular
heartbeat.
|

|
|
| Magnesium |
|
|
Magnesium deficiency affects calcium and vitamin D
levels in the body and may be associated with muscle
cramps, heart irregularities, high blood pressure,
diabetes, and osteoporosis (bone loss).
|

|
|
| Nitrogen |
|
|
Deficiency may impair formation of protein, which
could lead to stunted growth, poor muscle development or
loss of muscle mass, increased susceptibility to
infection, weakness, and impaired wound healing.
|

|
|
| Potassium |
|
|
Symptoms of potassium deficiency include loss of
appetite, nausea, drowsiness, feelings of apprehension,
fatigue, muscle pain and weakness (usually of the lower
limbs); severe cases may lead to irregular heartbeat.
|

|
|
| Probiotics; Bifidobacteria bifidum; Lactobacillus
Acidophilus; Saccaromyces boulardii |
|
|
Reducing the number of probiotic organisms in the
gastrointestinal tract may decrease the body's ability
to resist infections and diseases. Symptoms of
deficiency include gas, abdominal distress, diarrhea,
and yeast infections.
|

|
|
| Sodium |
|
|
Because of the wide availability of sodium in dietary
sources, deficiency is very uncommon. In the rare
instances where it does occur, depleted levels have been
associated with gas, nausea and vomiting, headache,
memory impairment, diminished attention, muscle
weakness, heart palpitations, lethargy, and confusion.
Extreme cases can cause stupor, seizures, and possibly
coma. The development of symptoms depends in large part
on the rate of the loss of sodium.
|

|
|
| Vitamin
A (Retinol) |
|
|
The earliest symptom of deficiency of this nutrient
is night blindness. Prolonged deficiency leads to more
advanced changes in eye tissue. Other potential signs of
mild to moderate deficiency include rough, dry skin,
loss of appetite, loss of hair luster, brittle nails,
joint pain, and possibly increased susceptibility to
infection.
|

|
|
| Vitamin
B12 (Cobalamin) |
|
|
Symptoms of vitamin B12 deficiency are
rare because it takes years to develop complications
associated with long-term depletion of this nutrient.
Irritability, weakness, numbness, anemia, loss of
appetite, headache, personality changes, and confusion
are some of the signs and symptoms associated with
vitamin B12 depletion. Low levels of this
vitamin may also be associated with an increased risk of
colon cancer, heart disease, brain disorders, and birth
defects.
|

|
|
| Vitamin
K |
|
|
The major symptom of vitamin K deficiency is an
inability of the blood to clot properly, which may lead
to excessive bleeding and a tendency to bruise easily.
|

|
|
| Editorial Note |
|
|
The selected depletions information presented here
identifies some of the nutrients that may be depleted by
certain medications. The signs and symptoms associated
with nutrient deficiency may also indicate conditions
other than nutrient deficiency. If you are experiencing
any of the signs or symptoms mentioned, it does not
necessarily mean that you are nutrient deficient.
Nutrient depletion depends upon a number of factors,
including your medical history, diet, and lifestyle as
well as the length of time you have been taking the
medication. Please consult your healthcare provider; he
or she can best assess and address your individual
healthcare needs, and determine if you are at risk for
nutrient depletions from these medications as well as
others not listed here.
|

|
|
| Supporting Research |
|
|
Ames BN. Micronutrient deficiencies: A major cause of
DNA damage. Ann NY Acad Sci. 2000;889:87-106.
Berger W. Incidence of severe side effects during
therapy with sulfonylureas and biguanides. Horm Metab
Res Suppl. 1985;15:111-115.
Carpentier JL, Bury J, Luyckx A, Lefebvre P. Vitamin
B12 and folic acid serum levels in diabetics under
various therapeutic regimens. Diabetes Metab.
1976;2(4):187-190.
Cashman K, Flynn A. Optimal nutrition: calcium,
magnesium and phosphorus. Proc Nutr Soc.
1999;58:477-487.
Conly, J. and Stein, K. Reduction of vitamin K2
concentrations in human liver associated with the use of
broad spectrum antimicrobials. Clin Invest Med.
1994;17(6):531-539.
Covington T, ed. Nonprescription Drug Therapy
Guiding Patient Self-Care. St Louis, MO: Facts and
Comparisons; 1999:467-545.
Cummings JH and Macfarland G. Role of intestinal
bacteria in nutrient metabolism. J. Parenter. Enteral.
Nutr. 21(6):357-365, 1997.
Fauci A. ed. et. al. Harrison's Principles of
Internal Medicine. Fourteenth Edition. New York, Mc-Graw-Hill
Companies Health Professional Division, 1998.
Galland L. The Four Pillars of Healing. New
York, NY: Random House; 1997:186-199.
International Life Sciences Institute, Present
Knowledge in Nutrition. Seventh Edition. Washington,
DC, ILSI Press, 1996.
Kaplan NM. The dietary guideline for sodium: should
we shake it up? NAm J Clin Nutr. 2000;71:1020-1026.
Kirschmann G. and Kirschmann, J. Nutrition
Almanac. Fourth Edition. McGraw-Hill, 1996.
National Research Council. Recommended Dietary
Allowances. 10th ed. Washington, DC:
National Academy Press; 1989.
Potts JT. Diseases of the parathyroid gland and other
hyper- and hypocalcemic disorders. In: Fauci AS,
Braunwald E, Isselbacher KJ, et al, eds. Harrison's
Principles of Internal Medicine. 14th ed.
New York: McGraw-Hill Companies Health Professional
Division; 1998:2241.
Roe DA. Drug-Induced Nutritional Deficiencies.
Second Ed. Westport, CT, Avi Publishing, pp. 155-158,
1985.
Shahani KM. and Ayelo, AD. Rise of dietary Lactobacilli
in gastrointestinal microecology. Am J Clin Nutr.
1980;33:2448-2457.
Singer GG, Brenner BM. Fluid and electrolyte
disturbances. In: Fauci AS, Braunwald E, Isselbacher KJ,
et al, eds. Harrison's Principles of Internal
Medicine. 14th ed. New York: McGraw-Hill Companies
Health Professional Division; 1998:269.
Stevens CE and Hume ID. Contributions of microbes in
vertebrate gastrointestinal tract to production and
conservation of nutrients. Physiol. Rev.
78(2):393-427, 1998.
|

|
| Review Date: October
2000 |
Reviewed By: All
depletions monographs have been reviewed by a team of
experts including Derrick M. DeSilva, Jr., MD, Raritan
Bay Medical Center, Perth Amboy, NJ; Jacqueline A. Hart,
MD, Department of Internal Medicine, Newton-Wellesley
Hospital, Harvard University and Senior Medical Editor,
A.D.A.M., Inc., Boston, MA; John Hinze, PharmD, NMD,
Woodbine, IA; Ruth Marlin, MD, Medical Director and
Director of Medical Education, Preventive Medicine
Research Institute, Sausalito, CA; Brian T Sanderoff,
PD, BS in Pharmacy, Clinical Assistant Professor,
University of Maryland School of Pharmacy; President,
Your Prescription for Health, Owings Mills, MD; Leonard
Wisneski, MD, FACP, George Washington University,
Rockville, MD; Ira Zunin, MD, MPH, MBA, President and
Chairman, Hawaii State Consortium for Integrative
Medicine, Honolulu, HI.
|
|
Copyright © 2004 A.D.A.M., Inc
The publisher does not
accept any responsibility for the accuracy of the
information or the consequences arising from the
application, use, or misuse of any of the information
contained herein, including any injury and/or damage to
any person or property as a matter of product liability,
negligence, or otherwise. No warranty, expressed or
implied, is made in regard to the contents of this
material. No claims or endorsements are made for any
drugs or compounds currently marketed or in
investigative use. This material is not intended as a
guide to self-medication. The reader is advised to
discuss the information provided here with a doctor,
pharmacist, nurse, or other authorized healthcare
practitioner and to check product information (including
package inserts) regarding dosage, precautions,
warnings, interactions, and contraindications before
administering any drug, herb, or supplement discussed
herein.
|
|
|
|
 |
|
| |
|