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| Generic
Available |
|
|
Yes |

|
|
| Pharmacological Index |
|
|
Vitamin, Fat Soluble |

|
|
| Use |
|
|
Reduces severity of photosensitivity reactions in patients with
erythropoietic protoporphyria (EPP) |

|
|
| Pregnancy Risk
Factor |
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|
C |

|
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| Contraindications |
|
|
Hypersensitivity to beta-carotene |

|
|
| Warnings/Precautions |
|
|
Use with caution in patients with renal or hepatic impairment; not proven
effective as a sunscreen |

|
|
| Adverse
Reactions |
|
|
>10%: Dermatologic: Carotenodermia (yellowing of palms, hands, or soles of
feet, and to a lesser extent the face)
<1%: Dizziness, bruising, diarrhea, arthralgia |

|
|
| Drug
Interactions |
|
|
Fulfills vitamin A requirements, do not prescribe additional vitamin
A |

|
|
| Mechanism of
Action |
|
|
The exact mechanism of action in erythropoietic protoporphyria has not as yet
been elucidated; although patient must become carotenemic before effects are
observed, there appears to be more than a simple internal light screen
responsible for the drug's action. A protective effect was achieved when
beta-carotene was added to blood samples. The concentrations of solutions used
were similar to those achieved in treated patients. Topically applied
beta-carotene is considerably less effective than systemic
therapy. |

|
|
| Pharmacodynamics/Kinetics |
|
|
Metabolism: Prior to absorption, converted to vitamin A in the wall of the
small intestine and then further oxidized to retinoic acid and retinol in the
presence of fat and bile acids; small amounts are then stored in the liver;
retinol (active) is conjugated with glucuronic acid
Elimination: In urine and feces |

|
|
| Usual Dosage |
|
|
Oral:
Adults: 30-300 mg/day |

|
|
| Dietary
Considerations |
|
|
May be administered with meals |

|
|
| Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
|
No information available to require special precautions |

|
|
| Dental Health:
Effects on Dental Treatment |
|
|
No effects or complications reported |

|
|
| Patient
Information |
|
|
Take exactly as directed; do not take more than the recommended dose. Take
with meals. Skin may appear slightly yellow-orange. Not a proven sunblock.
Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend
to be pregnant. Consult prescriber if breast-feeding. |

|
|
| Nursing
Implications |
|
|
Skin may appear slightly yellow-orange; not a proven
sunscreen |

|
|
| Dosage Forms |
|
|
Capsule: 15 mg, 30 mg |

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