If you take a prescription drug or know someone who does, it is always a good idea to be informed of possible nutritional risk factors.
Pharmaceuticals can provide important benefits to patients with medical problems but consumers/patients should know and understand the possible risk and/or potential depletion of nutrients associated with their use.
Pharmaceutical Medicine and possible nutritional deficiencies :
Digoxin
Nutrients deficiency: Magnesium, Vitamin B1
Diuretics (loop) (eg. Bumetanide, Ethacrynic Acid, Furosemide, Torsemide)
Nutrients deficiency: Calcium & Magnesium (however, if this type of diuretic is COMBINED with a potassium-sparing diuretic, then a magnesium deficiency will NOT occur. A calcium deficiency IS still likely though) Potassium- Vitamins B1, B6 & C
Diuretics (potassium sparing) (eg. Amiloride, Triamterene, Sopironolactone)
Nutrients deficiency: Calcium, Folic Acid
Diuretics (Thiazide type) (eg. Chlorothiazide, Hydrochlorothiazide, Indapamide, Methyclothiazide, Metolazonel)
Nutrients deficiency: Co-enzyme Q10 -Potassium (however, of this type of diuretic is COMBINED with a potassium-sparing diuretic, or an ACE inhibitor, then a potassium deficiency will NOT occur). Magnesium (however, if this type of diuretic is COMBINED with a potassium-sparing diuretic, then a magnesium deficiency will NOT occur. Zinc (however, if this type of diuretic is COMBINED with a potassium-sparing diuretic, then a zinc deficiency will NOT occur.
Fibrate type cholesterol-reducing medications (eg. Bezafibrate, Ciprofibrate, Clofibrate, Gemfibrozil, Fenofibrate)
Nutrients deficiency: Co-Enzyme Q10, Vitamin E
Histamine H2 blockers (eg. Cimetadine, Ranitidine, Famotidine, Nizatidine)
Nutrients deficiency: Calcium & Vitamin D, Iron, Vitamin B12 & Folic Acid, Zinc
Hydralazine
Nutrients deficiency: Co-enzyme Q10, Magnesium, Vitamin B6
Metformin
Nutrients deficiency: Folic Acid & Vitamin B12
Paracetamol
Nutrients deficiency: Glutathione, Selenium
Phenytoin
Nutrients deficiency: Calcium & Vitamin D, Vitamin B1, Folic Acid & Biotin
Proton pump inhibitors (eg. Lansoprazole, Omeprazole)
Nutrients deficiency: Vitamin B12
Phenothiazines (eg. Chlorpromazine, Fluphenazine, Mesoridazine, Perphenazine, Prochlorperazine, Thioridazine, Trifluoperazine)
Nutrients deficiency: Co-enzyme Q10
Thioxanthenes (eg. Chlorprothixene, Flupenthixol, Thiothixene, Zuclopenthixol)
Nutrients deficiency: Vitamin B2
Sodium bicarbonate
Nutrients deficiency: Magnesium, Folic Acid
Sulfasalazine
Nutrients deficiency: Folic Acid
SSRI antidepressants (eg. Fluoxetine, Sertraline, Paroxetine, Citalopram, Escitalopram, Fluvoxamine)
Nutrients deficiency: Melatonin, Protein
Statins (HMG-CoA reductase inhibitors) (eg. Atorvastatin, Fluvastatin, Lovastatin, Provastatin, Simvastatin, Posuvastatin)
Nutrients deficiency: Co-enzyme Q10
Sulfonylureas antidiabetic medication (eg. Acetohexamide, Chlorpropamide, Gliclazide, Glipizide, Glybenclamide, Glyburide, Tolazamide, Tolbutamide)
Nutrients deficiency: Co-enzyme Q10
Theophylline & derivatives (eg. Theophylline, Aminophylline
Nutrients deficiency: Vitamin B6
Tricyclic antidepressants (eg. Amitriptyline, Amoxapine, Clomipramine, Desipramine, Doxepin, Imipramine, Noriptyline, Protriptyline, Trimipramine)
Nutrients deficiency: Co-enzume Q10, Vitamin B2
Valproic Acid & derivatives
Nutrients deficiency: L-Carnitine, Copper, Zinc & Selenium, Folic Acid
For a continued List – read Pharmaceuticals - Nutritional Risk Factors
This information is for informational purpose only and is not intended to replace the care or advice of a physician.