|
| Anti-inflammatory
Medications |
|
|
| Salicylates |
|
|
- Aspirin
|
(Anacin®[OTC]; Arthritis Foundation® Pain
Reliever
[OTC]; Ascriptin®[OTC]; Aspergum®[OTC];
Asprimox®[OTC]; Bayer® Aspirin [OTC]; Bayer® Buffered
Aspirin [OTC]; Bayer® Low Adult Strength [OTC];
Bufferin®[OTC]; Buffex®[OTC]; Cama® Arthritis Pain
Reliever [OTC]; Easprin®; Ecotrin® Low Adult Strength [OTC];
Ecotrin®[OTC]; Empirin®[OTC]; Extra Strength
Adprin-B®[OTC]; Extra Strength Bayer® Enteric 500 Aspirin
[OTC]; Extra Strength Bayer® Plus [OTC]; Halfprin®
81®[OTC]; Heartline®[OTC]; Regular Strength Bayer®
Enteric 500 Aspirin
[OTC]; St Joseph® Adult Chewable Aspirin
[OTC]; ZORprin®) |
|
|
|
| Depletions |
|
|
| 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.
Note: Iron loss is secondary to bleeding. |
|
|
| Potassium |
|
|
Symptoms of potassium deficiency include loss of appetite, nausea,
drowsiness, feelings of apprehension, excessive thirst, irrational behavior,
fatigue, muscle pain and weakness (usually of the lower limbs); severe cases may
lead to irregular heartbeat. |
|
|
| Vitamin
B9 (Folic
Acid) |
|
|
Low levels of folic acid have been linked to anemia, heart disease, and birth
defects. |
|
|
| Vitamin
C (Ascorbic
Acid) |
|
|
Vitamin C deficiency may include bruising, fever, anemia, emotional changes,
swollen and bleeding gums, fatigue, lethargy, jaundice (yellowing of the skin
and eyes), increased susceptibility to infections, slow wound healing, and
swelling of the lower limbs. Severe deficiency leads to scurvy, a disorder that
affects muscles and bones and is potentially fatal. However, scurvy is rare
these days because of the wide availability of vitamin C from dietary
sources. |
|
|
| Editorial Note |
|
|
|
|
|
| Supporting Research |
|
|
Ames BN. Micronutrient deficiencies: A major cause of DNA damage. Ann NY
Acad Sci. 2000;889:87-106.
Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C
based on antioxidant and health effects in humans. Am J Clin Nutr
1999;69:1086-1087.
Coffey G. and Wilson CWM. Ascorbic acid deficiency and aspirin-induced
haematemesis. BM J. 1975;1:208.
Covington T, ed. Nonprescription Drug Therapy Guiding Patient
Self-Care. St. Louis, Mo: Facts and Comparisons; 1999: 467-545.
Lawrence, VA, et al. Aspirin and folate binding: in vivo and in vitro studies
of serum binding and urinary excretion of endogenous folate. J Lab Clin
Med. 1984;103:944-948.
Leonards JH. and Levy G. Gastrointestinal blood loss during prolonged aspirin
administration. N Engl J Med. 1973;289:1020-1022.
National Research Council. Recommended Dietary Allowances.
10th ed. Washington, DC: National Academy Press; 1989.
Selhub, J, et al. Inhibition of folate enzymes by sulfasalazine. J Clin
Invest. 1978;61:221-224.
Smith MJH. and Smith PK. eds. The Salicylates: A Critical Bibliographic
Review. New York, Interscience, 1966.
Wilson JD. Vitamin deficiency and excess. 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; 1998:483-485. |
|
| 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.
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