Drug Index
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Ascorbic acid

Synonym :

Vitamin C

Mechanism :

Necessary for collagen formation and tissue repair in the body; involved in some oxidation-reduction as well as many other metabolic reactions.


Indication :

  • Prevention and treatment of scurvy
  • Increase iron excretion during deferoxamine administration

Contraindications :

Hypersensitivity to ascorbic acid or any component.


Dosing :

RDA:
0-6 months: 40 mg (~6 mg/kg/day)
6-12 months: 50 mg (~6 mg/kg/day)
1-3 years: 15 mg
3-8 years: 25 mg
8-13 years: 45 mg
13-18 years: Males-75 mg, Females-65 mg.
Scurvy:
100 mg (Oral) thrice daily for 1 week. Then 100 mg (Oral) everyday until condition resolves (1-3 months).
Increase iron excretion during deferoxamine administration:
100-200 mg/day during deferoxamine therapy.

Adverse Effect :

Flushing, fainting, dizziness, headache, fatigue. nausea, vomiting, diarrhea, heartburn, diarrhea, hyperoxaluria. In thalassemia patients, it may increase the iron overload state.


Interaction :

Aspirin, iron, oral contraceptives (increases estrogen levels), decreases warfarin effect.



Renal Dose :

Dose in Renal Impairment GFR (mL/min)
20-50Dose as in normal renal function
10-20Dose as in normal renal function
<10Dose as in normal renal function

Dose in Patients undergoing Renal Replacement Therapies
CAPDDialysed. Dose as in normal renal function
HDDialysed. Dose as in normal renal function
HDF/High fluxDialysed. Dose as in normal renal function
CAV/VVHDDialysed. Dose as in normal renal function

Hepatic Dose :

No dosage adjustments are recommended.
08/09/2024 21:28:55 Ascorbic acid
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