Niacin Flashcards

1
Q

What are the 4 mechanisms of action of niacin

A

Inhibition of lipolysis in adipose tissue

Decreased VLDL synthesis, and this LDL production

Inhibition of diacylglycerol acyltransferase

Increase HDL levels

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2
Q

6 Symptoms of toxicity of nicotenic acid

A
Vasodilatory effects - flushing 
GI symptoms
Liver injury
Hyperuricemia or gout
Glucose intolerance
Blurred vision
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3
Q

What is tolerable upper limit of niacin and what can a typical nicotenic acid dosage go up to

A

35 mg/day

6 g/day

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4
Q

What does a niacin deficiency typically cause?

A

Pellagra

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5
Q

What are beginning stage of pellagra

A

Poor digestion, absorption, lethargy, anorexia

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6
Q

What are the 4 D’s of niacin deficiency

A

Dermatitis

Dementia

Diarrhea

Death

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7
Q

What vitamin does pellagra affect

A

B6

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8
Q

What is a hallmark symptom of niacin deficiency

A

Area of dry skin around the neck called kazals collar

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9
Q

What can nicotenic be prescribed to treat?

A

Hyercholesterolemia

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