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Vitamin E toxicity
Domina Petric, MD
Vitamin E toxicity
Vitamin E is one of the least toxic of the
vitamins.
Daily doses as high as 400 IU can be
considered harmless.
Large oral doses as great as 3200 IU have
not been found to have consistent ill effects.
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
2
Vitamin E toxicity
• At very high doses, however, vitamin E can
antagonize the functions of other fat-soluble
vitamins.
• This can be antagonised with increased dietary
supplements of the appropriate vitamins: vitamins D,
A and K.
• Isolated reports of negative effects in patients
consuming up to 1000 IU of vitamin E per day
included headache, fatigue, nausea, double vision,
muscular weakness, mild creatinuria and
gastrointestinal distress.
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
3
Fat soluble vitamins
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
4
Vitamin AVitamin E
Vitamin K
Vitamin D
Fat soluble
vitamins
Vitamin E toxicity
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
5
DOUBLE
VISION
HEADACHE
FATIGUE
NAUSEA
MUSCULAR
WEAKNESS
CREATINURIA
GASTROINTESTINAL
DISTRESS
Vitamin E
intoxication
The least
toxic of
vitamins
Individual
cases
Dose >1000
IU/day
Vitamin E toxicity
• Potentially deleterious metabolic effects of
high level vitamin E status include inhibitions
of retinyl ester hydrolase and vitamin K-
dependent carboxylations.
• Patients of normal coagulation status given
high doses of vitamin E (at least 1000 IU/day)
showed decreased γ-carboxylation and
decreased functionality of prothrombin.
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
6
Vitamin E toxicity
Tocopherylquinone has
structural similarities to
vitamin K and may act as
an inhibitor of vitamin K
metabolism.
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
7
Conclusion
Vitamin E is safe over a
wide range of intakes that
would extend to
approximately 1600 IU/day
for most healthy adults.
April 11, 2018
Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
8
Literature
• Combs GF. The Vitamins. Fundamental Aspects in
Nutrition and Health. Elsevier Inc. 2008.
April 11, 2018 9

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Vitamin E toxicity

  • 2. Vitamin E toxicity Vitamin E is one of the least toxic of the vitamins. Daily doses as high as 400 IU can be considered harmless. Large oral doses as great as 3200 IU have not been found to have consistent ill effects. April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 2
  • 3. Vitamin E toxicity • At very high doses, however, vitamin E can antagonize the functions of other fat-soluble vitamins. • This can be antagonised with increased dietary supplements of the appropriate vitamins: vitamins D, A and K. • Isolated reports of negative effects in patients consuming up to 1000 IU of vitamin E per day included headache, fatigue, nausea, double vision, muscular weakness, mild creatinuria and gastrointestinal distress. April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 3
  • 4. Fat soluble vitamins April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 4 Vitamin AVitamin E Vitamin K Vitamin D Fat soluble vitamins
  • 5. Vitamin E toxicity April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 5 DOUBLE VISION HEADACHE FATIGUE NAUSEA MUSCULAR WEAKNESS CREATINURIA GASTROINTESTINAL DISTRESS Vitamin E intoxication The least toxic of vitamins Individual cases Dose >1000 IU/day
  • 6. Vitamin E toxicity • Potentially deleterious metabolic effects of high level vitamin E status include inhibitions of retinyl ester hydrolase and vitamin K- dependent carboxylations. • Patients of normal coagulation status given high doses of vitamin E (at least 1000 IU/day) showed decreased γ-carboxylation and decreased functionality of prothrombin. April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 6
  • 7. Vitamin E toxicity Tocopherylquinone has structural similarities to vitamin K and may act as an inhibitor of vitamin K metabolism. April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 7
  • 8. Conclusion Vitamin E is safe over a wide range of intakes that would extend to approximately 1600 IU/day for most healthy adults. April 11, 2018 Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. 8
  • 9. Literature • Combs GF. The Vitamins. Fundamental Aspects in Nutrition and Health. Elsevier Inc. 2008. April 11, 2018 9