Due to its wide availability in food sources, pure deficiency of pantothenic acid is unknown. It is possible, though, to have low levels in conjunction with other B vitamins under certain conditions. This category may include people with severe nutritional deficiencies; and those with conditions affecting absorption, such as sprue or removal of portions of the gastrointestinal tract. People who chronically abuse alcohol or other drugs, and those under excessive amounts of stress including debilitating illnesses or recovery from burns or surgery are also at higher risk of general vitamin deficiency. The elderly are more susceptible both to poor nutritional status and decreased vitamin absorption. Use of tobacco is also detrimental to B vitamin absorption. Athletes who have a strenuous, daily physical regimen and people with physically active occupations may require larger than average amounts of pantothenic acid.
Experimentally induced deficiency of pantothenic acid has caused fatigue, somnolence, headache, hyperreflexia of extremities, tingling, numbness, or burning in hands and feet, weakness, gastrointestinal problems, irritability, and increased numbers of infections.
People with hemophilia should not use dexpanthenol as it may prolong bleeding time. Anyone with a known or suspected obstruction of the gastrointestinal tract should also not use this product.
Taken in very large doses, pantothenic acid may cause diarrhea. Topical use of dexpanthenol may cause a skin reaction.
The effects of the medication levodopa may be decreased by supplemental pantothenic acid. This problem is not seen with combination carbidopa and levodopa products. These medications are often used to treat symptoms of Parkinson's disease. Anyone taking medication for this condition should consult a health care provider before taking nutritional supplements.
Bratman, Steven, and David Kroll. Natural Health Bible. Prima Publishing, 1999.
Feinstein, Alice. Prevention's Healing with Vitamins. Emmaus, PA: Rodale Press, 1996.
Griffith, H. Winter. Vitamins, Herbs, Minerals & Supplements: The Complete Guide. Arizona: Fisher Books, 1998.
Jellin, Jeff, Forrest Batz, and Kathy Hitchens. Pharmacist's Letter/Prescriber's Letter Natural Medicines Comprehensive Database. California: Therapeutic Research Faculty, 1999.
Pressman, Alan H., and Sheila Buff. The Complete Idiot's Guide to Vitamins and Minerals. New York: alpha books, 1997.
Rivera, Juan A., Teresita Gonzalez-Cossio, Mario Flores, et al. "Multiple Micronutrient Supplementation Increases the Growth of Mexican Infants." American Journal of Clinical Nutrition 74 (November 2001): 657.
Judith Turner
Rebecca J. Frey, PhD
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Author Info: Judith Turner, Rebecca J. Frey PhD, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Alternative Medicine, 2005 |