Thiamine: Difference between revisions

Line 13: Line 13:
**10-30mg IV tid
**10-30mg IV tid


*Wernicke encephalopathy
*Wernicke's encephalopathy
**100mg IV x1
**High-dose parenteral regimen: 500mg IV TID x 2 days
***Then 50-100mg IM/IV QD
***Then 250mg IM/IV QD x 5 days


==Pediatric Dosing==
==Pediatric Dosing==

Revision as of 20:01, 17 September 2020

Administration

  • Dosage Forms: 50,100,250,500mg
  • Routes of Administration: IM, IV
    • Im or IV routres require: Intradermal skin test before use if hypersensitivity risk
  • Common Trade Names: Vitamin B1

Adult Dosing

  • Beriberi
    • 10-20mg IM tid x 2wk
      • Then 5-30mg PO QD x1mo
  • Wet beriberi with CHF
    • 10-30mg IV tid
  • Wernicke's encephalopathy
    • High-dose parenteral regimen: 500mg IV TID x 2 days
      • Then 250mg IM/IV QD x 5 days

Pediatric Dosing

Special Populations

Renal Dosing

Not defined

Hepatic Dosing

Not defined

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • anaphylaxis
  • angioedema
  • cyanosis

Common

  • injection site pain
  • pruritus
  • warmth sensation
  • urticaria

Pharmacology

  • Half-life: Unknown
  • Metabolism: Liver, CYP450, Unknown
  • Excretion: Urine

Mechanism of Action

Physiologic cofactor

Comments

See Also

Thiamine deficiency types

References