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Beta-Carotene
Pronunciation
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dietary Considerations
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(BAY tah KARE oh teen)

Generic Available

Yes


Pharmacological Index

Vitamin, Fat Soluble


Use

Reduces severity of photosensitivity reactions in patients with erythropoietic protoporphyria (EPP)


Pregnancy Risk Factor

C


Contraindications

Hypersensitivity to beta-carotene


Warnings/Precautions

Use with caution in patients with renal or hepatic impairment; not proven effective as a sunscreen


Adverse Reactions

>10%: Dermatologic: Carotenodermia (yellowing of palms, hands, or soles of feet, and to a lesser extent the face)

<1%: Dizziness, bruising, diarrhea, arthralgia


Drug Interactions

Fulfills vitamin A requirements, do not prescribe additional vitamin A


Mechanism of Action

The exact mechanism of action in erythropoietic protoporphyria has not as yet been elucidated; although patient must become carotenemic before effects are observed, there appears to be more than a simple internal light screen responsible for the drug's action. A protective effect was achieved when beta-carotene was added to blood samples. The concentrations of solutions used were similar to those achieved in treated patients. Topically applied beta-carotene is considerably less effective than systemic therapy.


Pharmacodynamics/Kinetics

Metabolism: Prior to absorption, converted to vitamin A in the wall of the small intestine and then further oxidized to retinoic acid and retinol in the presence of fat and bile acids; small amounts are then stored in the liver; retinol (active) is conjugated with glucuronic acid

Elimination: In urine and feces


Usual Dosage

Oral:

Adults: 30-300 mg/day


Dietary Considerations

May be administered with meals


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Take exactly as directed; do not take more than the recommended dose. Take with meals. Skin may appear slightly yellow-orange. Not a proven sunblock. Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend to be pregnant. Consult prescriber if breast-feeding.


Nursing Implications

Skin may appear slightly yellow-orange; not a proven sunscreen


Dosage Forms

Capsule: 15 mg, 30 mg


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