Classes
DEA Class; Rx, OTC
Common Brand Names; vitamin B1
- B Vitamins;
- Vitamins, Water-Soluble
Description
Forms thiamine pyrophosphate by combining with adenosine triphosphate; essential coenzyme in carbohydrate metabolism
It helps your body turn food into energy. It’s also key for the structure of brain cells. Legumes, like black beans and lentils, and seeds are go-to sources. Pork and whole grains are also good. Most people get enough thiamin from the foods they eat, but pregnant and breastfeeding women need a little more. People with diabetes tend to have low levels of it.
Food Sources
Fresh fruits, corn, cashew nuts, potatoes, sweet potatoes, peas, wheat, milk, dates, black beans, etc.
Indications
Thiamine (vitamin B1) helps the body cells change carbohydrates into energy. Getting enough carbohydrates is very important during pregnancy and breastfeeding. It is also essential for heart function and healthy nerve cells.
NOTE: If beriberi occurs in a breast-fed infant, both the lactating mother and the infant should receive treatment for thiamine deficiency.
Contraindications
Hypersensitivity
Adverse Effects
- Warmth
- Anaphylaxis
- Cyanosis
- Diaphoresis
- Restlessness
- Angioneurotic edema
- Pruritus
- Urticaria
- Pulmonary edema
- Weakness
- Tightness of the throat
- Nausea
Warnings
In pregnancy (doses >RDA)
Acute thiamine deficiency reported with dextrose administration; use caution when thiamine status uncertain
Hypersensitivity reactions reported following repeated parenteral doses
Parenteral products may contain aluminum; use caution in patients with impaired renal function
Evaluate for additional vitamin deficiencies if patient diagnosed with thiamin deficiency; single vitamin deficiencies are rare
Pregnancy and Lactation
Pregnancy Category: A (injectable); C (if >RDA)
Lactation: Safe
Maximum Dosage
RDA
Males: 1.2 mg/day
Females: 1.1 mg/day
Pregnancy/Lactation: 1.4 mg/day
Beriberi
IM: 5-30 mg three times daily (if critically ill); then 5-30 mg three times daily for 1 month
Duration dependent on persistence of symptoms
Wernicke Encephalopathy
100 mg IV; then 50-100 mg/day IM or IV until consuming regular balanced diet
Thiamin Deficiency
1 tablet or capsule/day
Need for thiamin increases when carbohydrate content of diet is high
How supplied
Vitamin B1 (Thiamin)
tablet
- 50mg
- 100mg
- 250mg
capsule
- 50mg
injectable solution
- 100mg/mL