Efficacy and tolerability of a combination of uridine, cytidine, and vitamin B12 in anemia. A double-blind, comparative study versus nucleotide monotherapy



Título del documento: Efficacy and tolerability of a combination of uridine, cytidine, and vitamin B12 in anemia. A double-blind, comparative study versus nucleotide monotherapy
Revista: RBM. Revista brasileira de medicina
Base de datos: PERIÓDICA
Número de sistema: 000317793
ISSN: 0034-7264
Autores: 1
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2
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4
Instituciones: 1Universidade Federal do Rio de Janeiro, Rio de Janeiro. Brasil
2Universidade do Estado do Rio de Janeiro, Rio de Janeiro. Brasil
3Fundacao Instituto Oswaldo Cruz, Instituto de Pesquisa Clinica Evandro Chagas, Rio de Janeiro. Brasil
4Massachusetts General Hospital, Boston, Massachusetts. Estados Unidos de América
Año:
Periodo: Ene-Feb
Volumen: 65
Número: 1-2
Paginación: 15-21
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, caso clínico
Resumen en inglés in Group B received 2.5 mg cytidine 5'-{sodium P'(2-(trimethylammonio)-ethyl) hydrogen diphosphate}, and 1.5 mg uridine 5'-trisodium triphosphate in identical capsule forms. Main outcome measure: Primary outcome measures defined in the protocol included improvements in MCV, MCH and vitamin B12 reaching laboratory reference range, 3-point improvements in Global, Pain, and Paresthesia evaluations and a 20% reduction in VAS scores. Results: Normalization of laboratory evaluations occurred only in Group A. Three-point improvement in Global evaluation by the physician was observed only in Group A, while both groups showed improvement in Global evaluation by the patient. Patient's assessment of pain improved only in Group A, although VAS score decrease was noted in both groups both groups also had improvement in paresthesia evaluations. Vital signs did not change, while weight gain was observed in both groups. Adverse events seen in both groups included nausea, diarrhea, headache and abdominal cramps. Alterations in laboratory evaluations were reported in both groups, but could be directly attributed to anemia. Conclusion: The combination of vitamin B12, uridine and cytidine was found to be safe and effective in the treatment of the signs and symptoms of anemia in the population studied. The pain reduction observed in both groups may be attributed to activity of the nucleotides
Disciplinas: Medicina
Palabras clave: Metabolismo y nutrición,
Terapéutica y rehabilitación,
Anemia,
Vitamina B12,
Uridina,
Citidina,
Dolor,
Neuropatías,
Eficacia
Keyword: Medicine,
Metabolism and nutrition,
Therapeutics and rehabilitation,
Anemia,
Vitamin B12,
Uridine,
Cytidine,
Efficacy,
Pain,
Neuropathies
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