Benfotiamine Monograph
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چکیده
Introduction Neurological disorders, particularly diabetic neuropathy, have been treated with vitamin B1 (thiamine) for decades; however, the bioavailability of orally administered, water-soluble thiamine salts is low compared to fat-soluble analogs. For treatment to be successful, high levels of thiamine are needed in both blood and tissues. In 1954, Fujiwara discovered a group of lipid-soluble thiamine derivatives, subsequently named allithiamines because they occur naturally in Allium family vegetables – roasted, crushed garlic, onions, leeks, shallots, etc. Of these, benfotiamine is the most effective and has an excellent safety profile. Oral administration of benfotiamine raises thiamine levels in blood and tissues to a much higher degree than the water-soluble salts. Benfotiamine also inhibits three major biochemical pathways implicated in diabetes-induced vascular damage and neuropathy. In addition to diabetic neuropathy, benfotiamine appears to be of value in treating diabetic retinopathy and nephropathy. It has also been shown to have beneficial effects in patients with end-stage renal disease and alcoholic neuropathy.
منابع مشابه
Prevention of incipient diabetic nephropathy by high-dose thiamine and benfotiamine.
Accumulation of triosephosphates arising from high cytosolic glucose concentrations in hyperglycemia is the trigger for biochemical dysfunction leading to the development of diabetic nephropathy-a common complication of diabetes associated with a high risk of cardiovascular disease and mortality. Here we report that stimulation of the reductive pentosephosphate pathway by high-dose therapy with...
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Benfotiamine is a synthetic thiamine analogue that stimulates transketolase, a cellular enzyme essential for glucose metabolism. Currently, benfotiamine is used to treat diabetic neuropathy. We recently reported that oral benfotiamine induced a temporary but remarkable recovery from acute myeloid leukemia in an elderly patient who was ineligible for standard chemotherapy due to dementia and ren...
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A Double-Blind, Randomized, Placebo-Controlled Clinical Trial on Benfotiamine Treatment in Patients With Diabetic Nephropathy
OBJECTIVE To investigate the effect of benfotiamine on urinary albumin excretion (UAE) and the tubular damage marker kidney injury molecule-1 (KIM-1) in patients with type 2 diabetes and nephropathy. RESEARCH DESIGN AND METHODS Patients with type 2 diabetes and UAE equivalent to 15-300 mg/24 h, despite ACE inhibitors (ACE-Is) or angiotensin receptor blockers (ARBs), were randomly assigned to ...
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