Riboflavin
( Vitamin B 2 ) Pronunciation: (RYE-boh-FLAY-vin)Class: Water-soluble vitamin
Trade Names:
Riboflavin
- Tablets 50 mg
- Tablets 100 mg
Pharmacology
Is converted in body to coenzyme necessary in oxidation reduction. Also necessary in maintaining integrity of RBCs.
Pharmacokinetics
Absorption
Absorbed from duodenum.
Distribution
Riboflavin and metabolites distributed into all body tissues and breast milk. Small amount stored in liver, spleen, kidneys, and heart. Protein binding is 60% (metabolites FAD and FMN).
Metabolism
Hepatic.
Elimination
Eliminated in urine (excreted mostly as metabolites), small amount in bile, feces, and sweat. T ½ is 66 to 84 min (oral or IM).
Indications and Usage
Prevention and treatment of riboflavin deficiency.
Contraindications
None well documented.
Dosage and Administration
SupplementAdults
PO 1.4 to 1.8 mg (men), 1.2 to 1.3 mg (women), 1.6 to 1.8 mg (pregnant or lactating women).
ChildrenPO 0.8 to 1.2 mg/day.
Treatment of DeficiencyAdults
PO 5 to 10 mg/day.
ChildrenPO 2 to 10 mg/day.
Drug Interactions
None well documented.
Laboratory Test Interactions
Large doses produce bright-yellow urine, which may contain fluorescent substances and interfere with urinalysis based on spectrometry or color reactions.
Adverse Reactions
Genitourinary
Yellow-orange discoloration of urine.
Precautions
Pregnancy
Category A ( Category C in doses that exceed the RDA).
Lactation
Excreted in breast milk.
Deficiency
Riboflavin deficiency rarely occurs alone; often associated with deficiency of other B vitamins and protein.
Patient Information
- Instruct patient to take medication with meals to increase drug absorption.
- Inform patient that urine may turn yellow-orange color.
- Advise patient to take only recommended dose.
- Teach patient about nutritious diet and refer to dietitian if necessary.
- Review diet of foods high in riboflavin (B 2 ): eggs, organ meats, whole grain cereals and breads, green vegetables, mushrooms, avocados, kidney beans, cashews, chestnuts, cheeses.
- Advise female patients to contact health care provider if pregnant, planning on becoming pregnant, or breastfeeding.
Copyright © 2009 Wolters Kluwer Health.
