| Vitamin B5 (Pantothenic Acid) |
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All the cells in your body need vitamin B5, or pantothenic acid.
It is a water-soluble B vitamin that is converted by the body into a compound
called coenzyme A, which your body needs to change food into energy. Vitamin
B5 is also known as the "anti-stress" vitamin because it supports the
healthy functioning of your adrenal glands, the organs that help your body cope
with all types of stress. Vitamin B5 is needed for proper nerve and
muscle action, and it is vital to maintaining a healthy immune system. It also
seems to help decrease the painful symptoms of rheumatoid arthritis. |

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| Uses |
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- Some health care providers recommend taking vitamin B5 for
fatigue, allergies, asthma, psoriasis, or other chronic illness, or if you have
a very active or stressful lifestyle. Vitamin B5 has not been proved
useful for these conditions.
- Taking vitamin B5 seems to help reduce the pain, swelling,
and stiffness of rheumatoid arthritis and to improve wound healing, especially
after surgery.
- Pantethine seems to help lower blood lipids (fats, cholesterol, and
triglycerides) and speed up the detoxification process.
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| Dietary Sources |
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Pantothenic acid gets its name from the Greek work pantos, meaning
"everywhere," because it is available in a wide variety of foods. A lot of
vitamin B5 is lost in processing, so fresh meats, vegetables, and
whole unprocessed grains have more vitamin B5 than refined, canned,
and frozen food. The best sources are brewer's yeast, whole-grain breads and
cereals, mushrooms, liver, dried beans and peas, avocados, fish, chicken, nuts
(pecans, hazelnuts), peanuts, cauliflower, milk and cheese, potatoes, oranges,
bananas, and eggs. |

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| Other Forms |
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Vitamin B5 is included in most B-complex vitamins. It is also
available in single supplement form as calcium pantothenate, which is 92%
pantothenic acid and 8% calcium. It is available in 100-, 250-, and 500- mg
capsules. |

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| How to Take It |
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Individual needs for vitamin B5 vary according to food intake and
the amount of stress (physical, environmental, or emotional/mental) in one's
life. Daily intakes of dietary vitamin B5 that are considered adequate
under general circumstances are listed below: Pediatric - Infants birth to 6 months: 1.7 mg
- Infants 6 months to 1 year: 1.8 mg
- Children 1 to 3 years: 2 mg
- Children 4 to 8 years: 3 mg
- Children 9 to 13 years: 4 mg
- Adolescents 14 to 18 years: 5 mg
Adult - 19 years and older: 5 mg
- Pregnant females: 6 mg
- Lactating females: 7 mg
Therapeutic dosage recommendations for adults range from 250 to 500 mg of
pantothenic acid daily for general adrenal support to 2,000 mg daily for
rheumatoid arthritis. The recommended dose of pantethine for lowering
cholesterol and triglycerides is 300 mg three times daily (900 mg/day). Take
with water, preferably after eating, or according to your healthcare provider's
recommendation. |

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| Precautions |
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There are no known interactions or side effects associated with taking
vitamin B5 supplements. It is recommended that you take vitamin
B5 along with other B vitamins to reduce the possibility of a
B-vitamin imbalance in your system. |

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| Possible Interactions |
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No noteworthy interactions (positive or negative) between pantothenic acid
and conventional medications are known to have been reported in the literature
to date. |

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| Supporting Research |
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Arsenio L, et al. Effectiveness of long-term treatment with pantethine in
patients with dyslipidemia. Clin Ther.
1986;8:537–545. Bertolini S, Donati C, Elicio N, et al. Lipoprotein changes induced by
pantethine in hyperlipoproteinemic patients: adults and children. Int J Clin
Pharmacol Ther Toxicol. 1986;24:630–637. Binaghi P, Cellina G, Lo Cicero G, et al. Evaluation of the
cholesterol-lowering effectiveness of pantethine in women in perimenopausal age
[in Italian]. Minerva Med. 1990;81:475–479. Coronel F, Tornero F, Torrente J, et al. Treatment of hyperlipemia in
diabetic patients on dialysis with a physiological substance. Am J
Nephrol. 1991;11:32–36. Gaddi A, et al. Controlled evaluation of pantethine, a natural hypolipidemic
compound in patients with different forms of hyperlipoproteinemia.
Atherosclerosis. 1984;50:73–83. Gensini GF, et al. Changes in fatty acid composition of the single platelet
phospholipids induced by pantethine treatment. Int J Clin Pharmacol Res.
1985;5:309–318. Haas E. Staying Healthy with Nutrition: The Complete Guide to Diet and
Nutritional Medicine. Berkeley, Calif: Celestial Arts Publishing; 1992. Hendler SS. The Doctors' Vitamin and Mineral Encyclopedia. New York,
NY: Fireside Press; 1991. Lieberman S, Bruning N. The Real Vitamin and Mineral Book. 2nd ed. New
York, NY: Avery Publishing Group; 1997. Murray M. Encyclopedia of Nutritional Supplements. Rocklin, Calif:
Prima Publishing; 1996. Nutrients and Nutritional Agents. In: Kastrup EK, Hines Burnham T, Short RM,
et al, eds. Drug Facts and Comparisons. St. Louis, Mo: Facts and
Comparisons; 2000:4-5. Prisco D, Rogasi PG, Matucci M, et al. Effect of oral treatment with
pantethine on platelet and plasma phospholipids in IIa hyperlipoproteinemia.
Angiology. 1987;38:241–247. Somer E. The Essential Guide to Vitamins and Minerals. New York, NY:
HarperCollins Publishers, Inc; 1995. Vaxman F, Olender S, Lambert A, et al. Effect of pantothenic acid and
ascorbic acid supplementation on human skin wound healing process. A
double-blind, prospective and randomized trial. Eur Surg Res.
1995;27:158–166. |

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