Adverse effects associated with arginine α-ketoglutarate containing supplements.

Autor: Prosser, J. M., Majlesi, N., Chan, G. M., Olsen, D., Hoffman, R. S., Nelson, L. S.
Předmět:
Zdroj: Human & Experimental Toxicology; May2009, Vol. 28 Issue 5, p259-262, 4p, 1 Diagram, 1 Chart
Abstrakt: The athletic performance supplement industry is a multibillion-dollar business and one popular category claims to increase nitric oxide (NO) production. We report three patients presenting to the emergency department with adverse effects. A 33-year-old man presented with palpitations, dizziness, vomiting, and syncope, after the use of NO2 platinum. His examination and electrocardiogram (ECG) were normal. The dizziness persisted, requiring admission overnight. A 21-year-old man with palpitations and near syncope had used a "nitric oxide" supplement. He was tachycardic to 115 bpm with otherwise normal examination. Laboratory values including methemoglobin, and ECG were unremarkable. He was treated with 1 L of saline with no change in heart rate. He was admitted for observation. A 24-year-old man presented after taking NO-Xplode with palpitations and a headache. His examination, laboratory values, and ECG were normal. He was discharged. The purported active ingredient in these products is arginine α-ketoglutarate (AAKG), which is claimed to increase NO production by supplying the precursor L-arginine. The symptoms could be due to vasodilation from increased levels of NO, though other etiologies cannot be excluded. AAKG containing supplements may be associated with adverse effects requiring hospital admission. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index