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Clinical benefits and risks of high-dose intravenous vitamin C: a systematic review - PubMed

7 hours ago
  • #Vitamin C
  • #Clinical Review
  • #Intravenous Therapy
  • High-dose intravenous vitamin C (IVC) achieves higher plasma concentrations than oral administration.
  • IVC has been studied as an adjunct in sepsis, oncology, and symptom management.
  • Potential benefits include antioxidant effects, immune modulation, and downregulation of pro-inflammatory pathways.
  • Oncology studies show safety and quality-of-life improvements, with some survival benefits in pancreatic cancer.
  • Risks include oxalate nephropathy and hemolysis in G6PD-deficient patients.
  • Pre-screening is recommended to mitigate risks.
  • Home infusion services are expanding, but clinical outcome data for IVC in these settings are limited.
  • Routine use of high-dose IVC in sepsis is not supported by current evidence.
  • IVC's role in oncology remains supportive and exploratory.