Introduction

Vitamin C, Vitamin E, Lutein, Copper, and Zinc are essential nutrients and antioxidants that support various physiological functions and overall health. They are often combined in dietary supplements to provide a synergistic effect in protecting cells from oxidative stress and supporting immune function.

Uses

This combination of nutrients is commonly used for:

  • Enhancing immune system function and overall health.
  • Supporting skin health and reducing signs of aging.
  • Protecting against oxidative stress and cellular damage.
  • Improving eye health, particularly in age-related macular degeneration.
Brand Name Aztrum-I
Type Eye Capsule
Weight
Generic Vitamin C, Vitamin E, Lutein, Copper & Zinc
Manufacturer Apex Pharmaceuticals Ltd.
Available in English বাংলা

Mechanism of Action

Each component of this combination plays a unique role:

  • Vitamin C: An antioxidant that helps protect cells from damage by free radicals. It also aids in collagen synthesis and supports immune function.
  • Vitamin E: A fat-soluble antioxidant that helps prevent oxidative damage to cells and tissues. It works synergistically with Vitamin C to protect cell membranes.
  • Lutein: A carotenoid found in the eye, particularly in the macula. It helps filter harmful high-energy blue light and protects against retinal damage.
  • Copper: A trace element that is crucial for the formation of red blood cells and connective tissues, and aids in iron absorption. It also has antioxidant properties.
  • Zinc: A trace mineral involved in immune function, protein synthesis, and DNA synthesis. It has antioxidant properties and is important for skin health and wound healing.

How Long Does It Take to Work?

The time it takes to notice benefits from this combination can vary depending on individual health status and the specific condition being addressed. Generally, improvements in skin health or immune function may be observed within a few weeks to a few months of consistent use.

Absorption

Vitamin C is well absorbed in the gastrointestinal tract. Vitamin E absorption is improved when taken with dietary fats. Lutein is absorbed with dietary fat, and Copper and Zinc are absorbed in the small intestine. Bioavailability can be influenced by the presence of other nutrients and overall diet.

Route of Elimination

Vitamin C is excreted primarily in the urine. Vitamin E is metabolized in the liver and excreted in bile and feces. Lutein is metabolized in the liver and also excreted in bile. Copper and Zinc are eliminated through bile and urine, with excess amounts excreted primarily via the liver and kidneys.

Dosage

The recommended dosages for this combination can vary based on specific health needs and individual requirements. Typical dosages include:

  • Vitamin C: 500-1000 mg daily.
  • Vitamin E: 100-400 IU daily.
  • Lutein: 6-20 mg daily.
  • Copper: 1-2 mg daily.
  • Zinc: 10-25 mg daily.

Administration

This combination is commonly administered orally in the form of tablets, capsules, or powder. It is important to follow the dosage instructions on the product label or as advised by a healthcare provider.

Side Effects

Common side effects may include:

  • Gastrointestinal discomfort such as nausea or upset stomach, particularly with high doses of Vitamin C.
  • Headache or dizziness.

High doses of Vitamin E can lead to bleeding disorders, and excessive Zinc intake may cause nausea or gastrointestinal distress. Copper toxicity is rare but can cause gastrointestinal issues and liver damage.

Toxicity

Excessive intake of these nutrients can lead to toxicity:

  • Vitamin C: High doses may cause diarrhea and kidney stones.
  • Vitamin E: High doses can increase the risk of bleeding and affect blood clotting.
  • Lutein: Generally well-tolerated; very high doses may lead to yellowing of the skin (carotenodermia).
  • Copper: Excessive copper can lead to gastrointestinal distress and liver damage.
  • Zinc: High doses can cause nausea, vomiting, and impaired immune function.

Precautions

Take precautions to avoid exceeding the recommended dosage. Consult with a healthcare provider before starting these supplements, especially if you have underlying health conditions or are taking other medications.

Interaction

Interactions can occur with other supplements or medications:

  • Vitamin C: May enhance iron absorption and interact with certain medications.
  • Vitamin E: Can interact with anticoagulants, increasing the risk of bleeding.
  • Lutein: No significant interactions noted; however, overall nutrient balance is important.
  • Copper: High zinc intake can interfere with copper absorption.
  • Zinc: Can affect the absorption of antibiotics and other minerals such as copper.

Disease Interaction

Consider potential interactions with diseases:

  • Vitamin C: Should be used cautiously in individuals with kidney disorders.
  • Vitamin E: Use with caution in individuals with bleeding disorders.
  • Lutein: Generally safe, but consult with a healthcare provider if there are specific eye conditions.
  • Copper: Excessive levels may exacerbate conditions like Wilson's disease.
  • Zinc: High doses may exacerbate conditions such as prostate disorders.

Drug Interaction

Drug interactions include:

  • Vitamin C: May interact with chemotherapy agents and anticoagulants.
  • Vitamin E: Can interact with blood thinners and increase bleeding risk.
  • Lutein: No major drug interactions; however, maintaining balanced nutrient intake is advisable.
  • Copper: Interacts with zinc supplements, affecting absorption.
  • Zinc: Can interfere with the absorption of certain antibiotics and diuretics.

Food Interactions

These nutrients are generally well-absorbed with or without food. However, consuming them with a balanced diet that includes healthy fats may improve the absorption of fat-soluble vitamins such as Vitamin E.

Pregnancy Use

These nutrients are essential during pregnancy, but the dosage should be carefully managed. Consult with a healthcare provider to ensure appropriate levels and avoid excessive intake.

Lactation Use

These nutrients are also important during lactation. Ensure adequate intake but avoid excessive doses. Consult with a healthcare provider for guidance on supplementation during breastfeeding.

Acute Overdose

In case of acute overdose, seek medical attention immediately. Symptoms of overdose vary depending on the nutrient and may include gastrointestinal symptoms, headaches, and dizziness.

Contraindication

Contraindications include hypersensitivity to any of the components. Special caution is needed in individuals with certain health conditions or those taking specific medications.

Use Direction

Follow the recommended dosage instructions provided on the supplement label or as advised by a healthcare provider. Do not exceed the recommended amount to avoid potential side effects or toxicity.

Storage Conditions

Store in a cool, dry place, away from direct sunlight and moisture. Keep the supplements tightly closed and out of reach of children.

Volume of Distribution

The volume of distribution varies for each component:

  • Vitamin C: Widely distributed in body tissues.
  • Vitamin E: Distributed in body fat and tissues.
  • Lutein: Concentrates in the eye, particularly in the macula.
  • Copper: Distributed in liver, brain, and muscle tissues.
  • Zinc: Widely distributed in tissues with high concentrations in the bones and muscles.

Half Life

The half-life of each component varies:

  • Vitamin C: Approximately 30 minutes to 2 hours.
  • Vitamin E: Approximately 13-25 hours.
  • Lutein: Approximately 6 hours.
  • Copper: Approximately 10 hours.
  • Zinc: Approximately 1-2 hours.

Clearance

Clearance of these nutrients varies:

  • Vitamin C: Primarily cleared via the kidneys.
  • Vitamin E: Metabolized in the liver and excreted in bile.
  • Lutein: Metabolized in the liver and excreted in bile.
  • Copper: Cleared through bile and urine.
  • Zinc: Cleared primarily via the kidneys and feces.

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