Symptoms of Vitamin C Toxicity
Vitamin C, which is also called ascorbic acid, is a water-soluble vitamin required for the synthesis of neurotransmitters and collagen. It also has antioxidant properties that can protect molecules in the body from damage by oxidative free radicals. Supplements containing vitamin C are available over-the-counter and are generally safe and well-tolerated, although some side effects may occur if you take high doses.
Toxicity
As a water-soluble vitamin, most excess vitamin C is flushed from the body in urine. As a result, it does not build up in your system and cases of vitamin C toxicity are rare. The recommended dietary allowance for women is 75 milligrams daily, while men should consume 90 milligrams every day. If you smoke, you should add another 35 milligrams because smokers need more antioxidant protection, according to the Linus Pauling Institute. The Institute of Medicine established a tolerable upper intake level of 2,000 milligrams. If you consume more than that from food or supplements, you may experience side effects, but you're not likely to get that much through your diet.
- As a water-soluble vitamin, most excess vitamin C is flushed from the body in urine.
- If you consume more than that from food or supplements, you may experience side effects, but you're not likely to get that much through your diet.
Side Effects
Airborne Side Effects
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The most common side effects from high doses of vitamin C are upset stomach and diarrhea. Other gastrointestinal symptoms have also been reported, such as abdominal cramps, headache, heartburn and vomiting. These symptoms are generally not serious and usually go away as soon as the high doses of vitamin C are stopped. These symptoms are caused by the osmotic effect that the excess vitamin C has on the gastrointestinal tract, explains the Office of Dietary Supplements. A large concentration of vitamin C in the intestines causes more water to be pulled into the intestines, causing cramping and diarrhea.
- The most common side effects from high doses of vitamin C are upset stomach and diarrhea.
- A large concentration of vitamin C in the intestines causes more water to be pulled into the intestines, causing cramping and diarrhea.
Risk of Kidney Stones
Vitamin C can increase the levels of oxalate in your urine, which may also raise your risk of developing kidney stones. Research studies to date have produced mixed results, sometimes showing a relationship between excessive vitamin C and calcium oxalate stones, while other studies do not support this association. However, if you have a history of kidney stones, you should limit your vitamin C consumption to no more than 100 milligrams daily, according to information from New York University's Langone Medical Center.
Warnings
Does Vitamin C Disturb the Stomach?
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Vitamin C may reduce the effectiveness of some types of prescription medications including medications used to treat cancer, high cholesterol and AIDS. It may also interfere with the activity of blood-thinning medications, such as warfarin, that are used to treat blood clots, according to MedlinePlus. Since vitamin C boosts the absorption of nonheme iron, you should not take high-dose supplements together with iron supplements. Avoid taking excessive vitamin C if you have iron-related illnesses, such as thalessemia or hemochromatosis. If you have these conditions or take any prescription medications, talk to your physician before taking vitamin C supplements.
- Vitamin C may reduce the effectiveness of some types of prescription medications including medications used to treat cancer, high cholesterol and AIDS.
Related Articles
References
- Office of Dietary Supplements of the National Institutes of Health: Vitamin C
- Linus Pauling Institute at Oregon State University: Vitamin C
- New York University Langone Medical Center: Kidney Stones
- University of Maryland Medical Center: Kidney Stones
- Slatore CG, Littman AJ, Au DH, Satia JA, White E. Long-term use of supplemental multivitamins, vitamin C, vitamin E, and folate does not reduce the risk of lung cancer. Am J Respir Crit Care Med. 2008;177(5):524-30. doi:10.1164/rccm.200709-1398OC
- NIH Office of Dietary Supplements. Vitamin C. Updated December 10, 2019.
- Schleicher RL, Carroll MD, Ford ES, Lacher DA. Serum vitamin C and the prevalence of vitamin C deficiency in the United States: 2003-2004 National Health and Nutrition Examination Survey (NHANES). Am J Clin Nutr. 2009;90(5):1252-63. doi:10.3945/ajcn.2008.27016
- Quinn J, Gerber B, Fouche R, Kenyon K, Blom Z, Muthukanagaraj P. Effect of high-dose vitamin C infusion in a glucose-6-phosphate dehydrogenase-deficient patient. Case Rep Med. 2017;2017:5202606. doi:10.1155/2017/5202606
- Douglas RM, Hemilä H, Chalker E, Treacy B. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2007;(3):CD000980. doi:10.1002/14651858.CD000980.pub3
- Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013;(1):CD000980. doi:10.1002/14651858.CD000980.pub4
- A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8. Arch Ophthalmol. 2001;119(10):1417-36. doi:10.1001/archopht.119.10.1417
- Weikel KA, Garber C, Baburins A, Taylor A. Nutritional modulation of cataract. Nutr Rev. 2014;72(1):30-47. doi:10.1111/nure.12077
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- Sesso HD, Buring JE, Christen WG, et al. Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. JAMA. 2008;300(18):2123-33. doi:10.1001/jama.2008.600
- Lin J, Cook NR, Albert C, et al. Vitamins C and E and beta carotene supplementation and cancer risk: a randomized controlled trial. J Natl Cancer Inst. 2009;101(1):14-23. doi:10.1093/jnci/djn438
- Slatore CG, Littman AJ, Au DH, Satia JA, White E. Long-term use of supplemental multivitamins, vitamin C, vitamin E, and folate does not reduce the risk of lung cancer. Am J Respir Crit Care Med. 2008;177(5):524-30. doi:10.1164/rccm.200709-1398OC
Writer Bio
Matthew Busse has pursued professional health and science writing since 2007, writing for national publications including "Science Magazine," "New Scientist" and "The Scientist." Busse holds a doctorate in molecular biology from the University of California-San Diego.