Is Long-Term Use of Vitamin E 400 IU Harmful or Cancerous? - Pharmacology

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Vitamin E 400 I.U?


Hello: I have a relative living in the United States who recently brought back a bottle of Vitamin E I.U.
400 capsules for my mother.
I have two questions: 1.
Is long-term use of this vitamin harmful to the body? 2.
I have heard that taking Vitamin E may have a potential link to cancer; is this claim true? Please respond, thank you!

vicky, 30~39 year old female. Ask Date: 2003/07/23

Dr. Gu Zhenting reply Pharmacology


Hello Vicky!
1.
The recommended daily intake of vitamin E for an average adult is 12-15 I.U.
Vitamin E is a fat-soluble vitamin, and the body digests it slowly, so long-term use is not recommended.

2.
High doses of vitamin E are generally used to treat deficiencies, with dosages ranging from 50 to 2000 I.U., depending on the severity of the deficiency.

3.
Most people can obtain vitamin E from food sources such as wheat germ, vegetable oils, leafy greens, nuts, grains, and eggs.

4.
Vitamin E has antioxidant properties and assists in hematopoiesis and hemoglobin formation.
When applied topically, it can help manage dry or cracked skin and prevent itching.

5.
To date, there is no evidence that doses of 50 to 2000 I.U.
are carcinogenic.

6.
It should not be taken with anticoagulant medications, so please inform your physician if you are currently taking this medication, as it may reduce the effectiveness of iron supplements.

7.
Recommendations: (1) Avoid using medications of unknown origin; last year, the Department of Health revoked the license for vitamin E 400 I.U.
water-dispersible products.
(2) Aside from therapeutic needs, excessive consumption of anything can be harmful; moderation is key.

Reply Date: 2003/07/23

More Info


The concerns regarding the long-term use of Vitamin E, particularly at a dosage of 400 IU, are valid and warrant careful consideration. Vitamin E is a fat-soluble vitamin that plays a crucial role in various bodily functions, including acting as an antioxidant, which helps protect cells from damage caused by free radicals. However, the implications of long-term supplementation, especially at higher doses, are complex.

1. Long-Term Use of Vitamin E 400 IU: The recommended dietary allowance (RDA) for Vitamin E for adults is approximately 15 mg (or about 22.4 IU) per day. While 400 IU is significantly higher than the RDA, it is important to note that Vitamin E is generally considered safe when taken in moderation. However, excessive intake over long periods can lead to potential health risks. High doses of Vitamin E may interfere with the body's ability to clot blood, especially in individuals taking anticoagulant medications, which can increase the risk of bleeding. Additionally, some studies have suggested that high doses of Vitamin E may be associated with an increased risk of certain health issues, including heart disease and prostate cancer, although the evidence is not conclusive.

2. Cancer Risk Associated with Vitamin E: The concern about Vitamin E and cancer risk has been the subject of various studies. Some research has indicated that high doses of Vitamin E supplementation may be linked to an increased risk of prostate cancer, particularly in men. For instance, a study published in the Journal of the American Medical Association (JAMA) found that men taking high doses of Vitamin E had a higher incidence of prostate cancer compared to those who did not take the supplement. However, other studies have not found a significant association between Vitamin E supplementation and cancer risk. The inconsistency in findings suggests that while there may be some risk associated with high doses, it is not universally accepted or proven.

In summary, while Vitamin E is essential for health and can be beneficial in appropriate amounts, long-term use of high doses like 400 IU should be approached with caution. It is advisable for individuals considering such supplementation, especially those with existing health conditions or those taking other medications, to consult with a healthcare provider. A healthcare professional can provide personalized advice based on individual health needs and can help determine whether supplementation is necessary or if dietary sources of Vitamin E (such as nuts, seeds, and green leafy vegetables) would be sufficient.

In conclusion, while Vitamin E has its benefits, the potential risks associated with high-dose supplementation, particularly over the long term, should not be overlooked. It is always best to prioritize a balanced diet rich in vitamins and nutrients and to use supplements judiciously and under medical guidance.

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