Table 2.
Summary of clinical reports using antioxidants or NAC in G6PDdef.
| Treatment | Dose | Duration | Outcome | Type of Study | Reference |
|---|---|---|---|---|---|
| α-tocopherol | adults: 800IU/day, oral children: 400 IU/day, oral |
60 days | ↑ Hb levels ↑ erythrocyte number ↑ packed cell volume ↓ reticulocytosis ↓ serum bilirubin |
not registered | [126] |
| α-tocophero-acetate | 800 IU/day, oral | 12 weeks, 1 year | ↑ Hb levels ↑ erythrocyte half-life ↓ reticulocytosis |
not registered | [55] |
| α-tocophero-acetate | 1000 IU/day, oral | 24 weeks, 1 year | no improvements | [127] | |
| α-tocopherol | 800 IU/day, oral | 8 weeks | ↑ Hb levels ↑ erythrocyte half-life ↓ reticulocytosis |
not registered | [56] |
| α-tocopherol-acetate | 800 IU/day, oral | 16 weeks | ↑ erythrocyte survival ↓ reticulocytosis Failed to abolish hemolytic process |
case study | [54] |
| α-tocopherol | 400 IU/day, oral | 4 weeks | no improvements | case study | [58] |
| α-tocophero-acetate | 2000 IU/day, oral | 4 weeks | no improvements | case study | [57] |
| α-lipoic Acid | 600mg/day, oral | 28 days | ↑ GSH, TAC, and catalase activity ↓ lipid peroxidation in both groups |
not registered | [62] |
| α-lipoic Acid | 600mg/day, oral | 28 days | ↑ TAC at resting did not increase response to acute exercise stress | NCT02937363 | [63] |
| N-acetylcysteine | initial dose-10g, IV 5g/4hr, IV |
56 hrs | ↑ hemolysis, unclear if due to NAC | case study | [128] |
| N-acetylcysteine | 1200mg/x2, oral | 1 year | ↑ brief psychiatric rating score | case study | [129] |
| N-acetylcysteine | 10g/x3/day, IV 600mg/x2/day, IV 600mg/x2/day, IV |
1 day 7 days 5 days |
↓ hemolysis indices after each treatment | case study | [25] |