ABSTRACT
Methanol poisoning may result to death and permanent complications, sporadic cases of methanol poisoning are fairly rare and the largest experience are generally gained from managing methanol intoxication epidemics. The main metabolite of methanol is acid formic that is the prime metabolite responsible for toxic effects of methanol and since folate dependent systems are responsible for the oxidation of formic acid to CO2 and water. It is believed that administration of folic acid enhances the metabolism of formate. Though therapeutic effects of folic or folinic acid has never been fully tested in clinical trails in human. Our objective was to evaluate therapeutic effect of folinic acid in methanol poisoned persons. In recent methanol poisoning epidemic due to "bootleg" Liquor consumption in Shiraz at 2004, Sixty-two patients have hospitalized. Folinic acid was administered to 19 patients and therapeutic effect of folinic acid was studied. There was no significant difference between two groups of patients and number of decreased visual acuity, renal function, hospital stays and needs to bicarbonate therapy and hemodialysis. The only effect was decreasing acidosis in folate treated patients. Regardless of prior animal studies and case reports, with attention to our study limitation we didn't found significant protective effect of folinic acid infusion among methanol poisoning patients. The only effect was decreasing acidosis in folate received patients. Further studies in optimal situation is needed for definite judgment
Subject(s)
Humans , Middle Aged , Leucovorin , Treatment Outcome , EpidemicsABSTRACT
To assess the effect of supplementation with vitamins A, E and C and omega-3 fatty acids on lipid peroxidation in Streptozotocin [STZ] induced diabetic rats. Sixty four male wistar rats weighting 250g were divided into four groups as normal control, diabetic control, diabetic with vitamin A, E as well as C supplementation and diabetic with omega-3 fatty acids supplementation. After four weeks of treatment the rats were anesthetized and malondialdehyde [MDA] levels were investigated in blood samples, liver and heart homogenate. In diabetic rats MDA level in plasma, liver and heart was significantly more elevated than normal control rats [P< 0.05]. Vitamin A, E and C supplementation caused significant decrease in plasma, liver and heart MDA [P< 0.05]. A significant decrease in heart MDA [P< 0.05] was observed in diabetic rats with omega-3 fatty acids supplementation. Supplementation of vitamin A, E and C and co-3 fatty acids was found to decrease lipid peroxidation to some extent in diabetic rats and they can be valuable candidates in the treatment of the complications of diabetes