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The Annals of Pharmacotherapy: Vol. 34, No. 10, pp. 1193-1197. DOI 10.1345/aph.19415
© 2000 Harvey Whitney Books Company.
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Research Articles

Vitamin C in the prevention of nitrate tolerance

TA Daniel and JJ Nawarskas

OBJECTIVE: To evaluate the efficacy of vitamin C in preventing the development of nitrate tolerance. DATA SOURCES: A MEDLINE search (from 1966 to July 2000) was conducted to identify relevant articles, with additional references obtained from the bibliographies of these articles. DATA SYNTHESIS: One possible mechanism of nitrate tolerance involves superoxide-induced deactivation of nitric oxide, providing the rationale for the use of antioxidants. Most published research concerning deactivation of nitric oxide has involved vitamin C; a summary of this information is presented here. CONCLUSIONS: Preliminary studies seem to support the role of vitamin C in attenuating the development of nitrate tolerance. Considering these findings, larger, long-term trials are necessary to further establish the role of vitamin C in this situation.


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A. Daiber, M. Oelze, M. Coldewey, M. Bachschmid, P. Wenzel, K. Sydow, M. Wendt, A. L. Kleschyov, D. Stalleicken, V. Ullrich, et al.
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Mol. Pharmacol., December 1, 2004; 66(6): 1372 - 1382.
[Abstract] [Full Text] [PDF]




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