High dose niacin in the treatment of acne vulgaris:a pilot study

作     者：JIANG Hao LI Chang-yi 

作者机构：Department of Dermatological and Clinical ResearchThe First Affiliated Hospital of Guangxi University of Chinese MedicineNanning 530023GuangxiChina 

出 版 物：《中国美容医学》 (Chinese Journal of Aesthetic Medicine)

年 卷 期：2016年第25卷第12期

页      面：54-59页

学科分类：10[医学] 

主　　题：niacin nicotinamide acne vulgaris acne Vitamin B3 

摘      要：Introduction Acne patients are frequently associated with abnormal lipid profile. It may be useful to apply high doseof niacin that regulates the lipid profile along with acne treatment. There is no report about high dose of niacin in treatment ofacne. Objective To evaluate the therapeutic effect and safety of high-dose niacin in acne vulgaris. Methods Acne patientswere randomly allocated to two treatment groups. Both groups were treated orally with the tablets for 12 weeks; the niacingroup at an increasing dose of niacin tablet: 2000 mg (40 mg/kg/d). The control group (nicotinamide group) at a dose ofnicotinamide tablet: 600 mg (10 mg/kg/d). All patients were asked not to consume certain foods such as milk and alcohol.A high-protein, low-fat and low-glycemic-load diet was recommended in both groups. Results A total of 108 patients werefinished the study. Niacin group: 56 patients; control group: 52 patients. After 12 weeks of treatment, niacin and nicotinamidecaused improvement in acne patients. Percentage Improvement in the niacin group (82.37±7.837) %was significantly higherthan in the nicotinamide group (63.19±10.18)%, P 0.01. The number of successful cases in the niacin group was significantlyhigher than in the nicotinamide group after 12 weeks of treatment, (χ2 = 10.55, P 0.01). Conclusions High dose niacin canreally do it work in treatment of acne vulgaris. The therapeutic effcct of High dose of niacin in treatment of acne vulgaris ismore effective than nicotinamide.