[Peripheral neuropathy with hypervitaminosis B6 caused by self-medication]

Rev Med Interne. 2020 Feb;41(2):126-129. doi: 10.1016/j.revmed.2019.11.003. Epub 2019 Nov 30.
[Article in French]

Abstract

Introduction: Vitamin B6 is contained in a number of over-the-counter drugs and vitamin supplements. It may cause severe neurological troubles in case of overdosage.

Case report: We report the case of a 92-year-old women with gait disorders. A diagnosis of peripheral neuropathy with both motor and sensitive deficits was established and investigated. Blood level of vitamin B6 was measured to investigate a potential deficiency. Unexpectedly, the results showed hypervitaminosis B6, which appears to be due to self-administration of an over-the-counter drug containing vitamin B6. Discontinuation of this drug was associated with decrease in vitamin B6 level as well as gait improvement. We also discuss the toxicity of vitamin B6.

Conclusion: Hypervitaminosis B6 remains a possible cause of peripheral neuropathy and it may be caused by self-administration of over-the-counter vitamin-containing drugs.

Keywords: Hypervitaminose; Hypervitaminosis; Neurotoxicity; Neurotoxicité; Overdosage; Surdosage; Vitamin B6; Vitamine B6.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Dietary Supplements / toxicity
  • Drug Overdose / complications
  • Drug Overdose / diagnosis
  • Female
  • Gait Disorders, Neurologic / blood
  • Gait Disorders, Neurologic / chemically induced*
  • Humans
  • Neurotoxicity Syndromes / diagnosis
  • Neurotoxicity Syndromes / etiology
  • Nutrition Disorders / chemically induced*
  • Nutrition Disorders / diagnosis
  • Peripheral Nervous System Diseases / chemically induced*
  • Peripheral Nervous System Diseases / diagnosis
  • Self Medication / adverse effects*
  • Vitamin B 6 / administration & dosage
  • Vitamin B 6 / adverse effects
  • Vitamin B 6 / blood
  • Vitamin B 6 / toxicity*

Substances

  • Vitamin B 6