What else in R.M.'s history might be contributing to his elevated homocysteine levels?
And you are teaching R.M. about the side effects of niacin. Which effects will you include in your
teaching? Select all that apply.
a. Flushed skin
b. Headache
c. Gastrointestinal (GI) distress
d. Pruritus
e. Dizziness
Smoking is associated with increased levels. Also, patients with a low intake of B vitamins might have
higher levels of homocysteine.
Answers: a, c, d
Niacin might cause flushing of the skin, pruritus, and GI distress.
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