II. Indications

  1. Diabetic Neuropathy
    1. NOT recommended (low efficacy - see below)

III. Mechanism

  1. Natural Thiol Supplement
    1. Synthesized in small amounts within plants and animals (including humans)
    2. Higher concentration in some foods (organ meats, spinach, broccoli, peas, brussel sprouts, and rice bran)
  2. Antioxidant properties
    1. Free radical scavenger that may repair oxidative damage
    2. Regenerates endogenous antioxidants (e.g. Vitamin C, Vitamin E, glutathione)
  3. Other functions
    1. Metal-chelating properties
    2. Cofactor in several mitochondrial enzymes that decarboxylate alpha-keto acids

IV. Dosing

  1. Oral: 600 to 1800 mg orally daily

V. Efficacy: Diabetic Neuropathy

  1. NOT recommended for Diabetic Neuropathy
  2. Lack of improvement compared with Placebo over 6-24 months (in Cochrane review)
  3. Low efficacy orally which is its primary use, better efficacy IV
  4. However, minimal to no adverse effects
  5. If prescribed despite poor evidence, discontinue after 1 month if ineffective

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Ontology: Thioctic Acid (C0023791)

Definition (NCI) A naturally occurring micronutrient, synthesized in small amounts by plants and animals (including humans), with antioxidant and potential chemopreventive activities. Alpha-lipoic acid acts as a free radical scavenger and assists in repairing oxidative damage and regenerates endogenous antioxidants, including vitamins C and E and glutathione. This agent also promotes glutathione synthesis. In addition, alpha-lipoic acid exerts metal chelating capacities and functions as a cofactor in various mitochondrial enzyme complexes involved in the decarboxylation of alpha-keto acids.
Definition (NCI_NCI-GLOSS) A substance that is being studied for its ability to protect normal cells from the side effects of chemotherapy and prevent peripheral neuropathy (numbness, tingling, burning, and weakness in the hands or feet). Alpha-lipoic acid is made by the body and can be found in foods such as organ meats, spinach, broccoli, peas, brussel sprouts, and rice bran. It can also be made in the laboratory. Alpha-lipoic acid is a type of antioxidant and chemoprotective agent.
Definition (MSH) An octanoic acid bridged with two sulfurs so that it is sometimes also called a pentanoic acid in some naming schemes. It is biosynthesized by cleavage of LINOLEIC ACID and is a coenzyme of oxoglutarate dehydrogenase (KETOGLUTARATE DEHYDROGENASE COMPLEX). It is used in DIETARY SUPPLEMENTS.
Concepts Organic Chemical (T109) , Vitamin (T127) , Pharmacologic Substance (T121)
MSH D008063
SnomedCT 70496003
English Lipoic Acid, Thioctic Acid, 1,2-Dithiolane-3-pentanoic acid, 5-(1,2-Dithiolan-3-yl)pentanoic Acid, Alpha-Lipoic Acid, alpha-lipoic acid, thioctic acid (medication), 6,8-Thioctic Acid, Thioctic Acid [Chemical/Ingredient], acid lipoic, lipoic acid, acid alpha lipoic, acid alpha-lipoic, acids lipoic, ALPHA LIPOIC ACID, Acid, alpha-Lipoic, alpha Lipoic Acid, alpha-Lipoic Acid, Alpha Lipoic Acid, .alpha.-lipoic acid, .ALPHA.-LIPOIC ACID, .alpha.-lipoic Acid, .Alpha.-Lipoic Acid, thioctic acid, .Alpha.-lipoic acid, alpha lipoic acid, Lipoic acid, Lipoic acid (substance), Thioctic acid, alpha-Lipoic acid, ALPHA-LIPOIC ACID
Swedish Tioktacid
Czech kyselina lipoová
Finnish Tioottihappo
Russian LIPOEVAIA KISLOTA, TIOKTOVAIA KISLOTA, ЛИПОЕВАЯ КИСЛОТА, ТИОКТОВАЯ КИСЛОТА
Japanese チオクト酸, リポ酸
Spanish Ácido Tióctico, ácido alfa - lipoico, ácido lipoico (sustancia), ácido lipoico, ácido tióctico, Ácido Lipoico
Portuguese Ácido Tióctico, Ácido Lipoico
Polish Kwas tioktanowy, Kwas liponowy
French Acide thioctique, Acide alpha-lipoïque, Acide lipoïque
Norwegian Liponsyre, Lipoicsyre, Alfa-lipoicsyre, Thioctic acid, Tioktsyre, ALA
German Alpha-Liponsäure, Liponsäure, Thioctansäure, Thioctsäure
Italian Acido tiottico