Benfotiamine (
rINN, or S-benzoylthiamine O-monophoshate) is a synthetic S-acyl derivative of
thiamine (vitamine B1). After absorption, benfotiamine can be dephosphorylated by cells bearing an ecto-alkaline phosphatase to the lipid-soluble S-benzoylthiamine. Benfotiamine should not be confused with
allithiamine, a naturally occurring thiamine disulfide derivative with a distinct pharmacological profile.
Uses
The primary use of this
antioxidant is as an "anti-AGE" supplement.
In a trial, benfotiamine lowered
AGE by 40%.
However, in Germany doctors have been known to combine benfotiamine with
pyridoxine hydrochloride and use it to treat patients with nerve damage and nerve pain such as
sciatica.
At high doses, benfotiamine was shown to be effective for the treatment of diabetic retinopathy, neuropathy, and nephropathy. It is thought that treatment with benfotiamine leads to increased intracellular thiamine diphosphate levels, a cofactor of transketolase. This enzyme directs advanced glycation and lipoxidation end products (AGE's, ALE's) substrates to the pentose phosphate pathway, thus reducing tissue AGEs.
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