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Riboflavin

VITAMIN B2

Riboflavin ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Riboflavin ballicule

What it isVitamin B2, precursor of FAD and FMN; deficiency and migraine prophylaxis.

Why this oneHigh-dose riboflavin has modest evidence for migraine prevention and is almost free of toxicity.

What limits itIt turns urine bright yellow, which alarms patients if unwarned. Migraine benefit takes about three months.

Riboflavin molecular structure (skeletal formula)
Molecular structure: Riboflavin

FDA-approved for

Off-label

FDA label

FDA dosingPopulationStartTargetMax
Not stated on label (oral vitamin B2 supplement tablet)Adults ≥18 yr100 mg QD100 mg QD100 mg QD

Renal Undefined

Hepatic Undefined

Instructions

Available strengths

Pregnancy Undefined

Lactation Undefined

Cost

Riboflavin (VITAMIN B2)
Strength#/mogeneric $/unitCostPlus
0.146/0.146 %/mLdropsper unitnot offered
0.239/0.177 %/mLdropsper unitnot offered
NADAC is a voluntary CMS survey of what retail community pharmacies pay for the drugs they stock. Riboflavin is dispensed outside retail pharmacies, so it rarely appears on surveyed invoices.

NO BOXED WARNINGS

Principal riskIt turns urine bright yellow, which alarms patients if unwarned

Classes and tags

Clinical profile

Therapeutic safety burden1 / 4
Overdose danger1 / 4
Weight-gain liability0 / 4
Sedation liability0 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk0 / 4

Legacy pregnancy categoryNot assigned — OTC/monograph

Defining liabilityUsually well tolerated at replacement doses; excessive dosing can cause agent-specific metabolic or organ toxicity.

Active metabolites

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