Intravenous vitamin C in the treatment of allergies: an interim subgroup analysis of a long-term observational study

J Int Med Res. 2018 Sep;46(9):3640-3655. doi: 10.1177/0300060518777044. Epub 2018 Jun 27.

Abstract

Objective Oxidative stress appears to be a key factor in the pathogenesis of allergic diseases and a potential therapeutic target in allergy treatment. Allergic diseases are reportedly associated with reduced plasma levels of ascorbate, which is a key physiological antioxidant. Ascorbate prevents excessive inflammation without reducing the defensive capacity of the immune system. Methods An interim analysis of a multicenter, prospective, observational study was conducted to investigate the change in disease-specific and nonspecific symptoms (fatigue, sleep disorders, depression, and lack of mental concentration) during adjuvant treatment with intravenous vitamin C (Pascorbin®; Pascoe, Giessen, Germany) in 71 patients with allergy-related respiratory or cutaneous indications. Results Between the start and end of treatment, the mean sum score of three disease-specific symptoms decreased significantly by 4.71 points and that of four nonspecific symptoms decreased significantly by 4.84 points. More than 50% of patients took no other allergy-related medication besides vitamin C. Conclusions Our observations suggest that treatment with intravenous high-dose vitamin C reduces allergy-related symptoms. Our observations form a basis for planning a randomized controlled clinical trial to obtain more definitive evidence of the clinical relevance of our findings. We also obtained evidence of ascorbate deficiency in allergy-related diseases.

Trial registration: Clinical Trials NCT02422901.

Keywords: Ascorbic acid; allergic asthma; allergic rhinitis; dermatitis; eczema; human; intravenous administration; pruritus.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Observational Study

MeSH terms

  • Administration, Intravenous
  • Adolescent
  • Adult
  • Aged
  • Antioxidants / administration & dosage*
  • Ascorbic Acid / administration & dosage*
  • Child
  • Female
  • Humans
  • Hypersensitivity / drug therapy*
  • Hypersensitivity / etiology
  • Inflammation / etiology
  • Inflammation / prevention & control
  • Male
  • Middle Aged
  • Oxidative Stress / drug effects
  • Prospective Studies
  • Young Adult

Substances

  • Antioxidants
  • Ascorbic Acid

Associated data

  • ClinicalTrials.gov/NCT02422901