Skip to content

Benphothiamine

Published: July 26, 2026Updated: August 24, 2026

Benphothiamine is a synthetic, fat-soluble form of thiamine (vitamin B1) designed to improve bioavailability compared to standard water-soluble thiamine, acting as a cofactor in carbohydrate metabolism.

Quick summary

Benphothiamine is a lipid-soluble form of vitamin B1 with enhanced absorption used for thiamine supplementation and nerve support.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
A11DA03
RxNorm
18891
Generic
Benphothiamine
Class
atc-a11
Brands
—
Availability
rx
Lactation
unknown
Routes
oral
Forms
capsule
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: No established toxic dose reported; thiamine derivatives have very low toxicity
Chronic overdose: Not well established; high cumulative doses may cause mild GI upset
Immediate actions
Supportive care; monitor vital signs; hydrate
Antidote
None required(N/A - no specific antidote needed due to low toxicity)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use only under healthcare provider supervision when benefits outweigh potential risks

Monitor

regular prenatal checkups

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use only under healthcare provider supervision when benefits outweigh potential risks

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use only under healthcare provider supervision when benefits outweigh potential risks

Monitor

regular prenatal checkups

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

generally considered safe during breastfeeding as thiamine passes into breast milk

Monitor

infant monitoring for normal growth and development

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed for healthy elderly

Key Recommendations

may be beneficial for elderly with thiamine deficiency or decreased absorption

Monitor

monitor renal function periodically

⚠

pediatric_age

children under 12
caution
FDA Category
C
Dose Adjustment

dose based on weight and age

Key Recommendations

use only under pediatric supervision for confirmed thiamine deficiency

Monitor

monitor growth and development

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild renal impairment
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

thiamine is water soluble and typically excreted

Monitor

standard monitoring

⚠

renal_impairment

severe renal impairment
caution
FDA Category
N
Dose Adjustment

consider reduced dose or extended dosing interval

Key Recommendations

use with caution in dialysis patients

Monitor

monitor thiamine levels and renal function

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild hepatic impairment
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

may be used for thiamine deficiency associated with liver disease

Monitor

standard monitoring

⚠

hepatic_impairment

severe hepatic impairment
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

use only under medical supervision in severe liver disease

Monitor

monitor liver function tests and thiamine levels

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingPMDA
2023

Commonly prescribed since

Value:1970s

General prescribing information in Japan

drug_classWHO
2023

Drug class

Value:Thiamine derivative

Vitamin B1 analog classification

usageMedical guidelines
2023

Common uses

Value:Thiamine deficiency, diabetic neuropathy, beriberi

Primary therapeutic indications

formulationPharmaceutical databases
2023

Available formulations

Value:Oral tablets, injections

Dosage form availability

Thiamine (vitamin B1) deficiency, including conditions such as beriberi, Wernicke-Korsakoff syndrome, and peripheral neuropathy. May also be used as a supplement in conditions with increased thiamine requirements or impaired absorption.

As a thiamine derivative, benphothiamine acts as a coenzyme (thiamine pyrophosphate) in key metabolic pathways, particularly those involved in carbohydrate metabolism and energy production. Its lipophilic nature allows for better cellular penetration and retention compared to conventional thiamine.

Generally well-tolerated, though allergic reactions are possible. Should be used under medical supervision, particularly in patients with alcoholism or severe malnutrition. Oral administration is the typical route; efficacy compared to injectable thiamine in acute deficiency states may vary.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

WellAlly may earn a referral fee from linked resources at no extra cost to you. Editorial content is never influenced by commercial relationships.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy