Nicotinamidum – Niacinamide

The attenuations are prepared from Pyridine-3-carboxamide, C₆H₆N₂O, MW: 122.1.

Nicotinamidum is used to activate the energy metabolism in cases of insufficien- cies of the respiratory chain. The substance which occurs naturally in the body is an important component of Nadidum and its Phosphate. Deficiencies of Nicotin- amidum lead to skin lesions with disturbances of pigmentation. Other symptoms are diarrhoea, glossitis, stomatitis as well as mental and neurological disturbances.

The drug picture of Nicontinamidum was composed in September 1995 by David Riley, M.D., Santa Fe (New Mexico), USA.

The most important symptoms from David Riley’s drug proving were:

Essential Characteristics

Strong headaches and blurry vision are prominent with this remedy. Difficult con- centration. Increased physical energy. Desires meat. Severe headaches. Dull headaches. Blurry vision. Sore throat. Cramping abdominal pain. Increased flatus.

Mind

Difficulty concentrating, particularly while reading and studying. Increased mental activity and mental restlessness. Dullness and forgetfulness, particularly for what he had just read. Vivid dreams about frogs as well as nightmares. Desire for conversa- tion and loquacity with a sense of insight. Dreams that are vivid and remembered. Dreams that are anxious and about animals. Nightmares especially in the morning.

Generalities

INCREASED ENGERGY, particularly in the afternoon improves. Increased energy also

alternating with fatigue and lassitude with a desire to lie down and take a nap. Food desires of MEAT, fried foods, potatoes, cheese, and cheesecake. Must have sauce on food. Fatigue, especially in the evening.

Vertigo

Nausea with associated with vertigo, worse in the morning. Faint sensation with vertigo. Vertigo worse with motion.

Head

HEADACHES AND PAIN. DULL HEAD PAIN in the forehead and temples, especially the right temple. Headache, worse in the evening around 8 p.m., or the onset of menses, or congestive. Pressing head pain on the left occiput. Full sensation in the head with heaviness. Itching of the scalp. Jerking of the head when falling asleep.

Eye

Scratching sensation on the eyelids. Tiredness of the eyes during headache.

Vision

BLURRY VISION.

Ear

Aching pain, worse in the right ear.

Nose

Discharge that is thick, yellowish and green in color. Discharge alternating with coryza. Sense of fullness, particularly in the area of the frontal sinus. Sneezing. Con- gestion with coryza.

Face

Contraction and tension of the jaw articulation improves. Aphthae on the lips.

Taste

Bad taste in the mouth, particularly after eating.

Throat

PAIN. Throat pain worse in the morning or with clearing the throat. Raw throat pain worse on swallowing and clearing the throat. Itching of the uvula. Dry throat. Swelling of the throat with swelling of the tonsils.

Stomach

APPETITE is excessive or decreased. Gnawing pain in the stomach, worse with hunger. NAUSEA, worse in the morning. Increased thirst.

Abdomen

CRAMPING ABDOMINAL PAIN, causing waking at night, particularly at 2 a.m. Cramp- ing abdominal pain associated with passing flatus. Abdominal pain in the hypochondria and umbilical area. Abdominal distension with flatus, with improve- ment during the menses.

Rectum

INCREASED FLATUS that is copious and offensive. Constipation with sensation of a lump in the rectum. Cramping pain. Increased urging for stool. Constipation and di- arrhea.

Stool

Yellow mucous with the stools. Offensive stools. Stools that are hard, or loose, or frequent.

Bladder

Frequent need to urinate. Genitalia, Male Decreased sexual urge. Genitalia, Female

Itching of the external genitalia. Clear leucorrhea. Cramping uterine pain, worse before onset of menses.

Larynx & Trachea

Tickling in the air passages with cough as from dust.

Speech & Voice Painless hoarseness. Respiration

Short, superficial respirations.

Cough Dry cough. Back

Back pain in the lumbar region. Stiffness in the cervical region, particularly on the right side.

Extremities

Sensation like an electrical vibrations or current in the arms. Pain in the right fore- arms extending to the head. Left forearm pain as if crushed in a vise. Weakness of the arms. Trembling and weakness in the forearm, and extending to the hand. Itching of the skin of the legs.

Sleep

Overpowering sleepiness, worse in the afternoon around 5 p.m.

Perspiration

Increased perspiration in general.

Skin

Skin eruption associated with an itching rash.