DHEA Gold Plus

Dehydroepiandrosterone (Micronized) (75mg) + Folic Acid (5mg) + Vitamin D3 (3000IU)
Price: ₹1200 - ₹1500 for 10 tablets
Mfr: Cipla Limited | Form: Tablets

📋 Clinical Overview

A fixed-dose combination supplement containing micronized Dehydroepiandrosterone (DHEA), a prohormone precursor to androgens and estrogens; Folic Acid, a synthetic form of Vitamin B9; and Vitamin D3 (Cholecalciferol). This combination is primarily targeted at addressing age-related hormonal decline, supporting energy, mood, bone health, and cardiovascular wellness in the Indian adult population, particularly in perimenopausal women and men with andropause symptoms. The micronization of DHEA enhances its bioavailability.

💊 Dosage & Administration

Adult: One tablet daily, or as directed by the physician. Preferably taken in the morning with a meal containing fats to enhance Vitamin D3 absorption.

Note: Take orally with a full glass of water. Consume with a meal containing healthy fats (e.g., nuts, avocado, dairy) for optimal Vitamin D3 absorption. Do not crush or chew unless advised.

⚠️ Contraindications

  • Known hypersensitivity to any component
  • Hormone-sensitive cancers (e.g., prostate cancer, breast cancer, ovarian cancer)
  • Pregnancy and breastfeeding (due to DHEA)

🔬 Mechanism of Action

DHEA serves as a precursor for the synthesis of androgens (testosterone) and estrogens (estradiol) in peripheral tissues, exerting pleiotropic effects. Folic Acid acts as a cofactor in one-carbon metabolism for DNA synthesis, repair, and methylation. Vitamin D3 regulates calcium-phosphate homeostasis and exerts genomic effects via the Vitamin D Receptor (VDR).

🤕 Side Effects

  • Acne, oily skin
  • Mild gastrointestinal upset (nausea, bloating)
  • Headache
  • Insomnia (if taken late in the day)

🤰 Special Populations

Pregnancy: CONTRANDICATED. DHEA can cause virilization of the female fetus. High-dose folic acid is only indicated for specific neural tube defect prevention at much lower doses (400-800 mcg), not 5mg routinely. Vitamin D3 is safe at recommended pregnancy doses but 3000IU is high.

Driving: Generally safe. However, if dizziness or drowsiness occurs as a rare side effect, avoid driving.

🔄 Drug Interactions

Warfarin and other AnticoagulantsFolic acid may alter anticoagulant effect; DHEA may affect clotting factors. Monitor INR closely.Major
Anticonvulsants (Phenytoin, Carbamazepine, Phenobarbital)Reduce serum levels of both DHEA and Vitamin D3. Increased dose may be needed.Moderate
Corticosteroids (e.g., Prednisone)May antagonize Vitamin D3 action and increase calcium excretion.Moderate
Thyroid Hormones (Levothyroxine)Calcium in supplements can impair absorption. Administer at least 4 hours apart.Moderate
Orlistat, Bile Acid SequestrantsCan impair absorption of fat-soluble Vitamin D3.Moderate
MethotrexateFolic acid reduces toxicity but may interfere with efficacy in cancer chemotherapy. Use only under oncologist's guidance.Major
5-alpha reductase inhibitors (Finasteride, Dutasteride)May interfere with the androgen-mediated effects of DHEA metabolites.Moderate

🔁 Alternatives to DHEA Gold Plus

Same composition (Dehydroepiandrosterone (Micronized) (75mg) + Folic Acid (5mg) + Vitamin D3 (3000IU)), different brands:

RegeneVate-D Vitalong-D AndroVita Forte