Safety · Supplement

Vitamin A: side effects, safety & interactions

Chronic excess of preformed A causes liver damage, bone effects, and, in pregnancy, birth defects. Smokers should avoid

Overall grade
Grade B
Last revised
0
graded outcomes
1
reference listed

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What is uncertain

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  • Watch with Vitamin D: Very high A can antagonize vitamin D's actions on bone.

The evidence in words

Safety profile

Chronic excess of preformed A causes liver damage, bone effects, and, in pregnancy, birth defects. Smokers should avoid beta-carotene supplements. Carotenoids from food are safe (at most, harmless skin yellowing).

Interactions to respect

Vitamin D — Very high A can antagonize vitamin D's actions on bone.

What Vitamin A is

Vitamin A covers preformed retinol (animal foods) and provitamin carotenoids like beta-carotene (plants) the body converts to retinol. It is essential for vision, epithelial integrity, immune function, and reproduction. Deficiency is a leading cause of preventable childhood blindness in low-income settings and a non-issue in well-fed populations.

The honest bottom line

A deficiency you fix, not a supplement you stack. Get it from food; avoid high-dose retinol in pregnancy and beta-carotene supplements if you smoke.

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Sources

As this entry records them: title, journal and year. None carries a DOI or PubMed id, so none is linked as a verified paper. Each link searches PubMed for the title; check that what you find is what the entry describes.

  1. 1.Effect of beta-carotene and vitamin A on lung cancer (CARET) — N Engl J Med, 1996. Search PubMed (opens in a new tab)

Last revised . A grade is this entry's reading of the evidence, not medical advice.