Adenosylcobalamin + Folic Acid + Methylcobalamin + Vitamin B1 + Vitamin B2 + Vitamin B6 (pyridoxine)

Dosage Forms Available

• The combination of Adenosylcobalamin + Folic Acid + Methylcobalamin + Vitamin B1 + Vitamin B2 + Vitamin B6 (Pyridoxine) is available via the oral route (oral tablets or capsules, sublingual tablets, and liquid solutions), Intramuscularly (injection).

Age and Dose Restrictions

• This combination is typically meant for adults and children aged 12 years and above.

Contraindications

• This nutrient combination should not be used in patients with known hypersensitivity to any of its components. It is also contraindicated in individuals with a rare genetic condition known as Leber's disease (hereditary optic nerve atrophy).

Other Medications to Avoid

• This combination may interact with anticonvulsants (such as phenytoin, phenobarbital, and primidone) and diabetes medication (like metformin).

Overdose and Missed Dose

• Overdose of this nutrient combination may cause symptoms such as nausea, diarrhoea, stomach cramps, or rash. If you experience these symptoms or any other unusual changes after taking this medicine, consult your doctor immediately.

• If you miss a dose, take it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose to compensate for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor. Here are some simple tips to manage side effects:

• For nausea or stomach cramps, you can try taking the medicine with or after meals.

• If you experience diarrhoea, drink plenty of fluids to stay hydrated.

• For headaches, try to rest and relax.

Use in Driving and Operating Machinery

• This combination does not usually affect your ability to drive or operate heavy machinery. However, if you feel dizzy or lethargic after taking it, do not drive or operate machinery until these symptoms pass.

Use in Pregnancy and Lactation

• This nutrient combination is generally considered safe for use during pregnancy and breastfeeding under medical supervision. However, it is always advised to consult your doctor before starting any medication during these periods.

Caution in Other Conditions

• Caution should be exercised when using this combination in patients with kidney or liver disease, as these conditions may affect the metabolism and activation of these nutrients.

Special Dietary and Lifestyle Recommendations

• Regularly consume foods rich in B vitamins such as meat, fish, eggs, dairy products, leafy green vegetables, fruits, legumes, and fortified grains.

• Maintain a balanced diet and follow a regular exercise schedule to support overall health.

• Regular medical check-ups are recommended to monitor your health condition and vitamin B levels.