Biotin + Calcium Pantothenate + Cyanocobalamin / Vitamin B12 + Folic Acid + Niacinamide + Riboflavin / Vitamin B2 + Thiamine / Vitamin B1 + Vitamin B6 / Pyridoxine + Vitamin C / Ascorbic Acid

Dosage Forms Available

• Biotin + Calcium Pantothenate + Cyanocobalamin / Vitamin B12 + Folic Acid + Niacinamide + Riboflavin / Vitamin B2 + Thiamine / Vitamin B1 + Vitamin B6 / Pyridoxine + Vitamin C / Ascorbic Acid is available for use via the oral route (tablets, capsules and liquids), and intramuscular and intravenous route (injections).

Age and Dose Restrictions

• This combination is intended for use by adults, and children over 12 years of age.

Contraindications

• This medicine is contraindicated in patients with hypersensitivity to any component of the formulation.

• It is also contraindicated in patients with hereditary optic neuropathy (specifically for cyanocobalamin) and hemochromatosis (specifically for ascorbic acid).

Other Medications to Avoid

• This combination may interact with antibiotics (such as penicillins and tetracyclines), anticonvulsants (such as phenytoin and carbamazepine) and anticoagulants (like warfarin).

Overdose and Missed Dose

• An overdose of this combination may lead to symptoms such as nausea, vomiting, flushing, rash, headache, dizziness, and potentially severe neurological symptoms. If you observe these symptoms, inform your doctor and follow the advice accordingly.

• If you forget to take this medicine, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Never double your dose to make up for a 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.

• Drinking plenty of water may help alleviate some side effects like nausea and an upset stomach.

• Taking the medication with food may help reduce gastrointestinal side effects.

Use in Driving and Operating Machinery

• This combination does not generally affect your ability to drive or operate heavy machinery. However, if you experience side effects like dizziness or drowsiness after taking it, avoid these activities.

Use in Pregnancy and Lactation

• Pregnant and breastfeeding women should use this medicine only after consulting their doctor.

Caution in Other Conditions

• Patients with kidney impairment may need dose adjustments due to altered excretion of the vitamins.

• Patients with diabetes should closely monitor their blood glucose levels when using this medicine due to the potential effect of niacin on glucose control.

Special Dietary and Lifestyle Recommendations

• Consuming a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and low-fat dairy products can help ensure adequate intake of these vitamins.

• Regular check-ups with a healthcare provider are recommended to ensure optimal health and well-being.