Calcium + Cyanocobalamin / Vitamin B12 + Vitamin D3 (cholecalciferol)

Expert Advice

Dosage forms available

• Calcium + Cyanocobalamin / Vitamin B12 + Vitamin D3 (Cholecalciferol) is available in different oral dosage formulations such as tablets and effervescent granules or powder packs that should be taken orally.

• Also, it is available in the form of nasal sprays that should be administered intranasally.

• This combination is also available in liquid form that should be ingested orally.

Age and dose restrictions

• This combination is meant for adults and children above the age of 12 years.

Contraindications

• This combination should not be taken by patients who have hypercalcaemia, which is an abnormally high blood calcium level.

• It is also contraindicated for patients with hypervitaminosis D, a condition caused by an excess of vitamin D in the body.

• Patients who are allergic to cobalt or Vitamin B12 should not use this medication as well.

Other medications to avoid

• This combination may interact with antibiotics (e.g., tetracycline, ciprofloxacin), proton pump inhibitors (e.g., omeprazole), and anticonvulsants (e.g., phenytoin, carbamazepine).

Overdose and missed Dose

• An overdose of this combination may cause symptoms associated with hypercalcaemia such as excessive thirst, frequent urination, nausea, constipation and muscle weakness. If you observe these symptoms, contact your doctor immediately.

• If you miss a dose of this medication, take it as soon as you remember provided it is not time for your next dose. Do not double the dose to make up 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.

• If you experience gastrointestinal issues like nausea, vomiting, gas or bloating, try taking the medication with or after meals.

• Avoid lying down immediately after taking the medication.

Use in driving and operating machinery

• This combination may cause dizziness in some people. Therefore, it is advisable not to drive or operate heavy machinery until you know how this combination affects you.

Use in pregnancy and lactation

• Consult your doctor before using Calcium + Cyanocobalamin / Vitamin B12 + Vitamin D3 (Cholecalciferol) during pregnancy and breastfeeding.

Caution in other conditions

• Patients with kidney disease or history of kidney stones should exercise caution while taking this combination.

• Individuals with diseases like sarcoidosis also need to be careful while using this medication.

Special dietary and lifestyle recommendations

• Include foods that are rich in calcium and vitamin D in your diet such as dairy products, fish, leafy greens and fortified cereals.

• Regular exposure to sunlight can help your body produce more vitamin D.

• A balanced diet including all essential nutrients can help prevent vitamin B12 deficiency. Foods rich in vitamin B12 include meat, fish, eggs and dairy products.

• Regular exercise can support bone health and overall wellbeing.

Frequently asked questions

Terms & Conditions