Citicoline + Methylcobalamin

Dosage Forms Available

• Citicoline + Methylcobalamin is available in different forms for oral administration such as tablets and capsules.

• For quicker absorption and higher bioavailability, the combination is also available as intramuscular injections.

• In hospital settings, it can be administered as an intravenous infusion for acute conditions like stroke.

Age and Dose Restrictions

• The use of Citicoline + Methylcobalamin is typically recommended for adults and children above 12 years of age.

Contraindications

• Citicoline + Methylcobalamin is contraindicated in patients with known hypersensitivity to either of the compounds or any of the excipients used in the formulation.

• Caution should be exercised in patients with a history of seizures, as citicoline may lower the seizure threshold in some individuals.

Other Medications to Avoid

• Citicoline + Methylcobalamin may interact with other neuroprotective agents (like piracetam), vitamin B12 supplements, and medications affecting nerve function (such as gabapentin). It may also interact with certain antibiotics, proton pump inhibitors (such as omeprazole and pantoprazole), and medications like metformin.

Overdose and Missed Dose

• An overdose of Citicoline + Methylcobalamin may cause nervous system depression. If you suspect an overdose, inform your doctor immediately.

• If you miss a dose, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Do not take a double 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.

• If you experience gastrointestinal disturbances, try taking the medication with food.

• For headaches or dizziness, stay well-hydrated and avoid sudden movements.

Use in Driving and Operating Machinery

• Citicoline + Methylcobalamin may cause side effects like dizziness or sleepiness. Avoid driving or operating heavy machinery if you experience these effects.

Use in Pregnancy and Lactation

• The safety of Citicoline + Methylcobalamin during pregnancy and lactation is not fully established. It should be used only if the potential benefits outweigh the risks.

• Always consult your doctor before using this medicine during pregnancy or breastfeeding.

Caution in Other Conditions

• Patients with renal (kidney) and hepatic (liver) impairment may require dose adjustments or special monitoring when taking Citicoline + Methylcobalamin. Consult your doctor for the appropriate dosage and supervision.

Special Dietary and Lifestyle Recommendations

• Maintain a healthy lifestyle that includes regular physical activity to help manage neurological disorders.

• Consume a balanced diet rich in fruits, vegetables, and lean proteins to support overall health.

• Stay well hydrated, especially if you are experiencing side effects like dizziness.

• Avoid smoking and limit alcohol consumption as these may worsen neurological conditions.