Cyanocobalamin + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid

Expert Advice

Dosage Forms Available

• The combination medicine of Cyanocobalamin + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid is commercially available in tablet and capsule forms.

• It is administered through the oral route.

Age and Dose Restrictions

• This combination medicine is typically prescribed for use in adults and children above the age of 12 years.

Contraindications

• The use of Cyanocobalamin + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid is contraindicated in patients with known hypersensitivity to any of the components in the combination.

• Additionally, it should not be taken by patients with disorders like polycythemia vera, Leber's optic atrophy, and iron overload disorders such as hemochromatosis or hemosiderosis.

Other Medications to Avoid

• This combination may interact with antacids (such as aluminium hydroxide), antibiotics (like tetracycline), and proton pump inhibitors (such as omeprazole). These interactions can reduce the absorption of nutrients, particularly iron and Vitamin B12, which may decrease their therapeutic effectiveness.

Overdose and Missed Dose

• An overdose of Cyanocobalamin + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid may cause symptoms like nausea, vomiting or diarrhoea. It is essential to consult your doctor immediately if you suspect an overdose.

• If you miss a dose of this medication, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses to make up for a missed one.

Management of Side Effects

• Most side effects, such as mild gastrointestinal issues like nausea or diarrhoea, are temporary and typically resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

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

• Drinking plenty of fluids may also help to counteract any dehydration caused by diarrhoea.

Use in Driving and Operating Machinery

• This combination medicine should not affect your ability to drive or operate heavy machinery. However, if you experience any dizziness or lethargy after taking the medicine, it is advisable to refrain from driving or operating heavy machinery.

Use in Pregnancy and Lactation

• It is crucial to consult with your doctor before taking Cyanocobalamin + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid during pregnancy and breastfeeding.

Caution in Other Conditions

• Patients with certain medical conditions such as peptic ulcer disease, enteritis, ulcerative colitis, gastric or duodenal ulcers should use this medicine cautiously.

Special Dietary and Lifestyle Recommendations

• Consuming a balanced diet rich in vitamins (especially B12 and folic acid), iron and zinc can help manage deficiencies and support overall health.

• Avoid consuming foods high in phytates (such as whole grains and legumes) while taking this combination as they may interfere with zinc absorption.

• Likewise, tea, coffee and calcium-rich foods may decrease iron absorption. These should be consumed at least two hours apart from taking this medication.

• Regular checks of blood levels for vitamins and minerals are recommended to monitor the treatment's effectiveness.

Frequently asked questions

Terms & Conditions