Cyanocobalamin + Elemental Iron + Folic Acid + Zinc

Dosage Forms Available

• Cyanocobalamin + Elemental Iron + Folic Acid + Zinc is available for oral administration in several formulations including tablets, capsules, liquids, and syrups.

Age and Dose Restrictions

• This combination is intended for both adults and children, but the exact age range and dosage will depend on the specific condition being managed.

Contraindications

• This combination should not be taken by individuals with known allergies to any of the components.

• Also, those with conditions causing iron overload such as hemochromatosis or hemosiderosis should avoid this combination.

Other Medications to Avoid

• This combination may interact with antacids (such as calcium carbonate), tetracyclines (like doxycycline), and quinolones (such as ciprofloxacin). These interactions may reduce the absorption of iron and zinc, impacting the efficacy of the supplements.

Overdose and Missed Dose

• Overdosing on this combination could lead to excess levels of these nutrients in the body, which may cause various symptoms such as nausea or constipation. If you suspect an overdose, immediately consult your doctor.

• 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.

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. To manage minor side effects:

• For nausea or stomach upset, try taking this medication with a meal.

• For constipation, increase your intake of fluids and dietary fibre.

• If you notice dark stools, do not worry as this is a harmless side effect of iron supplementation.

Use in Driving and Operating Machinery

• This combination does not generally affect your ability to drive or operate machinery. However, if you experience any side effects such as dizziness or fatigue, refrain from driving or operating heavy machinery until you feel normal again.

Use in Pregnancy and Lactation

• This combination is considered generally safe to use during pregnancy and breastfeeding under medical supervision. However, always consult your doctor before taking this medication if you are pregnant or breastfeeding.

Caution in Other Conditions

• Individuals with gastrointestinal disorders like ulcers or colitis should exercise caution when taking this combination due to the elemental iron component.

• Also, those with kidney disorders should consult their doctor before taking this medication due to the potential risk of mineral overload.

Special Dietary and Lifestyle Recommendations

• Ensure a balanced diet rich in essential nutrients including vitamin B12, iron, folic acid and zinc.

• Avoid consumption of tea or coffee along with meals as they can inhibit the absorption of iron.

• Try to include foods rich in vitamin C in your diet as it helps enhance iron absorption.

• Regular check-ups are recommended to monitor your nutrient levels and adjust the dosage of the supplement as needed.