Cyanocobalamin / Vitamin B12 + D-panthenol + Niacinamide + Riboflavin / Vitamin B2 + Thiamine / Vitamin B1 + Vitamin B6 / Pyridoxine

Dosage Forms Available

• This combination can be taken orally (tablets, capsules, softgels, liquids, and lozenges), or intramuscularly (injection).

Age and Dose Restrictions

• This medicine is suitable for use by adults and children.

Contraindications

• This medicine is contraindicated in patients with hypersensitivity or allergy to any of the ingredients. It is also contraindicated in individuals with a history of Leber's disease.

Other Medications to Avoid

• This combination may interact with proton pump inhibitors (like omeprazole), H2 blockers (such as ranitidine), anti-diabetes medications (like insulin or sulfonylureas), tricyclic antidepressants (such as amitriptyline), antipsychotics (like chlorpromazine), levodopa (used for Parkinson's disease), and phenobarbital (used for epilepsy).

Overdose and Missed Dose

• An overdose of this medicine may result in symptoms such as nausea, headache, dizziness, or a sense of disorientation. If you suspect an overdose, it is crucial to seek immediate medical attention.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular dosing schedule.

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 symptoms, please consult your doctor.

• If experiencing mild nausea or stomach upset from the medicine, try taking it with food or after meals.

• Should side effects such as mild headaches occur, ensure adequate hydration by drinking plenty of water.

Use in Driving and Operating Machinery

• There are no specific warnings regarding the use of this medicine affecting your ability to drive or operate machinery. However, if you experience any symptoms like dizziness or significant fatigue that might impair your ability to perform these activities safely.

Use in Pregnancy and Lactation

• Safety during pregnancy and while breastfeeding has not been conclusively established for this medicine. It is recommended to consult a doctor.

Caution in Other Conditions

• Individuals with renal dysfunction or liver disease should use this medicine cautiously, as certain components can accumulate due to impaired excretion processes. Patients with a history of alcohol use disorder should also use this medication under close medical supervision.

Special Dietary and Lifestyle Recommendations

• Incorporating a balanced diet rich in green leafy vegetables, whole grains, nuts, and dairy products can help maintain adequate levels of B vitamins.

• For individuals at risk of deficiency due to dietary restrictions such as vegans or vegetarians, consider fortified foods or supplements under medical advice.

• Regular physical activity can help improve overall health and aid in the metabolism of vitamins.