Cyanocobalamin / Vitamin B12 + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid + Zinc

Dosage Forms Available

• Cyanocobalamin / Vitamin B12 + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid + Zinc is available in the form of oral tablets and capsules, providing a convenient mode for this combination to be taken.

Age and Dose Restrictions

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

Contraindications

• This combination is contraindicated in patients known to have hypersensitivity or allergy to any of the included nutrients or the inactive ingredients in the supplements.

• Patients with haemochromatosis or other iron overload disorders should avoid this combination.

Other Medications to Avoid

• This combination can interact with proton pump inhibitors (such as omeprazole and lansoprazole), H2 receptor antagonists (such as ranitidine and famotidine).

Overdose and Missed Dose

• An overdose of this combination may lead to symptoms such as dizziness, nausea, vomiting, diarrhoea, stomach pain, and excessive urination. If you observe these symptoms, inform your doctor promptly.

• If you forget to take this medicine, take it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and return to your regular 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 of any of the symptoms, please consult your doctor.

• If nausea or upset stomach occurs, taking this medication with food can lessen these effects.

• Drinking plenty of fluids while taking this medication can help reduce constipation.

Use in Driving and Operating Machinery

• This combination does not generally affect your ability to drive or operate heavy machinery. However, some people may experience dizziness which can impact these abilities.

Use in Pregnancy and Lactation

• Pregnant and lactating women should consult a doctor before using this combination.

Caution in Other Conditions

• Patients with haemochromatosis or other conditions that can cause iron overload should exercise caution when using this medicine.

• Individuals with a history of kidney stones should be cautious with high-dose vitamin C in the combination.

Special Dietary and Lifestyle Recommendations

• A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and fortified foods can provide adequate amounts of these nutrients.

• Vegetarians, older adults, and people with malabsorption disorders may require dietary modifications or supplementation to meet their nutrient needs.

• Regular monitoring of nutrient levels is recommended for those on long-term supplementation.