Cyanocobalamin / Vitamin B12 + Ferric Ammonium Citrate + Folic Acid

Dosage Forms Available

• Cyanocobalamin / Vitamin B12 + Ferric Ammonium Citrate + Folic Acid is available for oral administration in the form of tablets, capsules and liquid formulations.

Age and Dose Restrictions

• This combination is intended for use by adults and children above the age of twelve years.

Contraindications

• The combination of Cyanocobalamin / Vitamin B12 + Ferric Ammonium Citrate + Folic Acid is contraindicated in individuals with known hypersensitivity to any of these ingredients.

• It should not be used in patients with iron overload disorders such as hemochromatosis or hemosiderosis.

Other Medications to Avoid

• This combination may interact with antibiotics (like tetracycline and ciprofloxacin), anticonvulsants (like phenytoin, phenobarbital) proton pump inhibitors (pantaprazole, omeprazole), methotrexate, Levodopa and zinc supplements.

• Always consult your doctor before starting any new medication while on this combination therapy.

Overdose and Missed Dose

• Overdosing on this medication combination can be harmful. High iron doses can cause iron toxicity, with symptoms like abdominal pain, bloody diarrhoea, vomiting, lethargy, and liver damage. If you suspect an overdose, seek immediate medical help.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the dose to make up for the 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.

• For side effects like upset stomach or nausea after taking the medication, try taking it with food.

• Drink plenty of fluids to manage constipation.

• Rest and get plenty of sleep if you feel dizzy or drowsy after taking the medication.

Use in Driving and Operating Machinery

• This combination does not typically affect your ability to drive or operate heavy machinery. However, if you feel dizzy or drowsy after taking this medication, refrain from driving or operating heavy machinery.

Use in Pregnancy and Lactation

• It is advisable to consult your doctor before using Cyanocobalamin / Vitamin B12 + Ferric Ammonium Citrate + Folic Acid during pregnancy and breastfeeding.

Caution in Other Conditions

• Individuals with a confirmed diagnosis of Vitamin B12 deficiency should exercise caution when using this combination as the folic acid component could mask the deficiency.

Special Dietary and Lifestyle Recommendations

• A balanced diet rich in iron, folic acid and vitamin B12 may complement the use of this combination for managing anaemia. Food sources can include lean meat, seafood, beans, leafy green vegetables, and fortified cereals.

• Adequate hydration may help manage certain side effects of this medication such as constipation.

• Regular health check-ups for monitoring vitamin and iron levels could be beneficial in managing the underlying condition effectively.