Folic Acid + Methylcobalamin

Dosage Forms Available

• Folic Acid + Methylcobalamin is available in several dosage forms including oral tablets, capsules, liquid, and sublingual tablets for dissolving under the tongue.
• Additionally, this combination can be administered via intramuscular injection, which is given directly into a muscle by a healthcare provider.

Age and Dose Restrictions

• This medicine is suitable for adults and is generally safe for use by children under medical supervision. Specific advice regarding the use in young children should be sought from a doctor.

Contraindications

• Folic Acid + Methylcobalamin is contraindicated in patients with known hypersensitivity or allergic reactions to any components of the formulation.
• It is also contraindicated in individuals with untreated vitamin B12 deficiency anaemia.
• Patients with certain types of anaemia not caused by folate deficiency should avoid this medication.
• It should not be used by individuals with active malignancy unless they are under close medical supervision.

Other Medications to Avoid

• This combination may interact with folate antagonists (such as methotrexate), anticonvulsants (including phenytoin), proton pump inhibitors and H2 blockers (like omeprazole and ranitidine), agents affecting bile acid-like cholestyramine, diabetes medication (such as metformin), and those undergoing nitrous oxide anaesthesia.

Overdose and Missed Dose

• An overdose of Folic Acid + Methylcobalamin may result in increased body symptoms such as a bitter taste in the mouth, sleep disturbances, or rarely, allergic reactions. If you suspect an overdose, it is essential to seek medical advice promptly.
• 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. Do not take a double dose to make up for a 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.

• If experiencing nausea or loss of appetite, try taking the medicine with or immediately after food.
• In case of bloating or gas, consider spreading out doses throughout the day rather than taking it all at once.

Use in Driving and Operating Machinery

• Folic Acid + Methylcobalamin does not usually affect your ability to drive or operate machinery. However, individuals experiencing side effects like sleep disturbances should exercise caution.

Use in Pregnancy and Lactation

• Folic Acid + Methylcobalamin is considered safe during pregnancy and is actually recommended to prevent neural tube defects. It is also safe during lactation. However, always consult your doctor before starting any new medication during these periods.

Caution in Other Conditions

• Individuals with liver disease or kidney disease should use Folic Acid + Methylcobalamin with caution. Monitoring by a healthcare provider is advised to adjust dosages accordingly if necessary.

Special Dietary and Lifestyle Recommendations

• Incorporate foods rich in natural folate and vitamin B12 into your diet. Good sources include leafy green vegetables, fruits, nuts, beans, peas, dairy products, poultry, meat, eggs, and fish.
• Moderation in alcohol consumption is advisable as excessive alcohol can interfere with the absorption of these vitamins.
• Ensure consistent dietary practices to help maintain steady levels of these essential nutrients which are crucial for optimal health.