Folic Acid + Methylcobalamin + Vitamin B6 (pyridoxine) + Vitamin D3 (cholecalciferol)

Dosage Forms Available

• The combination of Folic Acid + Methylcobalamin + Vitamin B6 (Pyridoxine) + Vitamin D3 (Cholecalciferol) is commonly available via the oral route (tablets and capsules).

Age and Dose Restrictions

• The vitamins in this combination are recommended for use in adults and in children above the age of 12 years.

Contraindications

• This supplement is contraindicated in patients with known allergies to any of the vitamins included in this combination.

Other Medications to Avoid

• This combination may interact with certain medications such as anticonvulsants (like phenytoin) and proton pump inhibitors (such as omeprazole).

Overdose and Missed Dose

• An overdose of these vitamins can lead to adverse effects such as nerve damage (from excessive Vitamin B6), masking of Vitamin B12 deficiency (due to too much Folic Acid), and hypercalcemia (from excessive Vitamin D3). If you observe these symptoms, inform your doctor immediately.

• If you forget to take a dose of this supplement, take it as soon as you remember but avoid doubling up on doses.

Management of Side Effects

Most side effects from these vitamins are temporary and generally harmless, they resolve on their own when you stop taking the supplement. However, if you experience any severe side effects or if any symptom worsens, please consult your doctor.

• Drinking plenty of water may help manage some gastrointestinal side effects like diarrhoea or constipation.

• Taking the supplement with food may help alleviate some side effects like stomach discomfort.

Use in Driving and Operating Machinery

• There is no known effect of these vitamins on the ability to drive or operate heavy machinery.

Use in Pregnancy and Lactation

• This combination supplement is generally considered safe during pregnancy and breastfeeding, but it is always advisable to consult your doctor before starting any new medication or supplement during these periods.

Caution in Other Conditions

• Patients with kidney disease or high levels of calcium in their blood (hypercalcemia) should exercise caution when using this supplement.

Special Dietary and Lifestyle Recommendations

• Incorporating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can help ensure adequate intake of all essential vitamins and minerals.

• Regular exposure to sunlight can help the body naturally produce Vitamin D3.

• Regular physical activity can help maintain overall health and wellbeing.