Alpha Lipoic Acid + Benfotiamine + Biotin + Folic Acid + Methylcobalamin + Vitamin B6 (pyridoxine)

Dosage Forms Available

• Alpha Lipoic Acid + Benfotiamine + Biotin + Folic Acid + Methylcobalamin + Vitamin B6 (pyridoxine) is available as oral tablets and capsules.
• The amount of each ingredient may vary between products. The product and dose should be selected according to your doctor’s advice.

Age and Dose Restrictions

• Alpha Lipoic Acid + Benfotiamine + Biotin + Folic Acid + Methylcobalamin + Vitamin B6 (pyridoxine) is primarily intended for adults.
• There is no single dose or age restriction that applies to every product containing this combination.
• Give it to children or adolescents only when a doctor has recommended a suitable product and dose.
• Take it only at the dose and for the duration recommended by your doctor.

Contraindications

• Do not take this combination if you are allergic to any of its active ingredients or any other ingredient in the product.
• Do not take it at a high dose or for an extended period without a confirmed nutritional need and medical advice.
• People who experience recurrent episodes of low blood sugar should not take it without consulting a doctor.

Other Medications to Avoid With This Medicine

• Alpha lipoic acid may lower blood sugar. Taking it with insulin or other diabetes medicines may increase the risk of excessively low blood sugar.
• Vitamin B6 may reduce the effectiveness of levodopa when levodopa is taken without carbidopa to manage Parkinson’s disease.
• Folic acid may interact with certain medicines used to control epilepsy and with methotrexate when it is used to treat cancer.
• Tell your doctor about all medicines, herbal products, vitamins and nutritional supplements you take.

Overdose and Missed Dose

• Taking more than the recommended dose may cause nausea, vomiting, abdominal pain, diarrhoea, headache or low blood sugar.
• A very large overdose of alpha lipoic acid may cause serious problems, including seizures and an excessive accumulation of acid in the body.
• Taking a high dose of vitamin B6 for an extended period may cause numbness, tingling or nerve damage.
• If you take too much, do not wait for symptoms to develop. Seek immediate medical assistance.
• If you miss a dose, take it when you remember. If it is almost time for your next dose, skip the missed dose. Do not take 2 doses together.

Management of Side Effects

• If you experience nausea or stomach discomfort, consider taking the medicine with food according to your doctor’s or the product’s instructions.
• Drink adequate water and other fluids if you experience diarrhoea or vomiting.
• Seek medical advice if you develop persistent vomiting, severe diarrhoea, fainting, seizures or symptoms of low blood sugar.
• Seek immediate medical assistance if you develop a rash, swelling of the face or throat, or difficulty breathing.

Driving and Operating Machinery

• This combination is not normally expected to affect your ability to drive or operate machinery.
• Do not drive or operate machinery if you experience dizziness, weakness or symptoms of low blood sugar.

Use in Pregnancy and Lactation

• Certain vitamins are essential during pregnancy and breastfeeding, but taking them in the correct amount is important.
• Information about the safety of the complete combination, particularly alpha lipoic acid and benfotiamine, during pregnancy and breastfeeding is limited.
• If you are pregnant, planning a pregnancy or breastfeeding, take this combination only on your doctor’s advice.
• This combination should not be considered a substitute for the separate folic acid supplement recommended during pregnancy.

Caution in Other Conditions

• People with diabetes should monitor their blood sugar regularly because alpha lipoic acid may lower blood sugar levels.
• Biotin may cause falsely high or low results in certain laboratory tests, including tests for thyroid hormones and troponin. Tell your doctor and laboratory staff that you take biotin before undergoing a blood test.
• Consult your doctor if you develop persistent tingling or numbness. Too much vitamin B6 can also cause nerve damage.
• People with kidney or liver disease should consult their doctor before taking this combination.

Special Dietary and Lifestyle Recommendations

• Follow a balanced diet containing whole grains, pulses, fruits, vegetables, milk, eggs and sources of lean protein.
• If you have diabetic neuropathy, try to keep your blood sugar within the range recommended by your doctor.
• Examine your feet every day and contact your doctor if you notice a cut, blister, redness or swelling.
• Remain physically active and avoid smoking.
• Do not take several supplements containing the same vitamins without medical advice, as this may result in excessive vitamin B6 intake.