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

Dosage forms available

• Cyanocobalamin / Vitamin B12 + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid is available for use orally (tablet, capsules, liquid solution or syrup).

Age and dose restrictions

• This combination is suitable for use in adults and children. The specific age range and dosage depend on individual health status and severity of deficiency.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to any of the components.

• It is also contraindicated in patients with haemochromatosis or other conditions causing iron overload.

• Its use is not advised in certain rare genetic disorders such as atransferrinemia or congenital intrinsic factor deficiency, and those with severe renal impairment.

Other medications to avoid

• Cyanocobalamin / Vitamin B12 + Elemental Iron + Folic Acid + Vitamin C / Ascorbic Acid may interact with proton pump inhibitors and H2 receptor antagonists (such as omeprazole and ranitidine), antibiotics (like amoxicillin), and zinc supplements.

Overdose and missed dose

• In case of an overdose of this medicine, it may cause nausea, vomiting, diarrhoea, constipation, and a metallic taste. Immediate medical attention should be sought if such symptoms are observed.

• If you forget to take this medicine, take it as soon as you remember. However, avoid doubling the dose if it's already time for the next dose.

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 gastrointestinal upset (nausea, diarrhoea), taking this medicine after meals or adjusting the timing of the medication may help.

Use in driving and operating machinery

• This combination does not usually affect the ability to drive or operate heavy machinery. However, if you feel drowsy or dizzy after taking this medication, it is best to refrain from these activities.

Use in pregnancy and lactation

• Before using this medicine during pregnancy or lactation, it is recommended to consult your doctor.

Caution in other conditions

• Patients with haemochromatosis or other conditions causing iron overload should exercise caution when taking this medicine.

Special dietary and lifestyle recommendations

• Incorporating foods rich in Vitamin B12 (meat, fish, eggs, dairy), Iron (red meat, poultry, fish, beans, lentils), Folic Acid (leafy greens, fruits, legumes), and Vitamin C (citrus fruits, berries) can help manage nutritional deficiencies.

• Adequate hydration and regular balanced meals can aid in better absorption of these vitamins and minerals.

• Avoiding tannin-rich foods like tea and phytates in whole grains may enhance iron absorption.