Cyanocobalamin / Vitamin B12 + Folic Acid

Dosage Forms Available

• Cyanocobalamin / Vitamin B12 + Folic Acid is available in several dosage forms. Cyanocobalamin / Vitamin B12 can be taken orally in tablet and sublingual tablet form.

Age and Dose Restrictions

• This medicine is recommended for adults and children aged 12 years and above. The precise age range and recommended dose should be determined by a doctor.

Contraindications

• Cyanocobalamin / Vitamin B12 + Folic Acid is contraindicated in patients with known hypersensitivity to cobalt or any component of the formulation.

Other Medications to Avoid

• This combination may interact with anticonvulsants (such as phenytoin), metformin, and antibiotics (like chloramphenicol). These interactions may affect the absorption and efficacy of the vitamins, potentially reducing their benefits in treating deficiencies.

Overdose and Missed Dose

• In cases of overdose of Cyanocobalamin / Vitamin B12 + Folic Acid, symptoms may include nausea, vomiting, diarrhoea or abdominal pain. Should you observe any of these symptoms or suspect an overdose, seek immediate medical attention.

• 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 continue with your regular schedule. Do not double the dose to compensate for the missed one.

Management of Side Effects

Most side effects of Cyanocobalamin / Vitamin B12 + Folic Acid 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.

• Drinking plenty of water can help manage side effects such as diarrhoea.

• Taking the medication with food may help to limit gastrointestinal discomfort.

Use in Driving and Operating Machinery

• Cyanocobalamin / Vitamin B12 + Folic Acid does not usually affect the ability to drive or operate machinery. However, if you feel dizzy or sleepy after taking this medicine, avoid driving or operating machinery until these symptoms subside.

Use in Pregnancy and Lactation

• Cyanocobalamin / Vitamin B12 + Folic Acid can be taken during pregnancy and breastfeeding under medical supervision.

Caution in Other Conditions

• Patients with polycythemia vera, Leber's hereditary optic neuropathy, cobalt allergies, renal impairment, history of seizures or malignancies should exercise caution when taking Cyanocobalamin / Vitamin B12 + Folic Acid.

Special Dietary and Lifestyle Recommendations

• Maintain a balanced diet rich in Vitamin B12 and Folate. Foods high in Vitamin B12 include animal products such as meat, fish, poultry, eggs, milk, and fortified foods. Foods high in Folic Acid include leafy green vegetables, fruits, beans, and fortified grains.

• Regular health check-ups are recommended to monitor your vitamin levels and adjust your medication dosage as necessary.

• Avoid alcohol as it can inhibit the absorption of these vitamins.

• Strict vegetarians and vegans should consider vitamin supplementation as their diet may lack sufficient Vitamin B12.