NEUROGARDIAN TABLET

Manufacturer : CIP-CIPLA LTD
Composition : PYRIDOXINE (VITB6)-5MG+RIBOFLAVIN (VITB2)-10MG+THIAMINE (VITB1)-5MG+CALCIUM PANTOTHENATE-25MG+METHYLCOBALAMIN-750MCG+NICOTINAMIDE-50MCG+FOLIC ACID-0.75MG+ALPHA LIPOIC ACID-100MG
Dose Form : TABLET
Description : NEURO-GARDIAN TAB
Route Of Administration : ORAL
Pack : 10
Out of stock
SKU
NEU0049
₹205.00
Manufacturer : CIP-CIPLA LTD
Composition : PYRIDOXINE (VITB6)-5MG+RIBOFLAVIN (VITB2)-10MG+THIAMINE (VITB1)-5MG+CALCIUM PANTOTHENATE-25MG+METHYLCOBALAMIN-750MCG+NICOTINAMIDE-50MCG+FOLIC ACID-0.75MG+ALPHA LIPOIC ACID-100MG
Dose Form : TABLET
Description : NEURO-GARDIAN TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

PYRIDOXINE (VITB6)-5MG+RIBOFLAVIN (VITB2)-10MG+THIAMINE (VITB1)-5MG+CALCIUM PANTOTHENATE-25MG+METHYLCOBALAMIN-750MCG+NICOTINAMIDE-50MCG+FOLIC ACID-0.75MG+ALPHA LIPOIC ACID-100MG

PYRIDOXINE (VITB6)

Information for patients
Drug Information Pyridoxine is vitamin B6. Vitamins occur naturally in foods such as meat, poultry, nuts, whole grains, bananas, and avocados. Vitamin B6 is important for many processes in the body. Pyridoxine is used to treat or prevent vitamin B6 deficiency. It is also used to treat a certain type of anemia (lack of red blood cells). Pyridoxine injection is also used to treat some types of seizure in babies. Pyridoxine taken by mouth (oral) is available without a prescription. Injectable pyridoxine must be given by a healthcare professional.
Drug Alert
Alert do not exceed stated dose
Before Consuming the Medicine
Avoid Drug Many drugs may alter the metabolism or bioavailability of pyridoxine, including isoniazid, penicillamine and oral contraceptives, which may increase the requirements for pyridoxine. Pyridoxine hydrochloride may reduce the effect of levodopa, a drug used in the treatment of Parkinsons Disease unless a dopa decarboxylase inhibitor is also given.
Drug Special Care You should not use pyridoxine if you have ever had an allergic reaction to it.
Drug Drug Interactions Many drugs may alter the metabolism or bioavailability of pyridoxine, including isoniazid, penicillamine and oral contraceptives, which may increase the requirements for pyridoxine. Pyridoxine hydrochloride may reduce the effect of levodopa, a drug used in the treatment of Parkinsons Disease unless a dopa decarboxylase inhibitor is also given.
Drug Pregnancy Interaction Data on exposed pregnancies indicate no adverse effects of pyridoxine in therapeutic doses on pregnancy or the health of the foetus or newborn child, or during lactation. Animal studies are insufficient with respect to effects on pregnancy, embryonal/foetal development, parturition or postnatal development. Caution should be exercised when prescribing to pregnant women.
Drug Breast feeding Interaction Data on exposed pregnancies indicate no adverse effects of pyridoxine in therapeutic doses on pregnancy or the health of the foetus or newborn child, or during lactation.
Drug Machinery Interaction no data
Drug More Information Long term administration of large doses of pyridoxine is associated with the development of severe peripheral neuritis.
How to take the Medicine
Consumption Info Pyridoxine Hydrochloride is used for isoniazid-induced peripheral neuritis, idiopathic sideroblastic anaemia and Vitamin B6 deficiency states.
Drug quanitty 50mg three times a day
Drug Dose no data
Excess Drug Consumption a) Symptoms – None reported b) Treatment – no treatment necessary
Forgot Drug Consumption no data
Stop Drug Consumption no data
Possible Side Effects
General Information As well as its needed effects, pyridoxine may cause unwanted side effects that require medical attention
Common Drug Side Effects With large doses Clumsiness numbness of hands or feet
Rare Drug Side Effects Nervous system side effects have included sensory neuropathy with axonal degeneration. The adverse neurologic side effects have been reported following a single large dose (10 g) administered intravenously. It may rarely occur following chronic administration of lower doses. Peripheral sensory neuropathy has also been reported
Very Rare Drug Side Effects Dermatologic side effects have included allergic contact dermatitis. Photosensitivity has been confirmed in a female patient taking pyridoxine 100 mg orally daily
Drug Side Effects Symptoms no data
How to Store the Medicine
How to Store the Medicine Store below 25°C Protect from light and moisture.

RIBOFLAVIN (VITB2)

Information for patients
Drug Information Prevention and treatment of riboflavin deficiency.
Drug Alert
Alert
Before Consuming the Medicine
Avoid Drug None well documented.
Drug Special Care
Drug Drug Interactions None well documented.
Drug Pregnancy Interaction Category A ( Category C in doses that exceed the RDA).
Drug Breast feeding Interaction Excreted in breast milk.
Drug Machinery Interaction
Drug More Information Large doses produce bright-yellow urine, which may contain fluorescent substances and interfere with urinalysis based on spectrometry or color reactions.
How to take the Medicine
Consumption Info Riboflavin deficiency rarely occurs alone; often associated with deficiency of other B vitamins and protein.
Drug quanitty SupplementAdults PO 1.4 to 1.8 mg (men), 1.2 to 1.3?mg (women), 1.6 to 1.8 mg (pregnant or lactating women). Children PO 0.8 to 1.2 mg/day. Treatment of DeficiencyAdults PO 5 to 10 mg/day. Children PO 2 to 10 mg/day.
Drug Dose
Excess Drug Consumption
Forgot Drug Consumption
Stop Drug Consumption
Possible Side Effects
General Information
Common Drug Side Effects Yellow-orange discoloration of urine.
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Keep cool, dry & out of direct sunlight.

THIAMINE (VITB1)

Information for patients
Drug Information Thiamine (vitamin B1) is used to prevent or treat low levels of vitamin B1 in people who do not get enough of the vitamin from their diets. Most people who eat a normal diet do not need extra vitamin B1. However, some conditions (such as alcoholism, cirrhosis, stomach/intestinal problems) can cause low levels of vitamin B1. Vitamin B1 plays an important role in the body. It is needed to maintain the health of the nerves and the heart. Low levels of vitamin B1 may cause heart failure and mental/nerve problems.
Drug Alert
Alert
Before Consuming the Medicine
Avoid Drug Before taking thiamine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.During pregnancy, this vitamin has been found to be safe when used in recommended doses.
Drug Special Care
Drug Drug Interactions The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.This vitamin may interfere with certain laboratory tests (including uric acid levels, urobilinogen urine test), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this vitamin.Keep a list of all the products you use. Share the list with your doctor and pharmacist to reduce your risk for serious medication problems.
Drug Pregnancy Interaction Higher doses during pregnancy should be used only when clearly needed. Discuss the risks and benefits with your doctor.
Drug Breast feeding Interaction This vitamin passes into breast milk and is considered to be safe during breast-feeding when used in recommended doses. Consult your doctor for more information.
Drug Machinery Interaction
Drug More Information
How to take the Medicine
Consumption Info Keep all regular medical and laboratory appointments.Laboratory and/or medical tests (such as thiamine levels) may be performed to monitor your progress. Consult your doctor for more details.This product is not a substitute for a proper diet. It is best to get your vitamins from healthy foods. Thiamine is commonly found in cereal grains, bread, pork, and beans, among others. Consult your doctor, pharmacist, or nutritionist for more details.
Drug quanitty
Drug Dose Take this vitamin by mouth with or without food, usually 1 to 3 times daily. Follow all directions on the product package, or take as directed by your doctor. If you are uncertain about any of the information, consult your doctor or pharmacist.Dosage is based on your medical condition and response to treatment.Use this vitamin regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.Tell your doctor if your condition persists or worsens. If you think you may have a serious medical problem, seek immediate medical attention.
Excess Drug Consumption If overdose is suspected, contact your poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center.
Forgot Drug Consumption If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Stop Drug Consumption
Possible Side Effects
General Information
Common Drug Side Effects This vitamin usually has no side effects. If you have any unusual effects, contact your doctor or pharmacist promptly.A very serious allergic reaction to this vitamin is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Different brands of this vitamin have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product

CALCIUM PANTOTHENATE

Information for patients
Drug Information Vitamins are compounds that you must have for growth and health. They are needed in only small amounts and are usually available in the foods that you eat. Pantothenic acid (vitamin B 5) is needed for the breakdown of carbohydrates, proteins, and fats. No problems have been found that are due to a lack of pantothenic acid alone. However, a lack of one B vitamin usually goes along with a lack of others, so pantothenic acid is often included in B complex products. Claims that pantothenic acid is effective for treatment of nerve damage, breathing problems, itching and other skin problems, and poisoning with some other drugs; for getting rid of or preventing gray hair; for preventing arthritis, allergies, and birth defects; or for improving mental ability have not been proven. This vitamin is available without a prescription.
Drug Alert
Alert no data available
Before Consuming the Medicine
Avoid Drug If you are taking this dietary supplement without a prescription, carefully read and follow any precautions on the label. For this supplement, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to pantothenic acid or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Problems in children have not been reported with intake of normal daily recommended amounts. Geriatric Problems in older adults have not been reported with intake of normal daily recommended amounts.
Drug Special Care no data available
Drug Drug Interactions Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Drug Pregnancy Interaction no data available
Drug Breast feeding Interaction no data available
Drug Machinery Interaction no data available
Drug More Information Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
How to take the Medicine
Consumption Info no data available
Drug quanitty Dosing The dose of pantothenic acid will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of pantothenic acid. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For oral dosage forms (capsules, tablets, oral solution): To prevent deficiency, the amount taken by mouth is based on normal daily recommended intakes: Adults and teenagers—4 to 7 milligrams (mg) per day. Children 7 to 10 years of age—4 to 5 mg per day. Children 4 to 6 years of age—3 to 4 mg per day. Children birth to 3 years of age—2 to 3 mg per day. To treat deficiency: Adults, teenagers, and children—Treatment dose is determined by prescriber for each individual based on severity of deficiency.
Drug Dose For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement. Pantothenic acid is found in various foods including peas and beans (except green beans), lean meat, poultry, fish, and whole-grain cereals. Little pantothenic acid is lost from foods with ordinary cooking. Vitamins alone will not take the place of a good diet and will not provide energy. Your body also needs other substances found in food—protein, minerals, carbohydrates, and fat. The daily amount of pantothenic acid needed is defined in several different ways. For U.S.— Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person's age, sex, and physical condition (e.g., pregnancy). Daily Values (DVs) for nutrients are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DVs replace the previous designation of United States Recommended Daily Allowances (USRDAs). For Canada— Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease. Because lack of pantothenic acid is so rare, there is no RDA or RNI for this vitamin. The following daily intakes are thought to be plenty for most individuals: Infants and children— Birth to 3 years of age: 2 to 3 milligrams (mg). 4 to 6 years of age: 3 to 4 mg. 7 to 10 years of age: 4 to 5 mg. Adolescents and adults—4 to 7 mg.
Excess Drug Consumption Dail 1066. OR Contact doctor immediately
Forgot Drug Consumption If you miss a dose of pantothenic acid, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Stop Drug Consumption Do not stop the drug untill your doctor says you to do so.
Possible Side Effects
General Information no data available
Common Drug Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.
Rare Drug Side Effects no data available
Very Rare Drug Side Effects no data available
Drug Side Effects Symptoms no data available
How to Store the Medicine
How to Store the Medicine Store in a cool and dry place. Store the dietary supplement in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed.

METHYLCOBALAMIN

Information for patients
Drug Information Vitamin B12, is used to treat vitamin B12 deficiency, cyanide poisoning, and hereditary deficiency of transcobalamin II.[3] It is also given as part of the schilling test for detecting pernicious anemia.[3] For cyanide poisoning, large amount may be given intravenously, and sometimes in combination with sodium thiosulfate.[4] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting harmless B12 complex is excreted in urine. In the United States, the Food and Drug Administration approved (in 2006) the use of hydroxocobalamin for acute treatment of cyanide poisoning.[5] High vitamin B12 level in elderly individuals may protect against brain atrophy or shrinkage, associated with Alzheimer's disease and impaired cognitive function.[6] High-dose administration of Vitamin B12 has been additionally validated to stimulate the activity of the body's TH1 suppressor T-Cells, which then down-regulates the over-production of the allagen antibody 1gE in allergic individuals.
Drug Alert
Alert no data available
Before Consuming the Medicine
Avoid Drug no data available
Drug Special Care Vitamin B12 supplements in theory should be avoided in people sensitive or allergic to cobalamin, cobalt, or any other product ingredients. However, direct allergy to a vitamin or nutrient is extremely rare, and if reported, other causes should be sought.
Drug Drug Interactions Aminosalicylic acid (para-aminosalicylic acid, PAS, Paser): Aminosalicylic acid can reduce oral vitamin B12 absorption, possibly by as much as 55%, as part of a general malabsorption syndrome. Megaloblastic changes, and occasional cases of symptomatic anemia have occurred, usually after doses of 8 to 12 g/day for several months. Vitamin B12 levels should be monitored in people taking aminosalicylic acid for more than one month. Antibiotics: An increased bacterial load can bind significant amounts of vitamin B12 in the gut, preventing its absorption. In people with bacterial overgrowth of the small bowel, antibiotics such as metronidazole (Flagyl) can actually improve vitamin B12 status. The effects of most antibiotics on gastrointestinal bacteria are unlikely to have clinically significant effects on vitamin B12 levels. Hormonal contraception: The data regarding the effects of oral contraceptives on vitamin B12serum levels are conflicting. Some studies have found reduced serum levels in oral contraceptive users, but others have found no effect despite use of oral contraceptives for up to 6 months. When oral contraceptive use is stopped, normalization of vitamin B12 levels usually occurs. Lower vitamin B12serum levels seen with oral contraceptives probably are not clinically significant. Chloramphenicol (Chloromycetin): Limited case reports suggest that chloramphenicol can delay or interrupt the reticulocyte response to supplemental vitamin B12 in some patients. Blood counts should be monitored closely if this combination cannot be avoided. Cobalt irradiation: Cobalt irradiation of the small bowel can decrease gastrointestinal (GI) absorption of vitamin B12. Colchicine: Colchicine in doses of 1.9 to 3.9 mg/day can disrupt normal intestinal mucosal function, leading to malabsorption of several nutrients, including vitamin B12. Lower doses do not seem to have a significant effect on vitamin B12 absorption after 3 years of colchicine therapy. The significance of this interaction is unclear. Vitamin B12 levels should be monitored in people taking large doses of colchicine for prolonged periods. Colestipol (Colestid), cholestyramine (Questran): These resins used for sequestering bile acids to decrease cholesterol, can decrease gastrointestinal (GI) absorption of vitamin B12. It is unlikely this interaction will deplete body stores of vitamin B12 unless there are other factors contributing to deficiency. In a group of children treated with cholestyramine for up to 2.5 years, there was not any change in serum vitamin B12 levels. Routine supplements are not necessary. H2-receptor antagonists: include cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), and ranitidine (Zantac). Reduced secretion of gastric acid and pepsin produced by H2 blockers can reduce absorption of protein-bound (dietary) vitamin B12, but not of supplemental vitamin B12. Gastric acid is needed to release vitamin B12 from protein for absorption. Clinically significant vitamin B12 deficiency and megaloblastic anemia are unlikely, unless H2 blocker therapy is prolonged (2 years or more), or the person's diet is poor. It is also more likely if the person is rendered achlorhydric(with complete absence of gastric acid secretion), which occurs more frequently with proton pump inhibitors than H2 blockers. Vitamin B12 levels should be monitored in people taking high doses of H2 blockers for prolonged periods. Metformin (Glucophage): Metformin may reduce serum folic acid and vitamin B12 levels. These changes can lead to hyperhomocysteinemia, adding to the risk of cardiovascular disease in people with diabetes.[citation needed] There are also rare reports of megaloblastic anemia in people who have taken metformin for five years or more. Reduced serum levels of vitamin B12 occur in up to 30% of people taking metformin chronically.[20][21] However, clinically significant deficiency is not likely to develop if dietary intake of vitamin B12 is adequate. Deficiency can be corrected with vitamin B12 supplements even if metformin is continued. The metformin-induced malabsorption of vitamin B12 is reversible by oral calcium supplementation.[22] The general clinical significance of metformin upon B12 levels is as yet unknown.[23] Neomycin: Absorption of vitamin B12 can be reduced by neomycin, but prolonged use of large doses is needed to induce pernicious anemia. Supplements are not usually needed with normal doses. Nicotine: Nicotine can reduce serum vitamin B12 levels. The need for vitamin B12 supplementation in smokers has not been adequately studied. Nitrous oxide: Nitrous oxide inactivates the cobalamin form of vitamin B12 by oxidation. Symptoms of vitamin B12 deficiency, including sensory neuropathy, myelopathy, and encephalopathy, can occur within days or weeks of exposure to nitrous oxide anesthesia in people with subclinical vitamin B12 deficiency. Symptoms are treated with high doses of vitamin B12, but recovery can be slow and incomplete. People with normal vitamin B12 levels have sufficient vitamin B12 stores to make the effects of nitrous oxide insignificant, unless exposure is repeated and prolonged (such as recreational use). Vitamin B12 levels should be checked in people with risk factors for vitamin B12 deficiency prior to using nitrous oxide anesthesia. Chronic nitrous oxide B12 poisoning (usually from use of nitrous oxide as a recreational drug), however, may result in B12 functional deficiency even with normal measured blood levels of B12.[24] Phenytoin (Dilantin), phenobarbital, primidone (Mysoline): These anticonvulsants have been associated with reduced vitamin B12 absorption, and reduced serum and cerebrospinal fluidlevels in some patients. This may contribute to the megaloblastic anemia, primarily caused by folate deficiency, associated with these drugs. It is also suggested that reduced vitamin B12 levels may contribute to the neuropsychiatric side effects of these drugs. Patients should be encouraged to maintain adequate dietary vitamin B12 intake. Folate and vitamin B12 status should be checked if symptoms of anemia develop. Proton pump inhibitors (PPIs): The PPIs include omeprazole (Prilosec, Losec), lansoprazole(Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix, Pantoloc), and esomeprazole (Nexium). The reduced secretion of gastric acid and pepsin produced by PPIs can reduce absorption of protein-bound (dietary) vitamin B12, but not supplemental vitamin B12. Gastric acid is needed to release vitamin B12 from protein for absorption. Reduced vitamin B12 levels may be more common with PPIs than with H2-blockers, because they are more likely to produce achlorhydria (complete absence of gastric acid secretion). However, clinically significant vitamin B12 deficiency is unlikely, unless PPI therapy is prolonged (2 years or more) or dietary vitamin intake is low. Vitamin B12 levels should be monitored in people taking high doses of PPIs for prolonged periods. Zidovudine (AZT, Combivir, Retrovir): Reduced serum vitamin B12 levels may occur when zidovudine therapy is started. This adds to other factors that cause low vitamin B12 levels in people with HIV, and might contribute to the hematological toxicity associated with zidovudine. However, the data suggest vitamin B12 supplements are not helpful for people taking zidovudine.[citation needed] Folic acid: Folic acid, particularly in large doses, can mask vitamin B12 deficiency by completely correcting hematological abnormalities. In vitamin B12 deficiency, folic acid can produce complete resolution of the characteristic megaloblastic anemia, while allowing potentially irreversible neurological damage (from continued inactivity of methylmalonyl mutase) to progress. Thus, vitamin B12 status should be determined before folic acid is given as monotherapy. Potassium: Potassium supplements can reduce absorption of vitamin B12 in some people. This effect has been reported with potassium chloride and, to a lesser extent, with potassium citrate. Potassium might contribute to vitamin B12 deficiency in some people with other risk factors, but routine supplements are not necessary.[
Drug Pregnancy Interaction no data available
Drug Breast feeding Interaction no data available
Drug Machinery Interaction no data available
Drug More Information Alcohol (ethanol): Excessive alcohol intake lasting longer than two weeks can decrease vitamin B12 absorption from the gastrointestinal tract.[c
How to take the Medicine
Consumption Info no data available
Drug quanitty The dietary reference intake for an adult ranges from 2 to 3 µg per day.[9] Vitamin B12 is believed to be safe when used orally in amounts that do not exceed the recommended dietary allowance (RDA). There have also been studies that showed no adverse consequences of doses above the RDA.[10] The RDA for vitamin B12 in pregnant women is 2.6 µg per day and 2.8 µg during lactation periods.[citation needed] There is insufficient reliable information available about the safety of consuming greater amounts of vitamin B12 during pregnancy. The Vegan Society, the Vegetarian Resource Group, and the Physicians Committee for Responsible Medicine, among others, recommend that vegans either consistently eat foods fortified with B12 or take a daily or weekly B12 supplement.[11][12][13] Fortified breakfast cereals are a particularly valuable source of vitamin B12 for vegetarians and vegans. In addition, adults age 51 and older are recommended to consume B12 fortified food or supplements to meet the RDA, because they are a population at an increased risk of deficiency
Drug Dose Can you take too much? No. Unlike other supplements which you can overdose on, your body doesn’t store excess vitamin B12. But you don’t want to waste it. I usually go with ~1cc every week or so.
Excess Drug Consumption no data available
Forgot Drug Consumption contact your doctor
Stop Drug Consumption do not stop the medicine untill adviced by your doctor
Possible Side Effects
General Information no data available
Common Drug Side Effects Vitamin B12 has extremely low toxicity and even taking it in enormous doses appears not to be harmful to healthy individuals.[17][18] Hematologic: Peripheral vascular thrombosis has been reported. Treatment of vitamin B12 deficiency can unmask polycythemia vera, which is characterized by an increase in blood volume and the number of red blood cells. The correction of megaloblastic anemia with vitamin B12 can result in fatal hypokalemia and gout in susceptible individuals, and it can obscure folate deficiency in megaloblastic anemia. Caution is warranted. Leber's disease: Vitamin B12 in the form of cyanocobalamin is contraindicated in early Leber's disease, which is hereditary optic nerve atrophy. Cyanocobalamin can cause severe and swift optic atrophy, but other forms of vitamin B12 are available. However, the sources of this statement are not clear, while an opposing view[19] concludes: "The clinical picture of optic neuropathy associated with vitamin B12 deficiency shows similarity to that of Leber's disease optic neuropathy. Both involve the nerve fibres of the papillomacular bundle. The present case reports suggest that optic neuropathy in patients carrying a primary LHON mtDNA mutation may be precipitated by vitamin B12 deficiency. Therefore, known carriers should take care to have an adequate dietary intake of vitamin B12 and malabsorption syndromes like those occurring in familial pernicious anaemia or after gastric surgery should be excluded."
Rare Drug Side Effects no data available
Very Rare Drug Side Effects no data available
Drug Side Effects Symptoms no data available
How to Store the Medicine
How to Store the Medicine Precautions: Keep away from heat. Keep away from sources of ignition. Empty containers pose a fire risk, evaporate the residue under a fume hood. Ground all equipment containing material. Do not ingest. Do not breathe dust. If ingested, seek medical advice immediately and show the container or the label. Keep away from incompatibles such as oxidizing agents. Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area.

NICOTINAMIDE

Information for patients
Drug Information Niacinamide (nicotinamide) is a form of vitamin B3 (niacin) and is used to prevent and treat niacin deficiency (pellagra). Niacin deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niacinamide is often used instead of niacin because it causes fewer side effects (e.g., flushing). Unlike niacin, niacinamide does not help correct blood fat levels and cannot be substituted for niacin if you are being treated for a blood fat problem (e.g., high cholesterol). Niacin deficiency may happen as a result of poor diet, certain medical conditions (e.g., alcohol abuse, malabsorption syndrome, Hartnup disease), or long-term use of certain medications (e.g., isoniazid). It is best to get your vitamins from healthy foods. A multivitamin may be recommended by your doctor instead of niacinamide because poor diet usually causes deficiencies in more than one vitamin. Vitamins help to support the body's ability to make and break down natural substances (metabolism) and are needed for good health.
Drug Alert
Alert no data available
Before Consuming the Medicine
Avoid Drug Before taking niacinamide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This product should not be used if you have certain medical conditions. Before using this product, consult your doctor or pharmacist if you have: current liver disease, current ulcer. If you have any of the following health problems, consult your doctor or pharmacist before using this product: bleeding problems (low platelets), diabetes, gout, kidney disease, history of liver disease, history of stomach/ulcer problems. If you have diabetes, this drug may increase your blood sugar levels. Check your blood glucose levels regularly as directed by your doctor. Tell your doctor immediately if you have symptoms of high blood sugar such as increased thirst and urination. Your anti-diabetic medication or diet may need to be adjusted. Tell your doctor if you are pregnant before using this medication. This drug passes into breast milk. Consult your doctor before breast-feeding.
Drug Special Care no data available
Drug Drug Interactions If you are taking this medication under your doctor's direction, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: blood thinners (e.g., warfarin, heparins), drugs for diabetes (e.g., insulin, glyburide, metformin), vitamins/dietary supplements/products that also contain niacin or niacinamide. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
Drug Pregnancy Interaction Tell your doctor if you are pregnant before using this medication.
Drug Breast feeding Interaction This drug passes into breast milk. Consult your doctor before breast-feeding.
Drug Machinery Interaction no data available
Drug More Information no data available
How to take the Medicine
Consumption Info no data available
Drug quanitty no data available
Drug Dose Take this product by mouth as directed, usually once or twice daily. Follow all directions on the product package, or use as directed by your doctor. If you are uncertain about any of the information, consult your doctor or pharmacist. Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. If you take certain drugs to lower blood fats (bile acid-binding resins such as cholestyramine or colestipol), take niacinamide at least 4 to 6 hours before or after taking these medications. These products may bind with niacinamide, preventing its full absorption. If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.
Excess Drug Consumption If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. NOTES: Laboratory tests (e.g., blood sugar, liver function tests) may be performed to monitor for possible side effects. Keep all regular medical and laboratory appointments. Remember that it is best to get your vitamins and minerals from healthy foods. Maintain a well-balanced diet, and follow any dietary guidelines as directed by your doctor. B vitamins (including niacin) are found in meat, fish, poultry, enriched/whole grain bread products, and fortified cereals. Eat more of these foods to increase the amount of niacin in your diet if you have a niacin deficiency.
Forgot Drug Consumption If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Stop Drug Consumption Do not stop the drug untill your doctor says you to do so.
Possible Side Effects
General Information no data available
Common Drug Side Effects Niacinamide is generally well tolerated in usual doses. Upset stomach, nausea, and diarrhea may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor immediately if any of these rare but very serious side effects occur: black/tarry stools, easy bruising/bleeding, persistent nausea/vomiting, swelling of arms/legs, change in the amount of urine, dark urine, vomit that looks like coffee grounds, yellowing eyes/skin. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Rare Drug Side Effects no data available
Very Rare Drug Side Effects no data available
Drug Side Effects Symptoms no data available
How to Store the Medicine
How to Store the Medicine Refer to storage information printed on the package. If you have any questions about storage, ask your pharmacist. Keep all products away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

FOLIC ACID

Information for patients
Drug Information The name of your medicine is Folic acid. It contains folic acid. This belongs to a group of vitamins called ‘B vitamins’. Folic acid is used to help prevent babies being born with Neural Tube Defects such as Spina Bifida. n You should use this medicine if you are trying to become pregnant and also during the first three months of your pregnancy. n You should also use this when you know you are pregnant or you think you are pregnant and continue to use it for the first three months of your pregnancy.
Drug Alert
Alert You are allergic (hypersensitive) to folic acid or any other ingredients in this liquid (listed in Section 6) Signs of an allergic reaction include a rash, itching or shortness of breath n You have a tumour or cancer
Before Consuming the Medicine
Avoid Drug You are allergic (hypersensitive) to folic acid or any other ingredients in this liquid (listed in Section 6) Signs of an allergic reaction include a rash, itching or shortness of breath n You have a tumour or cancer
Drug Special Care You have been told that you have something called ‘pernicious anaemia’ or a ‘vitamin B12 deficiency’.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Folic acid can affect the way some other medicines work. Also, some medicines can affect the way Folic acid works. In particular, tell your doctor if you are taking any of the following: n Medicines for epilepsy and fits such as phenytoin or primidone. Your doctor may need to change the amount you are taking. This is because Folic acid may make these medicines work less well.
Drug Pregnancy Interaction Talk to your doctor before taking this medicine if you are pregnant, planning to become pregnant or are breastfeeding. If you are a woman and you are pregnant, this medicine is unlikely to cause any harm to you or your unborn child.
Drug Breast feeding Interaction Talk to your doctor before taking this medicine if you are pregnant, planning to become pregnant or are breastfeeding. If you are a woman and you are pregnant, this medicine is unlikely to cause any harm to you or your unborn child.
Drug Machinery Interaction Folic acid is not likely to affect you being able to drive or use any tools or machines
Drug More Information
How to take the Medicine
Consumption Info to be taken orally
Drug quanitty as per the requirement
Drug Dose as per the requirement
Excess Drug Consumption There have been no cases of people taking an overdose with this medicine. However, if you think you have taken more than you should, talk to your doctor or go to a hospital straight away.
Forgot Drug Consumption If you forget a dose, take it as soon as you remember it. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose (two doses at the same time) to make up for a forgotten dose.
Stop Drug Consumption Do not stop the drug untill your doctor says you to do so.
Possible Side Effects
General Information no data available
Common Drug Side Effects An allergic reaction may include: n Any kind of skin rash, flaking skin, boils or sore lips and mouth n Sudden wheezing, fluttering or tightness of the chest or collapse. Tell your doctor if you get any of these side effects: n Feeling sick (nausea), being sick (vomiting) or an upset stomach.
Rare Drug Side Effects no data available
Very Rare Drug Side Effects no data available
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Keep out of the reach and sight of children n Do not store above 25°C n Take back to the pharmacy 1 month after opening. n Do not use after the expiry date which is stated on the label and carton (Exp: month, year) n The expiry date refers to the last day of that month n Do not use Folic acid if you notice a change in the appearance or smell of the medicine. Talk to your pharmacist n Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment

ALPHA LIPOIC ACID

Information for patients
Drug Information Alpha-lipoic acid (ALA) has been used as an antioxidant for the treatment of diabetes and HIV. It also has been used for cancer, liver ailments, and various other conditions
Drug Alert
Alert People with diabetes should be careful to check their blood sugar levels because alpha-lipoic acid might lower blood sugar.
Before Consuming the Medicine
Avoid Drug
Drug Special Care
Drug Drug Interactions
Drug Pregnancy Interaction Not enough is known about the use of alpha-lipoic acid during pregnancy and breast-feeding. Stay on the safe side and avoid use.
Drug Breast feeding Interaction
Drug Machinery Interaction
Drug More Information
How to take the Medicine
Consumption Info
Drug quanitty The best dose for neuropathy is 600 mg daily. Between 50 to 100 mg is sufficient for antioxidant purposes. You can buy it in doses of 30 to 100 mg tablets. Studies are mixed about whether or not to take ALA with meals. General antioxidant support: 20 to 50 mg per day Diabetes and diabetic neuropathy: 800 mg per day in divided doses
Drug Dose
Excess Drug Consumption
Forgot Drug Consumption
Stop Drug Consumption
Possible Side Effects
General Information Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Although not all side effects are known, alpha-lipoic acid is thought to be possibly safe when taken as directed.
Common Drug Side Effects nausea; or skin rash.
Rare Drug Side Effects low blood sugar--headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery; or a light-headed feeling, like you might pass out.
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Store in cool, dry place. Avoid humidity. In particular , alpha lipoic acid is is stored under 5 degrees

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