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Multinir-SL Tablet 10's is used in the treatment of peripheral neuropathy and megaloblastic anaemia. This medicine contains methylcobalamin which helps protect the nerves from damage and promotes blood cell production. Some of the common side effects include nausea, vomiting, diarrhoea, and headache. Take this medicine as advised by your doctor.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Nirvana India Pvt Ltd

Consume Type :

Sublingual

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Multinir-SL Tablet 10's

Multinir-SL Tablet 10's is a specialised vitamin supplement used to treat and prevent Vitamin B12 deficiency, anaemia, and diabetic neuropathy. It contains a highly active form of vitamin B12 that helps support healthy nerve function, red blood cell production, and brain health. This medicine is particularly useful for individuals who cannot absorb standard vitamin B12 through their stomach.

To get the most benefit, you should take Multinir-SL Tablet 10's regularly at the same time each day. It can be taken with or without food as advised by your healthcare provider. For the best results, combine this supplement with a balanced diet rich in essential nutrients and regular physical activity.

While Multinir-SL Tablet 10's is generally very safe and well-tolerated, some people may experience mild side effects such as nausea, headache, or a mild skin rash. If you experience severe allergic reactions, swelling, or difficulty breathing, you should stop taking it and consult your doctor immediately.

Before starting Multinir-SL Tablet 10's, talk to your doctor if you have a history of Leber's disease (a rare eye condition), low potassium levels, or kidney disease. Do not take this medicine if you have a known allergy to methylcobalamin, cobalt, or any of the other ingredients in the product.

Certain substances like heavy alcohol intake, smoking, and medicines like antacids or metformin can lower vitamin B12 absorption in your body. If you are pregnant, breastfeeding, or an older adult, consult your doctor to ensure this is the right option for your specific nutritional needs.

Uses of Multinir-SL Tablet 10's

Your doctor may prescribe Multinir-SL Tablet 10's to treat the following conditions:

  • Vitamin B12 Deficiency: Multinir-SL Tablet 10's replenishes low levels of vitamin B12 in the body, which is essential for maintaining energy levels, brain health, and DNA synthesis.
  • Peripheral Neuropathy: Multinir-SL Tablet 10's helps relieve nerve pain, numbness, and tingling sensations in the hands and feet by promoting the repair and regeneration of damaged nerve fibres.
  • Megaloblastic Anaemia: Multinir-SL Tablet 10's supports the healthy production of red blood cells, preventing the formation of abnormally large, poorly functioning red blood cells that lead to fatigue and weakness.

Key Benefits

Multinir-SL Tablet 10's provides several benefits. Here is how it helps patients feel better:

  • Rapid Absorption: Because Multinir-SL Tablet 10's is a sublingual medication, it dissolves directly under the tongue and enters the bloodstream immediately. This bypasses the digestive system where vitamin B12 absorption is often poor.
  • Nerve Pain Relief: Patients dealing with diabetic or peripheral neuropathy often feel a gradual reduction in burning, tingling, and stabbing nerve pain, allowing for improved daily mobility and comfort.
  • Restored Energy Levels: By correcting underlying anemia and vitamin deficiencies, this medicine helps reduce chronic fatigue, weakness, and brain fog, helping you feel more active and focused.
     

Directions for Use

  • Take it with or without food as advised by your doctor.
  • Place it under your tongue until it is dissolved.
  • Do not chew or swallow it as a whole.

How Multinir-SL Tablet 10's Works

Multinir-SL Tablet 10's delivers methylcobalamin, which is the biologically active coenzyme form of Vitamin B12. Unlike cyanocobalamin, which the body must first convert, methylcobalamin is already in a form your body can use immediately. Inside the body, it acts as a key player in two vital processes. First, it helps convert homocysteine into methionine, an amino acid crucial for protecting cardiovascular health. Second, it plays a fundamental role in myelin synthesis. Myelin is the protective sheath that wraps around your nerves; by promoting myelin production, this medicine helps repair damaged nerves and restores proper nerve signal transmission. It also assists in cell division and the healthy development of red blood cells in the bone marrow.
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Alcohol

Caution

Avoid consuming alcohol with Multinir-SL Tablet 10's to ensure maximum absorption of nutrients.

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Pregnancy

Caution

Multinir-SL Tablet 10's should be used during pregnancy only when advised by your doctor. Let your doctor know if you are pregnant or planning to conceive before starting Multinir-SL Tablet 10's.

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Breast Feeding

Caution

Multinir-SL Tablet 10's may be excreted into breast milk. Please consult your doctor before taking the supplement if you are a breastfeeding mother.

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Driving

Safe

Multinir-SL Tablet 10's usually does not interfere with your driving ability. However, do not drive or operate machinery if you are not mentally alert and focused.

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking Multinir-SL Tablet 10's. Your dosage may be adjusted in case of liver impairment.

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Kidney

Caution

Let your doctor know if you have any history of kidney diseases before taking Multinir-SL Tablet 10's. Your dosage may be adjusted in case of renal impairment.

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Children

Caution

Multinir-SL Tablet 10's should be used in children only when the doctor advises. The doctor will prescribe the dosage of Multinir-SL Tablet 10's based on the child's age and weight.

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Heart

Caution

Take Multinir-SL Tablet 10's with caution, especially if you have a history of heart diseases/conditions. The dose may be adjusted by your doctor as required.

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Geriatrics

Consult your doctor

Please consult a doctor if you have any concerns regarding the use of Multinir-SL Tablet 10's in elderly patients.

What if I have taken an overdose of Multinir-SL Tablet 10's

Although methylcobalamin is a water-soluble vitamin and excess amounts are typically flushed out in urine, taking an extremely large dose may cause discomfort. If you suspect an overdose or experience unusual symptoms, contact your doctor or seek immediate medical attention.

Diet & Lifestyle Advise

  • Eat vitamin B12-rich foods: Include foods such as fish, meat, poultry, eggs, milk, and other dairy products in your diet. If you follow a vegetarian or vegan diet, choose vitamin B12-fortified cereals, plant-based milks, or nutritional yeast to help meet your daily requirements.
  • Limit alcohol intake: Excessive alcohol consumption can reduce vitamin B12 absorption and contribute to nerve damage, so it is best to limit or avoid alcohol.
  • Avoid smoking: Quitting smoking supports overall nerve health and circulation and may help reduce the progression of nerve-related symptoms.
  • Manage blood sugar effectively: If you have diabetes, monitor your blood glucose levels regularly and follow your prescribed treatment plan, as maintaining good blood sugar control can help prevent further nerve damage.
  • Maintain a balanced diet: Eat a varied diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats to support healthy nerve function, red blood cell production, and overall well-being.
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How Soon It Starts Working

The time required for Multinir-SL Tablet 10's to start to work: Multinir-SL Tablet 10's ideally shows its action within 30 minutes to 1 hour after administration.

The time for which the effects of Multinir-SL Tablet 10's last: The duration of action for Multinir-SL Tablet 10's is clinically unknown.

Storage

• Store Multinir-SL Tablet 10's at room temperature, safely between 15°C and 30°C (59°F to 86°F).

What if you forget to take Multinir-SL Tablet 10's

If you miss a dose of Multinir-SL Tablet 10's, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Drug Warnings

Handle sublingual tablets with dry hands: Ensure your hands are completely dry before removing a sublingual tablet from its packaging to prevent it from dissolving before use.

Inspect the packaging before use: Do not use the medicine if the blister pack, sachet, or bottle is torn, damaged, or shows signs of tampering.

Measure liquid doses accurately: If you are using a liquid sublingual formulation, always use the calibrated dropper or measuring device supplied with the product to ensure the correct dose.

Attend regular follow-up tests: Keep all blood test appointments recommended by your doctor to monitor your vitamin B12 levels, red blood cell counts, and your response to treatment, particularly if you are being treated for vitamin B12 deficiency.

Inform your healthcare providers: Tell your doctor, dentist, pharmacist, and laboratory staff that you are taking Multinir-SL Tablet 10's before any medical procedure or laboratory test.

verifiedApollotooltip
  • Acid-reducing medicines: Long-term use of proton pump inhibitors (such as omeprazole) or H2-receptor blockers (such as famotidine) can reduce vitamin B12 absorption and may increase the need for supplementation.
  • Metformin: Long-term metformin therapy may decrease vitamin B12 absorption, making periodic monitoring of vitamin B12 levels advisable.
  • Colchicine and neomycin: These medicines may interfere with the absorption of vitamin B12, potentially reducing the effectiveness of treatment.
  • Chloramphenicol: This antibiotic may reduce the blood-forming response to vitamin B12 therapy in some patients and should be used cautiously.

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verifiedApollotooltip
  • Excessive alcohol consumption: Heavy or chronic alcohol intake can impair the absorption and utilisation of vitamin B12 and may reduce the effectiveness of treatment.
     

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Habit Forming

No

Therapeutic Class

[VITAMINS]

FAQs

Multinir-SL Tablet 10's is used to treat vitamin b12 deficiency and peripheral neuropathy (nerve damage in the hands and feet).
Multinir-SL Tablet 10's treats B12 deficiency by restoring low levels of vitamin B12 in the body. It has extended benefits in treating peripheral neuropathic pain by preventing nerve cell damage. It is further involved in cell multiplication, blood formation, and protein synthesis.
Please continue using Multinir-SL Tablet 10's for as long as the doctor has prescribed it for you based on your medical condition. It may take several months to cure a vitamin deficiency; hence do not abruptly stop taking this supplement. However, if you did not notice any improvement in your condition, it is advised to consult a doctor.
Long-term usage of Multinir-SL Tablet 10's is not recommended in people whose occupation involves mercury handling and exposure. Please check with your doctor for more information.
Taking Metformin for longer duration is associated with the risk of vitamin B12 deficiency. Consult your doctor if you have any concerns; your doctor will prescribe vitamin B12 supplements if needed.
The sublingual route allows the methylcobalamin to dissolve under your tongue and enter your bloodstream directly through the blood vessels in your mouth. This bypasses the digestive tract, making it an excellent option for individuals who have trouble absorbing vitamins through their stomach or intestines. Talk to your doctor if you want to know if this route is best for you.
Yes, you can take Multinir-SL Tablet 10's with or without food since it is absorbed directly through the lining of your mouth and does not rely on stomach acid for absorption. Talk to your doctor or pharmacist for personalized advice.
Methylcobalamin is generally safe during pregnancy when used under medical supervision to treat a deficiency. Your doctor will determine the safest dose for you and your baby. Talk to your doctor before starting any new supplement while pregnant.
There is no clinical evidence to suggest that Multinir-SL Tablet 10's causes weight gain. However, as your body recovers from anaemia and your energy levels improve, your appetite may return to normal. Talk to your doctor if you have concerns about weight changes.
It is best to limit or avoid alcohol while taking this medicine. Alcohol reduces the absorption of vitamin B12 and can worsen nerve damage, making the treatment less effective. Talk to your doctor about your alcohol consumption.
Mild irritation under the tongue can occasionally happen. If you notice persistent soreness, redness, or swelling, stop using the product and talk to your doctor or pharmacist to explore alternative options.
The duration of treatment depends on the underlying cause of your deficiency. Some people with absorption issues or chronic conditions may need long-term supplementation, while others only need it temporarily. Talk to your doctor before stopping this medication.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Nirvana India Pvt Ltd, B1 Extn., A41 Mohan Cooperative Estate First Floor, New Delhi-110044
Other Info - MUL0761
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