Pinerva-D Tablet 10's belongs to the multivitamins class, primarily used to treat nutritional deficiencies. It is used to treat and prevent vitamin B6 deficiency, folate deficiency, and vitamin B12 deficiency. Nutritional deficiency occurs when the body cannot absorb or get enough nutrients from food. It could lead to various health problems, including defective bone growth, skin disorders, digestive issues, and dementia (memory loss).

Pinerva-D Tablet 10's is a combination of four essential vitamin supplements; Methylcobalamin, Folic acid, Pyridoxine, and Vitamin D3. Methylcobalamin regulates body functions like cell multiplication, blood formation, and protein synthesis. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine is involved in protein, fat, and carbohydrate metabolism, the formation of red blood cells and neurotransmitters. Vitamin D3 (Cholecalciferol) helps maintain blood calcium and phosphorus levels and the mineralization of bone.

Use Pinerva-D Tablet 10's as recommended. Sometimes, Pinerva-D Tablet 10's may cause common side effects like vomiting, stomach upset, diarrhoea, drowsiness, flushing, and nausea. Most of these side effects do not require medical attention and gradually resolve over time. These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor.

Do not use Pinerva-D Tablet 10's if you are allergic to any of the components present in Pinerva-D Tablet 10's. Please consult your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food) so that the dosage form may be changed to intravenous administration for better absorption of vitamins. If you are a pregnant or breastfeeding mother, please consult your doctor before taking Pinerva-D Tablet 10's.

Pinerva-D Tablet 10's is used to treat nutritional deficiencies and contains Methylcobalamin, Folic acid, Pyridoxine, and Vitamin D3 (Cholecalciferol). Methylcobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine (vitamin B6) is involved in protein, fat, and carbohydrate metabolism, the formation of red blood cells and neurotransmitters. Vitamin D3 (Cholecalciferol) helps maintain blood calcium and phosphorus levels and mineralization of bone.

• Stomach upset
• Diarrhoea
• Drowsiness
• Flushing
• Nausea
• Vomiting

Brief your medical history to doctor if you have any heart/kidney/liver diseases, kidney stones, Crohn's disease (inflammatory bowel disease), blood disorders like pernicious anaemia, Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). Pregnant or breastfeeding women should consult their doctor before taking Pinerva-D Tablet 10's. Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Alcohol can also worsen the side effects like drowsiness and stomach upset. Hence, please avoid alcohol while using Pinerva-D Tablet 10's.

Drug-Drug Interactions: Pinerva-D Tablet 10's may interact with anti-cancer drugs (altretamine, cisplatin, and arsenic trioxide), fits medicines (phenytoin, phenobarbital, primidone), antibiotic (chloramphenicol), medicines treating Parkinson's disease (levodopa), drugs used to treat tumours (Fluorouracil), antibiotics (trimethoprim), stomach related drugs (sulfasalazine), and cholesterol-lowering drugs (cholestyramine).

Drug-Food Interactions: Excessive alcohol consumption reduces absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Pinerva-D Tablet 10's.

Drug-Disease Interactions: Use Pinerva-D Tablet 10's with medical advice if you have malabsorption syndrome (difficulty absorbing nutrition from food), hypercalcaemia (excess calcium levels), hypervitaminosis D (high vitamin D levels), malabsorption syndrome, Vitamin D toxicity, heart/kidney/liver/blood vessel diseases, kidney stones, Crohn's disease, Whipple's disease, achlorhydria, low levels of bile, phosphate imbalance, diabetes, and phenylketonuria.

• ALTRETAMINE
• CISPLATIN
• ARSENIC TRIOXIDE
• PHENYTOIN
• PHENOBARBITAL
• PRIMIDONE
• CHLORAMPHENICOL
• LEVODOPA
• FLUOROURACIL
• TRIMETHOPRIM
• SULFASALAZINE
• CHOLESTYRAMINE

• Try Vitamin B complex food sources like milk, cheese, eggs, liver, kidney, chicken, red meat, tuna, mackerel, salmon, shellfish, oysters, clams, dark green vegetables such as spinach and kale, beets, avocados, potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.
• Try folate-rich food sources like broccoli, Brussels sprouts, leafy green vegetables, cabbage, kale, spring greens, spinach, peas, chickpeas, kidney beans, and breakfast cereals fortified with folic acid.
• Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
• Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
• Include fruits like citrus, banana, and watermelon in your diet.
• Avoid smoking and alcohol consumption.
• Exercise regularly and maintain a healthy lifestyle. Avoid excess fatty foods. 

• Clinical monitoring of folic acid, vitamins D, B12, and B6 levels through blood examinations are recommended. 
• Let your doctor and the laboratory staff know that you are using Pinerva-D Tablet 10's since Pyridoxine may interfere with laboratory tests like urine tests for urobilinogen.

Vitamin D deficiency: When a person cannot get enough Vitamin D through food and exposure to sunlight, it leads to vitamin D deficiency. It often leads to thin, brittle, or misshapen bones.

Vitamin B6 deficiency: When your body doesn't have adequate levels of a water-soluble vitamin called Pyridoxine or Vitamin B6, this disease is developed. Vitamin B6 deficiency symptoms include fatigue, skin rashes, cracked and sore lips, weak immune system, tiredness, low energy levels, tingling in hands and feet, and fits.

Vitamin B12 deficiency: When your body doesn't have adequate mineral levels called Vitamin B12, it leads to Vitamin B12 deficiency. Symptoms include fatigue, breathlessness, numbness, poor balance, and memory trouble.

Folate deficiency: Folate deficiency occurs when your body won't have enough folate in your diet. Symptoms include fatigue, grey hair, mouth sores, tongue swelling, and growth problems. Folate deficiency leads to anaemia.