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About MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3

MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 belongs to the class of 'multivitamins', primarily used to treat nutritional deficiencies. It is used to treat and prevent low blood calcium levels, vitamin B6 deficiency, folate deficiency, and vitamin B12 deficiency. Nutritional deficiency occurs when the body is unable to 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).

MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 contains Vitamin D3, Folic acid, Pyridoxine hydrochloride, and Mecobalamin. Vitamin D3 helps maintain blood calcium and phosphorus levels and mineralization of bone. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine hydrochloride is involved in protein, fat, and carbohydrate metabolism, the formation of red blood cells and neurotransmitters. Mecobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis. 

Your doctor will decide the dosage and duration based on your medical condition. Sometimes, MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 may cause common side effects like upset stomach, diarrhoea, drowsiness, flushing, and nausea. These side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, consult a doctor.

Let your doctor know if you are using any other medicines or herbal products before starting MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3. If you are known to be allergic to MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 or its inactive components, please inform your doctor. Please tell your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). If you are a pregnant or breastfeeding mother, please consult your doctor before taking MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3.

Uses of MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3

Nutritional deficiencies

Medicinal Benefits

MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 is used to treat nutritional deficiencies and contains vitamin D3, Folic acid, Pyridoxine hydrochloride, and Mecobalamin. Vitamin D3 helps maintain blood calcium and phosphorus levels and mineralization of bone. It is used to treat and prevent bone disorders, such as rickets and osteomalacia. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. It prevents and treats folate deficiency (low blood levels of folate) and hyperhomocysteinemia (high blood levels of amino acid, homocysteine). Pyridoxine hydrochloride (vitamin B6) treats and prevents vitamin B6 deficiency, anaemia (lack of red blood cells), peripheral neuropathy (nerve disorder), and seizures (fits). It is involved in protein, fat, and carbohydrate metabolism and the formation of red blood cells and neurotransmitters. Mecobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis. It is used to treat alcoholic neuropathy, pernicious anaemia (red blood cells are not produced due to Vitamin B12 deficiency), diabetic neuropathy (nerve damage due to high blood sugar levels), and multiple sclerosis (immune system disease affecting the brain).

Directions for Use

Take MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 with or without food as advised by the doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3

  • Upset stomach 
  • Diarrhea
  • Drowsiness
  • Flushing
  • Nausea

In-Depth Precautions and Warning

Drug Warnings

Brief your medical history to your 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 MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3. 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 MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3. 

Drug Interactions

Drug-Drug Interaction: MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 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 Interaction: Excessive alcohol consumption reduces absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3.

Drug-Disease Interaction: Use MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 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.

Drug-Drug Interactions Checker List:

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

    • Safety Warning

      Alcohol

      caution

      Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3.

    • Safety Warning

      Pregnancy

      caution

      MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 should be used during pregnancy only when advised by your doctor. Let your doctor know if you are pregnant or planning to conceive before taking MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3.

    • Safety Warning

      Breast Feeding

      caution

      Pyridoxine and Folic acid in MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 are excreted into the breast milk. Please consult your doctor before taking MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 if you are a breastfeeding mother.

    • Safety Warning

      Driving

      caution

      If you experience any dizziness while using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3, do not drive or operate machinery. Please consult your doctor if you experience any dizziness.

    • Safety Warning

      Liver

      caution

      Let your doctor know if you have any history of liver diseases before taking MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

    • Safety Warning

      Kidney

      caution

      It is advised to seek doctor advice before starting MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 if you have kidney diseases like kidney stones or undergoing dialysis. Caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

    • Safety Warning

      Children

      caution

      Please consult a doctor. The doctor will recommend the dosage of MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 based on the child's age and weight.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, and 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.
    • Sprinkle sesame and sunflower seeds over your food, vegetables, and salads. 
    • 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.

    Special Advise

    • Clinical monitoring of folic acid, vitamins D, B12, and B6 levels through blood examinations are recommended. 
    • Let your doctor and the laboratory staff know if you are using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 since Pyridoxine hydrochloride may interfere with laboratory tests like urine tests for urobilinogen. 

    Patients Concern

    Disease/Condition Glossary

    Nutritional deficiencies: It occurs when the body does not absorb or get enough nutrients from food. Many nutrients are essential for a healthy life. Sometimes your body is unable to absorb many nutrients even if you are consuming them. Nutrient deficiency can lead to many health problems like the weakened immune system, indigestion, skin problems, heart problem, eye problems and defective bone growth. Nutritional deficiency symptoms include pale skin, fatigue, weakness, trouble breathing, feeling faint, and poor concentration. 

    FAQs

    How does MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 work?

    MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 is a dietary supplement and consists of vitamin D3, Folic acid, Pyridoxine hydrochloride (vitamin B6) and Mecobalamin (vitamin B12). When you lack these vitamins in your body, which cannot be recovered even with the food sources, MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 helps in normalising these deficient levels. Collectively, MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 treats nutritional deficiencies.

    How can I overcome Vitamin B6 deficiency?

    Vitamin B6 deficiency occurs when your body lacks adequate Pyridoxine levels. You can overcome this deficiency by including food sources rich in Pyridoxine like milk, eggs, beef, pork, chicken or turkey, fish, peanuts, soya beans, wheat germ, oats, and bananas. If your Vitamin B6 levels are still low, your doctor may recommend its supplements.

    How to treat my Vitamin B12 deficiency?

    Vitamin B12 deficiency is caused when you don't have enough Mecobalamin levels in your body. You can include natural Vitamin B12 sources like eggs, beef, liver, chicken, trout, salmon, tuna fish, clams, fortified breakfast cereal, low-fat milk, yoghurt, and cheese in your diet for treating the deficiency. If you still have low levels of B12, please consult your doctor for its supplements.

    How can I manage Folic acid/folate deficiency?

    Folate deficiency occurs when your body lacks adequate folic acid/folate levels. You can overcome this deficiency by including food sources rich in folic acid like broccoli, brussels sprouts, leafy green vegetables, cabbage, kale, spring greens, spinach, peas, chickpeas, kidney beans, and breakfast cereals fortified with folic acid. If your folic acid levels are still low, your doctor may recommend its supplements.

    Should I take any precautions before using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3?

    It is important to tell your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food) since it may be hard to absorb vitamins through oral administration. Your doctor may advise other dosage forms in such a case.

    Does MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 cause any abnormal test results?

    Pyridoxine hydrochloride in MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 may interfere with laboratory tests like urine tests for urobilinogen. Please make sure your doctor and the laboratory staff know that you take MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 before undergoing any blood and urine examinations.

    Can I take antacids while using MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3?

    Antacids may interfere with the absorption of MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3. Hence it is advised to take MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3 two hours before or four hours after taking antacids.

    What if I miss a dose?

    If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage.

    Available Medicines for

    MECOBALAMIN+PYRIDOXINE HYDROCHLORIDE+FOLIC ACID+VITAMIN D3