COMPOSITION
Each tablet contains:
- Folic Acid - 5 mg
- Methylcobalamin - 1500 mcg
- Pyridoxine (Vitamin B6) - 20 mg
CLINICAL PHARMACOLOGY
- Folic Acid: Essential for DNA synthesis and repair. Helps in red blood cell production and bone marrow function.
- Methylcobalamin: Active form of Vitamin B12; crucial for nerve function and regeneration, and supports bone marrow health.
- Pyridoxine: Coenzyme in protein and glucose metabolism, plays a key role in neurotransmitter function and collagen formation.
INDICATIONS AND USAGE
- Supports bone health and new bone tissue formation
- Decreases homocysteine levels, reducing osteoporosis and fracture risk
- Improves bone mineral density and remodeling
- Aids in collagen synthesis and bone strength
- Prevents bone marrow abnormalities and joint weakness
- Relieves neuropathic pain in joint disorders, including fibromyalgia
CONTRAINDICATIONS
- Known hypersensitivity to any of the components
- Patients with Leber's disease - risk of optic nerve damage
- Folic acid may mask symptoms of pernicious anemia
PRECAUTIONS
- Use cautiously in individuals with renal or hepatic impairment
- Long-term use should be monitored with periodic blood tests
- Avoid in patients with untreated vitamin B12 deficiency if using folic acid
DRUG INTERACTIONS
- Anticonvulsants (e.g., phenytoin) may reduce folic acid levels
- Chloramphenicol may interfere with vitamin B12
- Alcohol may impair absorption of B vitamins
PREGNANCY & LACTATION
- Safe in recommended doses during pregnancy and lactation
- Essential during pregnancy to prevent neural tube defects (especially folic acid)
- Always consult a physician before use
DOSAGE AND ADMINISTRATION
- One tablet once daily or as directed by a healthcare professional
- Best taken with meals for optimal absorption
ADVERSE REACTIONS
- Mild gastrointestinal symptoms (nausea, bloating)
- Allergic reactions (rare)
- High doses of pyridoxine over long periods may cause neuropathy
- Folic acid may cause rash or irritability in rare cases