CITIKON 120ML SYP

Choline compound syrup or suspension works primarily by providing choline, an essential nutrient, to the body. The mechanism of action involves choline's role as a precursor to acetylcholine, an important neurotransmitter in the brain. Choline is rapidly absorbed in the gastrointestinal tract and transported to the liver, where it is used to produce phosphatidylcholine, a major component of cell membranes. This process helps support the structural integrity of cells, particularly in the nervous system. Additionally, choline supplementation can enhance cognitive function by increasing acetylcholine synthesis, which improves neural communication and may benefit various cognitive processes, including memory, attention, and overall brain function.

Choline Compound

Vitamins/Minerals

Suspension

The following are the uses of Choline Compound Syrup/Suspension:

• Used for enhancing brain function and memory, particularly in older individuals.
• Used for supporting liver health and aiding in the processing of fats and cholesterol.
• Used for improving muscle function and performance, especially during intense physical activity.
• Used for prenatal care, ensuring proper fetal development and reducing the risk of birth defects.
• Used for managing certain neurological disorders and maintaining the health of nerve cells.
• Used for providing essential nutrients during tube feeding or when oral intake is insufficient.
• Used for promoting eye health and preventing certain vision-related disorders.
• Used for maintaining heart health by supporting healthy lipid levels and cardiovascular function.

In the case of an overdose of Choline Compound Syrup/Suspension, symptoms may include nausea, vomiting, sweating, low blood pressure, and difficulty breathing. Prompt medical attention is necessary, and individuals should seek emergency care immediately. The healthcare provider will likely induce vomiting or administer activated charcoal to prevent further absorption of the medication. Close monitoring of vital signs and supportive care are crucial during treatment.

In the case of a missed dose of Choline Compound Syrup/Suspension, it is generally recommended to take the missed dose as soon as you remember. However, if it is almost time for your next scheduled dose, it is best to skip the missed dose and continue with your regular dosing schedule. Avoid taking a double dose to make up for a missed one, as this may increase the risk of side effects. It is important to maintain a consistent routine for administering the medication, but if you have any concerns or frequently miss doses, consult your healthcare provider for guidance.

To administer Choline Compound Syrup/Suspension, shake the bottle well, measure the prescribed dose using a measuring cup or oral syringe, and take it orally, following the instructions provided by your healthcare professional.

Here are the conditions or situations when Choline Compound Syrup/Suspension should not be used:

• Not suitable for individuals with a known allergy or hypersensitivity to choline, its derivatives, or any of the excipients in the syrup/suspension.
• Should not be administered to patients with severe kidney disease or those on dialysis.
• Contraindicated in patients with acute asthma attacks or those with a history of bronchospasm.
• Not recommended for individuals with a history of seizures or epilepsy.
• Avoid use in patients with a history of severe cardiovascular disease, including recent heart attack or unstable angina.
• Should not be given to patients with a history of peptic ulcer disease or gastrointestinal bleeding.
• Contraindicated during pregnancy, especially in the first trimester, due to potential risks to fetal development.
• Not suitable for breastfeeding mothers as choline may pass into breast milk.
• Avoid use in patients with a history of skin reactions or severe allergic reactions to any medications.
• Should not be used in patients with a history of liver disease or impaired liver function.

The side effects of Choline Compound Syrup/Suspension may include:

• Nausea and vomiting.
• Diarrhea or loose stools.
• Stomach pain or cramps.
• Excessive sweating.
• Fishy body odor (due to excessive consumption).
• Reduced blood pressure (in rare cases).
• Allergic reactions such as rashes, itching, or swelling.
• Restlessness and insomnia.

Following are the precautions and warnings for Choline Compound Syrup/Suspension:

• Choline Compound Syrup/Suspension should not be administered to patients with a known hypersensitivity or allergy to choline or any of its excipients.
• This medication should be used with caution in patients with liver or kidney disease, as it may require dosage adjustments.
• It is important to monitor liver function and kidney function tests periodically during long-term treatment.
• Patients with a history of gastrointestinal issues should be cautious, as it may cause nausea, vomiting, or diarrhea.
• Choline Compound Syrup/Suspension may cause drowsiness or dizziness, so patients should avoid driving or operating heavy machinery until they know how the medication affects them.
• Not recommended for use in children without medical supervision, as the dosage should be carefully determined by a healthcare professional.
• Pregnant and breastfeeding women should consult their doctor before taking this medication, as the potential risks and benefits should be carefully considered.
• Always follow the prescribed dosage and duration of treatment to avoid adverse effects.

Following are the drug interactions for Choline Compound Syrup/Suspension:

• Antacids containing aluminum or magnesium may decrease the absorption of choline, leading to reduced effectiveness.
• Concomitant use with anticholinergic medications may decrease the therapeutic effects of choline.
• Choline may enhance the neuromuscular blocking action of certain anesthetics, requiring close monitoring during surgery.
• It can interact with certain antipsychotic medications, increasing the risk of side effects like tremors and muscle stiffness.
• The effectiveness of choline may be reduced when taken with oral contraceptives, potentially requiring dosage adjustments.
• Anticonvulsant drugs may affect choline metabolism, leading to altered levels and potential side effects.
• When combined with certain medications that affect liver function, choline metabolism may be impacted, requiring close monitoring.

Following are the food interactions for Choline Compound Syrup/Suspension:

• Avoid high-fat meals as they may delay the absorption of Choline, leading to reduced effectiveness.
• Citrus fruits like oranges, lemons, and grapefruits may decrease the absorption of Choline due to their acid content.
• Consuming Choline with protein-rich foods may enhance its utilization and absorption.
• Caffeine-containing beverages such as coffee and tea may reduce the absorption of Choline, so it's best to separate their consumption.
• Alcohol should be avoided as it may interfere with the absorption and metabolism of Choline, potentially leading to reduced effectiveness.
• Dairy products like milk and yogurt can be beneficial as they provide additional choline and improve overall absorption.
• Certain vegetables like broccoli and cauliflower contain compounds that may enhance Choline's bioavailability, making them a good dietary choice.

Choline Compound Syrup/Suspension should be stored in a controlled environment, preferably in a cool and dry place, ensuring it remains below 25°C (77°F). Protect the medication from direct sunlight and moisture, and always keep it in its original container, tightly sealed, to maintain its integrity and prevent contamination. Avoid storing it in bathrooms or kitchens, as temperature fluctuations and humidity can impact its effectiveness. Dispose of any unused or expired syrup responsibly; do not pour it down the drain or flush it, but rather consult a pharmacist or healthcare professional for guidance on safe disposal. Keep this medication out of children's reach to prevent accidental consumption.

Following are the quick tips for Choline Compound Syrup/Suspension:

• Administer the syrup as directed by your doctor or pharmacist for accurate dosing.
• Ensure the syrup is stored at room temperature, away from direct sunlight and moisture.
• Always measure the dose with a proper measuring device to ensure accuracy.
• Avoid mixing the syrup with other medications unless advised by your healthcare provider.
• Do not freeze the syrup as it may affect its effectiveness.
• Check the expiration date before use, and discard if expired.
• Consult your doctor if you have any concerns or questions about the medication.