B-12 (1000mcg) 100 Tablets

Cyanocobalamin, the synthetic form of vitamin B12, has a well-defined mechanism of action. It primarily functions as a coenzyme, playing a crucial role in various metabolic processes. One of its key actions is supporting the conversion of homocysteine to methionine, which is essential for DNA synthesis and the production of S-adenosylmethionine (SAM), a universal methyl donor involved in numerous biochemical reactions. Cyanocobalamin also aids in the conversion of methylmalonyl-CoA to succinyl-CoA, a vital step in energy metabolism. This process is particularly important in the myelin sheath synthesis, promoting healthy nerve function. Additionally, cyanocobalamin is involved in the production of red blood cells, ensuring adequate oxygen transport throughout the body. Its role in these metabolic pathways makes cyanocobalamin essential for maintaining overall health and preventing deficiencies associated with vitamin B12 insufficiency.

Cyanocobalamin

Vitamin B12 supplement.

Tablet

The following are the uses of Cyanocobalamin Tablet:

• Used for treating vitamin B12 deficiency, ensuring healthy nerve function and red blood cell production.
• Used for preventing megaloblastic anemia, a type of anemia with large, immature red blood cells.
• Used for supporting neurological health, including memory and cognitive function.
• Used for managing pernicious anemia, an autoimmune condition affecting the stomach's ability to absorb B12.
• Used for improving energy levels and reducing fatigue in deficient individuals.
• Used for enhancing mood and mental well-being, potentially alleviating depression symptoms.
• Used for supporting a healthy pregnancy by preventing B12 deficiency-related birth defects.
• Used for promoting the health of the digestive system, especially in those with absorption issues.

In the case of an overdose of Cyanocobalamin Tablets, it is important to remain calm and take swift action. Contact a healthcare professional or poison control center immediately for guidance. They will provide specific instructions based on the amount ingested and the individual's health status. Common symptoms of an overdose may include headache, dizziness, anxiety, and increased blood pressure. Prompt medical advice is essential to ensure appropriate treatment and prevent potential complications.

In the case of a missed dose of Cyanocobalamin Tablet, it is generally advised to take the missed dose as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one, as this may increase the risk of side effects. If you miss multiple doses, consult your healthcare provider for guidance on how to safely adjust your dosing regimen. It's important to maintain a consistent medication routine, but don't worry if you occasionally miss a dose.

To take Cyanocobalamin Tablets, place the tablet under your tongue and allow it to dissolve completely, preferably on an empty stomach, following the dosage instructions provided by your healthcare professional.

Following are the conditions or circumstances when Cyanocobalamin Tablet should not be taken:

• Allergic reaction Should not be taken by individuals with a known or suspected allergy or hypersensitivity to Cyanocobalamin or any of its excipients.
• Leber's Disease Contraindicated in patients with Leber's disease, a hereditary optic nerve disorder, as it can lead to severe optic atrophy.
• Megaloblastic Anemia Not suitable for individuals with untreated megaloblastic anemia caused by folate deficiency.
• Polycythemia Vera Should be avoided in patients with untreated or uncontrolled polycythemia vera, a bone marrow disorder.
• Hypervitaminosis Not recommended for individuals with hypervitaminosis, a condition of excessive vitamin levels in the body.
• Malabsorption Syndromes May not be effective in patients with malabsorption syndromes, such as pernicious anemia, where vitamin B12 absorption is impaired.
• Untreated Hypokalemia Should not be used until potassium levels are normalized in patients with untreated hypokalemia (low potassium levels).
• Kidney Disease Use with caution in patients with severe kidney disease, as dosage adjustments may be required.
• Uncontrolled Hypertension Avoid high doses in patients with uncontrolled hypertension.

The side effects of Cyanocobalamin Tablet may include:

• Headache
• Diarrhea
• Nausea
• Dizziness
• Itching or rash
• Anxiety
• Mild fever
• Leg pain

Here are the precautions and warnings for Cyanocobalamin Tablet:

• Cyanocobalamin is intended for oral use only. Do not inject or use it in any other way than prescribed.
• Allergic reactions are possible; seek medical help if you experience symptoms like rash, itching, swelling, or difficulty breathing.
• Patients with anemia or any blood-related disorders should be closely monitored while taking this medication.
• May cause temporary red coloration of urine, which is usually harmless.
• Elderly individuals may be more sensitive to the medication's effects, so dosage adjustments might be necessary.
• Diabetic patients should be aware that some Cyanocobalamin tablets may contain sugar, affecting blood sugar levels.
• Always inform your healthcare provider about all the medications you are currently taking to avoid potential drug interactions.

Following are the drug interactions for Cyanocobalamin Tablet:

• Alcohol may interfere with vitamin B12 absorption, so it is advisable to avoid excessive alcohol consumption.
• Chloramphenicol, an antibiotic, can reduce the effectiveness of Cyanocobalamin and lead to decreased vitamin B12 levels.
• Proton pump inhibitors (PPIs) like omeprazole and lansoprazole may reduce Cyanocobalamin absorption from the stomach.
• Metformin, a diabetes medication, can lower vitamin B12 levels, and Cyanocobalamin may be required in higher doses for individuals on metformin therapy.
• Colchicine, used for gout, may reduce Cyanocobalamin absorption and increase the risk of vitamin B12 deficiency.
• H2-blockers such as ranitidine and cimetidine may decrease the absorption of Cyanocobalamin.
• Potassium absorption may be reduced by Cyanocobalamin, so monitoring of potassium levels is suggested when taking potassium supplements or medications.

Following are the food interactions for Cyanocobalamin Tablets:

• Avoid excessive alcohol consumption while taking this medication, as alcohol can interfere with vitamin B12 absorption and may exacerbate certain health conditions.
• Consume foods rich in folic acid like leafy green vegetables, citrus fruits, and beans to support overall health and prevent folic acid deficiency.
• Ensure adequate intake of calcium-rich foods such as dairy products, leafy greens, and fortified plant-based milk, as calcium aids in vitamin B12 absorption.
• Avoid long-term use of proton pump inhibitors (PPIs) for acid reflux without medical supervision, as they may reduce vitamin B12 absorption over time.
• Limit the intake of foods fortified with high levels of vitamin B12, as excessive amounts from supplements and fortified foods can lead to skin and nerve issues.
• Include foods containing intrinsic factor, such as meat, poultry, and seafood, to facilitate vitamin B12 absorption in the digestive tract.
• Consider reducing the intake of foods high in nitrates, like processed meats, as they may interfere with vitamin B12 metabolism.
• Avoid consuming large amounts of raw eggs regularly, as the protein in raw eggs can bind to vitamin B12 and hinder its absorption.

Cyanocobalamin Tablets should be stored in a cool, dry area, preferably at room temperature, and protected from light and moisture. The original packaging should be used to keep the tablets secure and prevent contamination. Avoid storing in hot or humid environments like bathrooms or kitchen cabinets near heat-emitting appliances, as temperature fluctuations can impact the medicine's effectiveness. Always check the expiration date, and if the tablets are past their prime or no longer needed, do not flush or pour them down the drain. Consult a pharmacist or healthcare professional for the correct way to dispose of them. It's crucial to keep all medications, including these tablets, out of children's reach to prevent accidental consumption.

Following are the quick tips for Cyanocobalamin Tablet:

• Ensure you take the tablet as directed by your doctor, following the prescribed dosage and timing.
• Swallow the tablet whole with a full glass of water for optimal absorption.
• Avoid crushing, chewing, or breaking the tablet unless advised by your healthcare provider.
• Maintain a consistent schedule for taking the medication for best results.
• If you experience any side effects or unusual symptoms, consult your doctor promptly.
• Store the tablets in a cool, dry place, away from direct sunlight and moisture.
• Regularly monitor your vitamin B12 levels to ensure the medication is working effectively.
• Inform your healthcare provider about all medications you are taking to prevent potential interactions.