Mecobalamin/alpha lipoic acid/ folic acid/ selenium dioxide/inositol/and chromium polynicotinate
Vitamin / mineral / nutritional supplement
What it is used for
Prophylaxis and treatment Vitamin B12 deficiency and other nutrients Clinical selection for Mecobalamin/alpha lipoic acid/ folic acid/ selenium dioxide/inositol/and chromium polynicotinate should follow culture results where relevant, Kenya STG/EML recommendations, and the current product SmPC. Class context: Vitamin / mineral / nutritional supplement. Confirm site-specific dose, duration and monitoring before prescribing.
Warnings
[Mecobalamin] Treat confirmed deficiency with monitored repletion. Avoid megadoses without indication. Iron: keep away from children (overdose lethal). [alpha lipoic acid] WARNINGS Stop use and ask doctor if symptoms persist more than 5 days or worsen. If pregnant or breast-feeding ask a health professional before use. Keep out of reach of children. [folic acid] WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately. WARNING: Folic acid alone is improper therapy in the treatment for pernicious anemia and other megaloblastic anemias where Vitamin B12 is deficient. PRECAUTIONS: General: Anemia is a manifestation that requires appropriate investigation to determine its cause or causes. No single regimen fits all cases and the status of the patient observed in follow-up is the final criterion for adequacy of therapy. Periodic clinical and laboratory studies are considered essential. Blood examinations including hemoglobin and hematacrit should be done at the usual intervals to make certain that therapy is adequate. Use with care in the presence of peptic ulcer, regional enteritis, and ulcerative colitis. Folic acid, especially in doses above 0.1 mg -0.4 mg daily may obscure pernicious anemia, in that hematological remission can occur while neurological manifestations remain progressive.
Possible side effects
[Mecobalamin] GI upset (iron, high-dose vitamin C). Hypercalcaemia (vitamin D excess). Neuropathy with B6 megadoses. Flushing (niacin). [alpha lipoic acid] GI upset (iron, high-dose vitamin C). Hypercalcaemia (vitamin D excess). Neuropathy with B6 megadoses. Flushing (niacin). [folic acid] Adverse Reactions: Folic Acid: Allergic sensitizations have been reported following both oral and parenteral administration of folic acid. Ferrous Fumarate: Gastrointestinal disturbances (anorexia, nausea, diarrhea, constipation, heartburn and vomiting) occur occasionally, but are usually mild and may subside with continuation of therapy. Reducing the dose and administering it with meals will minimize these effects in the sensitive patient. Increasing fiber in the diet can relieve constipation. Iron may turn stools black. This is a harmless effect that is a result of unabsorbed iron. Although the absorption of iron is best when taken between meals, giving Integra FTM after meals may control occasional G.I. disturbances. Integra FTM is best absorbed when taken at bedtime.
Storage
Store as labelled. Keep out of reach of children.
No reviewed patient-education article is available. The fields shown are from the currently verified medicine record and unavailable fields are not inferred.