Costrova-L Tablet 10's
MRP ₹186.5
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About Costrova-L Tablet
Costrova-L Tablet belongs to the class of 'Vitamins', primarily used to treat nutritional deficiencies. It is used to treat and prevent nutritional deficiencies such as vitamin B6 deficiency, folate deficiency and vitamin B12 deficiency. A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. Costrova-L Tablet helps in the growth and development of cells, boosts the immune system, balances vitamin content, metabolism of minerals, and helps maintain a healthy central nervous system.
Costrova-L Tablet contains Folic acid, Pyridoxine, and Methylcobalamin. Folic acid is the synthetic form of folate. It helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. It prevents and treats low blood levels of folate (folate deficiency), and high blood levels of an amino acid, homocysteine (hyperhomocysteinemia). Pyridoxine is also known as vitamin B6. It is a water-soluble vitamin involved in protein, fat, and carbohydrate metabolism and the formation of red blood cells and neurotransmitters. Methylcobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis.
Take Costrova-L Tablet as advised by the doctor. Sometimes, Costrova-L Tablet may have common side effects like nausea, stomach upset, diarrhoea, drowsiness, flushing, and numbness/tingling. These side effects do not require medical attention and gradually resolve over time. However, you are advised to talk to your doctor if you experience these side effects gradually.
Let your doctor know if you are using any other medicines or herbal products before starting Costrova-L Tablet . If you are known to be allergic to Costrova-L Tablet or its inactive components, please inform your doctor. Please tell your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). In such a case, the dosage form may be changed to intravenous administration of individual vitamins for better absorption. If you are a pregnant or breastfeeding mother, please consult your doctor before taking Costrova-L Tablet .
Uses of Costrova-L Tablet
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Key Benefits
Costrova-L Tablet is used to treat nutritional deficiencies. It contains Folic acid, Pyridoxine, and Methylcobalamin. Folic acid is the synthetic form of folate, a water-soluble Vitamin B. It helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. It prevents and treats folate deficiency and hyperhomocysteinemia. Pyridoxine (vitamin B6) is a water-soluble vitamin that treats and prevents vitamin B6 deficiency. It is involved in protein, fat, and carbohydrate metabolism and the creation of red blood cells and neurotransmitters. It helps in cognitive development through neurotransmitter biosynthesis and maintains normal homocysteine levels (an amino acid in the blood). Methylcobalamin (Mecobalamin) is a coenzyme form of vitamin B12 and treats Vitamin B12 deficiency. Methylcobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis. Together, Costrova-L Tablet helps treat nutritional deficiencies.
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Drug Warnings
Inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). This disease may make it hard to absorb B complex vitamins when given orally. Your doctor may advise other dosage forms in such cases. Let your doctor know if you have any blood disorders like pernicious anaemia before starting Costrova-L Tablet . Pyridoxine and folic acid in Costrova-L Tablet are excreted into the breast milk. Pregnant or breastfeeding women should consult their doctor before taking Costrova-L Tablet . Excessive alcohol consumption reduces 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 Costrova-L Tablet .
Drug-Drug Interactions
Drug-Drug Interactions
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Coadministration of Costrova-L Tablet and Carbamazepine may reduce the blood levels of Costrova-L Tablet.
How to manage the interaction:
Although there is a possible interaction between Costrova-L Tablet and Carbamazepine, you can take these medicines together if prescribed by your doctor. However, if your condition changes or you experience loss of seizure control, contact your doctor.
Sulfadiazine may decrease the blood levels and effects of Costrova-L Tablet.
How to manage the interaction:
Although there is a possible interaction between Costrova-L Tablet and Sulfadiazine, you can take these medicines together if prescribed by your doctor.
Coadministration of Costrova-L Tablet and Fluorouracil may increase the effects of Fluorouracil and increase the risk of serious side effects such as bleeding problems, anaemia (lack of blood), infections, and nerve damage.
How to manage the interaction:
Although there is a possible interaction between Costrova-L Tablet and Fluorouracil, you can take these medicines together if prescribed by your doctor. However, if you experience diarrhoea, paleness of skin, severe nausea and vomiting, over-tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body pains, flu-like symptoms, skin reactions, mouth ulcers or sores, and/or numbness, burning or tingling in your hands and feet, contact your doctor.
Trimethoprim may decrease the blood levels and effects of Costrova-L Tablet.
How to manage the interaction:
Although there is a possible interaction between Costrova-L Tablet and Trimethoprim, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without consulting your doctor.
Co-administration of Costrova-L Tablet with Capecitabine may increase the risk of serious side effects such as bleeding problems, anemia, infections, and nerve damage.
How to manage the interaction:
Although there is a possible interaction between Costrova-L Tablet and Capecitabine, you can use these medicines together if prescribed by the doctor. However, if you experience paleness of skin, diarrhea, severe nausea and vomiting, over-tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body aches, flu-like symptoms, skin reactions, mouth ulcers or sores, and/or numbness, burning or tingling sensation in the hands and feet, contact a doctor. Do not discontinue the medication without consulting a doctor. Do not discontinue the medication without consulting a doctor.
Coadministration of Costrova-L Tablet and Cholestyramine may interfere with the absorption of Costrova-L Tablet.
How to manage the interaction:
Although taking Cholestyramine and Costrova-L Tablet together can result in an interaction, they can be taken together if prescribed by a doctor. However, if you experience Constipation, Diarrhea, Stomach pain, Nausea, or Loss of appetite, consult a doctor. Do not stop using any medications without consulting a doctor.
Coadministration of Costrova-L Tablet with Chloramphenicol can impair absorption and increase the levels of Costrova-L Tablet which can increase the risk or severity of side effects.
How to manage the interaction:
Taking Costrova-L Tablet with Chloramphenicol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you notice any symptoms of Vomiting, Diarrhoea, Nausea, Headache, or Loss of appetite, you should contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
Coadministration of Costrova-L Tablet with Neomycin can impair the absorption of Costrova-L Tablet and increase its levels which can increase the risk or severity of side effects.
How to manage the interaction:
Taking Costrova-L Tablet with Neomycin together is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you notice any symptoms of Vomiting, Diarrhoea, Nausea, Headache, or Loss of appetite you should contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
Drug-Food Interactions
Drug-Food Interactions
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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.
- Sprinkle 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.
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Alcohol
Safe if prescribed
Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Costrova-L Tablet .
Pregnancy
Consult your doctor
Costrova-L Tablet 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 Costrova-L Tablet .
Breast Feeding
Consult your doctor
Pyridoxine and Folic acid in Costrova-L Tablet are excreted into the breast milk. Please consult your doctor before taking Costrova-L Tablet if you are a breastfeeding mother.
Driving
Safe if prescribed
Costrova-L Tablet may sometimes make you feel sleepy. Do not drive or operate machinery if you are not mentally alert and focused.
Liver
Consult your doctor
Let your doctor know if you have any history of liver diseases before taking Costrova-L Tablet . Your dosage may be adjusted in case of hepatic impairment.
Kidney
Consult your doctor
Let your doctor know if you have any history of kidney diseases before taking Costrova-L Tablet . Your dosage may be adjusted in case of renal impairment.
Children
Safe if prescribed
Your doctor will recommend the dosage of Costrova-L Tablet based on the child's age and weight.
FAQs
Costrova-L Tablet is a vitamin supplement and consists of Folic acid, Pyridoxine (vitamin B6) and Methylcobalamin (vitamin B12). When you lack these vitamins in your body, which cannot be recovered even with the food sources, Costrova-L Tablet helps in normalising these deficient levels. Collectively, Costrova-L Tablet treats nutritional deficiencies.
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.
Vitamin B12 deficiency is caused when you don't have enough Methylcobalamin or Mecobalmin 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.
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.
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 cases.
Pyridoxine in Costrova-L Tablet may interfere with laboratory tests like urine test for urobilinogen. Please make sure your doctor and the laboratory staff know that you take Costrova-L Tablet before undergoing any blood and urine examinations.
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.
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Reference
- https://www.webmd.com/drugs/2/drug-5427/pyridoxine-vitamin-b6-oral/details
- https://www.webmd.com/vitamins/ai/ingredientmono-926/vitamin-b12
- https://www.drugs.com/mtm/pyridoxine.html
- https://www.drugs.com/mtm/methylcobalamin-vitamin-b12.html
- https://www.medicines.org.uk/emc/files/pil.1208.pdf
- https://www.webmd.com/vitamins/ai/ingredientmono-1017/folic-acid
- https://www.drugs.com/dosage/folic-acid.html
- https://www.medicines.org.uk/emc/files/pil.6998.pdf
