Zacobal-Forte Tablet is a combination medicine used in the treatment of nutritional deficiencies. A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. This condition occurs when a person's nutrient intake is lesser than the body's recommended requirement. It can lead to various health problems like a weak immune system, skin problems, digestion problems, defective bone growth, and neurological diseases.

Zacobal-Forte Tablet contains Alpha-lipoic acid, folic acid, mecobalamin, pyridoxine, and vitamin D3. Alpha-lipoic acid is an antioxidant that prevents cell damage and restores vitamin levels in the body. Pyridoxine is involved in protein, fat, and carbohydrate metabolism and the formation of red blood cells and neurotransmitters. Mecobalamin regulates body functions, such as cell multiplication, blood formation, and protein synthesis. Folic acid helps in the production of red blood cells. Vitamin D3 helps in the absorption of calcium.

You are advised to take Zacobal-Forte Tablet for as long as your doctor has recommended it for you, depending on your medical condition. In some cases, you may experience certain common side effects such as nausea, headache and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Consult your doctor before taking Zacobal-Forte Tablet if you are pregnant or breastfeeding. Zacobal-Forte Tablet should be used with caution in children as safety and effectiveness have not been established. Avoid consuming alcohol along with Zacobal-Forte Tablet as it could lead to unpleasant side effects. If you are due to undergo surgery, inform your doctor that you take Zacobal-Forte Tablet as it may lower blood sugar levels. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Zacobal-Forte Tablet is a combination of five drugs: Alpha-lipoic acid, folic acid, mecobalamin, pyridoxine and vitamin D3. Zacobal-Forte Tablet is used to treat nutritional deficiency. Alpha-lipoic acid is an antioxidant that helps in providing a protective effect on the nerve tissues and brain. Folic acid is a vitamin that helps in providing essential nutrients to nerves. It is also very useful in producing healthy red blood cells. Mecobalamin helps in the rejuvenation and protection of damaged nerve cells by producing a substance called myelin. It is also essential in red blood cell formation and helps in maintaining blood circulation and nerve function. Pyridoxine is useful in facilitating myelin and neurotransmitter synthesis. Pyridoxine also aids the production of healthy blood cells. Vitamin D3, an active form of Vitamin D is essential for the absorption of calcium. Together, Zacobal-Forte Tablet helps in treating nutritional deficiencies.

• Headache
• Nausea
• Vomiting

Inform your doctor if you are allergic to any of the components of Zacobal-Forte Tablet . Notify your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). Pregnant or breastfeeding women should consult their doctor before taking Zacobal-Forte Tablet . Excessive alcohol consumption reduces absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Zacobal-Forte Tablet .

Drug-Drug Interactions: Zacobal-Forte Tablet may have an interaction with antitumour antibiotics (doxorubicin), anti-diabetic (insulin, glibenclamide, glyburide, tolbutamide, chlorpropamide), anti-cancer (altretamine),  alkylating agents used for cancer (cyclophosphamide) and blood thinners (warfarin).

Drug-Food Interactions: Avoid alcohol consumption while taking Zacobal-Forte Tablet .

Drug-Disease Interactions: Use Zacobal-Forte Tablet with medical advice if you have malabsorption syndrome (difficulty absorbing nutrition from food), hypercalcaemia (excess calcium levels), hypervitaminosis D (high vitamin D levels), Vitamin D toxicity, heart/kidney/liver/blood vessel diseases, kidney stones, Crohn's disease, Whipple's disease, achlorhydria, low levels of bile, phosphate imbalance, diabetes, and phenylketonuria.

• DOXORUBICIN
• INSULIN
• GLIBENCLAMIDE
• GLYBURIDE
• TOLBUTAMIDE
• CHLORPROPAMIDE
• ALTRETAMINE
• CYCLOPHOSPHAMIDE
• WARFARIN

• Try Vitamin B complex food sources like milk, cheese, eggs, liver, kidney, chicken, red meat, tuna, mackerel, 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.
• Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
• Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
• 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. 

Nutritional deficiency: A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. This condition occurs when a person's nutrient intake is lesser than the body's recommended requirement. It can lead to various health problems like a weak immune system, skin problems, digestion problems, defective bone growth, and neurological diseases.