Cholecalciferol+folic Acid+methylcobalamin+pyridoxine
About
Cholecalciferol+folic Acid+methylcobalamin+pyridoxine belongs to the class of 'multivitamins', primarily used to treat nutritional deficiencies. It is used to treat and prevent low blood calcium levels, vitamin B6 deficiency, folate deficiency, and vitamin B12 deficiency. Nutritional deficiency occurs when the body is unable to absorb or get enough nutrients from food. It could lead to various health problems, including defective bone growth, skin disorders, digestive issues, and dementia (memory loss).
Cholecalciferol+folic Acid+methylcobalamin+pyridoxine is a combination of Cholecalciferol (Vitamin D3), Folic acid, Pyridoxine (vitamin B6), and Methylcobalamin (vitamin B12). Cholecalciferol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It is a form of Vitamin D and helps maintain blood calcium and phosphorus levels and the mineralization of bone. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine/Vitamin B6 is a water-soluble vitamin involved in protein, fat, and carbohydrate metabolism and the formation of red blood cells and neurotransmitters. Mecobalamin (Methylcobalamin/Vitamin B12) regulates body functions, such as cell multiplication, blood formation, and protein synthesis.
Your doctor will decide the dosage based on your medical condition. Sometimes, Cholecalciferol+folic Acid+methylcobalamin+pyridoxine may have common side effects like numbness/tingling of hands or feet, upset stomach, diarrhoea, drowsiness, flushing, and nausea. These side effects do not require medical attention and gradually resolve over time.
Let your doctor know if you are using any other medicines and herbal products before starting Cholecalciferol+folic Acid+methylcobalamin+pyridoxine. If you are known to be allergic to Cholecalciferol+folic Acid+methylcobalamin+pyridoxine or its inactive components, please inform your doctor. If you are a pregnant or breastfeeding woman, please consult your doctor before taking Cholecalciferol+folic Acid+methylcobalamin+pyridoxine.
Uses of Cholecalciferol+folic Acid+methylcobalamin+pyridoxine
Medicinal Benefits
Cholecalciferol+folic Acid+methylcobalamin+pyridoxine is used to treat nutritional deficiencies and contains Cholecalciferol, Folic acid, Pyridoxine, and Methylcobalamin. Cholecalciferol is a form of Vitamin D and helps maintain blood calcium and phosphorus levels and mineralization of bone. It is used to treat and prevent bone disorders, such as rickets and osteomalacia. Folic acid helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine (vitamin B6) is a water-soluble vitamin that treats and prevents vitamin B6 deficiency, anaemia (lack of red blood cells), peripheral neuropathy (nerve disorder), and seizures (fits). It is 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.
Directions for Use
Storage
Side Effects of Cholecalciferol+folic Acid+methylcobalamin+pyridoxine
- Numbness/tingling of hands or feet
- Upset stomach
- Diarrhoea
- Drowsiness
- Flushing
- Nausea
In-Depth Precautions and Warning
Drug Warnings
Brief your medical history to doctor if you have any heart/kidney/liver diseases, kidney stones, Crohn's disease (inflammatory bowel disease), blood disorders like pernicious anaemia, Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Pyridoxine and folic acid in Cholecalciferol+folic Acid+methylcobalamin+pyridoxine are excreted into breast milk. Pregnant or breastfeeding women should consult their doctor before taking Cholecalciferol+folic Acid+methylcobalamin+pyridoxine. 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 during the treatment with Cholecalciferol+folic Acid+methylcobalamin+pyridoxine. Keep Cholecalciferol+folic Acid+methylcobalamin+pyridoxine away from direct sunlight. Do not store Cholecalciferol+folic Acid+methylcobalamin+pyridoxine above 25ºC.
Drug Interactions
Drug-Drug Interaction: Cholecalciferol+folic Acid+methylcobalamin+pyridoxine may interact with anti-cancer drugs (altretamine, cisplatin), fits medicines (phenytoin), antibiotics (chloramphenicol), medicines treating Parkinson's disease (levodopa), drugs used to treat tumors (Fluorouracil), antibiotics (trimethoprim), stomach related drugs (sulfasalazine), and cholesterol-lowering drugs (cholestyramine).
Drug-Food Interaction: Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Cholecalciferol+folic Acid+methylcobalamin+pyridoxine.
Drug-Disease Interaction: Inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food), hypercalcaemia (excess calcium levels), hypervitaminosis D (high vitamin D levels), Vitamin D toxicity, and heart/kidney/liver/blood vessel diseases before using Cholecalciferol+folic Acid+methylcobalamin+pyridoxine
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionExcessive alcohol consumption reduces absorption and increases the elimination of folic acid. Hence, please avoid alcohol while using Cholecalciferol+folic Acid+methylcobalamin+pyridoxine.
Pregnancy
cautionCholecalciferol+folic Acid+methylcobalamin+pyridoxine 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 Cholecalciferol+folic Acid+methylcobalamin+pyridoxine.
Breast Feeding
cautionPyridoxine and Folic acid are excreted into the breast milk. Please consult your doctor before taking Cholecalciferol+folic Acid+methylcobalamin+pyridoxine if you are a breastfeeding mother.
Driving
not applicableCholecalciferol+folic Acid+methylcobalamin+pyridoxine usually does not interfere with your driving ability.
Liver
cautionLet your doctor know if you have any history of liver diseases before taking Cholecalciferol+folic Acid+methylcobalamin+pyridoxine.
Kidney
cautionIt is advised to seek a doctor's advice before starting Cholecalciferol+folic Acid+methylcobalamin+pyridoxine if you have kidney diseases like kidney stones or undergoing dialysis.
Children
consult your doctorThe doctor will decide the dosage of Cholecalciferol+folic Acid+methylcobalamin+pyridoxine based on the child's age and weight.
Habit Forming
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, liver (avoid this during pregnancy), 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.
- Sprinkle sesame and 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.
Special Advise
- Clinical monitoring of folic acid, vitamins D, B12, and B6 levels through blood examinations are recommended.
- Let your doctor and the laboratory staff know if you are using Cholecalciferol+folic Acid+methylcobalamin+pyridoxine since Pyridoxine may interfere with laboratory tests like urine tests for urobilinogen.
Patients Concern
Disease/Condition Glossary
Nutritional deficiencies: A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. Vitamins and minerals are necessary for body development and the prevention of diseases. Nutrient deficiency can lead to many health problems like a weakened immune system, skin problems, digestion problems, defective bone growth, and neurological diseases.
FAQs
Cholecalciferol+folic Acid+methylcobalamin+pyridoxine is a dietary supplement and consists of Cholecalciferol (vitamin D3), 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, Cholecalciferol+folic Acid+methylcobalamin+pyridoxine helps in normalising these deficient levels. Collectively, Cholecalciferol+folic Acid+methylcobalamin+pyridoxine 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 suggest its supplements.
Vitamin B12 deficiency is caused when you don't have enough Methylcobalamine 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, yogurt, and cheese in your diet for treating the deficiency. If you still have low levels of B12, please consult your doctor for its supplements.
Pyridoxine in Cholecalciferol+folic Acid+methylcobalamin+pyridoxine may interfere with laboratory tests like urine tests for urobilinogen. Please make sure your doctor and the laboratory staff know that you take Cholecalciferol+folic Acid+methylcobalamin+pyridoxine before undergoing any blood and urine examinations.
Antacids may interfere with the absorption of Cholecalciferol+folic Acid+methylcobalamin+pyridoxine. Hence it is advised to take Cholecalciferol+folic Acid+methylcobalamin+pyridoxine two hours before or four hours after taking antacids.
