Cyanocobalamin + Elemental Iron + Folic Acid

Cyanocobalamin + Elemental Iron + Folic Acid is a combination supplement used for the treatment of iron deficiency anemia and megaloblastic anemia. Vitamin B12 (cyanocobalamin) is required for the maintenance of normal erythropoiesis, nucleoprotein and myelin synthesis, cell reproduction and normal growth. Iron is an essential component in the formation of hemoglobin and is necessary for effective erythropoiesis. Folic acid is required for nucleoprotein synthesis and the maintenance of normal erythropoiesis.

• Iron deficiency anemia
• Megaloblastic anemia

Vitamin B12 (cyanocobalamin) is required for the maintenance of normal erythropoiesis, nucleoprotein and myelin synthesis, cell reproduction and normal growth. Iron is an essential component in the formation of hemoglobin; adequate amounts of iron are necessary for effective erythropoiesis. Folic acid is required for nucleoprotein synthesis and the maintenance of normal erythropoiesis.

Vitamin B12 plays a role in cell replication and hematopoiesis. Iron works to transport oxygen via hemoglobin. Folic acid is required for nucleoprotein synthesis and prevents neural tube defects during pregnancy.

Adult Dose: 1-2 capsules daily.

Pediatric Dose: 1 capsule daily.

Take 1-2 capsules daily or as advised by the physician. Can be taken with or without food.

If you miss a dose of this supplement, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose. Do not double the dose.

Iron-related Side Effects:

• Constipation
• Diarrhea
• Nausea
• Vomiting
• Dark stools
• Abdominal pain

Folic Acid-related Side Effects:

• Allergic sensitization
• Bronchospasm
• Flushing
• Malaise
• Erythema
• Rash
• Diarrhea
• Nausea
• Pruritus
• Urticaria

• Iron chelates with antacids and tetracycline, so absorption may be impaired if used concurrently.
• Higher doses of folic acid may be required during pregnancy.
• Excessive iron intake can be toxic; do not exceed the recommended dose.

• Hypersensitivity to folic acid, cyanocobalamin, pyridoxine, or any component of the formulation.

Cyanocobalamin: Absorption reduced by antibiotics, aminosalicylic acid, anticonvulsants, biguanides, cholestyramine, cimetidine, colchicine, potassium salts, methyldopa.

Elemental Iron: Antacids may decrease the absorption of carbonyl iron.

Folic Acid: Antiepileptics, oral contraceptives, anti-TB drugs, alcohol, aminopterin, methotrexate, pyrimethamine, trimethoprim and sulphonamides may result in decreased serum folate concentrations. Decreases serum phenytoin concentrations.

Can be taken with or without food.

Higher doses of folic acid may be required during pregnancy. Pregnancy Category: A (at proper doses).

Considered safe during breastfeeding.

Pediatric dose: 1 capsule daily.

Limited information is available regarding dose adjustment for elderly patients.

Limited information is available regarding use in kidney or liver problems.

Iron overdose can be toxic. Seek immediate medical attention if overdose is suspected. Symptoms include nausea, vomiting, abdominal pain, and dark stools.

Store in a cool and dry place, away from light and moisture. Keep out of reach of children.

Cyanocobalamin + Elemental Iron + Folic Acid