Precautions and warnings

Iron can bind with antacids and tetracycline, which may reduce how well these drugs are absorbed if taken at the same time.

Drug Interactions

- **Cyanocobalamin (Vitamin B12):** Some medicines can reduce how well your body absorbs vitamin B12. These include antibiotics, aminosalicylic acid, anticonvulsants, diabetes medicine (biguanides), cholestyramine, cimetidine, colchicine, potassium supplements, and methyldopa.

- **Elemental iron:** Antacids can lower the amount of carbonyl iron your body absorbs.

- **Folic acid:** Certain medicines and substances can lower folic acid levels in your body. These include anti-epileptic medications, birth control pills, tuberculosis medicine, alcohol, aminopterin, methotrexate, pyrimethamine, trimethoprim, and sulphonamides. Folic acid can also lower the amount of phenytoin in your blood.

Contraindications

Allergic reactions to folic acid, vitamin B12 (cyanocobalamin), vitamin B6 (pyridoxine), or any other ingredient in this product.

Mode of actions

**Vitamin B12 (cyanocobalamin):**
Vitamin B12 is needed to keep red blood cell production, nerve health (myelin synthesis), cell growth, and DNA building working normally. It helps enzymes do their jobs, supports protein and carbohydrate metabolism, and is important for cell division and making blood cells.

**Iron:**
Iron is a key part of hemoglobin, the protein in red blood cells that carries oxygen. Enough iron is necessary to make healthy red blood cells. Iron also helps several important enzymes work, like those in the electron transport chain. It replaces iron lost from hemoglobin, myoglobin, and enzymes, and helps hemoglobin carry oxygen in the blood.

**Folic acid:**
Folic acid is needed to build DNA and proteins, and for making healthy red blood cells. In the body, it’s changed into its active form (tetrahydrofolic acid) by an enzyme in the liver and blood. Folic acid prevents serious birth defects of the brain and spine, so it is especially important for women who may become pregnant, and higher doses are needed during pregnancy.

Dosage & Administration

Adults: 1-2 capsules daily. Child: 1 capsule daily.

Pregnancy & Lactation

FDA has not yet classified this medicine into a specified pregnancy category. Although there is no enough evidence that taking this medicine during you are pregnant is harmful.

Discuss with your doctor if you are trying to get pregnant while taking this medicine too.

If you do become pregnant while you are taking this medicine, you should continue to take it and contact with your doctors as quickly as possible. They can assist you to decide whether or not to keep taking this medicine. If you abandon taking this medicine and become sick, this would be more pernicious to your child than staying on the medication.


There is no specific information about whether this medicine is passed on to the baby through breast milk. During this medication, if your baby becomes very sleepy, restless, fatigued, exhibit feeding problems, stop breastfeeding and talk to your doctors very quickly.

Pack Size & Price