About nicotinamide + folic acid hydrate + cyanocobalamine + ascorbic acid
Vitamin combination injection
Used for
- Prevention or treatment of deficiencies of included vitamins
- May be used when oral vitamin replacement is unsuitable
Usual adult dose
Dose and schedule depend on the deficiency and local product instructions; no single standard dose applies.
Common side effects
- Injection-site pain or redness
- Nausea or stomach upset
- Allergic reactions, rarely severe
Important warnings
- Use only under healthcare professional supervision.
- Avoid if allergic to any ingredient.
- Vitamin B12 may mask blood abnormalities while nerve damage progresses.
- Folic acid can obscure vitamin B12 deficiency.
Pregnancy
Use only when needed and prescribed; suitability depends on the person's vitamin needs and dose.
Breastfeeding
Use only when needed and prescribed; ask a healthcare professional to confirm suitability.
Interactions
- Folic acid may interact with methotrexate and some anti-seizure medicines.
- Vitamin B12 absorption or response may be affected by certain medicines, including metformin.
- High-dose vitamin C may affect some laboratory test results.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.