VITAMIN B12 ANKERMANN vitamin B12 1000mcg x 50 tabl
Vitamin B12
VITAMIN B12 ANKERMANN®
1000 MICROGRAMS COATED TABLETS
NAME OF THE MEDICINAL PRODUCT
Vitamin B12 Ankermann 1,000 micrograms coated tablets
RELAXATION MODE
Without a doctor's prescription
QUALITATIVE AND QUANTITATIVE COMPOSITION
One coated tablet contains the active substance 1,000 micrograms of Cyanocobalamin (Vitamin B12 ).
EXCIPIENTS with known effect: lactose, sucrose.
Full list of excipients: povidone K 30, stearic acid, montan-
glycol wax, lactose monohydrate, sucrose, spray-dried acacia, talc, calcium carbonate, heavy kaolin, titanium dioxide, white wax, macrogol 6000, macrogolglycerol hydroxystearate, sodium lauryl sulfate, croscarmellose sodium,
hypromellose, hydroxypropylcellulose, medium chain triglycerides.
PHARMACEUTICAL FORM AND PACKAGING
Coated tablet. Original packaging: 50 coated tablets, divided into two blisters of 25 tablets.
SHELF LIFE AND STORAGE CONDITIONS
Shelf life – 3 years. Store at temperatures up to 25°C.
THERAPEUTIC INDICATIONS
aminosalicylates, proton pump inhibitors and metformin. |
DOSAGE AND METHOD OF ADMINISTRATION
ADULTS
The recommended daily dose is 1,000 micrograms of cyanocobalamin (1 tablet of Vitamin B12 Ankermann 1,000 micrograms) for the treatment of mild to moderate vitamin B12 deficiency.
In cases of severe symptoms of vitamin B12 deficiency, it is initially recommended
administration of an injectable form. Therapeutic response is observed two months after continuous oral therapy.
CHILDREN AND YOUTH
Vitamin B12 Ankermann 1,000 micrograms should not be used in children under 6 years of age. In children aged 6 years and over and adolescents, it is recommended
Cyanocobalamin should be taken orally in a daily dose of 1,000 micrograms - 1 tablet of Vitamin B12 Ankermann 1,000 micrograms, provided that patients are able to swallow the tablet.
METHOD OF APPLICATION
The tablets should be swallowed whole with sufficient water, preferably in the morning, on an empty stomach.
PREGNANCY AND BREAST-FEEDING
Data show that vitamin B12 supplementation during pregnancy leads to
minimal risk to the mother and newborn. Patients should be advised to consult a doctor or pharmacist before taking this medicine. Vitamin B12
Ankerman 1000 micrograms coated tablets should not be used to treat:
megaloblastic anemia during pregnancy caused by folate deficiency. BREAST-FEEDING: Evidence suggests that cyanocobalamin is compatible with breast-feeding. The patient should consult a doctor or pharmacist before taking this medicine.
OVERDOSE
Vitamin B12 has a wide therapeutic range and excess amounts are easily eliminated in the urine even when a dose of 100 mg is administered.
Symptoms of poisoning or overdose are not known to occur. In cases of accidental overdose, patients should be treated if necessary.
symptomatic.
CAUSES AND CLINICAL SIGNS OF DEFICIENCY
AVAILABILITY AND NEEDS
The human body cannot synthesize vitamin B12 , and it is absorbed from food. Foods that contain vitamin B12 are liver, kidneys, heart, fish, shellfish, milk, egg yolk and meat. Vitamin B12 is administered for therapeutic purposes in the form of
cyanocobalamin and/or hydroxocobalamin. They are precursors that the body
converts into active forms of methylcobalamin and 5-adenosylcobalamin. The daily requirement of vitamin B12 is about 1 µg.
REASONS FOR DEFICIT
Vitamin B12 deficiency can occur due to malabsorption, especially in the elderly (due to malabsorption of cobalamin from food), in patients after
partial gastrectomy or ileostomy or other diseases of the gastrointestinal tract, as well as on a strict vegetarian diet.
CLINICAL SIGNS OF DEFICIENCY
Very often, people with vitamin B12 deficiency have no clinical symptoms or they are discrete and undetectable without biochemical blood tests (subclinical cobalamin deficiency).
In case of impaired or absent absorption of vitamin B12, if plasma levels
If levels fall below 200 pg/ml , this could lead to the manifestation of clinical symptoms .
The consequences are megaloblastic anemia and neurological deficit of the peripheral and
central nervous system. Polyneuropathy may occur in combination with lesions of the dorsal columns of the spine and psychological disorders. Early
Signs of deficiency may include fatigue and paleness, tingling in the hands and feet, unsteady gait, and decreased physical strength. Other symptoms may also occur.
neurological symptoms such as a burning sensation, numbness or pain in the arms and legs,
muscle weakness, confusion and impaired perceptions.
Symptoms caused by vitamin B12 deficiency can only be corrected by taking vitamin B12.
