NURVI

# Calcium Pantothenate 50 mg + Cyanocobalamin 15 mg + Pyridoxine 3 mg + Thiamine Mononitrate 10 mg ## Short Description **Calcium Pantothenate 50 mg + Cyanocobalamin 15 mg + Pyridoxine 3 mg + Thiamine Mononitrate 10 mg** is a combination of **B-complex vitamins** that supports normal energy metabolism, nervous-system function, red blood cell formation and overall nutritional health. * **Calcium pantothenate (Vitamin B5)** supports energy metabolism and synthesis of fatty acids and hormones. * **Cyanocobalamin (Vitamin B12)** supports red blood cell formation and normal neurological function. * **Pyridoxine (Vitamin B6)** supports protein metabolism, neurotransmitter production and hemoglobin synthesis. * **Thiamine mononitrate (Vitamin B1)** helps convert carbohydrates into energy and supports normal nerve and heart function. > **Important:** The listed **Cyanocobalamin 15 mg** strength is unusually high for a vitamin B12 formulation, as B12 products are commonly labeled in micrograms (mcg). Please verify whether the intended strength is **15 mcg** before publishing or dispensing this product. --- ## Key Benefits * Helps provide essential **B-complex vitamins**. * Supports normal **energy metabolism**. * Supports healthy **nerve function**. * Helps maintain normal red blood cell production. * Supports normal protein and carbohydrate metabolism. * Helps maintain normal neurological function. * May help prevent or correct nutritional deficiencies when dietary intake is inadequate. * Convenient combination of several important B vitamins. --- ## Uses / Indications This vitamin combination may be used for: ### Vitamin B Deficiency It may help prevent or treat deficiencies of: * Vitamin B1 * Vitamin B5 * Vitamin B6 * Vitamin B12 ### Nutritional Supplementation May be recommended when dietary intake of B vitamins is inadequate or when increased nutritional requirements exist. ### Neurological Support B vitamins are important for normal nerve function and may be included in nutritional management of certain conditions associated with vitamin deficiencies. ### Anemia Related to Vitamin B12 Deficiency Vitamin B12 is essential for normal red blood cell formation. B12 supplementation may be used when deficiency is confirmed or suspected. ### Energy Metabolism Thiamine, pyridoxine and pantothenic acid participate in metabolic pathways involved in converting nutrients into usable energy. > This combination is a **vitamin supplement**, not a general treatment for unexplained fatigue, anemia or nerve symptoms. Persistent symptoms should be medically evaluated. --- ## How It Works ### Calcium Pantothenate – Vitamin B5 Vitamin B5 is a component of **coenzyme A**, which is involved in: * Fatty acid metabolism * Carbohydrate metabolism * Energy production * Synthesis of certain hormones and other compounds ### Cyanocobalamin – Vitamin B12 Vitamin B12 is essential for: * Normal red blood cell formation * DNA synthesis * Normal neurological function * Myelin maintenance * Certain metabolic reactions ### Pyridoxine – Vitamin B6 Vitamin B6 participates in numerous enzymatic reactions involving: * Amino acid metabolism * Neurotransmitter synthesis * Hemoglobin production * Protein metabolism ### Thiamine Mononitrate – Vitamin B1 Vitamin B1 is involved in carbohydrate metabolism and helps support: * Energy production * Normal nerve function * Normal cardiac function ### Combined Action Together, these vitamins help maintain normal **energy metabolism, blood formation and nervous-system function**, particularly when dietary intake or body stores are insufficient. --- ## Dosage & Administration ### Adults The appropriate dose depends on the formulation, indication and nutritional status. For a commercially manufactured combination, **follow the dosage specified on the product label or prescribed by a healthcare professional**. ### Administration * Take exactly as directed. * May generally be taken with or without food. * Taking the product with food may help reduce mild stomach upset. * Swallow tablets/capsules with water unless the formulation specifies otherwise. * Do not exceed the recommended dose. ### Important Strength Verification The ingredient list provided states: **Cyanocobalamin 15 mg** Vitamin B12 is commonly supplied in **microgram (mcg)** quantities rather than milligrams. If the intended strength is **15 mcg**, the product description should be corrected before publication. --- ## Side Effects B-complex vitamins are generally well tolerated when taken at recommended doses. Possible side effects may include: * Nausea * Stomach discomfort * Diarrhea * Headache * Mild skin rash * Unusual taste ### Vitamin B6 Long-term exposure to **high doses of vitamin B6** can cause peripheral neuropathy, characterized by: * Tingling * Numbness * Burning sensations * Weakness This is particularly important when multiple vitamin B6-containing products are used together. ### Vitamin B12 Cyanocobalamin is generally well tolerated. Rarely, hypersensitivity or acneiform skin eruptions may occur. ### Serious Allergic Reactions Seek immediate medical attention for: * Facial or throat swelling * Difficulty breathing * Severe rash * Fainting --- ## Precautions & Warnings ### Verify Vitamin B12 Strength The stated **cyanocobalamin 15 mg** should be verified because vitamin B12 is normally expressed in **micrograms** in many formulations. ### Vitamin B6 Overuse Avoid taking multiple B-complex or multivitamin products simultaneously without checking the total vitamin B6 intake. Prolonged excessive vitamin B6 exposure can cause **nerve damage**. ### Kidney Disease People with significant kidney impairment should discuss long-term supplementation with a healthcare professional. ### Liver Disease Tell your healthcare professional if you have significant liver disease before taking high-dose vitamin supplements. ### Pregnancy These vitamins are important during pregnancy, but supplementation should be based on individual nutritional requirements and professional advice. ### Breastfeeding B vitamins are generally compatible with breastfeeding at nutritional doses, but unusually high doses should be discussed with a healthcare professional. ### Anemia or Neurological Symptoms Do not use a vitamin combination to self-treat unexplained: * Anemia * Numbness * Tingling * Weakness * Persistent fatigue These symptoms may have causes requiring medical evaluation. --- ## Drug Interactions ### Levodopa Vitamin B6 can reduce the effectiveness of **levodopa when levodopa is used without a peripheral dopa-decarboxylase inhibitor**. This interaction is less relevant when levodopa is combined with carbidopa. ### Chloramphenicol Long-term chloramphenicol treatment may interfere with the hematologic response to vitamin B12 in some patients. ### Metformin Long-term **metformin** treatment can reduce vitamin B12 absorption and may contribute to B12 deficiency. Patients taking metformin may require periodic B12 monitoring. ### Proton Pump Inhibitors Long-term use of medicines such as: * Omeprazole * Pantoprazole * Esomeprazole can reduce vitamin B12 absorption in some patients. ### Other Supplements Tell your healthcare professional if you take: * Multivitamins * B-complex supplements * Energy supplements * Vitamin B6 products * Vitamin B12 injections or tablets This helps prevent unnecessary duplication and excessive intake. --- ## Storage Information * Store at **room temperature**, according to the manufacturer's instructions. * Keep away from excessive heat and moisture. * Protect from direct sunlight. * Keep tablets/capsules in their original packaging. * Keep out of reach of children. * Do not use after the expiry date. * Do not use the product if the packaging is damaged. --- ## Prescription Status **Calcium Pantothenate + Cyanocobalamin + Pyridoxine + Thiamine is generally available without a prescription in many countries**, depending on the formulation and local regulations. Some high-dose vitamin preparations or injectable formulations may have different regulatory requirements. --- ## Genuine Medicine Assurance When purchasing this B-complex vitamin combination: * Purchase from a **licensed and reputable pharmacy**. * Check that the packaging is sealed and undamaged. * Verify all active ingredients and their strengths. * **Confirm whether cyanocobalamin is listed as 15 mcg or 15 mg.** * Check the manufacturer, batch/lot number and expiry date. * Ensure the product has appropriate regulatory labeling. * Avoid products with suspicious packaging or altered labels. * Keep the medicine in its original packaging. * If you suspect counterfeit or incorrectly labeled medicine, contact the manufacturer, licensed pharmacy or relevant medicines regulatory authority. --- # Frequently Asked Questions (FAQ) ### 1. What is Calcium Pantothenate + Cyanocobalamin + Pyridoxine + Thiamine used for? This combination provides **vitamins B5, B12, B6 and B1** and may be used to prevent or correct deficiencies and support normal energy metabolism, nerve function and red blood cell production. ### 2. What vitamins are included in this medicine? It contains: * **Calcium pantothenate – Vitamin B5** * **Cyanocobalamin – Vitamin B12** * **Pyridoxine – Vitamin B6** * **Thiamine mononitrate – Vitamin B1** ### 3. What is Calcium Pantothenate? Calcium pantothenate is a form of **vitamin B5**, which contributes to energy metabolism and the synthesis of fatty acids and other important compounds. ### 4. What is Cyanocobalamin? Cyanocobalamin is a form of **vitamin B12**, an essential vitamin required for normal red blood cell formation, DNA synthesis and neurological function. ### 5. What is Pyridoxine? Pyridoxine is **vitamin B6**. It supports protein metabolism, neurotransmitter production and normal hemoglobin synthesis. ### 6. What is Thiamine Mononitrate? Thiamine mononitrate is a form of **vitamin B1**, which plays an important role in carbohydrate metabolism and normal nerve and heart function. ### 7. Can this medicine help with vitamin B deficiency? Yes. It may help prevent or treat deficiencies of the included B vitamins when used at an appropriate dose. ### 8. Can B-complex vitamins improve energy? B vitamins are essential for normal energy metabolism. Supplementation can help when a deficiency exists, but taking additional B vitamins does not necessarily increase energy in people who already have adequate levels. ### 9. Can this medicine help with nerve problems? B vitamins are important for normal nerve function. Supplementation may be beneficial when neurological symptoms are related to a vitamin deficiency, but unexplained numbness or tingling should be medically evaluated. ### 10. Can this medicine treat anemia? Vitamin B12 deficiency can cause certain types of anemia, and B12 supplementation can treat the deficiency. However, **not all anemia is caused by vitamin deficiency**, so proper diagnosis is important. ### 11. Can I take this B-complex vitamin every day? It may be taken daily when recommended, but the appropriate duration depends on the product strength and individual nutritional needs. Avoid combining multiple B-complex products without checking the total doses. ### 12. Can vitamin B6 cause nerve damage? Yes. **Long-term excessive vitamin B6 intake** can cause peripheral neuropathy. Avoid unnecessarily high doses or combining multiple B6-containing supplements. ### 13. Can I take this medicine with Metformin? It can generally be taken with metformin. However, long-term metformin use can reduce vitamin B12 levels, so healthcare professionals may recommend periodic B12 monitoring. ### 14. Can I take this medicine with Pantoprazole? It can generally be used with pantoprazole. Long-term acid-suppressing treatment can reduce B12 absorption in some individuals, so B12 status may need monitoring when clinically appropriate. ### 15. Can I take B-complex vitamins during pregnancy? B vitamins are important during pregnancy, but supplementation should be based on individual nutritional needs and professional advice, particularly when using higher-dose products. ### 16. Can I take this medicine while breastfeeding? B vitamins are generally compatible with breastfeeding at nutritional doses. Consult a healthcare professional before using unusually high doses. ### 17. What is the difference between Vitamin B12 and Cyanocobalamin? **Cyanocobalamin is one form of vitamin B12.** Other forms include methylcobalamin and hydroxocobalamin. ### 18. Why should I verify the Cyanocobalamin 15 mg strength? Vitamin B12 is commonly labeled in **micrograms (mcg)**. A stated dose of **15 mg equals 15,000 mcg**, which is substantially higher than typical nutritional doses. The product specification should therefore be verified to avoid a labeling or transcription error. ### 19. Can this medicine cause nausea? Yes. Mild nausea or stomach discomfort can occur. Taking the product with food may help if the formulation allows it. ### 20. Is this B-complex combination available without a prescription? Many oral B-complex vitamin products are available **without a prescription**, although availability and legal status vary by country and formulation. --- ## Medical Disclaimer This information about **Calcium Pantothenate 50 mg + Cyanocobalamin 15 mg + Pyridoxine 3 mg + Thiamine Mononitrate 10 mg** is provided for educational and general informational purposes only. It is **not a substitute for professional medical advice, diagnosis or treatment**. **Important product-verification note:** The ingredient list provided specifies **Cyanocobalamin 15 mg**. Because vitamin B12 is commonly expressed in micrograms, please verify whether the intended specification is **15 mg or 15 mcg** before the product is manufactured, dispensed or published. Do not use B-complex supplements as a substitute for evaluation of unexplained anemia, fatigue, weakness, numbness or other persistent symptoms. Excessive vitamin B6 intake over prolonged periods can cause peripheral neuropathy. **Do not exceed the recommended dose or combine multiple vitamin products without checking their total vitamin content.** Consult a qualified healthcare professional for individualized advice, especially during pregnancy, breastfeeding or in the presence of kidney or liver disease.