If you use other drugs or over the counter products at the same time, the effects of this capsule may change. This may increase your risk for side-effects or cause your drug not to work properly. Tell your doctor about all the drugs, vitamins, and herbal supplements you are using, so that you doctor can help you prevent or manage drug interactions. It may interact with the following drugs and products:
Alcohol
Antibiotics
Barbiturates
Bisphosphonates
Diphenylhydantoin
Levodopa
Levothyroxine
Methotrexate
Methyldopa
Nitrofurantoin
The following is a list of possible side-effects that may occur from all constituting ingredients of this capsule. This is not a comprehensive list. These side-effects are possible, but do not always occur. Some of the side-effects may be rare but serious. Consult your doctor if you observe any of the following side-effects, especially if they do not go away.
Constipation
Diarrhea
Stomach cramps
Upset stomach
Allergic reactions
Anorexia
Nausea
Abdominal distention
Flatulence
Bitter or bad taste
Altered sleep patterns
Difficulty in concentrating
Irritability
Before using this capsule, inform your doctor about your current list of medications, over the counter products (e.g. vitamins, herbal supplements, etc.), allergies, pre-existing diseases, and current health conditions (e.g. pregnancy, upcoming surgery, etc.). Some health conditions may make you more susceptible to the side-effects of the drug. Take as directed by your doctor or follow the direction printed on the product insert. Dosage is based on your condition. Tell your doctor if your condition persists or worsens. Important counseling points are listed below.
Administration of folic acid alone is improper therapy for pernicious anemia and other megaloblastic anemias in which vitamin B12 is deficient
Avoid alcohol consumption, especially if having alcoholic cirrhosis
Avoid taking antacids within 2 hours while taking this medicine
Do not take this medicine if you have too much iron builds
Folic acid in doses above 0.1 mg daily may obscure the diagnosis of pernicious anemia
Pregnant, planning to become pregnant or breastfeeding
Risk of obscuring the diagnosis of pernicious anemia
Take this medicine without meal
Vitamin B12 is use to treat pernicious anemia
Iron & Vitamin Combined preparations
Store medicines at room temperature, away from heat and direct light. Do not freeze medicines unless required by package insert. Keep medicines away from children.