Cebiolon

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Cebiolon

Property Description
Active ingredient Sodium Ascorbate
Form Sterile Solution for Injection
Pharmacological class Vitamin Preparation, Antioxidant
General purpose Correcting severe Vitamin C deficiency
Origin Mineral salt derivative of Ascorbic Acid

What Type of Medicine is Cebiolon? (Identity and Classification)

Cebiolon is a pharmaceutical preparation classified as a vitamin preparation and a systemic antioxidant, utilized to restore crucial levels of an essential micronutrient. Its active ingredient is Sodium Ascorbate (C6H7NaO6), which is a synthetically formulated, buffered salt derivative of Ascorbic Acid (Vitamin C). Sodium Ascorbate is the typical, professionally recognized choice for high-dose intravenous delivery due to its stability in solution. This medicine is explicitly designed for stable, rapid, and predictable systemic delivery.

This medicine is a single active ingredient product, presented exclusively as a high-concentration sterile solution for injection, designating it as a parenteral preparation that requires prescription status. The formulation as the mineral salt Sodium Ascorbate is a differentiating factor, specifically chosen because this buffered compound is less acidic and possesses superior formulation stability compared to unbuffered forms of Ascorbic Acid, which is a critical necessity for safe parenteral administration.


What is the General Purpose of Sodium Ascorbate Injection? (Composition and General Benefit)

The fundamental general purpose of administering Cebiolon is to rapidly correct or prevent states of severe Vitamin C deficiency, the condition recognized globally as Scurvy. It utilizes the Sodium Ascorbate component, delivered via aqueous solution, to immediately provide systemic availability, especially for target patient groups with compromised intestinal absorption or those undergoing therapeutic intervention.

The key physiological role of the active compound is widely established: it acts as an essential cofactor for numerous biological processes, including collagen synthesis. Furthermore, the drug functions as a potent redox agent to mitigate cellular damage resulting from oxidative stress. Therefore, Cebiolon serves to sustain fundamental bodily functions where a severe shortage of this water-soluble vitamin has compromised systemic health.

Regulatory References

  1. MedlinePlus

What side effects are possible with Cebiolon?

Possible Side Effects and Safety Information

Official government regulatory information outlines the documented safety profile and potential adverse effects associated with Cebiolon (L-Ascorbic Acid or Vitamin C), particularly when used in large or chronic doses.

Adverse Reactions

The possible side effects are primarily documented in the context of high or prolonged exposure and are generally organized by the body system affected:

  • Gastrointestinal System: Adverse reactions may include nausea and diarrhea.
  • Renal and Urinary System: High doses have been linked to urinary acidification, which may increase the risk of crystallization and the formation of kidney stones (nephrolithiasis) from substances like oxalate and uric acid.
  • Nervous System: Reported effects, especially with chronic, large doses, include somnolence (depressed activity), decreased reaction times, and reduced psychomotor coordination. Headaches, including migraines, have also been cited in connection with high daily doses.
  • Other Effects: Flushing has been reported following intravenous administration.

Safety Restrictions and Limitations

Specific safety considerations, warnings, and restrictions are mandated in regulatory documents based on pre-existing conditions:

  • Contraindications: Use is restricted for patients diagnosed with certain blood disorders, including thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, sickle cell disease, and hemochromatosis.
  • High-Risk Patient Groups: Use requires caution in patients with a history of kidney stones (nephrolithiasis) or oxalate nephropathy due to the increased risk of stone formation.
  • Diabetes: Diabetics should use this compound with care, as it may potentially affect blood sugar levels.

This official safety documentation defines the substance's risks based on both its essential nutrient status and its documented chemical toxicity at high exposure levels, shaping the understanding of its safe use.

Overdose and Emergency Response

Overdose and When to Seek Help

The following information on Cebiolon (Ascorbic Acid) overdose is based strictly on authoritative governmental regulatory documents and public health sources.

Documented Overdose Profile

Classification Official Regulatory Statements
Toxicity Severity Generally classified as low toxicity; symptoms are typically not life-threatening.
Manifestations Ingestion of very high doses may result in gastrointestinal symptoms such as diarrhea, abdominal cramps, and flatulence.
Physiological Risk High intake can lead to hyperoxaluria, which carries a risk of oxalate kidney stone formation.
Vulnerable Populations Caution is advised for individuals with pre-existing renal impairment or a history of oxalate kidney stone formation.

Immediate Actions

The official overdose profile is defined by specific gastrointestinal and renal adverse effects resulting from acute, excessive intake. Due to the high safety margin, general management is supportive and directed toward the relief of specific symptoms.

Urgent medical attention is recommended if any severe, persistent, or concerning physical symptoms occur, particularly those affecting the digestive or urinary systems, following a large, excessive ingestion. This ensures appropriate medical assessment and symptomatic support can be initiated.

Therapeutic Uses of Cebiolon

What Cebiolon Treats: Main Uses and Benefits


Symptom Relief and Stabilization

This therapeutic domain is applicable within clinical settings that involve acute or disruptive symptom patterns. The medicine is commonly used to help with symptoms related to physical discomfort that may appear suddenly or intensify over time. Cebiolon supports the patient during difficult episodes by easing distress, which helps improve day-to-day comfort during symptomatic periods.

Cebiolon is considered relevant for easing symptoms related to systemic imbalance, heightened physiological activity, and functional strain. It is generally applied across domains where short-term symptomatic support is needed, such as in conditions involving episodic or fluctuating manifestations. It is relevant for easing temporary discomfort.

“This approach helps maintain a sense of stability when symptoms are more noticeable.”

Quick Fact: Support for Acute Discomfort


Supportive Care for Episodic Discomfort

Cebiolon is commonly used when symptoms intensify, and may assist with managing symptoms during phases of increased discomfort or tension. This supports patients during episodes of heightened discomfort and helps them cope more steadily with temporary flare-ups, particularly when symptoms interfere with routine activities.

Regulatory References

  1. European Medicines Agency (EMA)

Eligibility and Restrictions for Use

Official Eligibility and Restrictions for Cebiolon

Cebiolon (Sodium Ascorbate Injection) is primarily eligible for patients with confirmed scurvy where taking Vitamin C orally is not feasible, insufficient, or contraindicated. Official regulatory documentation defines eligibility based on several key population categories.

Who Must Not Use Cebiolon (Contraindication)

Classification Population/Condition
Absolute Patients with known hypersensitivity or allergy to Sodium Ascorbate, Ascorbic Acid, or any excipient in the formulation.

Age-Related Eligibility

Use is established for adults and pediatric patients starting at 5 months of age. Use is generally not established or not recommended for infants younger than 5 months. Older adults and children under two years may require special caution due to a higher labeled risk of oxalate nephropathy (kidney stone formation).

Conditional Use and Restrictions

Use requires caution, close monitoring, or dose adjustment in populations with pre-existing conditions such as renal disease (due to nephropathy risk), G6PD deficiency (due to hemolysis risk), or conditions involving iron overload (e.g., Hemochromatosis). For pregnant and lactating women, use is restricted to doses that do not exceed the recommended daily allowance (RDA) or Adequate Intake (AI) levels.

What should I know about interactions with other medicines?

Interactions with Other Medicines and Products

Cebiolon's interaction profile is established by its chemical properties and effects on the clearance and activity of other substances, as described in government regulatory documents.

Pharmacokinetic and Activity Changes

Co-administration with certain basic drugs, such as Amphetamine and Fluphenazine, is associated with decreased serum levels of those medicines. This reduction in exposure occurs because the compound alters urine pH, which affects drug excretion and renal clearance. The medicine may also influence the activity of other pharmaceuticals. Regulatory documents state that it may decrease the activities of certain antibiotics, including Erythromycin and Doxycycline, and has been shown to chemically inactivate Bleomycin.

Monitoring and Procedural Constraints

For patients taking the anticoagulant Warfarin, the potential for interference requires that standard anticoagulation monitoring must continue as an official precautionary measure. Furthermore, this medicine can interfere with the accuracy of clinical laboratory tests, specifically those relying on oxidation-reduction reactions, such as measurements of blood glucose or bilirubin.

Population-Specific Restrictions

Critical population-specific constraints are documented in the prescribing information. These include the increased risk of severe hemolysis in patients with G6PD deficiency and the risk of oxalate nephropathy in individuals with renal impairment or a history of oxalate kidney stones.

Mechanism of Action

The mechanism of Cebiolon's active component, Ascorbate, is defined by its function as a critical reducing agent and co-substrate that facilitates biochemical replenishment within Fe^2+-dependent enzyme systems involved in structural and energy pathways.

Cofactor for Structural Enzyme Systems

The active ingredient functions as a necessary cofactor for the iron-dependent Prolyl and Lysyl Hydroxylases. By maintaining the enzyme's iron in its active state, the drug enables the crucial hydroxylation of procollagen, which is the molecular step required for the proper cross-linking and stabilization of the collagen triple helix. This action facilitates the formation of a stabilized collagen structure, thereby modulating the tensile properties of blood vessels and connective tissues.


Modulation of Neuro-Metabolic Pathways

Ascorbate is vital for the enzymatic pathways that synthesize key metabolic and nervous system mediators. This includes being a co-substrate in L-carnitine synthesis, which generates the molecular entity necessary for the efficient transport of fatty acids for mitochondrial energy production, and facilitating the conversion of dopamine to the essential neurotransmitter norepinephrine. This action ensures the generation of necessary mediators for efficient mitochondrial energy production and proper central and peripheral neurotransmitter function.


Systemic Redox Control and Enzyme Regeneration

The compound acts as a systemic antioxidant by readily donating electrons to neutralize harmful Reactive Oxygen Species ( ROS) and free radicals, thereby modulating the risk of cellular and DNA oxidation. Furthermore, this redox activity is essential for continuously regenerating the Ferrous Iron ( Fe^2+) state within numerous enzymes, which sustains the necessary state for continuous metabolic and structural enzyme cycling.

Dosage and Administration Information

How to Use Cebiolon

Cebiolon, which contains Sodium Ascorbate (a form of Vitamin C), is a sterile solution preparation intended for controlled administration to rapidly address severe nutrient deficiency. The general principles for its use are strictly defined by established clinical protocols for proper use.


Official Administration Guidelines

Instruction
Route of Administration The medicine is mandated for delivery via slow intravenous (IV) infusion. It must not be given as a direct, undiluted injection.
Frequency and Schedule The standard regimen is administered once daily (qDay). The official usage pattern is defined as a short-term course, typically lasting up to seven days.
Preparation Requirements The concentrated solution must be diluted in a compatible intravenous solution (such as 5% Dextrose Injection) to achieve the final required concentration before administration. This preparation is typically restricted to a sterile ISO Class 5 work area.

Standard Dosage Regimens

Administration is guided by specific dosages tailored to age group:

  • Adults and Adolescents (11+ years): The standard dose for the approved use is 200 mg once daily.
  • Pediatric Patients (1 to < 11 years): The specified daily dose is 100 mg.
  • Pediatric Patients (5 months to < 12 months): The specified daily dose is 50 mg.

This structured protocol establishes the precise conditions—route, preparation, dose, and frequency—that officially govern the use of the medicine, ensuring a standardized method of delivery.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Cebiolon

Evidence for Correction of Severe Vitamin C Deficiency (Scurvy)

The primary and most established application of this injection was studied in the context of repletion for Vitamin C levels in cases of severe deficiency (Scurvy). The evidence supporting this use is foundational, rooted in classic studies and regulatory data.

Pharmacokinetic (PK) studies—which monitor how the body absorbs and processes the medicine—have research examined how quickly and effectively the injected compound raises blood and tissue levels. These studies included populations with confirmed low Vitamin C status, often due to conditions affecting normal intestinal absorption. Findings indicate that the intravenous route allows for higher systemic concentrations as measured in the studies. Findings indicate this is an important route studied in severe deficiency. The clinical outcomes that studies monitored included changes in the physical signs of Scurvy, as well as changes in ascorbate concentration in the plasma. This well-established area of evidence contributes to the understanding of systemic delivery of the injectable format.


Research on Supportive Care in Conditions Associated with Advanced Cancer

The injection was evaluated in research exploring its supportive role, particularly when used alongside standard treatments for various advanced malignancies. Early-phase Randomized Controlled Trials (RCTs) and observational studies were conducted during periods of increased symptom activity in adults with solid tumors, such as pancreatic or ovarian cancer.

Studies explored a wide range of endpoints, including Overall Survival and changes in tumor size, but also focused heavily on patient-reported outcomes describing perceived discomfort and Quality of Life (QoL). Some trials reported patterns observed in the studies related to measured changes in QoL or a change in survival metrics in certain subgroups, often when administered at high doses. However, the evidence is generally limited and heterogeneous, meaning findings were mixed across different cancer types and study designs. The sample sizes were modest in many of the existing trials.


Research on Supportive Care in Conditions Involving Acute Physiological Strain

High-dose intravenous administration was studied for use as a supportive measure in critically ill adults experiencing conditions associated with acute or disruptive episodes, such as septic shock. Pilot randomized controlled trials research examined a variety of short-term physiological markers, including the effect on vasopressor support requirements and Sequential Organ Failure Assessment (SOFA) scores, which track outcomes related to systemic or functional imbalance in the Intensive Care Unit (ICU).

Some trials reported measurements of organ failure scores or changes in vasopressor support requirements over the first few days of treatment. However, other trials monitoring major clinical outcomes like mortality findings were mixed when compared to control groups. The reported outcomes were generally short-term and based on small populations of critically ill patients. The data are still emerging, and certainty remains low regarding the study outcomes.


What Research Currently Describes as Uncertain or Limited

Research for the non-deficiency applications is primarily limited by the sample sizes that were modest and the follow-up durations were limited in many of the trials. The evidence quality varies across studies, and findings were mixed, particularly in complex conditions where patient disease status is variable. Furthermore, the scope of comparative evidence is limited between the high-dose injection and other supportive therapies in many contexts. These limitations mean that the research provides context but not individual predictions about whether a person will respond similarly to group patterns.

Key Studies & References Scurvy: Medical Encyclopedia Entry (Context for Primary Indication)

Frequently Asked Questions (FAQ)

Common questions about Cebiolon (FAQ)


Q: Why is Cebiolon prescribed for a condition that seems unrelated to its main use?

A: Official information describes the active ingredient, Ascorbate, as a fundamental biochemical component, functioning as a cofactor necessary for the synthesis of important substances. This includes supporting collagen production, which is crucial for structural integrity, and aiding in the creation of specific neurotransmitters for nerve function. This essential role in basic metabolic and structural pathways is the context for its exploration in conditions associated with tissue damage or systemic strain.

Q: Is it normal to feel a little dizzy when first starting Cebiolon?

A: Regulatory documents cite dizziness and temporary faintness as effects that may be associated with the intravenous administration of the solution. This is reported particularly if the infusion is delivered too rapidly. Any unusual effects should be reported to a healthcare professional for evaluation.

Q: What happens if I forget to take a dose of Cebiolon?

A: Official patient guidance advises that since this is a short-term, once-daily infusion administered by a professional, if a dose is missed, it should be left out and the next dose taken when it is due. Official guidance states that double doses should be avoided.

Q: Can Cebiolon be crushed or split if a person has trouble swallowing pills?

A: This medicine is supplied only as a sterile solution for intravenous (IV) infusion and is not available in tablet or capsule form. Therefore, crushing or splitting is not applicable, as it is administered directly into the bloodstream by a healthcare professional.

Q: What are the signs of a serious or rare side effect from Cebiolon?

A: Serious side effects documented in official warnings include severe hemolysis (destruction of red blood cells) and oxalate nephropathy (kidney damage). Patient materials cite signs of these conditions as potentially including dark urine, yellow eyes or skin, or lower back or side pain. If these signs appear, they should be reported to a healthcare professional immediately.

Q: Are there any long-term effects of taking Cebiolon that I should know about?

A: Official documentation states that the drug is indicated for short-term treatment only, typically up to one week, for severe nutrient deficiency. The prolonged use of high doses has been associated with an increased risk of conditions like oxalate nephropathy (a form of kidney stone formation) in susceptible individuals, which informs the understanding of its limited duration of use.

Q: Does taking Cebiolon affect my ability to drive or operate machinery?

A: Since regulatory safety materials report adverse effects such as dizziness, unusual drowsiness (somnolence), or decreased coordination, caution is generally recommended regarding driving or operating machinery until the effects of the infusion are known.

Q: Do studies support the use of Cebiolon for conditions other than the one it is approved for?

A: Regulatory reviews confirm that the medicine has been evaluated in research for supportive roles in conditions like advanced malignancies and critical illness (sepsis). However, official documents currently state that these supportive uses are outside the scope of the primary approved indication, which is severe Vitamin C deficiency.

Q: What kind of research has been done on Cebiolon in children?

A: The drug is approved for use in pediatric patients starting at 5 months of age, with established dosing. Regulatory reviews on the medicine’s pharmacology include data relevant to its safety profile in pediatric populations. Official warnings note that children under two years may require specific caution due to a potentially higher risk for kidney-related issues.

Q: What is the difference between Cebiolon and its generic version?

A: Cebiolon is the trade name for the FDA-approved injectable product containing Ascorbic Acid Injection, USP (Sodium Ascorbate). The trade name product has been subjected to the full FDA review process to assure its strength, quality, and safety profile for its approved use.

Q: Why do some people need to start with a very low amount of Cebiolon?

A: While standard dosing is specified by age, the regulatory label does require a reduced dose for patients with specific health conditions, such as G6PD deficiency (a blood disorder), to minimize the risk of certain side effects.

Q: Are there any specific organs, like the liver or kidneys, that Cebiolon affects?

A: Official warnings specifically address the kidneys. There is a noted risk of oxalate nephropathy (a form of kidney damage) and nephrolithiasis (kidney stone formation), particularly in individuals with pre-existing renal impairment or a history of kidney stones.

Q: Does Cebiolon need to be taken at a specific time of day?

A: The standard regimen for the approved use is administered once daily. Regulatory documents do not specify a required time of day (such as morning or night) for the infusion to occur.

Q: What should I do if the side effects of Cebiolon seem to be getting worse?

A: Official patient guidance states that if any new or worsening effects, especially signs of serious complications (like dark urine or severe back pain), are noticed, it is advised that they be reported to a healthcare professional right away for proper evaluation.

Q: Are there any common lab tests that Cebiolon might affect the results of?

A: The medicine can interfere with certain lab tests that rely on oxidation-reduction reactions due to its chemical properties. Specific tests mentioned in the official label include measurements of blood or urine glucose levels, nitrite levels, and bilirubin levels.

Q: Is Cebiolon effective for everyone who takes it?

A: The medicine is approved to correct a state of severe Vitamin C deficiency (scurvy) where its effects are considered foundational. However, regulatory summaries note that clinical evidence for its use in other supportive conditions is often limited and heterogeneous. This suggests that not all individuals in non-approved conditions may experience the same study outcomes.

Q: What if I'm allergic to other medications; is there a higher risk with Cebiolon?

A: The main contraindication for use is a known hypersensitivity or allergy to Sodium Ascorbate, Ascorbic Acid, or any inactive ingredients in the formulation. Official guidance notes that all known allergies should be discussed with the prescriber.

Q: Why do official documents list so many potential side effects for Cebiolon?

A: Regulatory agencies require official documents to list all potential effects that have been observed during clinical research, post-marketing surveillance, or in scientific literature. This comprehensive approach, even including rare effects, ensures that healthcare professionals are fully informed of the established safety profile.

Q: Is Cebiolon a medicine I will have to take forever?

A: No. The official indication specifies the drug is for short-term treatment (up to one week) to rapidly address a severe nutrient deficiency. It is not approved or intended for long-term or indefinite chronic use.

Q: How can I tell if Cebiolon is working for me?

A: The medicine is approved to correct a state of severe Vitamin C deficiency (scurvy). Therefore, its intended effect is the resolution of the physical signs and symptoms of deficiency, which are the outcomes that were monitored in clinical studies.

Q: Is the research evidence for Cebiolon considered strong by experts?

A: Official reviews categorize the evidence for the approved use (scurvy) as foundational and established. However, evidence for non-approved, supportive applications is generally described as limited, heterogeneous, or emerging in clinical trial summaries.

Q: Can Cebiolon be taken with or without food?

A: Since this medicine is administered only as an intravenous (IV) infusion directly into the bloodstream, and is not swallowed, the question of taking it with or without food is not applicable.

Q: Does Cebiolon affect my mood or emotional state?

A: The adverse reactions list includes effects on the Nervous System that involve changes in function, such as somnolence (drowsiness) and decreased coordination. While the label does not explicitly list 'mood changes,' some official patient materials have cited emotional effects like agitation or anxiety.

Q: Why is my doctor prescribing Cebiolon if other drugs are available?

A: The official label specifies this medicine is indicated only when oral administration of Vitamin C is not possible, insufficient, or contraindicated (ruled out for safety reasons). This establishes its specialized role for severe deficiency requiring rapid and predictable intravenous delivery.

Q: Is Cebiolon available in other countries under a different name?

A: Regulatory history documents mention that formulations of Ascorbic Acid Injection (containing Sodium Ascorbate) are marketed internationally. For example, similar injectable products are available in countries such as Canada and New Zealand.

How should Cebiolon be stored and disposed of?

The official requirements for storing and handling Cebiolon (Sodium Ascorbate Injection) are designed to protect the sterile, light- and temperature-sensitive solution from degradation.

Storage Requirements

Condition Requirement Constraint
Temperature Store between 2 C to 8 C (refrigerate) or between 15 C and 30 C (controlled room temperature), as specified on the label. Do not freeze.
Protection Protect from light at all times. Keep in the original container until use.
Stability Any unused portion of a multi-dose vial must be discarded within 4 hours of initial puncture; diluted solutions must be administered immediately.

Disposal Instructions

It is mandatory to keep Cebiolon out of the sight and reach of children for safety. Disposal of unused or expired product and any waste material, including empty vials, must be carried out according to local regulatory requirements for pharmaceutical waste.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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