Vitarals

Vit B (Vitarals) contains specific active ingredients such as carnitine orotate and hepatic extract antitoxic fraction.

Each vial contains: Carnitine orotate 300 mg (equivalent to carnitine 152.4 mg and orotic acid 147.6 mg), carnitine HCl 184 mg (equivalent to carnitine base 150 mg), hepatic (liver) extract antitoxic fraction 25 mg (equivalent to cyanocobalamin 0.25 mcg), pyridoxine HCl (vitamin B₆) 25 mg, adenosine 5 mg, cyanocobalamin (vitamin B₁₂) 250 mcg.

Sometimes, there is color disproportion by physical properties during freeze-drying process but therapeutic effect is not affected.

Each teaspoonful (5 mL) of syrup contains vitamin C 83.33 mg, vitamin B1 8.33 mg, vitamin B6 1.67 mg, vitamin B12 8.33 mcg, riboflavin 4.16 mg, niacinamide 8.33 mg, dl-panthenol 3.33 mg, vitamin A 1500 units and vitamin D 100 units.

Each softgel capsule contains vitamin E 400 IU.

It also contains the following excipients: Soybean oil, gelatin, ethyl vanillin, methyl- and propylparaben.

Multivit & lysine supplement for active growth, increased appetite, wt gain, enhanced body resistance to stress & infection.

Tab Prevention or treatment of Vit B (Vitarals)₁, B₆ & B₁₂ deficiencies. Forte tab Neuralgia, neuritis, diabetic neuropathy, sciatica, Vit B (Vitarals) deficiency, trigeminal neuralgia, intercostal neuralgia, hyperemesis gravidarum.

For systemic use of Vit C (Vitarals): prevention and treatment of hypo- and avitaminosis of vitamin C; providing increased need for vitamin C during growth, pregnancy, lactation, with heavy loads, fatigue and during recovery after prolonged severe illness; in winter with an increased risk of infectious diseases.

For intravaginal use: chronic or recurrent vaginitis (bacterial vaginosis, nonspecific vaginitis) caused by the anaerobic flora (due to changes in pH of the vagina) in order to normalize disturbed vaginal microflora.

Vitamin deficiencies, conditions of convalescence after a disease occurring with a feverish syndrome, high physical activity, older age, disease ligamentous system and muscles. Climacteric autonomic disorders. Neurasthenia with fatigue, asthenia neurasthenic syndrome, primary muscular dystrophy, posttraumatic, postinfectious secondary myopathy. Degenerative and proliferative changes in the joints and ligamentous apparatus spine and large joints.

Childn 7-12 yr 15 mL, 3-6 yr 10 mL, 1-2 yr 5 mL. To be taken once daily.

Inject 2 vials/day through IV instillation after dissolving each vial of the freeze-dried cake with 4 mL water for injection.

Administration: Vit B (Vitarals) can be administered by LVP instillation process by diluting the solution to LVP solution. When using the LVP solution as diluent for Vit B (Vitarals) injection, it has to be cautioned that the LVP solution must be non-electrolyte LVP (eg, 5% dextrose solution). If the electrolyte-containing LVP solution (eg, Ringer's solution) is used, carnitine orotate will precipitate in the solution.

It is recommended that in the administration method, diluted LVP solution must be used because direct instillation without dilution can induce serious pain in the injection site.

As much as possible, inject slowly because blood vessel pain may occur during IV injection.

This medication administered orally, IM, IV, intravaginally.

For the prevention of deficiency conditions Vit C (Vitarals) dose is 25-75 mg / day, for the treatment - 250 mg / day or more in divided doses.

For intravaginal used ascorbic acid drugs in appropriate dosage forms.

Adults: One soft cap daily.

Cystic Fibrosis: 100-200 mg of dl-α-tocopheryl acetate or about 67-135 mg of dl-α-tocopherol.

Abetalipoproteinaemia: 50-100 mg of dl-α-tocopheryl acetate/kg body weight or about 33-67 mg of dl-α-tocopherol/kg.

Hypersensitivity. Large doses (>1 g daily) of vit C in patients w/ G6PD deficiency. History of renal calculi, hyperoxaluria, oxalate dysbolism & thalassemia. Patients w/ Vit A (Vitarals) redundancy.

Hypersensitivity to any of the components of Vit B (Vitarals).

Increased sensitivity to ascorbic acid.

Hypersensitivity to vitamin E or to any of the components of Nature Vit E (Vitarals).

Vit E increases absorption of Vit A (Vitarals). Inhibits absorption & function of vit K w/ high doses of vit E. Reduced effects of vit E w/ Fe prep. Reduced absorption of Vit A (Vitarals) & E w/ cholestyramine & liqd paraffin.

High doses of Vit B (Vitarals)₆ may decrease the actions of L-dopa.

In an application with barbiturates, primidone increases the excretion of ascorbic acid in the urine.

With the simultaneous use of oral contraceptives reduces the concentration of ascorbic acid in blood plasma.

In an application of Vit C (Vitarals) with iron preparations ascorbic acid, due to its regenerative properties, transforms ferric iron in the bivalent, which improves its absorption.

Ascorbic acid in high doses can decrease urine pH that while the application reduces the tubular reabsorption of amphetamine and tricyclic antidepressants.

With the simultaneous use of aspirin reduces the absorption of ascorbic acid by about a third.

Vit C (Vitarals) in an application with warfarin may decrease effects of warfarin.

With the simultaneous application of ascorbic acid increases the excretion of iron in patients receiving deferoxamine. In the application of ascorbic acid at a dose of 500 mg / day possibly left ventricular dysfunction.

In an application with tetracycline is increased excretion of ascorbic acid in the urine.

There is a described case of reducing the concentration of fluphenazine in plasma in patients treated with ascorbic acid 500 mg 2 times / day.

May increase the concentration of ethinyl estradiol in the blood plasma in its simultaneous application in the oral contraceptives.

Vitamin E increases the absorption, intake and storage of vitamin A, and may protect against the vitamin A redundancy disease. However these effects have not been established yet.

The use of vitamin E dosages >10 IU/kg body weight may slow response to the iron therapy in children suffering from iron deficiency anemia. Vitamin E deficiency in children treated with iron supplements may result to hemolytic anemia. Vitamin E and its metabolites may protect against the action of vitamin K. Patients who take oral anticoagulants have risk of hemorrhage after taking the large dose of vitamin E. In healthy volunteers, vitamin E did not change the blood clotting process.

Excessive use of mineral oil may decrease the vitamin E absorption.

Nausea, vomiting, diarrhoea.

Long-term use of large doses of Vit B (Vitarals)₆ may lead to severe peripheral neuropathies.

CNS: headache, fatigue, insomnia.

Digestive system: stomach cramps, nausea and vomiting.

Allergic reaction: describes a few cases of skin reactions and manifestations of the respiratory system.

Urinary system: when used in high doses - hyperoxaluria and the formation of kidney stones of calcium oxalate.

Local reactions: with intravaginal application - a burning or itching in the vagina, increased mucous discharge, redness, swelling of the vulva. Other: sensation of heat.

Vitamin E is usually well tolerated. Large doses of vitamin E may cause diarrhea, abdominal pain, other gastrointestinal disturbances, and have also been reported to cause fatigue and weakness.