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# On 2024-Sep-21 aproximate price on "NEUROMULTIVIT (B KOMPL) FILMTBL N20" in Riga city, Latvia is:
5.30€ 5.92$ 4.45£ 612Rub 60.3SEK 23PLN 22.3₪
Maximum allowed state defined price ( from ZVA webpage) Euro:
* This table was compiled fully automatically, independently from any advertisers, transparently and without any modification relaying the open offers available on the mentioned dates.
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor, pharmacist or nurse. - This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. - If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet
1. What Neuromultivit is and what it is used for 2. What you need to know before you use Neuromultivit 3. How to take Neuromultivit 4. Possible side effects 5. How to store Neuromultivit 6. Contents of the pack and other information
1. What Neuromultivit is and what it is used for
Neuromultivit contains vitamin B1, B6 and B12, which are essential for metabolism of nervous system. Similar to other vitamins, they are irreplaceable food components that the body itself cannot produce. The effect of vitamin B in treating nervous system disorders consists in alleviation of concomitant vitamin B deficiency and stimulation of natural regeneration of neural tissue. Neuromultivit is indicated for nervous system disorders caused by vitamin B deficiency.
2. What you need to know before you use Neuromultivit Do not take Neuromultivit
- if you are allergic to thiamine hydrochloride (vitamin B1), pyridoxine hydrochloride (vitamin B6), cyanocobalamin (vitamin B12) or any of the ingredients of this medicine (listed in section 6). - if you are a child or an adolescent (under 18 years), because the medication contains high dose of vitamins.
Warnings and precautions
Talk to your doctor or pharmacist before taking Neuromultivit. Persons who were administered vitamin B6 at doses exceeding 50 mg a day for a long period or at doses exceeding 1 g a day for a short period, developed sensation of tingling or pins and needles of the hands or feet (symptoms of peripheral sensory neuropathy or paraesthesia). If you develop sensation of tingling or pins and needles or other side effect, contact your doctor, who will adjust the dosage or discontinue treatment if necessary.
Children and adolescents
Due to high content of active substances, Neuromultivit must not be used in children and adolescents (aged less than 18 years).
Other medicines and Neuromultivit
Tell your doctor or pharmacist if you are using or have recently used or might use any other medicines. - Vitamin B1 may lose its effectiveness when administered with cytostatic medicine 5-Fluorouracil (anticancer medicine). - Antacids (to treat excess stomach acid) reduce absorption of vitamin B1. - Prolonged treatment with certain medicines that promote increased production of urine (diuretics), e.g. furosemide, may cause vitamin B1 deficiency, because lots of vitamin B1 is excreted in urine. - Co-administration of L-DOPA (anti-Parkinson drugs) with vitamin B1 may reduce the effectiveness of L-DOPA. - Vitamin B6 need may increase if Neuromultivit is co-administered with vitamin B6 antagonists (called pyridoxine antagonists, e.g. isoniazid, hydralazine, D-penicillamine or cycloserine).
Neuromultivit with food and drink
Alcohol and tea reduce absorption of vitamin B1. When used with drinks containing sulphur compounds (e.g. wine), vitamin B1 may break down and lose its effectiveness.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Do not take Neuromultivit during pregnancy or breast-feeding without doctor’s recommendation. During pregnancy and breast-feeding, daily vitamin intake should come from balanced diet. Due to vitamin content of this medicinal product, it is indicated for treatment of vitamin deficiency only and can be taken only on the basis of a medical prescription after careful consideration of the benefit/risk ratio. Vitamins B1, B6 and B12 are excreted in breast milk. Large doses of vitamin B6 may reduce breast milk production.
Driving and using machines
Neuromultivit has no effect on the ability to drive or use machines.
3. How to take Neuromultivit
Always use Neuromultivit exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Recommended dose is 1 tablet a day. In individual cases, dosage can be increased up to 1 tablet three times a day. Tablets must be swallowed whole with a little liquid after a meal.
If you take more Neuromultivit than you should
Vitamin B6 Administering vitamin B6 at daily doses greater than 50 mg for long period (longer than 6...12 months) or at daily doses greater than 1 g for short period (longer than 2 months) may cause nerve damage (neurotoxic effect). When taking more than 2 g a day, possible nerve damage may manifest as mobility disorder, sensitivity disorder (tingling, numbness) and twitches, and there have been very rare cases of change in blood cells and inflammatory skin reactions. Vitamin B12 There have been rare cases of allergic reactions, eczema and benign acne after taking large doses.
If you forget to take Neuromultivit
Do not take a double dose to make up for a forgotten dose. Take the next dose as normal. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. Additional side effects that have been reported during short-term or long-term administration of Neuromultivit include: Rare (may occur in 1-10 in 10,000 people) - gastrointestinal complaints, e.g. nausea, vomiting, diarrhoea, abdominal discomfort - headache, vertigo. Very rare (may occur in less than 1 in 10,000 people) - hypersensitivity reactions, e.g. sweating, rapid heartbeat and skin reactions such as itching and urticaria.
Frequency cannot be estimated from the available data
Administering vitamin B6 at daily dose greater than 50 mg for prolonged time (longer than 612 months) may cause peripheral sensory neuropathy (damage to the neural tissue, causing sensation of tingling or pins and needles).
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via www.ravimiamet.ee. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Neuromultivit
Keep this medicine out of the sight and reach of children. Do not store above Store in the original package, protected from light. Do not use this medicine after the expiry date which is sated on the carton and blister. The expiry date refers to the last day of that month. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information What Neuromultivit contains
- The active substances are: thiamine hydrochloride (vitamin B1), pyridoxine hydrochloride (vitamin B6), cyanocobalamin (vitamin B12). One film-coated tablet contains 100 mg vitamin B1, 200 mg vitamin B6 and 0.2 mg vitamin B12. - The other ingredients are: microcrystalline cellulose, magnesium stearate, povidone, macrogol 6000, titanium dioxide (E171), talc, hypromellose, Eudragit NE
What Neuromultivit looks like and contents of the pack
White or off-white, round, biconvex tablets. PVC/PE/PVdC- aluminium blister pack contains 20 or 100 tablets. Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
G.L. Pharma GmbH Schlossplatz 1 A-8502 Lannach Austria For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder: Covalent OÜ Pämu mnt 102c Tallinn 11312 Phone: (+372) 6600945 Fax: (+372)6600946