API

Folic Acid (0.7mg) + Methylcobalamin (2500mcg) + Niacinamide (12mg) + Vitamin C (150mg)

Drug classification

Multivitamin supplement; specific subclass: B vitamins and vitamin C combination.

Dosage form

Eldervit 12 Combipack is available as an injection and tablet.

API strength per dosage

Dose

Standard adult dosing for Eldervit 12 Combipack is typically one tablet daily or as directed by a healthcare professional. Safety and dosing in children, and in patients with renal or hepatic impairment, have not been established; use with caution and consult a physician. Always follow local prescribing information and individual patient needs.

Mechanism of action

Folic acid supports DNA synthesis via tetrahydrofolate formation; methylcobalamin (vitamin B12) acts as a cofactor for methionine synthase in homocysteine to methionine conversion; niacinamide (vitamin B3) is a precursor for NAD/NADP in redox reactions; vitamin C (ascorbic acid) aids collagen synthesis and antioxidant defense.

Indications

Nutritional deficiencies

Side effects

No common side effects seen

Pregnancy category

Folic acid, methylcobalamin, niacinamide, and vitamin C are generally considered safe in pregnancy when used at recommended doses; consult a healthcare provider before use.

Precautions

Monitor for hypersensitivity reactions, avoid in known allergies to components, caution in renal or hepatic impairment, monitor vitamin B12 and folate levels in long-term use, assess for neuropathy with high-dose B12, monitor for flushing or GI upset from niacinamide, use with caution in pregnancy and lactation.

Contraindications

Hypersensitivity to folic acid, methylcobalamin, niacinamide, vitamin C, or any excipients; Leber’s disease (hereditary optic nerve atrophy); caution in patients with history of hypersensitivity reactions to B vitamins.