WORWAG PHARMA

VITAMINA B12 ANKERMANN 1000MCG 50 DRAJEURI

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Indications:
Vitamin B12 Ankermann is a medicine containing cyanocobalamin (vitamin B12) and is used in the treatment of vitamin B12 deficiency, especially in patients who:
- follow a strict vegetarian diet
- have impaired vitamin B12 absorption.

Vitamin B12 deficiency can occur asymptomatically and may last for years before the patient's health deteriorates.
Early symptoms of vitamin B12 deficiency include fatigue and paleness, tingling in the hands and feet, unsteady gait, and decreased physical strength. Other nervous system symptoms may appear, such as burning sensation, numbness or pain in the hands or feet, and muscle weakness, confusion.

Contraindications:
Do not use Vitamin B12 Ankermann:
- if you are allergic to cyanocobalamin (vitamin B12) or any of the other ingredients of this medicine.

Precautions:
Before using Vitamin B12 Ankermann, talk to your doctor or pharmacist.

Pregnancy, breastfeeding and fertility:
If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

From existing data, it can be observed that the risk to the mother and newborn is minimal if the amount of vitamin B12 is supplemented during pregnancy and breastfeeding.
However, Vitamin B12 Ankermann should not be used to treat megaloblastic anemia during pregnancy, as this is caused by folate deficiency.

Driving and using machines:
Vitamin B12 Ankermann does not affect the ability to drive or use machines.

Method of administration:
The recommended dose is:
Always use this medicine exactly as your doctor or pharmacist has told you.

Adults:
The recommended daily dose is 1 coated tablet/day of Vitamin B12 Ankermann. This corresponds to 1000 μg cyanocobalamin daily.
In severe cases, 2 coated tablets/day are initially recommended, corresponding to 2000 μg daily.
In cases of severe neurological symptoms, it is recommended that treatment be initiated by parenteral administration of medicines containing cyanocobalamin (vitamin B12).

Children and adolescents:
Daily oral administration of up to 1000 μg cyanocobalamin is recommended as an alternative to injectable or infusion treatment with vitamin B12.

Elderly:
No dose adjustment is necessary for the elderly.

Patients with renal impairment:
No dose adjustment of Vitamin B12 Ankermann is necessary for patients with moderate renal function impairment. In patients with severe renal impairment, a reduction in the vitamin B12 dose is recommended. In addition, its blood concentration should be checked periodically.

Patients with hepatic impairment:
The safety of administering this medicine to patients with impaired liver function is not known.
Talk to your doctor if you have liver problems.

Method of administration:
Take the coated tablets with a sufficient amount of liquid, preferably in the morning, before breakfast. Do not crush or chew the coated tablets.

Composition:
- The active substance is cyanocobalamin. Each coated tablet contains 1000 μg cyanocobalamin.
- The other ingredients are: core - lactose monohydrate, povidone (K30), stearic acid, croscarmellose sodium; coating layer - acacia, dry dispersion, calcium carbonate, macrogol glycerol hydroxystearate, macrogol 6000, sucrose (sugar), talc, titanium dioxide (E171), heavy kaolin, sodium lauryl sulfate, aquapolish P white (hypromellose, hydroxypropylcellulose, stearic acid, talc, medium-chain triglycerides, titanium dioxide), montan glycol wax.

Presentation:
50 coated tablets