Multivitamin [water soluble] + Normal Saline
Indications
This is intended as a supplement for intravenous nutrition in order to meet the daily requirements of the water-soluble vitamins of dehydrated patients.
Composition
Each vial contains:
- Vitamin B1 (as Thiamine Nitrate): 2.5 mg
- Vitamin B2 (as Riboflavin Sodium Phosphate): 3.6 mg
- Nicotinamide: 40 mg
- Vitamin B6 (as Pyridoxine Hydrochloride): 4 mg
- Pantothenic Acid (as Dexpanthenol): 15 mg
- Ascorbic Acid (as Sodium Ascorbate): 100 mg
- Biotin: 0.06 mg
- Folic Acid: 0.4 mg
- Vitamin B12 (as Cyanocobalamin): 0.005 mg
Pharmacology
This is a sterile, lyophilized powder of water-soluble vitamins for infusion. It contains balanced amount of all the important water soluble vitamins which act as coenzymes of vital enzymes associated with crucial physiological processes, energy metabolism, cell growth and replenishment especially in brain and nerve cells. Vitamin C acts as an antioxidant and helps in collagen formation. Intravenous administration of this combination gives prompt action.
Dosage & Administration
Adults and children weighing 10 kg or more: 1 vial (10 ml) daily.
Children weighing less than 10 kg: should be given 1 ml of the dissolved mixture per kg body weight/day.
The contents of one vial are dissolved by the aseptic addition of 10 ml of one of the following:
Children weighing less than 10 kg: should be given 1 ml of the dissolved mixture per kg body weight/day.
The contents of one vial are dissolved by the aseptic addition of 10 ml of one of the following:
- Water for injection
- Fat emulsion 10%
- Glucose solution for infusion (5% to 60%)
- Normal saline (0.9% Sodium Chloride)
Interaction
Vitamin B6 can reduce the effect of Levodopa. Folic Acid may lower the serum concentration of Phenytoin.
Contraindications
Known hypersensitivity to any of the components, e.g. Thiamine.
Side Effects
Allergic reactions may occur in patients hypersensitive to any component of the preparation, e.g. Thiamine.
Pregnancy & Lactation
Animal reproduction studies or clinical investigations during pregnancy have not been carried out with this preparation. However, there are published reports on safe administration of water-soluble vitamins in this patient group.
Precautions & Warnings
When Lyophilized Powder for Infusion is diluted with water based solutions, the admixture sould be protected from light. This is not necessary if lyophilized powder for infusion is diluted with intralipid because of the protective effect of the fat emulsion.
Overdose Effects
No adverse effects of an overdose of water-soluble multivitamin have been reported, with exception of cases of extremely high parenteral doses. The possibility of hypervitaminosis A and D should be considered if lyophilized powder for infusion is dissolved in another multivitamin injection.
Therapeutic Class
Multi-vitamin & Multi-mineral combined preparations
Storage Conditions
Before reconstitution: Store at below 25°C in a dry place, protected from light. Keep out of reach of children. After reconstitution: The reconstituted this IV preparation should be added to the infusion solution aseptically immediately before the start of the infusion & used within 24 hours.
