Neurobex vit. B complex 30 tablets
Neurobex is a combination medicine containing B vitamins. They are part of enzymes that help metabolize carbohydrates, fats, and proteins. The combination of B vitamins is used to improve a number of important processes and functions in the body and mainly to influence inflammatory and degenerative (due to changes in tissue structure in which their vitality is impaired) diseases of the nerves and locomotor system.
Neurobex is used in the complex treatment of the following diseases and conditions:
Inflammatory and degenerative processes affecting the peripheral nerves - neuritis, polyneuritis (alcoholic, post-infectious and toxic, in diabetes), neuralgia, myalgia, paraesthesia (numbness and tingling of the limbs);
Conditions of prolonged convalescence (recovery from prolonged illness), chronic alcoholism, poisoning, asthenia (fatigue and weakness);
Vitamin B hypovitaminosis (low B vitamins), skin diseases such as dermatitis, eczema, psoriasis, exudative diathesis, acne.
2. What you need to know before taking Neurobex
Do not take Neurobeks:
If you are allergic to thiamine nitrate, pyridoxine hydrochloride or cyanocobalamin or any of the other ingredients of this medicine (listed in section 6);
If you have acute thromboembolism (blockage of a vessel from thrombus formation);
If you suffer from erythrosis and erythremia (blood disorders with increased erythrocyte count).
Warnings and precautions
Neurobex should be used with caution in patients with severe and acute forms of decompensated heart failure (heart disease that can lead to mild fatigue, shortness of breath, swollen ankles, etc.) and angina.
Other medicines and neurobex
Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.
Ethanol (alcohol) dramatically reduces the absorption of vitamin B1.
Vitamin B6 affects the breakdown of certain medicines in the body. High doses of vitamin B6 reduce the effect of levodopa (a medicine used to treat Parkinson's disease). This vitamin enhances the transformation of levodopa and thus reduces its healing effectiveness. Vitamin B6 antagonizes the action of isoniazid (antituberculosis agent) and thiosemicarbazones (antiviral agents); corrects anemia caused by anti-tuberculosis agents. Prolonged administration of penicillamine (an anti-rheumatic agent) can cause vitamin B6 deficiency. Concomitant administration of vitamin B6 with hydralazine (for the treatment of high blood pressure) and cycloserine (antituberculosis agent) reduces the adverse neurological reactions associated with the administration of these drugs. The amount of Vitamin B6 in the body decreases when taken with oral contraceptives.
The absorption of vitamin B12 is suppressed by colchicine (for the treatment of gout), ethanol and neomycin (an antibiotic). Anti-diabetic agents of the bigvanidine type (eg metformin) and β-aminosalicylic acid, as well as chloramphenicol (an antibiotic) and vitamin C, influence the absorption of the vitamin.
Neurobex with food, drinks and alcohol
There is no evidence of the need for a special diet or restrictions on certain foods and beverages during treatment with this product.
Alcohol should not be used during treatment with this product as the ethanol contained in it decreases the amounts of vitamin B1 that are digested through the intestine.
Pregnancy, breastfeeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before using this medicine.
There is no evidence of fetal damage during the use of Neurobex during pregnancy. Due to insufficient data, it is advisable to administer to pregnant women only when necessary.
There is no evidence of neonatal injury during the use of Neurox in breast-feeding. Due to insufficient data, it is advisable to apply this period only when necessary.
Driving and using machines
Has no effect on the ability to drive and use machines.
Neurobex contains lactose monohydrate, wheat starch, E124
If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product.
The wheat starch that is included in the product is suitable for people with celiac disease (gluten enterotherapy). Patients with a wheat allergy (other than celiac disease) should not take this product.
The E124 colorant can cause allergic reactions.
3. How to take Neurobex
Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.
The usual dose is 2-3 film-coated tablets 3-4 times a day. Neurobex is taken orally. The tablets are taken during or after a meal without chewing, with sufficient amount of liquid.
If you take more Neuroxex than you should
Ask your doctor for advice at a higher dose than recommended.
In case of overdose there is an increase in the side effects of the product, with the occurrence of nervous excitement, palpitations, and pain in the heart area. Treatment includes gastric lavage, charcoal, symptomatic agents. Isoniazid is an antidote to Vitamin B6.
If you forget to take Neurobex
Do not take a double dose to make up for a forgotten dose. If you miss a single dose, take the product at the time of the next regular intake without increasing the dose.
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.
Neurobex is well tolerated by patients. In rare cases, increased tendency to sweating, palpitations, itching, hives (hives) may be observed. In isolated cases, allergic reactions, rash, shortness of breath, anaphylactic shock (severe life-threatening allergic reaction) may occur.
Severe nerve damage has been reported in patients receiving high doses of vitamin B6 for 2 to 40 months. Such impairment may also be observed with prolonged lower doses.
5. How to store Neurobex
Store below 25 ° C.
Keep out of the reach and sight of children.
Do not use Neurobeks after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
Do not use Neurobex if you notice any change in the appearance of the tablet.
Do not dispose of medicines in sewage or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
What Neurobeks contains
The active substances are: thiamine nitrate (vitamin B1) 15 mg, pyridoxine hydrochloride (vitamin B6) 10 mg, cyanocobalamin (vitamin B12) 0.02 mg.
Other ingredients are: lactose monohydrate, wheat starch, talc, magnesium stearate, silica, anhydrous colloidal, povidone.
Film coating: colicoate protector, titanium dioxide, talc, color E124.
What Neurobex looks like and contents of the pack
Pink, round, biconvex film-coated tablets.
Available in the following packaging:
10 film-coated tablets per blister.
3 blisters per box.
30 film-coated tablets per blister.
1 or 2 blisters per box.
14 film-coated tablets in blister packs.
2 blisters per box.
90 or 150 film-coated tablets each in a polyethylene tablet pack with a desiccant cap.
1 plastic bag per tablet per carton.