DOCSLIB.ORG

BERIN PLUS™ This Product Is Indicated for Treatment of Vitamin B1, B6, and B12 NAME of the MEDICINAL PRODUCT Deficiencies

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
BERIN PLUS™ This Product Is Indicated for Treatment of Vitamin B1, B6, and B12 NAME of the MEDICINAL PRODUCT Deficiencies Prescribing Information/Insert BERIN PLUS™ This product is indicated for treatment of vitamin B1, B6, and B12 NAME OF THE MEDICINAL PRODUCT deficiencies. It should not be used routinely as a nutritional supplement, or after the deficiencies are corrected. Thiamine mononitrate (vitamin B1) / Pyridoxine hydrochloride Interactions (vitamin B6) / Cyanocobalamin (vitamin B12), 100 mg/ 200 mg/ 200 mcg, film-coated tablet Levodopa QUALITATIVE AND QUANTITATIVE COMPOSITION Product reduces the effects of levodopa but this does not occur if a dopa decarboxylase inhibitor is also given. Each film coated tablet contains the following active ingredients: Altretamine • Thiamine mononitrate 100 mg BP (vitamin B1) Product reduces the activity of altretamine. • Pyridoxine hydrochloride 200 mg BP (vitamin B6) Phenobarbital, phenytoin • Cyanocobalamin 200 mcg BP (vitamin B12) Product may decrease serum concentrations of phenobarbital and Excipients phenytoin. Accacia (powder) Irradiated, Lactose, Maize starch, Gelatin powder, Hydralazine, isoniazid, penicillamine Magnesium stearate, AMB 80W53716/ 80W53095 Orange/ TAB Hydralazine, isoniazid, penicillamine may increase the requirements COAT TC Orange (HPMC based coating materials). for pyridoxine. PHARMACEUTICAL FORM Oral contraceptives Orange bi-convex circular tablets having one face engraved with Serum concentration of vitamin B6, vitamin B12 may be decreased by "BERIN PLUS" along the periphery and the other face plain. use of oral contraceptives. CLINICAL INFORMATION Neomycin, aminosalicylic acid, histamine H2-antagonists, Indications omeprazole, colchicine For the treatment of vitamin B1, B6, B12 deficiency symptoms. Absorption of the product from the gastrointestinal tract may be Dosage and Administration reduced by neomycin, aminosalicylic acid, histamine H2-antagonists, For oral use omeprazole, and colchicine. No interaction is likely when product is Adults given by injection. Usual recommended daily dosage is one tablet three times a day or as Chloramphenicol per doctors advise. Parenteral chloramphenicol may attenuate the effect of this medicinal Children product in anaemia. There are no relevant data available. Loop diuretics Elderly During long-term use of loop diuretics, e.g. furosemide, the excretion There are no relevant data available. of thiamine may be increased resulting in a decrease of the thiamine Renal impairment level in the blood due to reduced tubular reabsorption. There are no relevant data available. Pregnancy and Lactation Hepatic impairment Fertility There are no relevant data available. There are no relevant data available. Contraindications Pregnancy and Lactation Product is contraindicated in: This medicinal product should be applied to pregnant women only if • Hypersensitivity to thiamine mononitrate (film-coated tablets), the potential benefit justifies the potential risk to the fetus. pyridoxine hydrochloride, cyanocobalamin, cobalt or any other Lactation ingredients. This product is distributed into breast milk. The negative effect for Warnings and Precautions the child is thought to be unlikely when therapeutic doses are adhered Contact dermatitis to. A higher dose of vitamin B6 (more than 600 mg daily) may inhibit This medicinal product contains thiamine. Occupational exposure to the production of breast milk in individual cases.It is considered that thiamine has produced contact dermatitis. These sensitized use of this medicinal product is usually compatible with breastfeeding individuals may experience a relapse of dermatitis after subsequent but infant risk cannot be ruled out. exposure (see Section Adverse Reactions). Ability to perform tasks that require judgement, motor or Severe sensory neuropathy cognitive skills Caution should be exercised during the long-term use of this product. There are no relevant data available. It contains pyridoxine. Large doses of pyridoxine are associated with Adverse Reactions the development of severe peripheral neuropathies; the dose at which Clinical Trial Data these occur is controversial. Severe sensory neuropathy has been Not relevant for this product. described in patients receiving 2 to 6 g daily of pyridoxine for periods Post Marketing Data of 2 to 40 months. There has, however, been debate as to whether Adverse drug reactions (ADRs) are listed below by MedDRA system smaller doses can produce such effects. Some contend that amounts organ class and by frequency. of pyridoxine below this level are unlikely to produce toxic effects. Frequencies are defined as: However, there have been some case reports with amounts up to Very common ≥1/10 about 500 mg daily and prolonged use of even lower doses (about Common ≥1/100 to <1/10 200 mg daily or less) may also cause sensory peripheral neuropathy Uncommon ≥1/1000 to <1/100 (see Section Adverse Reactions). Rare ≥1/10000 to <1/1000 Patients with folate deficiency Very rare <1/10000 This medicinal product should not be given to patients with suspected Not known (cannot be estimated from the available data). vitamin B12 deficiency without first confirming the diagnosis. Immune system disorders Regular monitoring of the blood is advisable. Use of doses greater Not known: hypersensitivity reactions than 10 micrograms daily may produce a haematological response in Nervous system disorders patients with folate deficiency; indiscriminate use may mask the Not known: severe peripheral neuropathies (see Section Warnings and precise diagnosis. Precautions) Leber's disease and tobacco amblyopia Skin and subcutaneous tissue disorders This medicinal product should not be used for Leber's disease or Not known: dermatitis (see Section Warnings and Precautions) tobacco amblyopia since these optic neuropathies may degenerate further. Overdosage Long-term use In individual cases, the parenteral injection of large doses of thiamine has led to anaphylactic shocks. A pyridoxine overdose over a long period of time, i.e. more than 2 months and a dose higher than 1 g per day, may lead to neurotoxic effects. Management should be as clinically indicated or as recommended by the national poisons centre, where available. Clinical Pharmacology Pharmacodynamics Pharmacotherapeutic group Vitamins ATC Code A11DB Mechanism of Action and Pharmacodynamics effects The vitamin B-complex comprises a group of water-soluble factors more or less closely associated in their natural occurrence. It is known that nearly every vitamin of the B-complex forms part of a co-enzyme essential for the metabolism of protein, carbohydrate or fatty acid Pharmacokinetics There are no relevant data available. Clinical Studies There are no relevant data available. Non-clinical information There are no relevant data available. PHARMACEUTICAL INFORMATION Shelf-Life 24 months Storage Store at a cool and dry place (below 25°C). Protect from light and moisture. Nature and Contents of Container 30 Tablets in plastic container. Incompatibilities There are no relevant data available. Use and Handling There are no special requirements for use or handling of this product. Version Number: NCDS 03 Version Date: 29 March 2017 Manufactured by GlaxoSmithKline Bangladesh Limited, Fouzderhat Industrial Area, Chittagong .
Load more

Recommended publications
  • Folic Acid, Pyridoxine, and Cyanocobalamin Combination
    ORIGINAL INVESTIGATION Folic Acid, Pyridoxine, and Cyanocobalamin Combination Treatment and Age-Related Macular Degeneration in Women The Women’s Antioxidant and Folic Acid Cardiovascular Study William G. Christen, ScD; Robert J. Glynn, ScD; Emily Y. Chew, MD; Christine M. Albert, MD; JoAnn E. Manson, MD Background: Observational epidemiologic studies indi- and visually significant AMD, defined as confirmed in- cate a direct association between homocysteine concentra- cident AMD with visual acuity of 20/30 or worse attrib- tion in the blood and the risk of age-related macular degen- utable to this condition. eration (AMD), but randomized trial data to examine the effect of therapy to lower homocysteine levels in AMD are Results:Afteranaverageof7.3yearsoftreatmentandfollow- lacking. Our objective was to examine the incidence of AMD up, there were 55 cases of AMD in the combination treat- in a trial of combined folic acid, pyridoxine hydrochloride ment group and 82 in the placebo group (relative risk, 0.66; (vitamin B6), and cyanocobalamin (vitamin B12) therapy. 95% confidence interval, 0.47-0.93 [P=.02]). For visually significant AMD, there were 26 cases in the combination Methods: We conducted a randomized, double-blind, treatment group and 44 in the placebo group (relative risk, placebo-controlled trial including 5442 female health care 0.59; 95% confidence interval, 0.36-0.95 [P=.03]). professionals 40 years or older with preexisting cardio- vascular disease or 3 or more cardiovascular disease risk Conclusions: These randomized trial data from a large factors. A total of 5205 of these women did not have a cohort of women at high risk of cardiovascular disease diagnosis of AMD at baseline and were included in this indicate that daily supplementation with folic acid, pyri- analysis.
    [Show full text]
  • R Graphics Output
    Dexamethasone sodium phosphate ( 0.339 ) Melengestrol acetate ( 0.282 ) 17beta−Trenbolone ( 0.252 ) 17alpha−Estradiol ( 0.24 ) 17alpha−Hydroxyprogesterone ( 0.238 ) Triamcinolone ( 0.233 ) Zearalenone ( 0.216 ) CP−634384 ( 0.21 ) 17alpha−Ethinylestradiol ( 0.203 ) Raloxifene hydrochloride ( 0.203 ) Volinanserin ( 0.2 ) Tiratricol ( 0.197 ) trans−Retinoic acid ( 0.192 ) Chlorpromazine hydrochloride ( 0.191 ) PharmaGSID_47315 ( 0.185 ) Apigenin ( 0.183 ) Diethylstilbestrol ( 0.178 ) 4−Dodecylphenol ( 0.161 ) 2,2',6,6'−Tetrachlorobisphenol A ( 0.156 ) o,p'−DDD ( 0.155 ) Progesterone ( 0.152 ) 4−Hydroxytamoxifen ( 0.151 ) SSR150106 ( 0.149 ) Equilin ( 0.3 ) 3,5,3'−Triiodothyronine ( 0.256 ) 17−Methyltestosterone ( 0.242 ) 17beta−Estradiol ( 0.24 ) 5alpha−Dihydrotestosterone ( 0.235 ) Mifepristone ( 0.218 ) Norethindrone ( 0.214 ) Spironolactone ( 0.204 ) Farglitazar ( 0.203 ) Testosterone propionate ( 0.202 ) meso−Hexestrol ( 0.199 ) Mestranol ( 0.196 ) Estriol ( 0.191 ) 2,2',4,4'−Tetrahydroxybenzophenone ( 0.185 ) 3,3,5,5−Tetraiodothyroacetic acid ( 0.183 ) Norgestrel ( 0.181 ) Cyproterone acetate ( 0.164 ) GSK232420A ( 0.161 ) N−Dodecanoyl−N−methylglycine ( 0.155 ) Pentachloroanisole ( 0.154 ) HPTE ( 0.151 ) Biochanin A ( 0.15 ) Dehydroepiandrosterone ( 0.149 ) PharmaCode_333941 ( 0.148 ) Prednisone ( 0.146 ) Nordihydroguaiaretic acid ( 0.145 ) p,p'−DDD ( 0.144 ) Diphenhydramine hydrochloride ( 0.142 ) Forskolin ( 0.141 ) Perfluorooctanoic acid ( 0.14 ) Oleyl sarcosine ( 0.139 ) Cyclohexylphenylketone ( 0.138 ) Pirinixic acid ( 0.137 )
    [Show full text]
  • Guidelines on Food Fortification with Micronutrients
    GUIDELINES ON FOOD FORTIFICATION FORTIFICATION FOOD ON GUIDELINES Interest in micronutrient malnutrition has increased greatly over the last few MICRONUTRIENTS WITH years. One of the main reasons is the realization that micronutrient malnutrition contributes substantially to the global burden of disease. Furthermore, although micronutrient malnutrition is more frequent and severe in the developing world and among disadvantaged populations, it also represents a public health problem in some industrialized countries. Measures to correct micronutrient deficiencies aim at ensuring consumption of a balanced diet that is adequate in every nutrient. Unfortunately, this is far from being achieved everywhere since it requires universal access to adequate food and appropriate dietary habits. Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns. Drawing on several recent high quality publications and programme experience on the subject, information on food fortification has been critically analysed and then translated into scientifically sound guidelines for application in the field. The main purpose of these guidelines is to assist countries in the design and implementation of appropriate food fortification programmes. They are intended to be a resource for governments and agencies that are currently implementing or considering food fortification, and a source of information for scientists, technologists and the food industry. The guidelines are written from a nutrition and public health perspective, to provide practical guidance on how food fortification should be implemented, monitored and evaluated. They are primarily intended for nutrition-related public health programme managers, but should also be useful to all those working to control micronutrient malnutrition, including the food industry.
    [Show full text]
  • These Highlights Do Not Include All the Information Needed to Use M.V.I. Pediatric® Safely and Effectively
    M.V.I. PEDIATRIC- ascorbic acid, retinol, ergocalciferol, thiamine hydrochloride, riboflavin 5- phosphate sodium, pyridoxine hydrochloride, niacinamide, dexpanthenol, .alpha.-tocopherol acetate, dl-, biotin, folic acid, cyanocobalamin, and phytonadione injection, powder, lyophilized, for solution Hospira, Inc. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use M.V.I. Pediatric® safely and effectively. See full prescribing information for M.V.I. Pediatric. M.V.I. Pediatric (multiple vitamins for injection), for intravenous use Initial U.S. Approval: 1983 RECENT MAJOR CHANGES Dosage And Administration, Dosage Information (2.2) 2/2019 INDICATIONS AND USAGE M.V.I. Pediatric is a combination of vitamins indicated for the prevention of vitamin deficiency in pediatric patients up to 11 years of age receiving parenteral nutrition (1) DOSAGE AND ADMINISTRATION M.V.I. Pediatric is a combination product that contains the following vitamins: ascorbic acid, vitamin A, vitamin D, thiamine, riboflavin, pyridoxine, niacinamide, dexpanthenol, vitamin E, vitamin K, folic acid, biotin, and vitamin B12 (2.1) Supplied as a single-dose vial of lyophilized powder for reconstitution intended for administration by intravenous infusion after dilution. (2.1) Recommended daily dosage is based on patient's actual weight (2.2) Less than 1 kg: The daily dose is 1.5 mL 1 kg to 3 kg: The daily dose is 3.25 mL 3 kg or more: The daily dose is 5 mL One daily dose of the reconstituted solution (1.5 mL, 3.25 mL or 5 mL) is then added directly to the intravenous fluid (2.2,2.3) See Full Prescribing Information for reconstitution instructions (2.3) Monitor blood vitamin concentrations (2.4) See Full Prescribing Information for drug incompatibilities (2.5) DOSAGE FORMS AND STRENGTHS M.V.I.
    [Show full text]
  • Becosules Junior
    For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only Multivitamin with Vitamin A and Vitamin D3 Liquid BECOSULES JUNIOR 1. NAME OF THE MEDICINAL PRODUCT BECOSULES JUNIOR 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each 5 ml (1 teaspoonful) contains: Vitamin A Concentrate Oil I.P. (as Palmitate) 2500 IU Cholecalciferol I.P. 200 IU Thiamine Hydrochloride I.P. 2 mg Riboflavin Sodium Phosphate I.P. 2.54 mg Pyridoxine Hydrochloride I.P. 1 mg Niacinamide I.P. 20 mg D-Panthenol I.P. 5 mg Ascorbic Acid I.P. 50 mg For Pediatric Use For a full list of excipients, see section 6.1. 3. PHARMACOLOGICAL FORM Liquid Trademark Owner: Pfizer Products Inc. USA; Licensed User: Pfizer Limited, India BECOSULES JUNIOR Page 1 of 9 LPDBECJR122017 4. CLINICAL PARTICULARS 4.1 Indications Becosules Junior is indicated in the treatment of patients with deficiencies of, or increased requirement for vitamins A, B complex, C and D. Such patients and conditions include: • Decreased intake because of restricted or unbalanced diet as in anorexia, diabetes mellitus and obesity, and insufficient sunlight exposure.1 • Reduced availability during treatment with antimicrobials which alter normal intestinal flora, and anticonvulsants and glucocorticoids which alter vitamin D metabolism1, in prolonged diarrhea and in chronic gastrointestinal disorders. • Increased requirements due to increased metabolic rate as in fever and tissue wasting, e.g. febrile illness, acute or chronic infections, surgery, burns and fractures. • Stomatitis, glossitis, cheilosis, paraesthesias, neuralgia and dermatitis. 4.2 Posology and Method of Administration For children from 1-3 years - 1.25 ml, 4-9 years - 2.5 ml; and 10-13 years - 5 ml or as directed by physician.
    [Show full text]
  • B-COMPLEX FORTE with VITAMIN C CAPSULES BECOSULES Capsules
    For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory. B-COMPLEX FORTE WITH VITAMIN C CAPSULES BECOSULES Capsules 1. NAME OF THE MEDICINAL PRODUCT BECOSULES 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each capsule contains: Thiamine Mononitrate I.P. 10 mg Riboflavin I.P. 10 mg Pyridoxine Hydrochloride I.P. 3 mg Vitamin B12 I.P. ( as STABLETS 1:100) 15 mcg Niacinamide I.P. 100 mg Calcium Pantothenate I.P. 50 mg Folic Acid I.P. 1.5 mg Biotin U.S.P. 100 mcg Ascorbic Acid I.P. (as coated) 150 mg Appropriate overages added For Therapeutic Use For a full list of excipients, see section 6.1. All strengths/presentations mentioned in this document might not be available in the market. 3. PHARMACOLOGICAL FORM Capsules 4. CLINICAL PARTICULARS 4.1 Therapeutic Indications Trademark Proprietor: Pfizer Products Inc. USA Licensed User: Pfizer Limited, India BECOSULES Capsules Page 1 of 7 LPDBCC092017 PfLEET Number: 2017-0033507 Becosules capsules are indicated in the treatment of patients with deficiencies of, or increased requirement for, vitamin B-complex, and vitamin C. Such patients and conditions include: Decreased intake because of restricted or unbalanced diet as in anorexia, diabetes mellitus, obesity and alcoholism. Reduced availability during treatment with antimicrobials which alter normal intestinal flora, in prolonged diarrhea and in chronic gastro-intestinal disorders. Increased requirements due to increased metabolic rate as in fever and tissue wasting, e.g. febrile illness, acute or chronic infections, surgery, burns and fractures. Stomatitis, glossitis, cheilosis, paraesthesias, neuralgia and dermatitis. Micronutrient deficiencies during pregnancy or lactation.
    [Show full text]
  • Circulatory and Urinary B-Vitamin Responses to Multivitamin Supplement Ingestion Differ Between Older and Younger Adults
    nutrients Article Circulatory and Urinary B-Vitamin Responses to Multivitamin Supplement Ingestion Differ between Older and Younger Adults Pankaja Sharma 1,2 , Soo Min Han 1 , Nicola Gillies 1,2, Eric B. Thorstensen 1, Michael Goy 1, Matthew P. G. Barnett 2,3 , Nicole C. Roy 2,3,4,5 , David Cameron-Smith 1,2,6 and Amber M. Milan 1,3,4,* 1 The Liggins Institute, University of Auckland, Auckland 1023, New Zealand; [email protected] (P.S.); [email protected] (S.M.H.); [email protected] (N.G.); [email protected] (E.B.T.); [email protected] (M.G.); [email protected] (D.C.-S.) 2 Riddet Institute, Palmerston North 4474, New Zealand; [email protected] (M.P.G.B.); [email protected] (N.C.R.) 3 Food & Bio-based Products Group, AgResearch, Palmerston North 4442, New Zealand 4 High-Value Nutrition National Science Challenge, Auckland 1023, New Zealand 5 Department of Human Nutrition, University of Otago, Dunedin 9016, New Zealand 6 Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore 117609, Singapore * Correspondence: [email protected]; Tel.: +64-(0)9-923-4785 Received: 23 October 2020; Accepted: 13 November 2020; Published: 17 November 2020 Abstract: Multivitamin and mineral (MVM) supplements are frequently used amongst older populations to improve adequacy of micronutrients, including B-vitamins, but evidence for improved health outcomes are limited and deficiencies remain prevalent. Although this may indicate poor efficacy of supplements, this could also suggest the possibility for altered B-vitamin bioavailability and metabolism in older people.
    [Show full text]
  • LYSOVIT® (B-Complex+Lysine)
    Lysovit/LPD/PK-02 LYSOVIT® (B-Complex+Lysine) 1. NAME OF THE MEDICINAL PRODUCT LYSOVIT® 2. QUALITATIVE AND QUANTITATIVE COMPOSITION LYSOVIT® Syrup 120 ml Description Each 5 ml contains: Thiamine HCl 4.16 mg Riboflavin USP 1.66 mg Pyridoxine HCl 1 mg Niacinamide USP 18 mg D-Panthenol USP 2.5 mg Cyanocobalamin USP 8.33 mcg Ascorbic Acid USP 75 mg Inositol USP 5 mg Lysine Monohydrochloride USP 33.33 mg 3. PHARMACEUTICAL FORM Syrup 4. CLINICAL PARTICULARS 4.1. THERAPEUTIC INDICATIONS 1. For maintenance of health and to meet the extra energy needs of growing children. 2. Increases appetite and helps in recovery from illnesses. 4.2. POSOLOGY AND METHOD OF ADMINISTRATION Children: 1 teaspoonful daily or as prescribed by the physician Adults: One to two teaspoonsful daily. Shake well before use. Thiamine Benefits: Thiamine is recommended for digestive problems including poor appetite, ulcerative colitis, and ongoing diarrhea. People take thiamine for conditions related to low levels of thiamine (thiamine deficiency syndromes), including beriberi and inflammation of the nerves (neuritis) associated with pellagra or pregnancy.4 1 Lysovit/LPD/PK-02 Thiamine - Daily Recommended Dietary Allowance (RDA): In adults, 1-2 mg of thiamine per day is commonly used. Infants 0-6 months, 0.2 mg Infants 7-12 months, 0.3 mg Children 1-3 years, 0.5 mg Children 4-8 years, 0.6 mg Boys 9-13 years, 0.9 mg Men 14 years and older, 1.2 mg4 Girls 9-13 years, 0.9 mg Women 14-18 years, 1 mg Women over 18 years, 1.1 mg Pregnant women, 1.4 mg Breast-feeding women, 1.5 mg Riboflavin Benefits: Riboflavin had a direct impact on maintenance of good brain function.
    [Show full text]
  • Your Pharmacy Benefits Welcome to Your Pharmacy Plan
    Your Pharmacy Benefits Welcome to Your Pharmacy Plan OptumRx manages your pharmacy benefits for your health plan sponsor. We look forward to helping you make informed decisions about medicines for you and your family. Please review this information to better understand your pharmacy benefit plan. Using Your Member ID Card You can use your pharmacy benefit ID card at any pharmacy participating in your plan’s pharmacy network. Show your ID card each time you fill a prescription at a network pharmacy. They will enter your card information and automatically file it with OptumRx. Your pharmacy will then collect your share of the payment. Your Pharmacy Network Your plan’s pharmacy network includes more than 67,000 independent and chain retail pharmacies nationwide. To find a network pharmacy near you, use the Locate a Pharmacy tool at www.optumrx.com. Or call Customer Service at 1-877-559-2955. Using Non -Network Pharmacies If you do not show the pharmacy your member ID card, or you fill a prescription at a non-network pharmacy, you must pay 100 percent of the pharmacy’s price for the drug. If the drug is covered by your plan, you can be reimbursed. To be reimbursed for eligible prescriptions, simply fill out and send a Direct Member Reimbursement Form with the pharmacy receipt(s) to OptumRx. Reimbursement amounts are based on contracted pharmacy rates minus your copayment or coinsurance. For a copy of the form, go to www.optumrx.com. Or call the Customer Service number above. The number is also on the back of your ID card.
    [Show full text]
  • Water-Soluble Vitamins: B-Complex and Vitamin C Fact Sheet No
    Water-Soluble Vitamins: B-Complex and Vitamin C Fact Sheet No. 9.312 Food and Nutrition Series|Health by L. Bellows and R. Moore* What are Vitamins? and their influence is felt in many parts of Quick Facts Vitamins are essential nutrients found the body. They function as coenzymes that • B-complex vitamins and in foods. They perform specific and vital help the body obtain energy from food. The vitamin C are water-soluble functions in a variety of body systems, and B vitamins are also important for normal are crucial for maintaining optimal health. appetite, good vision, and healthy skin, vitamins that are not stored The two different types of vitamins nervous system, and red blood cell formation. in the body and must be are fat-soluble vitamins and water-soluble Thiamin: Vitamin B1 replaced each day. vitamins. Fat-soluble vitamins — vitamins What is Thiamin. Thiamin, or vitamin B1, • These vitamins are easily A, D, E and K — dissolve in fat before they helps to release energy from foods, promotes destroyed or washed out are absorbed in the bloodstream to carry out normal appetite, and is important in during food storage and their functions. Excesses of these vitamins maintaining proper nervous system function. are stored in the liver, and are not needed Food Sources for Thiamin. Sources preparation. every day in the diet. For more information include peas, pork, liver, and legumes. Most • The B-complex group is on fat-soluble vitamins, see fact sheet 9.315 commonly, thiamin is found in whole grains found in a variety of foods: Fat-Soluble Vitamins: A, D, E, and K.
    [Show full text]
  • Preferred Drug List
    October 2021 Preferred Drug List The Preferred Drug List, administered by CVS Caremark® on behalf of Siemens, is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition. These preferred brand-name medicines are listed to help identify products that are clinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. PLAN MEMBER HEALTH CARE PROVIDER Your benefit plan provides you with a prescription benefit program Your patient is covered under a prescription benefit plan administered administered by CVS Caremark. Ask your doctor to consider by CVS Caremark. As a way to help manage health care costs, prescribing, when medically appropriate, a preferred medicine from authorize generic substitution whenever possible. If you believe a this list. Take this list along when you or a covered family member brand-name product is necessary, consider prescribing a brand name sees a doctor. on this list. Please note: Please note: • Your specific prescription benefit plan design may not cover • Generics should be considered the first line of prescribing. certain products or categories, regardless of their appearance in • This drug list represents a summary of prescription coverage. It is this document. Products recently approved by the U.S. Food and not all-inclusive and does not guarantee coverage.
    [Show full text]
  • Nutrition Journal of Parenteral and Enteral
    Journal of Parenteral and Enteral Nutrition http://pen.sagepub.com/ Micronutrient Supplementation in Adult Nutrition Therapy: Practical Considerations Krishnan Sriram and Vassyl A. Lonchyna JPEN J Parenter Enteral Nutr 2009 33: 548 originally published online 19 May 2009 DOI: 10.1177/0148607108328470 The online version of this article can be found at: http://pen.sagepub.com/content/33/5/548 Published by: http://www.sagepublications.com On behalf of: The American Society for Parenteral & Enteral Nutrition Additional services and information for Journal of Parenteral and Enteral Nutrition can be found at: Email Alerts: http://pen.sagepub.com/cgi/alerts Subscriptions: http://pen.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav >> Version of Record - Aug 27, 2009 OnlineFirst Version of Record - May 19, 2009 What is This? Downloaded from pen.sagepub.com by Karrie Derenski on April 1, 2013 Review Journal of Parenteral and Enteral Nutrition Volume 33 Number 5 September/October 2009 548-562 Micronutrient Supplementation in © 2009 American Society for Parenteral and Enteral Nutrition 10.1177/0148607108328470 Adult Nutrition Therapy: http://jpen.sagepub.com hosted at Practical Considerations http://online.sagepub.com Krishnan Sriram, MD, FRCS(C) FACS1; and Vassyl A. Lonchyna, MD, FACS2 Financial disclosure: none declared. Preexisting micronutrient (vitamins and trace elements) defi- for selenium (Se) and zinc (Zn). In practice, a multivitamin ciencies are often present in hospitalized patients. Deficiencies preparation and a multiple trace element admixture (containing occur due to inadequate or inappropriate administration, Zn, Se, copper, chromium, and manganese) are added to par- increased or altered requirements, and increased losses, affect- enteral nutrition formulations.
    [Show full text]