NEUROBION Solution for injection Ref.[4436] Active ingredients: Pyridoxine Vitamin B1 Vitamin B12

Source: Υπουργείο Υγείας (CY)  Revision Year: 2020  Publisher: P&G Health Germany GmbH, Sulzbacher Strasse 40, 65824 Schwalbach am Taunus, Germany

Therapeutic indications

Neurological diseases caused by severe vitamin B1, B6 and B12 deficiencies that cannot be remedied by means of oral therapy.

Posology and method of administration

Posology

In severe (acute) cases: One ampoule daily until the acute symptoms subside.

After improvement of symptoms: One ampoule 1-3 times per week.

Paediatric population

Neurobion ampoules are contraindicated in children below 14 years (see section 4.3).

Method of administration

For intramuscular administration.

Neurobion ampoules are to be administered intramuscularly (by deep intragluteal injection).

Neurobion coated tablets are recommended for supporting or continuing ongoing injection therapy and for relapse prophylaxis.

Overdose

Vitamin B1

Thiamine has a broad therapeutic range. Very high doses (over 10 g) have a ganglion-blocking effect, similar to that of curare, and suppress the conduction of nerve impulses.

Vitamin B6

The toxic potential of vitamin B6 can be considered as very low. Long-term treatment (>6-12 months) of a daily dosage >50 mg vitamin B6 may, however, cause peripheral sensory neuropathy. These symptoms improve gradually upon vitamin discontinuation.

Continuous intake of vitamin B6 at a daily dosage of more than 1 g over more than two months may produce neurotoxic effects.

Neuropathies with ataxia and sensitivity disorders, cerebral convulsions with EEG changes as well as, in individual cases, hypochromic anaemia and seborrhoeic dermatitis have been described after administration of more than 2 g daily.

Vitamin B12

Allergic reactions, eczematous skin alterations and a benign form of acne have been observed after high-dose parenteral administration.

Shelf life

3 years.

Special precautions for storage

Store in the refrigerator (at 2°C to 8°C). Store the ampoules in the original carton to protect them from light.

Nature and contents of container

Amber glass ampoules (Type I) with 3 ml injection solution.

Package sizes: 3 Ampules.

Not all pack sizes may be marketed.

Special precautions for disposal and other handling

Do not re-use syringes and needles. Syringes and needles must be disposed immediately after use.

Used syringes and needles must not be disposed in waste bins or toilets, but they must be disposed in a special sharps container.

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