Vitamin B12 Ankermann, 1000 μg, 2x50 dragees, Worwag Pharma

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:
- follows a strictly vegetarian diet
- has poor absorption of vitamin B12.

Vitamin B12 deficiency can occur asymptomatically and can 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 occur, such as burning sensation, numbness, or pain in the hands or feet, and muscle weakness and 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 Ankermann Vitamin B12, talk to your doctor or pharmacist.

Pregnancy, lactation 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 taking this medicine.

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

Driving and using machines:
Ankermann Vitamin B12 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 Ankermann Vitamin B12 tablet/day. This corresponds to 1000 μg of cyanocobalamin daily.
In severe cases, 2 tablets/day are initially recommended, corresponding to 2000 μg daily.
In case of severe neurological symptoms, it is recommended that treatment be initiated by parenteral administration of drugs containing cyanocobalamin (vitamin B12).

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

Elderly:
No dosage adjustment is necessary in the elderly.

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

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

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

Composition:
- The active substance is cyanocobalamin. Each dragee contains cyanocobalamin 1000 μg.
- The other ingredients are: core - lactose monohydrate, povidone (K30), stearic acid, croscarmellose sodium; coating - 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), glycolic mountain wax.

Presentation:
2x50 dragees

Warning:
Read all of this leaflet carefully before you start using this medicine because it contains important information for you. Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.