
4Pcos Tab
Ozone Pharmaceuticals Ltd - Tablet - 550mg + 13.8mg + 500mg + 0.5mg + 750mcg - 10 S
Save ₹15
Prescription required
Methylcobalamin (1000mcg) + Niacinamide (100mg) + Vitamin B6 (Pyridoxine) (100mg)
Delivery across India. Free above ₹999; ₹49 from ₹499, ₹99 below. Chennai express delivery is chargeable.
This medicine needs a prescription.
You can pay now and add the prescription afterwards. We pack your order only after a pharmacist verifies it.
A doctor decides whether a prescription can be issued. If it is not issued, the prescription items in your order are cancelled and refunded. You choose this at checkout.
Cynocal 16 Rf Injection is used for treatment and prevention of vitamin B12/B6 deficiency, peripheral neuropathy (including diabetic neuropathy), neuropathic pain (numbness, tingling, burning), megaloblastic anemia due to B12 deficiency (as adjunct), convalescence and nutritional deficiency states.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Cynocal 16 Rf Injection contains Methylcobalamin (1000mcg) + Niacinamide (100mg) + Vitamin B6 (Pyridoxine) (100mg). It belongs to the Vitamin B complex (Methylcobalamin + Pyridoxine + Nicotinamide) injection class of medicines.
Methylcobalamin is the active form of vitamin B12 that supports myelin sheath formation and nerve repair and helps red blood cell formation. Pyridoxine supports neurotransmitter synthesis and nerve function. Nicotinamide replenishes NAD/NADP needed for cellular energy metabolism and tissue repair.
For intramuscular (IM) or slow intravenous (IV) use as advised by a doctor. Dose and frequency depend on deficiency/neuropathy severity; typically given in courses. Do not self-inject; use aseptic technique and administer by a trained professional.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of Cynocal-16 RF Injection, please consult your doctor.
An overdose of this medicine is unlikely to cause serious harm, because the body passes surplus B vitamins out in the urine. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Cynocal are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor |
|---|---|
| Breastfeeding | Breast feeding SAFE IF PRESCRIBED |
| Alcohol | Use with caution |
| Driving | Driving SAFE |
| Kidney | Kidney SAFE IF PRESCRIBED |
| Liver | Liver SAFE IF PRESCRIBED |
| Habit forming | No |
Use only under medical supervision. Inform your doctor if you have allergy to any B-vitamins, kidney or liver disease, or low potassium levels. Rare hypersensitivity reactions can occur—seek urgent care for breathing difficulty, facial swelling or severe rash. Long-term/high-dose pyridoxine may itself cause neuropathy; use the prescribed dose only.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack.
Levodopa (without carbidopa) may have reduced effect with pyridoxine, Isoniazid, Penicillamine, Phenytoin, Phenobarbital, Primidone, Chloramphenicol (may blunt hematologic response to B12), Metformin and proton pump inhibitors (can reduce B12 levels with long-term use)
Store below 25°C, protect from light, do not freeze. Keep ampoules in original carton; use immediately after opening and discard any unused portion.
Cynocal-16 RF Injection helps treat vitamin B deficiency. Inform your doctor if you are also taking medication for parkinson’s disease such as levodopa. Inform your doctor if you are pregnant or breastfeeding.
Medicines with the same active ingredient (Methylcobalamin (1000mcg) + Niacinamide (100mg) + Vitamin B6 (Pyridoxine) (100mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Cynocal 16 Rf Injection |
|---|---|---|---|
| Meganerv Plus 2 ml Injection | 1X2ML | ₹88 | 11% more |
| Homisure Plus InjectionGLADSTONE PHARMA INDIA | injection · 2ML | ₹124 | 55% more |

Ozone Pharmaceuticals Ltd - Tablet - 550mg + 13.8mg + 500mg + 0.5mg + 750mcg - 10 S
Save ₹15
Prescription required

Ozone Pharmaceuticals Ltd - Tablet - 200mg - 10 S
Save ₹5
Prescription required
Ozone Pharmaceuticals Ltd - Tablet - 50mg + 10mg + 10mg + 3mg + 15mcg + 50mg - 30 S
Save ₹4

Ozone Pharmaceuticals Ltd - Tablet - 10 S
Save ₹10
Prescription required

Ozone Pharmaceuticals Ltd - Injection - 2 ml - 5*2 ml
Save ₹10
Prescription required
Ozone Pharmaceuticals Ltd - Tablet - 10 S
Save ₹8

Ozone Pharmaceuticals Ltd - Tablet - 15 S
Save ₹2

Ozone Pharmaceuticals Ltd - Injection - 10 X1 ml
Save ₹11
Prescription required

Bioderma - Gel - 75 ml
Save ₹49

Alexpen Remedies - Tablet - 1500mcg + 25mg + 100mg + 1.5mg + 3mg + 50mg + 15mg + 100mcg + 1.5mg + 1mg + 100mg + 61.85mg - 10 S
Save ₹5
Biocon Ltd - Syrup - 1mg + 60mg + 5mcg + 15mg - 200 ml
Save ₹7
Linux Laboratories - Capsule - 100mg + 0.5mg + 50mg - 10 S
Save ₹8
Jb Chemicals - Tablet - 500mcg + 1mg + 15mg + 60mg - 15 S
Save ₹15
Indchemie Health Specialities - Syrup - 0.5mg/15mL + 7.5mcg/15mL + 32.8mg/15mL - 200 ml
Save ₹9

Pharmed Ltd - 15 S
Save ₹13
Prescription required
Aristo Pharmaceuticals Pvt Ltd - Tablet - 750mcg + 5mg - 30 S
Save ₹6
Prescription required

Pfizer Ltd - Tablet - 15 Tablet
Save ₹1
Prescription required

D9 Healthcare Llp - Kit
Save ₹83
12 G
1*1
Save ₹90
100 S
Funplay - 1*3*30
Save ₹2
1
Save ₹52
1
The information on Cynocal 16 Rf Injection is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.