Cynocal Plus Injection

Composition of Cynocal Plus Injection

Cynocal Plus Injection contains Methylcobalamin (Vitamin B12) injection + Pyridoxine (Vitamin B6) injection + Nicotinamide (Vitamin B3) injection + D-Panthenol (Vitamin B5) injection (strengths: ). It belongs to the Water-soluble vitamins (B-complex) class of medicines.

Uses of Cynocal Plus Injection

• Treatment and prevention of B-complex vitamin deficiencies; supportive therapy in peripheral neuropathy/neuritis (e.g.
• diabetic or nutritional)
• neuralgia
• megaloblastic anemia due to vitamin B12 deficiency
• weakness and fatigue due to deficiency states (as advised by doctor).

Key benefits

• Helps correct vitamin B-complex deficiency
• Supports nerve repair and reduces neuropathic symptoms
• Helps in megaloblastic anemia due to B12 deficiency
• Improves energy metabolism and reduces fatigue

How Cynocal Plus Injection works

Methylcobalamin replenishes vitamin B12 needed for red blood cell formation and myelin (nerve sheath) synthesis, helping nerve repair and reducing neuropathic symptoms. Pyridoxine, nicotinamide and panthenol act as coenzymes in energy metabolism and neurotransmitter synthesis, correcting deficiency and supporting nerve and tissue function.

How to take Cynocal Plus Injection

Injection to be administered by a healthcare professional via IM or IV route as prescribed. Dose and frequency depend on indication and severity; do not self-inject. Follow your doctor’s schedule; if on other vitamin supplements, inform your clinician.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine is unlikely to cause serious harm, because the body passes surplus B vitamins out in the urine. It in very large doses taken over months can itself damage nerves, causing numbness and unsteadiness. It is not a realistic risk from a moisturiser used on the skin. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Cynocal Plus Injection

Most side effects of Cynocal Plus are mild and settle as the body adjusts. Reported side effects include:

• Injection site pain
• redness or swelling
• nausea
• vomiting
• diarrhea
• headache
• dizziness
• flushing
• rash
• itching
• allergic reactions (rare)

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.

Safety advice for Cynocal Plus Injection

Warnings and precautions

Use only under medical supervision. Contraindicated in known hypersensitivity to any component. Caution in patients with liver disease (nicotinamide), severe renal impairment, or a history of allergy/asthma. Seek urgent help for signs of anaphylaxis (breathing difficulty, facial swelling, severe rash). Not intended to replace treatment of the underlying cause of anemia/neuropathy unless diagnosed.

Do not take Cynocal Plus if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack.

Interactions with other medicines

Levodopa (without carbidopa/benserazide) may be antagonized by pyridoxine; isoniazid, penicillamine and hydralazine can increase vitamin B6 requirement; chloramphenicol may blunt hematologic response to vitamin B12; metformin and long-term acid-suppressants may reduce B12 levels; alcohol can worsen deficiency/neuropathy.

How to store Cynocal Plus Injection

Store below 25°C. Protect from light. Do not freeze. Keep ampoules/vials in original packaging and out of reach of children.

Expert advice for Cynocal Plus Injection

A supplement corrects a deficiency; it is not a general energy tonic. If you are on it for nerve symptoms, keep your review appointment so the underlying cause is looked for. Use lukewarm water, a soap substitute and short baths. Smooth it on in the direction the hair grows rather than rubbing it in hard. Keep using it when the skin looks normal — that is what prevents the next flare.

Manufacturer and class

Manufacturer:

OZONE PHARMACEUTICALS LTD

Therapeutic class:

Vitamins and Minerals / Nutritional supplement (Injectable)

Drug class:

Water-soluble vitamins (B-complex)