Mactotal

Composition of Mactotal

Mactotal contains Pyridoxine (0.5mg/ml) + Cyanocobalamin (1mcg/ml) + Cholecalciferol (200IU/ml) + Niacinamide (5mg/ml) + Zinc (2mg/ml) + Manganese (3mcg/ml) + Molybdenum (1mcg/ml) + Selenium (10mcg/ml) + Iodine (20mcg/ml) + Chromium (1mcg/ml) + L-lysine (30mg/ml) + D-Biotin (5mcg/ml) + Myo-Inositol (10mg/ml) + Beta Carotene (18mg/ml). It belongs to the B-complex vitamin, Vitamin D / calcium supplement, Antioxidant / trace element supplement, Vitamin and mineral supplement and Protein and amino-acid supplement class of medicines.

Uses of Mactotal

• This medicine is used in the treatment of vitamin b deficiency
• nerve pain and tingling
• anaemia
• tiredness due to deficiency
• vitamin d deficiency
• low calcium
• osteoporosis
• bone health
• nutritional deficiency
• support during recovery
• antioxidant supplementation
• dietary supplementation
• protein supplementation
• nutritional support and recovery and convalescence.

Key benefits

• Corrects a deficiency that causes tiredness and nerve symptoms
• Supports the formation of healthy red blood cells
• Generally well tolerated
• Corrects a very common deficiency in India
• Supports bone strength and muscle function
• Reduces the risk of fractures when a deficiency is present
• Corrects dietary shortfalls
• Supports normal immune function
• Corrects a measured deficiency
• Supports normal body function
• Supports muscle maintenance and repair
• Useful when dietary intake is inadequate

How Mactotal works

This medicine combines 14 active ingredients: Pyridoxine, Methylcobalamin, Vitamin d, Niacinamide, Zinc, Manganese, Molybdenum, Selenium, Iodine, Chromium, L-lysine, D-biotin, Myo-inositol and Beta Carotene. Pyridoxine replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Methylcobalamin replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Vitamin d helps your gut absorb calcium and keeps the mineral level in your blood and bones where it should be. Niacinamide replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Zinc supplies a nutrient that helps protect body cells from everyday oxidative wear and supports normal immune function. Manganese supplies a vitamin, mineral or nutrient that your diet may not be providing in sufficient amount. Molybdenum supplies a vitamin, mineral or nutrient that your diet may not be providing in sufficient amount. Selenium supplies a nutrient that helps protect body cells from everyday oxidative wear and supports normal immune function. Iodine supplies a vitamin, mineral or nutrient that your diet may not be providing in sufficient amount. Chromium supplies a vitamin, mineral or nutrient that your diet may not be providing in sufficient amount. L-lysine supplies protein and amino acids, the building blocks your body uses to repair and maintain muscle and tissue. D-biotin replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Myo-inositol replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Beta Carotene supplies a nutrient that helps protect body cells from everyday oxidative wear and supports normal immune function.

How to take Mactotal

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

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 in very large doses taken over months can itself damage nerves, causing numbness and unsteadiness. It is unlikely to cause serious harm, because the body passes surplus B vitamins out in the urine. It can raise blood calcium dangerously, causing thirst, frequent urination, vomiting, confusion and kidney damage. It can cause vomiting, stomach pain and, with some minerals, damage over the longer term. It can cause vomiting and stomach pain, and with iron can be dangerous, especially in children. It may cause stomach upset and, with prolonged excess, puts avoidable load on the kidneys. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Mactotal

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

• Nausea
• Stomach upset
• Harmless bright yellow urine
• Loose motions
• Constipation
• Bloating
• Stomach discomfort
• Metallic taste
• Flatulence

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 Mactotal

Warnings and precautions

Tingling, numbness or burning in the hands and feet should be assessed by a doctor rather than self-treated — a supplement does not address the cause. Folic acid can mask a vitamin B12 deficiency while nerve damage continues, so B12 should be checked before taking folic acid long term. Bright yellow urine after a B-complex dose is expected and harmless. Do not take high-dose vitamin B6 for long periods without medical advice — sustained excess can cause nerve damage. Do not take more than your doctor has advised. Vitamin D builds up in the body and too much raises blood calcium, causing thirst, frequent urination, nausea and confusion. High-dose weekly or monthly sachets are prescription strengths — do not repeat one because you missed a week. Tell your doctor if you have had kidney stones or have kidney disease. A supplement supports a normal diet; it does not prevent or treat infection. Zinc on an empty stomach commonly causes nausea — take it with food. Very high doses of vitamin A over a long period can be harmful, particularly in pregnancy. Do not take several products containing the same nutrient at once; the totals add up. A supplement is not a substitute for a balanced diet or for treating the cause of a symptom. Iron makes stools black and can cause constipation — this is expected, but tell your doctor if it troubles you. Keep iron-containing products well out of reach of children; an overdose in a small child is a medical emergency. Check the labels of everything you take so you do not double up on the same nutrient. Tell your doctor before taking a protein supplement if you have kidney disease — the protein load matters. Drink plenty of water while taking a protein supplement. Check the label for milk or soy if you have an allergy or are lactose intolerant.

Do not take Mactotal if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a high blood calcium level, or with certain kidney stones. Not for people with inherited disorders of amino-acid metabolism, or with a known allergy to the protein source.

Interactions with other medicines

Long-term metformin, acid-reducing medicines and some anti-epileptics lower B12 or folate levels. Tell your doctor if you take levodopa, as vitamin B6 can reduce its effect. Calcium reduces the absorption of thyroid tablets, several antibiotics and iron — separate them by a few hours. Water tablets of the thiazide group raise calcium further when combined. Zinc and other minerals reduce the absorption of some antibiotics — separate them by a few hours. Tell your doctor if you take a blood thinner, as high-dose vitamin E can add to its effect. Iron, calcium, zinc and magnesium reduce the absorption of thyroid tablets and several antibiotics — separate them by a few hours. Tea and coffee taken with iron reduce how much is absorbed; vitamin C increases it. No significant medicine interactions are expected for most protein supplements.

How to store Mactotal

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Mactotal

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. Take calcium with food, and split the day's total if you take a large amount. Sunlight helps your body make its own vitamin D. Have your level rechecked as your doctor advises rather than continuing high doses indefinitely. Take it with food to reduce nausea. A varied diet remains the best source of these nutrients. Take it with food unless the pack says otherwise. Have deficiencies confirmed and rechecked by blood test rather than supplementing indefinitely. Mix it as directed on the pack; a thicker mix is not a stronger one. Use it alongside meals, not instead of them, unless your dietitian has said otherwise.

Manufacturer and class

Manufacturer:

MACLEODS PHARMACEUTICALS LTD

Therapeutic class:

Vitamin supplement, Vitamin and mineral supplement and Nutritional supplement

Drug class:

B-complex vitamin, Vitamin D / calcium supplement, Antioxidant / trace element supplement, Vitamin and mineral supplement and Protein and amino-acid supplement