Vitamine b1 - Package Leaflet

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PACKAGE LEAFLET: Information for the patient

VITAMINE B1
Tablets - 10 mg
Solution for injection – 50 mg / 1 ml
(Thiamine hydrochloride)

Read all of this leaflet carefully before you start taking this medicine.
 Keep this leaflet. You may need to read it again.
 If you have any further questions, ask your doctor or pharmacist.
 This medicine has been prescribed for you. Do not pass it on to others. It may
harm them, even if their symptoms are the same as yours.
 If any of the side effects becomes worse or if you notice any side effects not
listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:
1. What Vitamine B1 is and what it is used for
2. Before you take Vitamine B1
3. How to take Vitamine B1
4. Possible side effects
5. How to store Vitamine B1
6. Further information

1. WHAT VITAMINE B1 IS AND WHAT IT IS USED FOR


Vitamine B1 (thiamine hydrochloride) belongs to the group of water-soluble vitamins,
although some of its derivatives have greater lipophilicity.
The main functions of thiamine hydrochloride are: carbohydrate metabolism, normal
development of organism, neural impulse conductor and acetylcholine synthesis.
Thiamine is essential for the normal aerobic metabolism. It combines with adenosine
triphosphate (ATP) in the presence of thiamine diphosphokinase, to form thiamine
pyrophosphate, an important coenzyme which is also known as cocarboxylase.
Thiamine pyrophosphate is the active form of thiamine which acts as a coenzyme in
carbohydrate metabolism (in the decarboxylation of α – keto acids such as pyruvic acid
and of α – ketoglutarate).
Thiamine deficiency appears when its intake with food is inadequate.
Severe deficiency causes beri-beri disease which is characterised by gastrointestinal
disorders and peripheral neuropathy.
Vitamine B1 tablets and solution for injection are used in the following clinical situations:
 prophylaxis or treatment of thiamine deficiency (beri-beri)
 prophylaxis of Wernicke-Korsakoff syndrome
 treatment of ulcerative colitis, chronic diarrhea, cerebellar syndrome, polyneuritis
and as appetite stimulant.
Administration of solution of injection is indicated when the oral administration is not
possible or not recommended.

2. BEFORE YOU TAKE VITAMINE B1


Do not take Vitamine B1 if you are hypersensitive to thiamine hydrochloride or to any of
the other ingredients of the tablet or solution for injection.

Take special care with Vitamine B1


Caution should be taken in case of hypersensitivity reactions. When Vitamine B1 is
taken in the form of tablets, this phenomenon is rare, while when taken parenterally
(intramuscular or intravenous) it is advised to perform intradermal test. Fatal cases have
been reported from the intravenous injection of the solution for injection of vitamin B1.

Taking other medicines


Concomitant treatment with other drugs, may affect or be affected by Vitamine B1. Tell
your doctor or pharmacist if you are taking or have recently taken any other medicines,
even those without a prescription. Remember to inform your doctor if you are given
another drug during treatment.
It is important to inform your doctor if you are taking:
 neuromuscular blocking agents because vitamin B1 can increase their effect.
The clinical importance of this remains unknown;
 antiacids because they inhibit the absorption of vitamin B1.

Taking Vitamin B1 with food or drinks


The rate of absorption of Vitamine B1 tablets is affected by the concomitant intake of
food.

Pregnancy
Category C.
If you are pregnant, ask your doctor for advice before taking this drug.
It is not recommended to use Vitamine B1 during pregnancy at doses higher than those
recommended to be taken through diet, unless the benefit exceeds the potential risk.
During pregnancy, the needs for vitamin B1 are increased, but despite this, the amount
received with the diet is usually sufficient.

Breastfeeding
Vitamin B1 (thiamine hydrochloride) concentration in breast milk does not affect
significantly the child. It is thought that its use is compatible with breastfeeding.

Driving and using machines


There is no evidence that vitamin B1 affects the ability to drive or use machines.

Important information about some of the ingredients of Vitamine B1 tablets


Vitamine B1 tablets contain lactose. If you have intolerance to some sugars, contact
your doctor before taking this medicinal product.

3. HOW TO TAKE VITAMINE B1


Always take Vitamine B1 tablets or solution for injection exactly as your doctor has told
you. If you feel that the effect of Vitamine B1 is too strong or too weak, talk to your
doctor or pharmacist.
The tablets are for oral administration
Adults: 10-20 mg, 1-2 times / day.

Children up to 1 year: 5 mg / day.

Children 2-6 years: 10 mg / day.

Children 7-12 years: 20 mg / day.

The solution for injection is for subcutaneous, intramuscular, intravenous administration


Adults: 50 - 100 mg / day.
Children up to 1 year: 2.5 - 5 mg / day.
Children 2-6 years: 5 - 10 mg / day.
Children 7-12 years: 12.5 - 25 mg / day.

If you take more Vitamine B1 than you should


If you take more Vitamine B1 than you should, or if the children have been taking this
medicine by accident, please contact your doctor, the hospital or call the emergency to
get an opinion of the risk and advice on the actions to be taken.

If you forget to take Vitamine B1


If you forget a dose, take the next dose when it is the normal time to take it.
Do not take a double dose to make up for the forgotten dose.
If you have any further questions on the use of this product, ask your doctor or
pharmacist.

4. POSSIBLE SIDE EFFECTS


Like all medicines, Vitamine B1 can cause side effects, although not everybody gets
them. Sometimes they may be serious, sometimes not. Do not panic from this list of
possible side effects. You may not get any of them.
Sometimes nausea, hemorrhage in digestive tract, pulmonary edema, cyanosis,
angioneurotic edema, pruritus, urticaria, feelings of warmth, sweating, weakness,
hypotension and cardiovascular collapse have been reported. These symptoms
disappear with dose reduction or interruption of treatment with vitamin B1.
If any of the side effects becomes worse or if you notice any side effects not listed in
this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE VITAMINE B1


Keep out of the reach and sight of children.
Do not use Vitamine B1 after the expiry date which is stated on the package.
Do not store above 25°C.
Store in the original package to protect it from light.

6. FURTHER INFORMATION
The active substance is thiamine hydrochloride.
What Vitamine B1- tablet contains
Each tablet contains 10 mg thiamine hydrochloride.
The other ingredients are: lactose, microcrystalline cellulose, tartaric acid, talc,
magnesium stearate, sodium starch glycolate.

What Vitamine B1 - solution for injection contains


Each ampoule 1 ml contains 50 mg thiamine hydrochloride.
The other ingredients are: sodium dihydrogenphosphate dihydrate, disodium hydrogen
phosphate dihydrate, hydrochloric acid may be added for pH adjustment, thiourea,
water for injection.

Contents of the pack


Tablets: box with 60 tablets.
Solution for injection: box with 10 ampoules, box with 100 ampoules (hospital use).
Marketing authorisation holder and manufacturer:
PROFARMA Sh.a.
Rruga "Myslym Keta“
Tel.: 00355 4 23 89 602
Tirana - ALBANIA

This leaflet was last revised in June 2015.

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