ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients at a glance
Medicine class
Parenteral multivitamin preparation.
Administration
Reconstituted and given intravenously by healthcare professionals, separately or in a compatible nutrition mixture.
Vitamin K
Not included; it must be supplied separately when required.
Licensed age group
Adults and children over 11 years.
What is ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients used for?
Used for parenteral vitamin supplementation when oral nutrition is contraindicated, impossible or insufficient.
During parenteral nutrition.
When gastrointestinal malabsorption prevents adequate oral absorption.
For malnutrition or other circumstances where oral intake cannot meet requirements.
How does ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients work?
It replaces 12 essential vitamins. These support energy production, blood-cell formation, vision, tissue maintenance, antioxidant protection and calcium regulation. It does not contain vitamin K.
How to take ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients
Healthcare professionals reconstitute the sterile powder and administer it into a vein. It may be added to parenteral nutrition only after compatibility and stability are confirmed.
Do not prepare or inject it yourself unless specifically trained by a home-parenteral-nutrition service.
Tell the team about all vitamin supplements and vitamin-containing medicines.
Report pain, burning, redness or rash around the infusion site.
ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients side effects
Common or expected effects
- Pain at the injection or infusion site.
- Nausea or vomiting.
- Diarrhoea, metallic taste, itching, fever, general aching, or burning or rash at the infusion site have also been reported.
- Blood tests may show increased liver enzymes or bile acids.
Get urgent medical advice
- Severe systemic hypersensitivity, including breathing difficulty, throat or chest tightness, hives, widespread rash, rapid heartbeat, faintness or collapse.
- Vitamin toxicity from excessive combined intake, particularly involving vitamins A, B6, D or E.
ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients in pregnancy
Use requires individual assessment. Avoid vitamin overdose, particularly because this preparation contains preformed vitamin A. Do not take additional retinol-containing supplements unless specifically advised.
ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients while breastfeeding
Use is not recommended because of possible excessive vitamin A exposure in the baby. A prescriber or specialist nutrition team should review alternatives.
ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients interactions
Interactions may arise from individual vitamins. Give the nutrition and medicines teams a complete list of medicines and supplements.
Levodopa
Pyridoxine may reduce levodopa's effect; significance depends on the accompanying Parkinson's treatment.
Phenytoin, fosphenytoin, phenobarbital or primidone
Folic acid may lower anticonvulsant concentrations and increase seizure risk; some anticonvulsants can also increase vitamin requirements.
Warfarin and other vitamin K antagonists
Vitamin E may enhance anticoagulant effects, requiring attention to bleeding risk and monitoring.
Common questions about ascorbic acid + biotin + cocarboxylase tetrahydrate + 9 other active ingredients
Answers are fully visible for fast scanning and source review.
Does this preparation replace food or complete parenteral nutrition?
No. It supplies vitamins and is usually used alongside nutrition solutions containing energy, protein, fat, electrolytes and other required nutrients.
Does it contain vitamin K?
No. Vitamin K must be considered and supplied separately when clinically required.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.