{"id":6657,"date":"2021-01-11T13:31:39","date_gmt":"2021-01-11T13:31:39","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6657"},"modified":"2021-06-11T14:59:50","modified_gmt":"2021-06-11T14:59:50","slug":"cernevit","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cernevit\/","title":{"rendered":"Cernevit \/ All-rac-alpha-tocopherol uses, dose and side effects"},"content":{"rendered":"\n<p> powder for solution for injection or infusion\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cernevit is and what it is used for<\/h2>\n\n\n\n<p>Cernevit is a powder for solution for injection or infusion.<\/p>\n\n\n\n<p>It contains 12 vitamins:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Retinol (&nbsp;Vitamin&nbsp;A)<\/td><td>Pyridoxine&nbsp;(&nbsp;Vitamin&nbsp;B6)<\/td><td>Ascorbic acid&nbsp;(&nbsp;Vitamin C&nbsp;)<\/td><\/tr><tr><td>Thiamine&nbsp;(&nbsp;Vitamin&nbsp;B1)<\/td><td>Biotin (&nbsp;Vitamin&nbsp;B8)<\/td><td><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tridepos\/\">Cholecalciferol<\/a> (&nbsp;VitaminD)<\/td><\/tr><tr><td>Riboflavin (&nbsp;Vitamin&nbsp;B2)<\/td><td>Folic acid&nbsp;(&nbsp;Vitamin&nbsp;B9)<\/td><td>Alpha-tocopherol (&nbsp;Vitamin&nbsp;E)<\/td><\/tr><tr><td>Pantothenic acid&nbsp;(&nbsp;VitaminB5)<\/td><td><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triobe\/\">Cyanocobalamin<\/a> (&nbsp;Vitamin&nbsp;B12)<\/td><td>Nicotinamide&nbsp;(&nbsp;VitaminPP)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Cernevit is given as a vitamin supplement for&nbsp;intravenous&nbsp;nutrition (via a drip).<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Cernevit<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Cernevit<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to any of the active substances in this medicine, especially&nbsp;vitamin&nbsp;B1, or soy protein, or peanut protein (see section 6. Content declaration).<\/li><li>to children under 11 years.<\/li><li>if you already have excess vitamin in your blood of any&nbsp;vitamin&nbsp;found in Cernevit (hypervitaminosis) (see section 6).<\/li><li>if you have excess&nbsp;calcium&nbsp;in the blood (severe&nbsp;hypercalcemia&nbsp;) or urine (&nbsp;hypercalciuria&nbsp;), or no treatment, disease and\/or disorder can result in severe&nbsp;hypercalcemia&nbsp;and\/or&nbsp;hypercalciuria&nbsp;(e.g.&nbsp;tumor&nbsp;you, bone metastases, excess of&nbsp;parathyroid hormone, granulomatosis (&nbsp;inflammatory&nbsp;tissue&nbsp;), etc.)<\/li><li>if you are taking&nbsp;vitamin&nbsp;A&nbsp;supplements&nbsp;or&nbsp;vitamin&nbsp;A&nbsp;derivatives&nbsp;(&nbsp;retinoids&nbsp;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before using Cernevit:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have any liver disease<\/li><li>if you have any kidney disease<\/li><li>if you have&nbsp;epilepsy<\/li><li>if you have&nbsp;Parkinson&#8217;s disease.<br><\/li><\/ul>\n\n\n\n<p><strong>Hypersensitivity&nbsp;s<\/strong><\/p>\n\n\n\n<p>Mild to severe allergic reactions to&nbsp;vitamins&nbsp;B1, B2, B12,&nbsp;folic acid,&nbsp;and soybean lecithin found in Cernevit have been reported.<\/p>\n\n\n\n<p>Cross-allergic reactions between soybean protein and peanut protein have been observed.<\/p>\n\n\n\n<p>Contact a doctor immediately if you get any symptoms of an&nbsp;allergic reaction&nbsp;such as sweating, fever, chills, headache, skin rash,&nbsp;hives, redness of the skin or difficulty breathing.&nbsp;The doctor will discontinue the&nbsp;infusion&nbsp;and take the necessary action.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cernevit<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>You must not take medicines containing&nbsp;vitamin&nbsp;A or&nbsp;vitamin&nbsp;A&nbsp;derivatives&nbsp;(&nbsp;retinoids) during treatment with Cernevit.&nbsp;due to the risk of hypervitaminosis (an excess of&nbsp;vitamin&nbsp;A in your blood) (see section 3 How to use Cernevit).<br><\/p>\n\n\n\n<p><strong>Impact on laboratory tests<\/strong><\/p>\n\n\n\n<p>Cernevit contains 0.069 mg biotin per 5 ml.&nbsp;If you are going to undergo laboratory tests, you must tell your doctor or laboratory staff that you are taking or have recently taken Cernevit, as biotin may affect the results of these tests.&nbsp;Depending on the test used, the results may be falsely elevated or falsely lowered due to biotin.&nbsp;Your doctor may ask you to stop taking Cernevit before the laboratory tests.&nbsp;You should also be aware that other products that you may be taking, such as multivitamins or hair, skin, and nail supplements, may also contain biotin and affect the results of laboratory tests.&nbsp;Tell your doctor or laboratory staff if you are taking such products.<br><\/p>\n\n\n\n<p>Ascorbic acid&nbsp;can affect urine and blood glucose tests.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cernevit with food, drink, and alcohol<\/h2>\n\n\n\n<p>There is no information on the effects of Cernevit with food, drink, or alcohol.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fertility, pregnancy, and lactation<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>Cernevit can if deemed necessary, be given to pregnant women.&nbsp;Your doctor will weigh the correct&nbsp;dosage&nbsp;to avoid overdosing on&nbsp;vitamins.<br><\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Cernevit is not recommended for breastfeeding women.&nbsp;If you are breast-feeding while you are taking Cernevit, there is a risk of&nbsp;vitamin&nbsp;A&nbsp;overdose&nbsp;in your baby.<br><\/p>\n\n\n\n<p><em>Fertility<\/em><\/p>\n\n\n\n<p>There are no data on the effect of Cernevit on male or female&nbsp;fertility&nbsp;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>There is no information on the effects of Cernevit on the ability to drive or handle other heavy machinery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cernevit contains excipients<\/h2>\n\n\n\n<p>Cernevit contains the excipient soy lecithin.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Cernevit<\/h2>\n\n\n\n<p>Cernevit is given to you by healthcare professionals.&nbsp;Usually, you get Cernevit as an&nbsp;infusion&nbsp;in a friend.<br><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;is one&nbsp;vial&nbsp;(5 ml) per day.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Cernevit than you should&nbsp;<\/h2>\n\n\n\n<p>In that case, the signs that you have received more Cernevit than you should usually depend on the content of&nbsp;vitamin&nbsp;A.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Signs of&nbsp;acute&nbsp;vitamin&nbsp;A&nbsp;overdose&nbsp;include:<ul><li>gastrointestinal disorders (nausea, vomiting),<\/li><li>effects on the&nbsp;central nervous system&nbsp;(headache, swelling of the&nbsp;optic nerve, cramps) due to increased pressure in the head<\/li><li>psychiatric effect (irritability)<\/li><li>skin effects (delayed flaking of the skin).<\/li><\/ul><\/li><li>Signs of prolonged&nbsp;vitamin&nbsp;A&nbsp;overdose&nbsp;include:<ul><li>headache due to increased pressure in the head<\/li><li>bone effects (tender or painful swelling at the ends of the arms and legs).<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Signs of nerve damage effects:<\/p>\n\n\n\n<p>Pyridoxine&nbsp;&#8211; (&nbsp;vitamin&nbsp;B6) hypervitaminosis (excess of&nbsp;pyridoxine&nbsp;in the blood) and damage caused by&nbsp;pyridoxine&nbsp;(disturbance of nerve function, involuntary movements) have been reported in patients who have taken high&nbsp;doses&nbsp;for a long period of time and in&nbsp;chronic&nbsp;hemodialysis&nbsp;(blood dialysis) where intravenous multivitamins containing 4 mg&nbsp;pyridoxine was&nbsp;given three times a week.<br><\/p>\n\n\n\n<p>Tell your doctor if you notice any of these signs of overdose.&nbsp;Your doctor may then discontinue your&nbsp;infusion&nbsp;of Cernevit.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported with unknown frequency:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Serious and potentially life-threatening allergic reactions<\/li><li>Increased levels of liver enzymes.<\/li><\/ul>\n\n\n\n<p>If you show any symptoms of an&nbsp;allergic reaction&nbsp;such as sweating, fever, chills, headache, rash,&nbsp;hives, redness or difficulty breathing, contact a doctor immediately.&nbsp;The doctor will discontinue the&nbsp;infusion&nbsp;and take appropriate action.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Cernevit<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>The vial should be stored in the outer carton.<\/p>\n\n\n\n<p>After&nbsp;reconstitution, physicochemical stability has been demonstrated for 24 hours at 25 \u00b0 C.&nbsp;From a&nbsp;microbiological&nbsp;point of view, the product should be used immediately after&nbsp;reconstitution.<\/p>\n\n\n\n<p>Shelf life and storage conditions before use are the responsibility of the user and should not normally exceed 24 hours at 2 \u00b0 C -8 \u00b0 C unless&nbsp;reconstituted&nbsp;under aseptic conditions.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are:<\/li><\/ul>\n\n\n\n<p>One&nbsp;vial&nbsp;(5 ml) contains:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Retinol (&nbsp;Vitamin&nbsp;A)<\/td><td>&nbsp;<\/td><\/tr><tr><td>in the form of retinol palmitate<\/td><td>3500 IU<\/td><\/tr><tr><td>Cholecalciferol (&nbsp;Vitamin&nbsp;D3)<\/td><td>220 IU<\/td><\/tr><tr><td>\u03b1-Tocopherol (&nbsp;Vitamin&nbsp;E)<\/td><td>11.20 IU<\/td><\/tr><tr><td>in an amount corresponding to DL- \u03b1 -Tocopherol<\/td><td>10.20 mg<\/td><\/tr><tr><td>Ascorbic acid&nbsp;(&nbsp;Vitamin C&nbsp;)<\/td><td>125 mg<\/td><\/tr><tr><td>Thiamine&nbsp;(&nbsp;Vitamin&nbsp;B1)<\/td><td>3.51 mg<\/td><\/tr><tr><td>in the form of carboxylate tetrahydrate<\/td><td>5.80 mg<\/td><\/tr><tr><td>Riboflavin (&nbsp;Vitamin&nbsp;B2)<\/td><td>4.14 mg<\/td><\/tr><tr><td>in the form of riboflavin sodium phosphate dihydrate<\/td><td>5.67 mg<\/td><\/tr><tr><td>Pyridoxine&nbsp;(&nbsp;Vitamin&nbsp;B6)<\/td><td>4.53 mg<\/td><\/tr><tr><td>in the form of <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triobe\/\">pyridoxine hydrochloride<\/a><\/td><td>5.50 mg<\/td><\/tr><tr><td>Cyanocobalamin (&nbsp;Vitamin&nbsp;B12)<\/td><td>0.006 mg<\/td><\/tr><tr><td>Folic acid&nbsp;(&nbsp;Vitamin&nbsp;B9)<\/td><td>0.414 mg<\/td><\/tr><tr><td>Pantothenic acid&nbsp;(&nbsp;Vitamin&nbsp;B5)<\/td><td>17.25 mg<\/td><\/tr><tr><td>in the form of dexpantenol<\/td><td>16.15 mg<\/td><\/tr><tr><td>Biotin (&nbsp;Vitamin&nbsp;B8)<\/td><td>0.069 mg<\/td><\/tr><tr><td>Nicotinamide&nbsp;(&nbsp;Vitamin&nbsp;PP)<\/td><td>46 mg<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>IE = international units<\/p>\n\n\n\n<p>mg = milligrams<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The other ingredients are&nbsp;glycine, glycocholic acid, soy lecithin, sodium hydroxide,&nbsp;hydrochloric acid.<\/li><li>Cernevit contains 24 mg&nbsp;sodium&nbsp;(1 mmol) per&nbsp;vial.&nbsp;This should be considered by patients on a low-salt diet.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Cernevit is an orange-yellow freeze-dried cake<\/p>\n\n\n\n<p>Cernevit is supplied in brown vials.<br><\/p>\n\n\n\n<p>A carton of 1, 10, or 20 vials is available.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Baxter SA<\/p>\n\n\n\n<p>Bd.&nbsp;R. Branquart 80<\/p>\n\n\n\n<p>B-7860 Lessines, Belgium<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cernevit is a powder for solution for injection or infusion.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2203,2200],"tags":[7435,7439,7437,7438,7440,7444,7442,7443,7436,7441],"class_list":["post-6657","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-all-rac-alpha-tocopherol","tag-all-rac-alpha-tocopherol-dose","tag-all-rac-alpha-tocopherol-side-effects","tag-all-rac-alpha-tocopherol-uses","tag-cernevit","tag-cernevit-dose","tag-cernevit-side-effects","tag-cernevit-uses","tag-what-is-all-rac-alpha-tocopherol","tag-what-is-cernevit"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6657","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=6657"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6657\/revisions"}],"predecessor-version":[{"id":11515,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6657\/revisions\/11515"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}