Инструкция по применению EPAVITEN
Содержание инструкции
EPAVITEN
Injectable Solution
Cyanocobalamin+folic acid+nicotinamide+ascorbic acid
Read this leaflet carefully before using this medicine as it contains important
information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist or nurse.
- This medicine has been prescribed for you only. Do not pass it on to others, even if they have the same symptoms as you, as it may be harmful.
- If any side effects occur, including those not listed in this leaflet, tell your doctor, pharmacist or nurse. See section 4.
Contents of this leaflet:
- 1. What EPAVITEN is and what it is used for
- 2. What you need to know before using EPAVITEN
- 3. How to use EPAVITEN
- 4. Possible side effects
- 5. How to store EPAVITEN
- 6. Contents of the pack and other information
1. What EPAVITEN is and what it is used for
EPAVITEN contains the active ingredients cyanocobalamin, folic acid, nicotinamide and ascorbic acid and
belongs to the category of vitamin associations.
EPAVITEN is used in states of deficiency of vitamin B12, nicotinamide, ascorbic acid, folic acid.
See your doctor if you do not feel better or if you feel worse.
2. What you need to know before you use EPAVITEN
Do not use EPAVITEN
- if you are allergic to cyanocobalamin, folic acid, nicotinamide and ascorbic acid or to any of the other ingredients of this medicine (listed in section 6).
Warnings and precautions
Talk to your doctor or pharmacist before using EPAVITEN.
Medicines containing folic acid or derivatives, especially if they also contain vitamin B, should not
be administered to you if you are anemic unless based on investigations aimed at establishing the nature
of the existing anemia.
Treatment should be conducted under hematological (blood) control.
In case of pernicious anemia (caused by vitamin B12 deficiency), supplementation
of vitamin B12 may be necessary. In any case, it is necessary to verify whether the quantitative composition of the association is
adequate for individual therapeutic needs.
Unfocused administration of the product to anemic subjects can lead to errors in the diagnosis of
the type of anemia.
This medicine may color urine red. This fact should not be considered an abnormal
phenomenon.
Other medicines and EPAVITEN
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
other medicines.
No interactions with other medicines are known.
Pregnancy and breastfeeding
If you are pregnant, suspect you are pregnant, or are planning a pregnancy, or if you are breastfeeding with
breast milk, ask your doctor or pharmacist for advice before using this medicine.
There are no contraindications to the use of this medicine during pregnancy and breastfeeding.
Driving and using machines
It does not impair the ability to drive and operate machinery.
EPAVITEN contains sodium dithionite.Rarely it may cause severe hypersensitivity reactions and
bronchospasm (closure of the bronchi).
EPAVITEN contains sodium.This medicine contains less than 1 mmol (23 mg) of sodium per dose, i.e.
essentially ‘sodium-free’.
3. How to use EPAVITEN
Use this medicine following the instructions of your doctor or pharmacist exactly. If you have any doubts
consult your doctor or pharmacist.
INTRAMUSCULAR AND INTRAVENOUS USE.
Adults
The recommended average dose is 2-3 doses per week, at the doctor's discretion, 1
or 2 doses per day may be administered.
EPAVITEN can be administered intramuscularly, intravenously and in slow venous perfusions
after dilution in 250-500 ml of saline or glucose solution.
At the time of use, draw the contents of both vials into the same syringe.
If you use more EPAVITEN than you should
No manifestations of overdose are known.
If you have any doubts about the use of this medicine, consult your doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Administration of this medicine, especially by parenteral route (different from intestinal absorption, such as the intravenous route), may be followed by hypersensitivity reactions, mostly general, consisting of asthenia (fatigue), fever, hypotension (low blood pressure), tachypnea (increased breathing rate), skin rashes, itching, and with an unknown frequency, a severe allergic reaction (anaphylactic reaction).
The occurrence of anaphylactic shock is possible.
Redness, swelling and pain may occur at the injection site.
Reporting of side effects
If you get any side effects, even those not listed in this leaflet, please tell your doctor, pharmacist or nurse. You can also report side effects directly through the national reporting system at https://www.aifa.gov.it/content/segnalazioni-reazioni-avverse
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store EPAVITEN
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is reported on the packaging.
Store in the original package. Keep the container in the outer packaging. The medicine is
sensitive to light.
Do not dispose of any medicine in wastewater or household waste. Ask your pharmacist how to dispose of
medicines you no longer use. This will help protect the environment.
6. Contents of the pack and other information
What EPAVITEN contains
- The active ingredients are: cyanocobalamin, folic acid, nicotinamide and ascorbic acid.
- The other ingredients are: sodium tartrate, sodium hydroxide, sodium dithionite, sodium bicarbonate, water for injections.
The vial I(red) contains the active ingredients cyanocobalamin 2.5 mg; folic acid 0.70 mg; nicotinamide 12
mg.
The other ingredients are: sodium tartrate, sodium hydroxide, water for injections.
The vial II(colourless) contains the active ingredient ascorbic acid 150 mg.
The other ingredients are: sodium dithionite, sodium bicarbonate, water for injections.
Description of the appearance of EPAVITEN and contents of the pack
Sterile solution for injection
6 vials I (red) of 1 ml + 6 vials II (colourless) of 1.5 ml
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
S.F. Group S.r.l., Via Tiburtina 1143, 00156 Roma - Italy
Manufacturer
Esseti Farmaceutici Srl - Via Campobello, 15 – Pomezia (RM) -Italy

- Страна регистрации
- Форма выпускаInjectable solution, 1 ML + 1,5 ML
- Отпускается по рецептуДа
- Производитель
- Информация на этой странице носит справочный характер и не является медицинской консультацией. Перед началом приема лекарства обязательно проконсультируйтесь с врачом.
- Аналоги EPAVITENФорма выпуска: Soft capsule, 1 MICROGRAMДействующее вещество: Альфа-кальцидолПроизводитель: DOC GENERICI SRLОтпускается по рецептуФорма выпуска: Soft capsule, 0.25 microgramsДействующее вещество: Альфа-кальцидолПроизводитель: ZENTIVA ITALIA S.R.L.Отпускается по рецептуФорма выпуска: Soft capsule, 0.25 MCGДействующее вещество: Альфа-кальцидолПроизводитель: THERAMEX IRELAND LIMITEDОтпускается по рецепту
Аналоги EPAVITEN в других странах
Лекарства с тем же действующим веществом, доступные в других странах.
Аналог EPAVITEN в Польша
Аналог EPAVITEN в Украина
Аналог EPAVITEN в Испания
Врачи онлайн по EPAVITEN
Обсудите применение EPAVITEN и возможные следующие шаги — по оценке врача.
Получите рецепт на EPAVITEN онлайн
Заполните форму за 2 минуты
Расскажите о симптомах, истории болезни и нужном препарате.
Выберите врача или мы назначим
Выберите специалиста или мы подберём ближайшего доступного врача.
Врач рассматривает ваш случай
Обычно в течение 30 минут. Может задать уточняющие вопросы в чате.
Получите в любой аптеке
Электронный рецепт отправляется на вашу почту — действителен по всей Польше.
Часто задаваемые вопросы
EPAVITEN требует рецепта в Италия. Вы можете уточнить у врача онлайн, подходит ли это лекарство для вашей ситуации.
EPAVITEN производится компанией S.F. GROUP S.R.L.. Упаковка и торговое название могут отличаться в зависимости от дистрибьютора.
Врачи, включая Семейные врачи, Психиатры, Дерматологи, Кардиологи, Эндокринологи, Гастроэнтерологи, Пульмонологи, Нефрологи, Ревматологи, Гематологи, Инфекционисты, Аллергологи, Гериатры, Педиатры, Онкологи, могут оценить целесообразность применения EPAVITEN с учетом вашей ситуации и местных правил. Вы можете записаться на онлайн-консультацию, чтобы обсудить возможные варианты.
Польша имеет хорошо развитую систему здравоохранения в крупных городах, таких как Варшава, Краков, Вроцлав и Гданьск. Аптеки широко доступны и работают в соответствии с действующим законодательством, обеспечивая доступ к рецептурным препаратам.
Вы можете купить EPAVITEN в Варшаве, Кракове, Вроцлаве или Гданьске в любой аптеке при наличии действующего рецепта.
Чтобы получить рецепт, вы можете воспользоваться Oladoctor:
Другие лекарства с тем же действующим веществом () включают ALFAKALKIDOLO DOK, ALFAKALKIDOLO TSENTIVA, ALPA D3. Они могут отличаться торговым названием или формой выпуска, но содержат одинаковый терапевтический компонент. Перед изменением лечения рекомендуется проконсультироваться с врачом.
















