Drug Name Vitamin B complex Class: vitamins and minerals

Dosage 100mg/5 mg/ 50 mcg OD

Mechanism Action A coenzyme that stimulate metabolic function and is needed for cell replication, hematopoiesis, and nucleoprotein and myelin synthesis

Indication Used for Vit B complex deficiencies; neuritis, polyneuritis, diabetic neuritis, neuralgia, lumbalgia, sciatica, intercostal & trigeminal neuralgia, peripheral neuroparalysis, arthralgia & myalgia

Contraindication hypersensitive to vitamin B12 or cobalt

Adverse effects CV: Peripheral vascular thrombosis, heart failure. GI: Transient diarrhea. Respiratory: Pulmonary edema. Skin: itching,transitory exanthema,urticaria. Other: anaphylaxis, anaphylactoid reactions with parenteral administration, pain or burning at injection site.

Nursing responsibilities 1. Determine reticulocyte count, hct, Vit. B12, iron, folate levels before beginning therapy. 2. Obtain a sensitivity test history before administration 3. Avoid I.V. administration because faster systemic elimination will reduce effectiveness of vitamin. 4.dont give large doses routinely because drug is lost through excretion. 5. Protect Vit.B 12 from light. Dont refrigerate or freeze.