Nerv B is indicated for the treatment of vitamin B1, B6 & B12 deficiency syndrome. It is also indicated for the supportive treatment of neuritis & non-inflammatory diseases of the nerves, e.g.- Diabetic neuropathy, Peripheral neuralgia, Lumbago, Myalgia, Optic neuritis, Sciatica, Facial neuralgia, Intercostal neuralgia, Spinal pain.

Tablets: 1 to 3 tablets per day or as directed by the physician. Injection: Ampules are preferably injected intramuscularly (deep intragluteal). In severe cases 1 ampoule daily until the acute symptoms subside. For milder cases and follow up therapy 2 to 3 ampoules per week. Interaction : No drug interaction has been reported yet. Contraindications: Vitamin B1, Vitamin B6 and Vitamin B12 is contraindicated in patients on levodopa therapy, and in patients with hypersensitivity to any of the ingredients of the preparation. Side Effects: Generally well tolerated but allergic reactions may be observed in few cases. Pregnancy & Lactation No risks have become known associated with the use of this combination during pregnancy at the recommended dosage. Vitamin B1, B6 & B12 are secreted into the breast milk but risks of overdose for the infant are not known. Precautions & Warnings: Cyanocobalamin should not be given in patients with subacute degeneration of the spinal cord. Cyanocobalamin is not suitable form of vitamin B12 for the treatment of optic neuropathies associated with raised plasma concentrations of cyanocobalamin. Overdose Effects : No overdosage symptoms are to be expected in the recommended dosage. If there is known overdose then treatment is symptomatic & supportive. Storage Conditions: Keep out of reach of children. Store in a cool (below 25°C temperature) and dry place, protected from light.