Carnimac Plus Tablet 10'S

Introduction About CARNIMAC PLUS TABLET

CARNIMAC PLUS TABLET contains Folic Acid, L - Carnitine and Methylcobalamin which belongs to the group of medicines called Nutritional Supplements. It is used for management of primary systemic carnitine deficiencies (a condition that manages the body from using certain fats for energy) and resulting in chronic diseases.

CARNIMAC PLUS TABLET is also used in the management of cardiomyopathy (weak heart muscles), skeletal myopathy (weak voluntary muscles), ischaemic cardiomyopathy (coronary heart disease), long term haemodialysis, Oligospermia (low sperm count) and for patients who are being managed with valproic acid (used to manage fits and bipolar disorder) and zidovudine (used to manage HIV).

CARNIMAC PLUS TABLET is not recommended for use if you have Leber’s disease (hereditary eye disease). Consult your doctor before taking it.

Before taking this medicine inform your doctor if you have kidney disease, fits, malabsorption syndrome (difficulty absorbing nutrients from diet) and history of gastrectomy (removal of part of the stomach).

CARNIMAC PLUS TABLET should be used in pregnant women only if clearly necessary. It is not recommended for use in breast feeding women. Consult your doctor before taking it.

The most common side effects of taking CARNIMAC PLUS TABLET are nausea, vomiting, diarrhea, stomach upset and heartburn. Consult your doctor if any of the side effects worsen.

Uses Of CARNIMAC PLUS TABLET

CARNIMAC PLUS TABLET is used in the management of:

• Primary systemic carnitine deficiencies
• Cardiomyopathy
• Skeletal myopathy
• Ischaemic cardiomyopathy
• Long term haemodialysis
• Oligospermia

How CARNIMAC PLUS TABLET Works

L-Carnitine is an amino acid responsible for energy production, improves muscle health and also helps in the proper functioning of the heart. Methylcobalamin helps to restore the vitamin B12 levels in the body and helps to manage several conditions such as anaemias (decrease in red blood cell count) and nerve related issues. Folic acid is a form of vitamin B9 and helps in the production of red blood cells, improving oxygen circulation in the body. Folic acid along with Vitamin B12 helps to control high levels of homocysteine in the blood as elevated homocysteine levels might increase the risk of heart diseases.

How to use CARNIMAC PLUS TABLET

Take CARNIMAC PLUS TABLET as advised by your physician. It should be taken preferably after meals to avoid stomach upset. Swallow CARNIMAC PLUS TABLET with a glass of water and do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Side Effects Of CARNIMAC PLUS TABLET

How To Manage Side Effects

Diarrhea

Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. Do not take any medicine on your own for managing diarrhoea. Contact your doctor if your diarrhoea did not improve.

Nausea And Vomiting

Take CARNIMAC PLUS TABLET, with or just after a meal. Stick to simple meals. Avoid eating oily or spicy food. Contact your doctor if your nausea and vomiting did not improve.

Stomach Pain

Try to have smaller meals but take frequently. Keep a heat pad on your stomach. Do not self-manage and contact your doctor if the stomach pain did not improve.

Warning & Precautions

Pregnancy

Monitoring required

CARNIMAC PLUS TABLET should be used in pregnant women only if clearly necessary. Consult your doctor before taking it.

Breastfeeding

Monitoring required

CARNIMAC PLUS TABLET is not recommended for use in breast feeding women unless clearly necessary as it may pass through breastmilk. Consult your doctor before taking it.

Alcohol

Consult your doctor

Avoid consuming alcohol while taking CARNIMAC PLUS TABLET as it may impair the absorption of this medicine from the stomach and intestine.

Kidney

Consult your doctor

Before taking this medicine inform your doctor if you have kidney disease.

Allergy

Contraindicated

Do not take CARNIMAC PLUS TABLET if you are allergic to Folic Acid, L - Carnitine and Methylcobalamin or any other ingredients of this medicine.

Interactions

A. Drug-Drug interactions:

Before taking CARNIMAC PLUS TABLET, inform your doctor if you are taking any of the following medicine:

• warfarin (used to thin the blood)
• amino salicylic acid (used to manage tuberculosis)
• oral contraceptives (medicines used to manage pregnancy) (Ex. oestradiol valerate)
• neomycin, chloramphenicol, tetracyclines (medicines used to manage bacterial infections)
• colchicine (used to manage gout)
• methotrexate (used to manage rheumatoid arthritis and cancer)
• medicines used to manage peptic ulcers (Ex. cimetidine, esomeprazole, lansoprazole)
• phenytoin, phenobarbital, primidone, carbamazepine, diphenylhydantoin (medicines used to manage fits)
• vitamin c supplements
• potassium supplements
• pyrimethamine (a medicine used to manage malaria)
• nitrofurantoin (a medicine used to manage urinary tract infection)

Overdosage:

If you or anyone else accidentally use too much of CARNIMAC PLUS TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose of CARNIMAC PLUS TABLET is diarrhoea.

Synopsis

More Information

• Keep CARNIMAC PLUS TABLET out of reach of children
• Store CARNIMAC PLUS TABLET at room temperature

FAQs About CARNIMAC PLUS TABLET

Q: How often can I take CARNIMAC PLUS TABLET?

A: Take CARNIMAC PLUS TABLET as advised by your physician. Take one tablet or as directed by your doctor. Swallow CARNIMAC PLUS TABLET with a glass of water and do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Q: Can I stop taking CARNIMAC PLUS TABLET if I feel well?

A: No. Do not stop taking CARNIMAC PLUS TABLET unless told by your doctor. Make sure to complete the full course without skipping any dosage in between to get the best results as stopping the management early may worsen your existing condition.

Q: Is CARNIMAC PLUS TABLET safe to take in pregnancy?

A: CARNIMAC PLUS TABLET should be used in pregnant women only if clearly necessary. Inform your doctor if you are pregnant or planning for pregnancy before taking this medicine.

Q: When is the right time to take CARNIMAC PLUS TABLET?

A: Take CARNIMAC PLUS TABLET as advised by your physician. Take it every day preferably after a meal for better absorption and to avoid stomach upset. Consult your doctor for advice before taking it.

Q: Can I Consume alcohol while taking CARNIMAC PLUS TABLET?

A: Avoid consuming alcohol during the course of using this medicine as alcohol consumption can negatively impact the absorption of this medicine. Consult your doctor for more information.

References

1. KD Tripathi. Drugs Affecting Blood and Blood Formation. Essentials of Medical Pharmacology. 7th edition. 2013. Page – 608, 610.

2. Vecchio M, Chiaramonte R, Testa G, Pavone V. Clinical Effects of L-Carnitine Supplementation on Physical Performance in Healthy Subjects, the Key to Success in Rehabilitation: A Systematic Review and Meta-Analysis from the Rehabilitation Point of View. NIH National Library of Medicine, National Center for Biotechnology Information. PubMed Central.  December 2021. [Accessed on 6th October 2022]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628984/

3. Ming Zhang, Wenjuan Han, Sanjue Hu, Hui Xu. Methylcobalamin: a potential vitamin of pain killer. NIH National Library of Medicine, National Center for Biotechnology Information. PubMed Central.  December 2013. [Accessed on 6th October 2022].  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888748/

4. Trinerve-LC (L-carnitine + Methyl cobalamin + Folic Acid). Alkem Laboratories Ltd. [Revised in March 2016] [Accessed on 6th October 2022]. https://www.alkemlabs.com/pdf/adverse/TRINERVE%20LC.pdf

5. Neurobal-LC (L-carnitine + Methyl cobalamin + Folic Acid). Santo Medi sciences. [Accessed on 6th October 2022]. https://www.santomedisciences.com/product/l-carnitine-l-tartrare-eqv-to-l-carnitine-500-mg-methylcobalamin-1500-mcg-folic-acid-1-5-mg-tablets

6. Cartniwel Plus (L-carnitine + Methyl cobalamin + Folic Acid). Leeford Healthcare Pvt Ltd. [Accessed on 6th October 2022]. https://www.leeford.in/product/894/cartniwel-plus

7. Nuro-LC Tablets (L-carnitine + Methyl cobalamin + Folic Acid). Medlock Healthcare. [Accessed on 6th October 2022]. https://www.medlockhealthcare.in/product/nuro-lc

Useful Diagnostic Tests

• Serum Vitamin B12
• Complete blood count
• Serum folate

Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed For Accuracy By Dr. Shruthi Raikar - BDS

Last updated on 03 Feb 2023 | 03:16 PM(IST)