D-Panthenol + Niacinamide + Thiamine + Vitamin A + Vitamin B2 + Vitamin B6 + Vitamin C + Vitamin D3 + Vitamin E

Usage

This combination of vitamins is prescribed for preventing and treating vitamin deficiencies in patients receiving parenteral nutrition (when nutrition is delivered intravenously). These deficiencies can arise from various factors, including inadequate dietary intake, malabsorption, alcoholism, and certain medical conditions. It is also used preventatively in patients who are unable to obtain sufficient vitamins through diet. The pharmacological classification of this drug is vitamin supplement/nutritional supplement.

Alternate Names

There is no one single official name for this specific combination of vitamins. The components are often referred to as part of a “B-complex” or “multivitamin” formulation. It is generally identified by its component vitamins. Brand names vary depending upon the manufacturer. One example from the source material included Infuvite Pediatric.

How It Works

This combination drug works by replenishing deficient vitamins. Each vitamin plays a specific role in the body:

• D-Panthenol (Provitamin B5): Converted to pantothenic acid, a component of coenzyme A, essential for energy metabolism, fatty acid synthesis, and steroid hormone production.
• Niacinamide (Vitamin B3): Precursor to NAD and NADP, coenzymes involved in various metabolic reactions, including energy production, DNA repair, and cell signaling.
• Thiamine (Vitamin B1): Essential for carbohydrate metabolism, nerve function, and muscle function. It acts as a coenzyme in several key metabolic pathways.
• Vitamin A: Important for vision, immune function, cell growth and differentiation.
• Vitamin B2 (Riboflavin): Precursor to flavin adenine dinucleotide (FAD) and flavin mononucleotide (FMN), coenzymes necessary for cellular respiration, energy production, and metabolism of fats, carbohydrates, and proteins.
• Vitamin B6 (Pyridoxine): Acts as a coenzyme in many metabolic reactions, including amino acid metabolism, neurotransmitter synthesis, and red blood cell formation.
• Vitamin C (Ascorbic Acid): Antioxidant, important for collagen synthesis, immune function, wound healing, and iron absorption.
• Vitamin D3 (Cholecalciferol): Regulates calcium and phosphorus homeostasis, essential for bone health, immune function and cell growth.
• Vitamin E (Tocopherol): Antioxidant that protects cell membranes from damage.

These vitamins are generally well absorbed following intravenous administration, metabolized in the liver, and excreted through the kidneys or in bile.

Dosage

Dosage is dependent on the specific formulation and the patient’s individual needs. Always refer to the manufacturer’s prescribing information. A medical professional should always determine the appropriate dosage based on patient age, weight, and clinical condition.

Standard Dosage

Adults: Dosage information for adults is not available in the provided sources. Consult a doctor or pharmacist for dosage details.

Children: Dosage information for children is not available in the provided sources. Consult a doctor or pharmacist for dosage details.

Special Cases: Dosage adjustments may be necessary for special patient populations, such as elderly individuals, patients with hepatic or renal impairments, or those with comorbid conditions. Specific guidance for these adjustments is not provided within the source texts. A physician’s guidance is necessary for this information.

Clinical Use Cases

The provided source material does not specifically address dosing in clinical settings like intubation, surgery, or mechanical ventilation. Dosage is determined by patient needs and overall clinical context.

Dosage Adjustments

The provided source material does not contain specific dosage adjustment recommendations. This must be based on patient specific factors, such as renal or hepatic function and other medical conditions.

Side Effects

Common Side Effects

Specific common side effects are not listed in the provided source material.

Rare but Serious Side Effects

Specific rare but serious side effects are not listed in the provided source material.

Long-Term Effects

Information on long-term effects of this combination are not provided within the source texts.

Adverse Drug Reactions (ADR)

Specific ADRs are not listed in the provided source material.

Contraindications

Specific contraindications are not listed in the provided source material. Consult the full prescribing information before administration.

Drug Interactions

Information on drug interactions is not fully described within the source texts. Always consult a physician or pharmacist before combining medications.

Pregnancy and Breastfeeding

Information on pregnancy safety and breastfeeding considerations isn’t provided in the source materials. Consult with a healthcare professional for accurate and up-to-date information.

Drug Profile Summary

This section could not be completed due to a lack of detailed information within the provided source texts.

Popular Combinations

Specific combination information is not included in the provided source texts.

Precautions

Specific precautions are not explicitly discussed within the source materials. Consultation with a medical professional is necessary to understand specific precautions.

FAQs (Frequently Asked Questions)

Due to the lack of specific information in the source materials, detailed FAQs could not be created. It is important to consult with a medical professional for accurate answers to any specific questions about this combination of vitamins.