Consumer Medication Information Leaflet(RiMUP)
Thiamine mononitrate/pyridoxine hydrochloride/cyanocobalamine (100mg/200mg/200
What is in this leaflet
1. What Nerbons is used for
2. How Nerbons works
3. Before you use Nerbons
4. How to use Nerbons
5. While you are using it
6. Side effects
7. Storage and Disposal of Nerbons
8. Product description
9. Manufacturer and Product Registration
10.Date of revision
What Nerbons is used for
It is used to treat vitamin B1, B6 and B12
deficiencies, inflammation of the nerves and
in conditions requiring increased intake.
How Nerbons works
Thiamine is associated with carbohydrate
metabolism. Thiamine deficiency results in
tiredness, loss of appetite, gastrointestinal
disturbances, increased heart rate and
irritability. Pyridoxine and cyanocobalamin
are used in protein, carbohydrate and fat
Before you use Nerbons
- When you must not use it
Do not take Nerbons:
- if allergic to any ingredients in the tablet.
- if there is high calcium or magnesium in
the blood, inflammation in the kidney and
- in Leber’s disease because degradation of
nerve for vision will occur.
- in breastfeeding mothers.
- Before you start to use it
Inform the doctor or pharmacist if you
have degeneration of the nerves. Exposure
to large doses of pyridoxine in uterus may
result in a pyridoxine dependency in the
newborn. Large doses may interfere with
metabolism of other vitamin B and cause
symptoms of other deficiencies if you are
- Taking other medicines
Tell your doctor if you are taking:
- antibiotic (chloramphenicol, isoniazide,
penicillamine, ethionamide, cycloserine)
- hydralazine (for high blood pressure)
- immunosuppressants (for cancer)
- levodopa (for Parkinson)
How to use Nerbons
- How much to use
Adult, 1 tablet daily, or as directed by
doctor. Follow all directions given by
your doctor and pharmacist carefully.
They may differ from information in this
leaflet.on the label. If you do not
understand the instructions, ask your
doctor or pharmacist for help.
- When to use it
Use as directed by your doctor or
- How long to use it
Continue taking Nerbons for as long as
your doctor recommends.
- If you forget to use it
Consult your doctor or pharmacist on
what you should do if you forget to use it.
Take the missed dose as soon as you
remember. If it is almost time for your
next dose, wait until then to take the
medicine and skip the missed dose. Do
not take a double dose to make up for
the missed dose.
- If you use too much (overdose)
Contact your doctor immediately or go
to the Emergency Department of your
nearest hospital, if you think you or
anyone else may have taken too much
of this medicine. Do this even if there
are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are using Nerbons
- Things you must do
Take your medicine exactly as your
doctor has told you.
Tell the doctor, dentist and pharmacist
treating you that you are taking Nerbons.
Tell your doctor immediately if you are
pregnant while taking this medication.
- Things you must not do
Do not stop taking the medicine unless
advised by your doctor.
Do not take any new medicines without
consulting your doctor or pharmacist.
Do not give Nerbons to anyone else,
even if they have the same symptoms
or condition as you.
- Things to be careful of
Large doses are not recommended
without doctor’s advice.
Generally, Nerbons is well tolerated. This
product should not be given before a
doctor’s diagnosis is fully established
because of the possibility of masking
symptoms of degeneration of the spinal cord.
Cyanocobalamine in Nerbons is not a
suitable treatment for degradation of nerve
for vision associated with high
cyanocobalamine level in the blood.
You may report any side effects or adverse
drug reactions directly to the National
Centre for Adverse Drug Reaction
Monitoring by calling Tel: 03-78835550,
visiting the website npra.moh.gov.my
Reporting Medicinal Problems /
Side Effects / AEFI / Vaccine Safety).
Storage and Disposal of Nerbons
Store in cool, dry place below 30
Protect from light.
Keep out of reach of children.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no
- What it looks like
White, biconvex, film-coated tablet.
- Active ingredients: thiamine mononitrate,
pyridoxine hydrochloride and
- Inactive ingredients: lactose monohydrate,
magnesium stearate, hydroxypropyl
methyl cellulose, deionised water, talc,
titanium dioxide, carbowax 6000,
simethicone 70460. aerosil 200 and
- MAL number:
Manufacturer and Product Registration
Prime Pharmaceutical Sdn. Bhd.
1505, Lorong Perusahaan Utama 1
Taman Perindustrian Bukit Tengah
14000 Bukit Mertajam, Penang, Malaysia.
Date of revision