Introduction

Dexpanthenol (dex-PAN-the-nol), Niacinamide (nye-a-sin-a-mide), Pyridoxine (pir-i-DOX-een), Riboflavin (RYE-boe-flay-vin), Thiamine (THYE-a-min)

Provides your body with B vitamins in certain medical conditions or deficiencies. This medicine is a vitamin B-complex.

Brand Name(s)

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction to dexpanthenol, niacinamide, pyridoxine, riboflavin, thiamine, or benzyl alcohol.

How to Use This Medicine

Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins or as a shot into one of your muscles.
• A nurse or other trained health professional will give you this medicine.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• Do not use this medicine if it looks cloudy or if you can see anything floating in it. These particles should dissolve after shaking the medicine, if they don't, do not use this medicine.
• Use a new needle and syringe each time you inject your medicine.

If a dose is missed:

• Call your doctor or pharmacist for instructions.

How to Store and Dispose of This Medicine

• If you store this medicine at home, keep it in the refrigerator. Do not freeze.
• Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine, containers, and other supplies. You will also need to throw away old medicine after the expiration date has passed.
• Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
• Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are using other forms of vitamin B.

Warnings While Using This Medicine

• Make sure your doctor knows if you are pregnant or breast feeding.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
• Chest pain, shortness of breath, or coughing up blood.
• Numbness or weakness in your arm or leg, or on one side of your body.
• Pain in your lower leg (calf).
• Rapid weight gain, swelling in your hands, arms ankles or feet.
• Sudden or severe headache, problems with vision, speech, or walking.

If you notice these less serious side effects, talk with your doctor:

• Mild diarrhea.
• Mild skin rash.
• Pain, itching, swelling, or a lump under your skin where the needle is placed.

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088