GENERIC NAME : Nervimax

BRAND NAME : B- Complex

DOSE/ROUTE/FREQUENCY : 250 mg tablet OD
Mechanism of action: Vitamin B complex helps prevent infections and helps support or
promote: cell health. growth of red blood cells.
Physiologic Classification: Water Soluble Vitamin
Pharmacologic Classification: Riboflavin
Contraindications: low amount of potassium in the blood, Liber’s hereditary optic atrophy
inflammation of the stomach called atrophic gastritis, past history of complete removal of
stomach.
Indications: This product is a combination of B vitamins used to treat or prevent vitamin
deficiency due to poor diet, certain illnesses, alcoholism, or during pregnancy. Vitamins are
important building blocks of the body and help keep you in good health.
Desired Effect: B vitamins play a vital role in maintaining good health and well-being. As the
building blocks of a healthy body, B vitamins have a direct impact on your energy levels, brain
function, and cell metabolism. Vitamin B complex helps prevent infections and helps support or
promote: cell health.
Side Effects: excessive thirst, skin conditions, blurry vision, abdominal cramps, nausea,
vomiting, increased urination, diarrhea.
Adverse Effects : Body as a Whole: Feeling of swelling of body, anaphylactic, shock, sudden
death. CV: Peripheral vascular thrombosis, pulmonary edema, CHF. GI: Mild transient
diarrhea. Hematologic: Unmasking of polycythemia vera (with correction of vitamin
B12 deficiency). Metabolic: Hypokalemia. Skin: Itching, rash, flushing. Special Senses: Severe
optic nerve atrophy (patients with Leber's disease).

Nursing Responsibilities
 Obtain a careful history of sensitivities. Sensitization to cyan cobalamin can take as long
as 8 y to develop.
 Monitor vital signs in patients with cardiac disease and in those receiving parenteral and
be alert to symptoms of pulmonary edema, which generally occur early in therapy.
 Therapeutic response to drug therapy is usually dramatic, occurring within 48 h.
Effectiveness is measured by laboratory values and improvement in manifestations of
vitamin B12 deficiency.
 Characteristically, reticulocyte concentration rises in 3–4 d, peaks in 5–8 d, and then
gradually declines as erythrocyte count and Hgb rise to normal levels (in 4–6 wk).
 Obtain a complete diet and drug history and inquire into alcohol drinking patterns for all
patients receiving to identify and correct poor habits.