Oral 20 mg + 2 mg + 2 mg + 5 mg + 10 mg/5 ml Syrup

Oral 20 mg + 2 mg + 2 mg + 5 mg + 10 mg/5 ml syrup by Advanced Chemical Industries Limited is a nutritional supplement that contains Nicotinamide + Pyridoxine Hydrochloride + Riboflavin + Vitamin B1 + Zinc. In Bangladesh, it is mainly used to help prevent or treat deficiency of selected B vitamins and zinc, or to support nutrition when intake is inadequate as advised by a healthcare professional.

Nicotinamide + Pyridoxine Hydrochloride + Riboflavin + Vitamin B1 + Zinc supplies water-soluble B vitamins involved in energy metabolism and nerve function, together with zinc, an essential mineral for normal growth, immunity, and tissue repair. A key caution is to avoid taking more than the recommended dose, as excessive or long-term high intake of pyridoxine or zinc can cause harmful effects.

• Prevention and treatment of deficiency of thiamine, riboflavin, nicotinamide, pyridoxine, and zinc.
• Nutritional supplementation when dietary intake is inadequate or requirements are increased, such as during illness recovery or restricted diets, when recommended by a healthcare professional.
• Adjunctive support in conditions where a doctor has identified or suspected B-vitamin or zinc deficiency.

Adult dosing depends on the specific product strength, diet, age, medical condition, and the reason for supplementation. Take only as directed on the label or as prescribed by a doctor; do not exceed the recommended daily amount unless specifically advised by a healthcare professional.

• Common: nausea, stomach discomfort, vomiting, diarrhea, constipation, or metallic taste, especially with zinc.
• Riboflavin may harmlessly turn urine bright yellow.
• High or prolonged doses of pyridoxine may cause numbness, tingling, or nerve damage.
• Excess zinc may cause abdominal pain, reduced copper levels, anemia, or impaired immunity.
• Rare: allergic reactions such as rash, itching, swelling, dizziness, or breathing difficulty; seek urgent medical help if these occur.

Use with caution in people with kidney disease, liver disease, diabetes, gout or high uric acid, stomach ulcer problems, or those already taking other vitamin/mineral supplements. Avoid duplicate products that contain B vitamins or zinc unless advised. Use under a registered doctor's or pharmacist's guidance, especially for children, elderly people, pregnant or breastfeeding women, and anyone with chronic illness.

• Zinc can reduce absorption of tetracycline and quinolone antibiotics; doses usually need to be separated.
• Zinc may reduce absorption of penicillamine, levothyroxine, and some bisphosphonates; ask a healthcare professional about spacing doses.
• Iron, calcium, magnesium, and high-fiber foods may reduce zinc absorption when taken together.
• Pyridoxine can reduce the effect of levodopa if levodopa is taken without carbidopa.
• Medicines such as isoniazid, cycloserine, hydralazine, and penicillamine may affect pyridoxine requirements.

• Known hypersensitivity or allergy to nicotinamide, pyridoxine, riboflavin, thiamine, zinc, or any excipient in the product.
• Do not use in cases of known toxicity or medically advised restriction of any included vitamin or zinc component.

B vitamins and zinc are required during pregnancy and breastfeeding, but they should be taken in appropriate amounts. Use this supplement during pregnancy or lactation only when recommended by a doctor or pharmacist, and avoid high-dose or duplicate vitamin/mineral products unless prescribed.

Store in a cool, dry place away from direct light and moisture. Keep the container tightly closed and out of reach of children. Do not use after the expiry date or if the product appears damaged or contaminated.