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ALVITE Syrup
Presentation
ALVITE Syrup  
Composition :  
Each 5 ml contains :  
FcitousSulphate B.P. 166.70 mg
(Elemental Iron 59.00 mg.)  
Thiaminc Hydrochloride B.P. 0.67 mg
RiboflavincB.P. 0.67 mg
Pyridoxinc Hydrochloride B.P. 0.50 mg
Niacinamidc B.P. 7.50 mg
Cyanocobalamin B.P. 0.5 meg
Panthcnol U.S.P. 1.33 mg
Flavoured Syrupy Base Q.S.
Indications
ALVITE syrup is an efficient iron with B-complex tonic and is indicated for use in the following :
Aplastic anaemia
Haemolytic anaemia
Iron deficiency anaemia
Megalablastic anaemia
Normocytic - normoehromic anaemia
Sideroblastic anaemia
2.  Debility
3.  Convalescence
4.  During Pregnancy
5.  Incase of undue fatigue
6.  As a general tonic.
Pharmacology
Normally less than 10% of iron in the diet is absorbed and generally the 15-20 mg of total iron in Western diets is sufficient to meet adult requirements. Inorganic and haem iron arc chiefly absorbed in the upper jejunum and duodenum, where luminal conditions, including the influence of gastric secretions and acid, facilitate bioavailability. Many components of the diet influence absorption by formation of soluble or insoluble complexes or iron and by actions on the oxidation state of elemental iron.

Cyanocobalamin is readily converted into the coenzyme forms which as methylcobal-amin, is converted with conversion of homocysteinc to methionine, and, as deoxyadenosy-lcobalamin in conversion of methylmalonyl - CoA to succinyl - CoA. The active coenzymes, enzymes, methyl - cobalamin and 5 - deoxyodenosylcobalamin, arc essential for cell growth and replication. In man, failure of this pathway due to cobalamin deficiency leads to a megaloblastic anaemia and to a neuropathy.

In thiamine deficiency, the hexose monophosphate pathway of glucose oxidation is retarded at the level of the transkctolase, so pentose sugars accumulate to levels three times the normal.

The requirement for riboflavin depends on the carbohydrate intake and is increased during pregnancy, lactation and in woman taking oral contraceptive agents. Riboflavin requirement is also increased by prolonged administration of drugs such as phenothiazines. Riboflavin reduces the antibacterial activity of solutions of streptomycin, erythromycin, tyrothriein, carbomycin and fetracyline, in the case of tetraeyelines, the reaction is a photochemical oxidation. Inactivation also occurs with chloramphenicol, penicillin or ncomycin.
 
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