Ceevit 250 mg

Description

Indications
Ceevit tablet is used for the following purposes:

• Prevents and treats scurvy
• Supports wound healing and bone repair
• Aids in the formation of collagen in connective tissues
• Enhances iron absorption and treats anemia
• Contributes to the production of hemoglobin and red blood cells in bone marrow
• Boosts the immune system, helping prevent viral and bacterial infections
• Assists in the prevention and treatment of the common cold
• Promotes healthy capillaries, gums, and teeth
• Use this medicine as directed by a registered healthcare provider.

Pharmacology
Ceevit is a source of Ascorbic Acid (Vitamin C), an essential nutrient that the body cannot produce and must be obtained from diet or supplements. Vitamin C plays several vital roles in the body:

• It is required for tissue growth and repair, adrenal gland function, and enhanced immunity.
• Acts as an antioxidant, protecting the body from pollution, infections, and cellular damage.
• Functions as a coenzyme in the metabolism of drugs, cholesterol, and folic acid.
• Supports healthy hair, skin, and gums, and strengthens the immune system, maintaining overall well-being.

Dosage & Administration
Oral Administration:

• For scurvy prevention: 1 tablet daily
• For scurvy treatment: 1-2 tablets daily, with the dose adjusted based on the severity of the condition.
• For stroke risk reduction in the elderly: 1-2 tablets daily.
• For other conditions: 1 tablet daily or as prescribed by your physician.
  The maximum safe dose is 2000 mg daily, divided into smaller doses.

Oral Sachet Administration:

• 1 sachet daily or as directed by a registered physician. The maximum dose is 2000 mg/day (equivalent to 4 sachets).

Parenteral Administration (IM, IV, Subcutaneous):
Ascorbic acid is usually given orally. However, if oral administration is not possible or if malabsorption is suspected, it can be given by injection.

• For intravenous injection, dilute with normal saline, water for injection, or glucose to reduce the risk of adverse reactions.
• Typical adult dose: 70-150 mg daily for general protection.
• For scurvy: 300 mg to 1 g daily.
• For enhanced wound healing: 300-500 mg daily for one to two weeks, both preoperatively and postoperatively.
• For severe burns: 1-2 g daily.
  Note: Parenteral products should be checked for particulate matter or discoloration before administration.

Use only as directed by a registered healthcare provider.

Interactions

• Hazardous Interactions: Ascorbic acid may react adversely with aminophylline, bleomycin, erythromycin, and several other drugs including some antibiotics, corticosteroids, and sodium bicarbonate.
• Beneficial Interactions: Ascorbic acid can increase the half-life of paracetamol and enhance the absorption of iron from the gastrointestinal tract.

Side Effects
Ceevit generally has low toxicity, but excessive intake can lead to:

• Diarrhea
• Abdominal bloating
• Excessive iron absorption, which can be harmful for patients with certain conditions like thalassemia, sideroblastic anemia, and hemochromatosis
• Hyperoxaluria, hyperuricosuria, and hemolysis in people with glucose-6-phosphate dehydrogenase deficiency
• High doses (above 5 gm/day) during pregnancy may result in fetal abortion.

Pregnancy & Lactation

• Ceevit is safe in normal doses during pregnancy, but a daily intake exceeding 5 gm can result in miscarriage.
• Safe for use during lactation.

Precautions & Warnings

• Megadoses (over 1000 mg daily) of Ceevit during pregnancy have caused scurvy in neonates.
• It is contraindicated for patients with hyperoxaluria.
• Ceevit can cause false positive results in certain lab tests for glucose, uric acid, creatinine, and occult blood.

Therapeutic Class
Vitamin-C Preparations

Storage Conditions
Store in a dry place at temperatures below 30°C, away from light and moisture. Keep out of reach of children.