L-Methyl-B6-B12none
Other CombinationsBrand: Virtus Pharmaceuticals
Functions
Net Contents
90 Tablet(s)
Serving Size
1 Tablet(s)
Servings Per Container
90
Supplement Form
Tablet or Pill
Bar Code (UPC/SKU)
3 76439 21890 4
Product Version
Rev. 1/2012
Label Analysis
Objective insights generated automatically from the official DSLD label — a quick, factual read of how this product is formulated and disclosed.
3 distinct active ingredients are disclosed in Supplement Facts.
Every active ingredient discloses a specific amount per serving.
This analysis is generated algorithmically from label data for educational reference only. It is not a product endorsement, ranking, or medical advice.
Supplement Facts
Serving Size: 1 Tablet(s) · 2 per day
| Ingredient | Amount Per Serving | |
|---|---|---|
| L-Methylfolate Calcium(6(S)-5-MTHF-Ca) | 15 mg | — |
| Pyridoxal 5-Phosphate | 35 mg | — |
| Methylcobalamin | 2 mg | — |
Not Present
Other Ingredients
Target Groups
Label Claims
Directions & Suggested Use
Suggested/Recommended/Usage/Directions
DOSAGE AND ADMINISTRATION: One tablet twice daily or as directed by a licensed medical practitioner.
Suggested/Recommended/Usage/Directions
INDICATIONS AND USAGE: L-Methyl-B6-B12 is indicated for the distinct nutritional requirements of patients in need of dietary supplementation as determined by a licensed medical practitioner. L-Methyl-B6-B12 should be administered under the supervision of a licensed medical practitioner.
Suggested/Recommended/Usage/Directions
DOSAGE AND ADMINISTRATION: One tablet twice daily or as directed by a licensed medical practitioner.
Warnings & Precautions
Precautions re: All Other
L-Methyl-B6-B12 should be administered under the supervision of a licensed medical practitioner.
Precautions re: Pregnant or Nursing or Prescription Medications
If you are pregnant or nursing a baby, ask a health professional.
Precautions re: Children
KEEP THIS OUT OF REACH OF CHILDREN.
Precautions re: All Other
All prescriptions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product.
Precautions re: All Other
Call your medical practitioner about side effects.
Precautions re: Pregnant or Nursing or Prescription Medications
- Sulfasalazine: Inhibits the absorption and metabolism of folic acid. - Metformin treatment in patients with type 2 diabetes decreases serum folate. - Warfarin can produce significant impairment in folate status after a 6-month therapy. - Folinic acid may enhance the toxicity of fluorouracil. - Concurrent administration of chloramphenicol and folinic acid in folate-deficient patients may result in antagonism of the haematopoietic response to folate. - Caution should be exercised with the concomitant use of folinic acid and trimethoprim-sulfamethoxazole for the acute treatment of Pneumocystis carinii pneumonia in patients with HIV infection as it is associated with increased rates of treatment failure and mortality in a placebo controlled study. Drugs which may interact with vitamin B12: - Antibiotics, cholestyramine, colchicines, colestipol, metformin, para-aminosalicylic acid, and potassium chloride may decrease the absorption of vitamin B12. - Nitrous oxide can produce a functional vitamin B12 deficiency. Drugs which interact with vitamin B6: - Vitamin B6 should not be given to patients receiving the drug levodopa because the action of levodopa is antagonized by vitamin B6. However, vitamin B6 may be used concurrently in patients receiving a preparation containing both carbidopa and levodopa.
Precautions re: Pregnant or Nursing or Prescription Medications
PREGNANCY and NURSING MOTHERS: L-Methyl-B6-B12 is not intended for use as a prenatal/postnatal multivitamin for lactating and non-lactating mothers. This product contains B vitamins in active form. Talk with your medical practitioner before using if pregnant or lactating.
Precautions re: Allergies
CONTRAINDICATIONS: This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.
Precautions re: All Other
WARNINGS: Caution is recommended in patients with a history of bipolar illness. PRECAUTIONS: General: Folate, when administered as a single agent in doses about 0.1 mg daily, may obscure the detection of vitamin B12 deficiency (specifically, the administration of folic acid may reverse the hematological manifestations of B12 deficiency, including pernicious anemia, while not addressing the neurological manifestations). Folate therapy alone is inadequate for treatment of a vitamin B12 deficiency. PATIENT INFORMATION: L-Methyl-B6-B12 is a prescription dietary supplement to be used only under licensed medical supervision.
Precautions re: Pregnant or Nursing or Prescription Medications
DRUG INTERACTIONS: Drugs which may interact with folate include: - Antiepileptic drugs (AED): The AED class including, but not limited to, phenytoin, carbamazepine, primidone, valproic acid, fosphenytoin, valproate, phenobarbital and lamotrigine have been shown to impair folate absorption and increase the metabolism of circulating folate. - Additionally, concurrent use of folic acid has been associated with enhanced phenytoin metabolism, lowering the level of the AED in the blood and allowing breakthrough seizures to occur. Caution should be used when prescribing this product among patients who are receiving treatment with phenytoin and other anticonvulsants. - Capecitabine: Folinic acid (5-formyltetrahydrofolate) may increase the toxicity of Capecitabine. - Cholestyramine: Reduces folic acid absorption and reduces serum folate levels. - Colestipol: Reduces folic acid absorption and reduces serum folate levels. - Cycloserine: Reduces folic acid absorption and reduces serum folate levels. - Dihydrofolate Reductase Inhibitors (DHFRI): DHFRIs block the conversion of folic acid to its active forms, and lower plasma and red blood cell folate levels. DHFRIs include aminopterin, methotrexate, pyrimethamine, triamterene, and trimethoprim. - Fluoxetine: Fluoxetine exerts a noncompetitive inhibition of the 5-methyltetrahydrofolate active transport in the intestine. - Isotretinoin: Reduced folate levels have occurred in some patients taking isotretinoin. - L-dopa, triamterene, colchicine, and trimethoprim may decrease plasma folate levels. - Nonsteroidal Anti-inflammatory Drugs (NSAIDs): NSAIDs have been shown to inhibit some folate dependent enzymes in laboratory experiments. NSAIDs include ibuprofen, naproxen, indomethacin and sulindac. - Oral Contraceptives: Serum folate levels may be depressed by oral contraceptive therapy. - Methylprednisolone: Reduced serum folate levels have been noted after treatment with methylprednisolone. - Pancreatic Enzymes: Reduced folate levels have occurred in some patients taking pancreatic extracts, such as pancreatin and pancrelipase. - Pentamidine: Reduced folate levels have been seen with prolonged intravenous pentamidine. - Pyrimethamine: High levels of folic acid may result in decreased serum levels of pyrimethamine.
Precautions re: Allergies
ADVERSE REACTIONS: Allergic sensitization has been reported following both oral and parental administration of folic acid, and may possibly occur with other forms of folate. Paresthesia, somnolence, nausea and headaches have been reported with vitamin B6. Mild transient diarrhea, polycythemia vera, itching, transitory exanthema and the feeling of swelling of the entire body have been associated with vitamin B12.
Precautions re: All Other
Call your medical practitioner about side effects.
Precautions re: All Other
- Smoking and Alcohol: Reduced serum folate levels have been noted.
Precautions re: Children
KEEP THIS OUT OF THE REACH OF CHILDREN.
Storage
Storage
Store at controlled room temperature 15(0)-30(0)C (59(0)-86(0)F). [See USP]. Protect from light and moisture.
Storage
STORAGE: Store at Controlled Room Temperature 15(0)-30(0)C (59(0)-86(0)F). [See USP]. Protect from light and moisture. Dispense in a tight, light-resistant container.
Formulation
Formula re: Type
DESCRIPTION: L-Methyl-B6-B12 is an orally administered prescription dietary supplement specifically formulated for the dietary management of patients with unique nutritional needs requiring increased folate levels.
Formula re: Contains
Contains less than 1% d-methylfolate.
FDA Statements
FDA Statement of Identity
Prescription Dietary Supplement
FDA Statement of Identity
Rx
FDA Statement of Identity
Rx Prescription Dietary Supplement
Other Label Statements
General Statements: All Other Content
Each coated, round, purple tablet contains the following dietary ingredients:
General Statements: All Other Content
Made in U.S.A.
General Statements: All Other Content
Dispense in a tight, light-resistant container.
General Statements: All Other Content
NDC* 76439-218-90 *see insert for more information on NDCs.
General Statements: All Other Content
N
General Statements: All Other Content
Lot No: Exp Date:
General: Product/Version Code
Rev. 1/2012
General Statements: All Other Content
Rev. 12/2012
General Statements: All Other Content
HOW SUPPLIED: L-Methyl-B6-B12 tablets are coated, round, purple tablets debossed with "BP 0.3" on top and a bisect on bottom, and are supplied in bottles of 90 tablets and 500 tablets. NDC` 76439-218-90 (90 ct. bottle / 90 tablets) NDC` 76439-218-50 (500 ct. bottle / 500 tablets) `This product is a dietary supplement that – due to increased folate levels (AUG 2 1973 FR 20750), requires an Rx on the label because of increased risk associated with masking of B12 deficiency. As such, this product requires licensed medical supervision, an Rx status, and a National Drug Code (NDC) as required by pedigree reporting requirements.
General Statements: All Other Content
FOLATE REGULATION: The term "folate" are B vitamins that include folic acid and any forms of active pteroylglutamates regardless of the reduction state of the molecule. Folates, or vitamin B9, are primarily hydrolyzed in the intestinal jejunum and the liver to the active circulating form of folate, l-methylfolate, with an intermediate stable form, 5,10-methylenetetrahydrofolate. Individuals with genetic polymorphisms for the genes coding methylenetetrahydrofolate reductase (MTHFR) may not be capable of utilizing or metabolizing folic acid adequately for the vitamin B12 dependent methylation cycle. Folic acid, including reduced forms* such as folinic acid, may obscure pernicious anemia above 0.1 mg doses, and must be administered under the supervision of a licensed medical practitioner. The 1971, 1972, 1973, 1980, 1984, 2000, and 2010 Federal Register Notices addressed this concern while establishing that increased folate was proper therapy in megaloblastic anemias - specifically where homocysteine levels were elevated or risk of neural tube defects (NTDs) was at issue. The Federal Register Notice of August 2, 1973 (38 FR 20750) specifically states that: Dietary supplement preparations are available without a prescription (21 CFR 121.1134). Levels higher than dietary supplement amounts are available only with a prescription. *It is not known whether or not l-methylfolate can obscure pernicious anemia above 0.1 mg doses, so caution is advised also with this form of folate. Folic acid - including reduced forms, may be added to medical foods as defined in section 5(b)(3) of the Orphan Drug Act (21 USC 360ee(b)(3)), or to food (21 CFR 172.345).
General Statements: All Other Content
MADE IN USA
Seals/Symbols
V Virtus PHARMACEUTICALS
General Statements: All Other Content
Tablets
Manufacturer & Distributor
Distributor
Virtus Pharmaceuticals, LLC
Tampa, FL, 33619
Other
813-283-1344
Market Reference
L-Methylfolate Vit B6/B12 (Metanx) (Foltanx) 3-35-2mg Pr Round 90 Tablets
Med-Vet International$138.02Vitacost Methyl B12 Chewable Tablets
iHerb4.0(152)$5.24MethylB+
Molecular Provisions$49.00BioActive B12
Triquetra Health4.9(233)$23.99Methyl B Complete Full Spectrum B Complex 60 Caps
Walmart - Pure TheraPro4.8(167)$31.97Triquetra Health BioActive B12 Liquid
eBay - hi-fideals4.8(256)$11.97Methylated B-Complex 60ct
Local Inventory Integration$29.99Methyl B12 Cherry 120 Lozenges
Bevko Vitamins$33.95
Where to Buy Locally
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Holland & Barrett - Beckenham
3.9 (31)Vitamin & Supplements Shop
216 High St, Beckenham BR3 1EN
ITL Health
5.0 (37)Vitamin & Supplements Shop
50 Broadway, London SW1H 0BL
RightNutri
4.9 (78)Vitamin & Supplements Shop
26 Queenstown Rd, London SW8 3RX
Health and Wellness
Weight-Loss Service
74a High St, London SE25 6EB
Holland & Barrett - Croydon
3.7 (68)Vitamin & Supplements Shop
34-36 N End, Croydon CR0 1UB
Holland & Barrett - Streatham
4.0 (67)Vitamin & Supplements Shop
210 Streatham High Rd, London SW16 1BB
Holland & Barrett - Catford
4.5 (22)Vitamin & Supplements Shop
33 Winslade Way, London SE6 4JU
Holland & Barrett - West Wickham
4.5 (2)Vitamin & Supplements Shop
30 High St, West Wickham BR4 0SN
Research & Studies
… (LEVOMEFOLATE CALCIUM, PYRIDOXAL PHOSPHATE ANHYDROUS, AND METHYLCOBALAMIN) TABLET, COATED [VIRTUS PHARMACEUTICALS]
GDC Card
Data sourced from the U.S. National Institutes of Health, Office of Dietary Supplements Dietary Supplement Label Database (DSLD) · Label entered 2013-10-25. DSLD Label ID: 22190. This information is provided for educational reference only and is not medical advice. Always follow the product label and consult a doctor or pharmacist before use.
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