This composition is used to treat hyperhomocysteinemia as, homocysteine is the part of amino acid metabolism i.e. methionine metabolism.
Deficiency of folic acid leads to high serum level of homocysteine.

Indications:
● Hyperhomocysteinemia
● Folic acid deficiency
● Pernicious anemia

About Composition

L-Methyl Folate Calcium:
Folic acid is the important cofactor in the DNA and RNA synthesis.
Folic acid aids in running the body machinery and for the production and maintenance of new cells. It is used to treat folic acid deficiency anemia and other forms of anemia. Folic acid is the main precursor for the synthesis of tetrahydro folic acid

Cyanocobalamin:
It is also known as vitamin B12.
1. It Helps in maintaining the nervous system healthy
2. Required for the production of red blood cells and DNA.

Pyridoxal 5 Phosphate:
It is also known as vitamin B12.
1. It Helps in maintaining the nervous system healthy
2. Required for the production of red blood cells and DNA.

Mechanism of Action
Pyridoxine involves in the nucleic acid synthesis and helps in the metabolism of amino acids, sphingomyelin, synthesis of neurotransmitters serotonin, dopamine, norepinephrine or GABA.

Vitamin B12 depends on the methyl of the methyl folate which is transfer to the homocysteine to form methionine and tetrahydrofolate
Vitamin B12 helps incorporation of folic acid into the red blood cells

Side Effects
● Constipation
● Diarrhoea
● Stomach upset
● Black stools

Contraindications
Contraindicated in people with known hypersensitivity.

Drug Interaction
5fluoro uracil