Each film-coated tablet contains 50 mg pyridoxine hydrochloride.
For the full list of excipients see section 6.1.
3. Pharmaceutical form
Film-coated tablet.
White to off white, circular, biconvex, film-coated tablet with breakline on one side and plain on other side.
The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses.
4. Clinical particulars
4.1 Therapeutic indications
Pyridoxine Hydrochloride is used for isoniazid-induced peripheral neuritis, idiopathic sideroblastic anaemia and Vitamin B6 deficiency states.
4.2 Posology and method of administration
Posology
For isoniazid-induced peripheral neuritis
Adults:
Treatment - 50mg three times daily
Prophylaxis - Not suitable with this dosage form
Children:
This presentation is not recommended
For idiopathic sideroblastic anaemia
Adults:
100 to 400mg daily in divided doses
Children:
This presentation is not recommended
For deficiency states
Adults:
50 to 150mg daily in divided doses
Children:
This presentation is not recommended
Elderly:
Dosage requirements appear to be similar to those for young adults
4.3 Contraindications
Hypersensitivity to the active substance(s) or to any of the excipients listed in section 6.1.
4.4 Special warnings and precautions for use
If symptoms persist or worsen, seek medical advice. Do not exceed the stated dose.
4.5 Interaction with other medicinal products and other forms of interaction
Many drugs may alter the metabolism or bioavailability of pyridoxine, including isoniazid, penicillamine and oral contraceptives, which may increase the requirements for pyridoxine. Pyridoxine hydrochloride may reduce the effect of levodopa, a drug used in the treatment of Parkinsons Disease unless a dopa decarboxylase inhibitor is also given.
4.6 Fertility, pregnancy and lactation
Pregnancy
Data on exposed pregnancies indicate no adverse effects of pyridoxine in therapeutic doses on pregnancy or the health of the foetus or newborn child, or during lactation.
Animal studies are insufficient with respects to effects on pregnancy, embiyonal/foetal development, parturition or postnatal development.
Caution should be exercised when prescribing to pregnant women.
4.7 Effects on ability to drive and use machines
None known.
4.8 Undesirable effects
Long term administration of large doses of pyridoxine is associated with the development of severe peripheral neuritis.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
4.9 Overdose
a) Symptoms - None reported
b) Treatment - no treatment necessary.
5. Pharmacological properties
5.1 Pharmacodynamic properties
Pharmacotherapeutic group: Other plain vitamin preparations, ATC code: A11HA02
Pyridoxine hydrochloride is Vitamin B6. It is converted to pyridoxal phosphate which is the co-enzyme for a variety of metabolic transformations. It is essential for human nutrition.
5.2 Pharmacokinetic properties
Pyridoxine hydrochloride is absorbed from the gastrointestinal tract and is converted to the active forms pyridoxal phosphate and pyridoxamine phosphate. It crosses the placental barrier and appears in breast milk. It is excreted in the urine as 4-pyridoxic acid.
5.3 Preclinical safety data
There are no preclinical data of relevance to the prescriber which are additional to those already included in other sections of the Summary of Product Characteristics.
6. Pharmaceutical particulars
6.1 List of excipients
core tablet
Microcrystalline cellulose
Sodium starch glycolate, Type A
Colloidal anhydrous silica
Magnesium Stearate
film-coating
Hypromellose
Macrogol
Talc
Titanium dioxide
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
2 years
6.4 Special precautions for storage
This medicinal product does not require any special temperature storage conditions. Store in the original package in order to protect from light.