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Choline Chloride 50 mg/Cyanocobalamin 0.5 mg/Inositol 50 mg/Methionine 25 mg/0.5 mL Sublingual Drops

This formulation is a liquid compound of Choline Chloride 50 mg, Cyanocobalamin 0.5 mg, Inositol 50 mg, and Methionine 25 mg per 0.5 mL. It is dispensed in a dropper bottle, designed for precise and controlled administration. The medication is administered by dropping the desired number of drops into the mouth, making it an ideal choice for patients requiring smaller doses or for pediatric patients who may have difficulty swallowing tablets or capsules.

The combination of these active ingredients is used to treat a variety of disease states. Choline Chloride is often used to treat liver disease, while Cyanocobalamin, a form of Vitamin B12, is used to treat B12 deficiency and pernicious anemia. Inositol is used for diabetic nerve pain, panic disorder, high cholesterol, insomnia, cancer, depression, schizophrenia, Alzheimer’s disease, attention deficit-hyperactivity disorder (ADHD), autism, promoting hair growth, a skin disorder called psoriasis, and treating side effects of medical treatment with lithium. Methionine is used to treat liver disorders, improve wound healing, and prevent liver damage from acetaminophen (Tylenol) poisoning.

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Choline Chloride
Cyanocobalamin
Inositol
Methionine
Oral Drops
653952751b6e2c40ba54931e
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Formula Information

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This formulation is a combination of Choline Chloride, Cyanocobalamin, Inositol, and Methionine, compounded into sublingual drops. Each 0.5 mL dose contains 50 mg of Choline Chloride, 0.5 mg of Cyanocobalamin, 50 mg of Inositol, and 25 mg of Methionine. The medication is dispensed in a dropper bottle, allowing for precise and controlled administration. This is particularly beneficial for patients requiring smaller doses or for pediatric patients who may have difficulty swallowing tablets or capsules.

Choline Chloride is a vital nutrient that plays a crucial role in a variety of physiological processes, including cell structure and messaging, fat transport and metabolism, and DNA synthesis. Cyanocobalamin, also known as Vitamin B12, is essential for the normal functioning of the brain, nervous system, and the formation of blood. Inositol is a carbohydrate found in many plants that is important for fat metabolism and cholesterol reduction. Methionine is an essential amino acid that plays a critical role in metabolism and detoxification. It's also necessary for tissue growth and the absorption of zinc and selenium, minerals that are vital to health.

This formulation is used to treat a variety of disease states. Choline Chloride can be used to treat liver disease, hyperlipidemia, and neurological conditions. Cyanocobalamin is used to treat Vitamin B12 deficiency, which can lead to pernicious anemia and neurological disorders. Inositol can be used to treat diabetic nerve pain, panic disorder, high cholesterol, insomnia, cancer, depression, schizophrenia, Alzheimer’s disease, attention deficit-hyperactivity disorder (ADHD), autism, promoting hair growth, a skin disorder called psoriasis, and treating side effects of medical treatment with lithium. Methionine is used to treat liver disorders, improve wound healing, treat depression, alcoholism, allergies, asthma, copper poisoning, radiation side effects, schizophrenia, drug withdrawal, and Parkinson’s disease.

It's important to note that the effectiveness of this formulation can vary depending on the individual patient's health status, the severity of the condition being treated, and the patient's response to treatment. As with any medication, it's crucial to use this formulation under the supervision of a healthcare provider. Patients should follow the prescribed dosage and administration instructions to ensure the best possible therapeutic outcome.

If you have any questions about this formulation, its uses, or its potential side effects, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This formulation, consisting of Choline Chloride, Cyanocobalamin, Inositol, and Methionine, is primarily used to support liver function, promote brain health, and aid in the metabolism of fats and cholesterol. It is also beneficial in the management of certain neurological disorders and may help in the treatment of vitamin B12 deficiency. However, like all medications, it may interact with other drugs, potentially altering their effects or increasing the risk of side effects.

Choline Chloride may interact with Methotrexate, a medication used to treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis. This interaction may increase the risk of liver damage. Therefore, patients taking Methotrexate should inform their healthcare provider before starting this formulation.

Cyanocobalamin, a form of vitamin B12, may interact with certain medications such as Chloramphenicol, an antibiotic, and Colchicine, a medication used to prevent gout attacks. These medications may decrease the absorption of Cyanocobalamin, potentially leading to vitamin B12 deficiency. Patients taking these medications should discuss with their healthcare provider before starting this formulation.

Inositol may interact with Lithium, a medication used to treat bipolar disorder. This interaction may decrease the effectiveness of Lithium. Therefore, patients taking Lithium should inform their healthcare provider before starting this formulation.

Methionine may interact with Levodopa, a medication used to treat Parkinson's disease. This interaction may decrease the effectiveness of Levodopa. Therefore, patients taking Levodopa should inform their healthcare provider before starting this formulation.

It's important to note that this is not a complete list of potential drug interactions. Patients should inform their healthcare provider of all the medications, supplements, and herbal products they are currently taking. This will help the healthcare provider to manage potential drug interactions effectively.

Patients should also follow the prescribed dosage and administration instructions carefully to ensure the effectiveness of the medication and to minimize the risk of side effects. If any side effects occur, they should be reported to the healthcare provider immediately.

If you have any questions or concerns about this formulation or its potential interactions with other medications, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

How Does it Work

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This formulation is a combination of Choline Chloride, Cyanocobalamin, Inositol, and Methionine, which are all essential nutrients that play vital roles in the body's metabolic processes. It is designed to be administered sublingually, meaning it is absorbed directly into the bloodstream through the tissues under the tongue. This method of administration allows for rapid absorption and avoids the first-pass metabolism in the liver, which can degrade some medications and reduce their effectiveness.

Choline Chloride is a form of the nutrient choline, which is essential for many bodily functions, including nerve function, muscle movement, and supporting energy levels. It is also crucial for maintaining the structure of cellular membranes and aids in the production of compounds that act as cell messengers.

Cyanocobalamin is a synthetic form of vitamin B12, which is necessary for the proper function and development of the brain, nerves, and blood cells. It helps the body metabolize fats and proteins and is involved in the synthesis of DNA during cell division. A deficiency in vitamin B12 can lead to anemia and neurological disorders.

Inositol is a carbohydrate found in many foods but can also be made in the body. It plays an essential role in various bodily processes, including regulating insulin, breaking down fats, and promoting healthy nerve function. Inositol is often used in treating diabetic nerve pain, panic disorder, and high cholesterol.

Methionine is an essential amino acid that the body cannot produce on its own. It plays a crucial role in many cell functions and is involved in the growth of new blood vessels. It also helps the body process and eliminate fat, can boost the immune system, and may have antioxidant properties.

This formulation is used to treat a variety of disease states that are associated with deficiencies in these nutrients. These can include neurological disorders, anemia, high cholesterol, and conditions related to poor nutrient absorption. By providing these essential nutrients in a highly bioavailable form, this formulation can help to correct these deficiencies and support overall health.

If you have any questions about this formulation, its administration, or how it can benefit specific disease states, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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This formulation primarily combines Choline Chloride, Cyanocobalamin, Inositol, and Methionine - all of which are essential nutrients, known to support various body functions like proper liver function, nerve health, and cellular energy production. Apart from their applications in addressing deficiencies and treating disease states, each ingredient in this formulation lends itself to other uses as well.

The Choline Chloride in this formulation participates in several important biological processes, including ensuring healthy cell membranes, supporting infant brain development, and possibly contributing to cardiovascular health. Thus, in cases of various health and wellness regimens where there is a need to augment normal intake, this formulation could serve a valuable role.

Cyanocobalamin, or Vitamin B12, is crucial for the production of red blood cells, nerve function, and the synthesis of DNA. While its role in managing deficiency conditions is well-known, it can also be used in conditions where the body has a higher requirement of this nutrient, such as during pregnancy.

Inositol, frequently referred to as Vitamin B8, plays a crucial role in various cellular processes. Though typically used in managing conditions like polycystic ovary syndrome and metabolic syndrome, it has also been suggested for use in mental health conditions like depression, panic disorder, and obsessive-compulsive disorder (OCD), and may find utility in such cases under professional guidance.

Methionine is an essential amino acid, important for growth and tissue repair. It might be used for certain liver disorders, some types of depression, alcoholism, drug withdrawal, allergies, asthma, copper poisoning, and radiation side-effects.

It's important to underscore that use of this formulation outside of its conventional deficiency-management role should be done under the strict supervision and advice of a healthcare professional. It's also vital to remember that this formulation is dispensed in a dropper bottle, making it suitable for those who may have difficulty swallowing tablets or capsules, including pediatric and geriatric patients. If you have any questions or special considerations pertaining to this formulation, please don't hesitate to reach out to us at Bayview Pharmacy - our knowledgeable team of compounding pharmacists are here to help.

Frequently Asked Questions

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What is the primary use of this compounded formulation?

This formulation is primarily used to provide precise doses of Choline Chloride, Cyanocobalamin, Inositol and Methionine. These compounds come with various health benefits, from improving liver function to aiding in nerve function and red blood cell production. It is often used in patients who need smaller doses than what is available in standard capsules or tablets, and in pediatric patients who may have difficulty swallowing solid dosage forms.

How are these sublingual drops administered?

These sublingual drops are administered by releasing the given number of drops under the tongue. As it is dispensed in a dropper bottle, it allows for precise, controlled dosages.

What does the dose of 50mg Choline Chloride / 0.5mg Cyanocobalamin / 50mg Inositol / 25mg Methionine / 0.5 mL mean?

This means each 0.5 mL dosage of the liquid formulation contains 50 mg of Choline Chloride, 0.5 mg of Cyanocobalamin, 50 mg of Inositol, and 25 mg of Methionine.

Can the sublingual drops be swallowed?

Yes, after the drops have been placed under the tongue, they may be swallowed after a period of time. This allows for direct absorption through the mucosal membranes before entering the digestive system.

Is this formulation suitable for pediatric patients?

Yes, often the sublingual drops are used for pediatric patients who may experience difficulty swallowing traditional tablet or capsule forms of medication. However, it's important that the dose is adjusted according to the pediatric patient's weight and instructions provided by a healthcare professional.

What are the benefits of using sublingual drops over tablets or capsules?

Sublingual drops allow for faster absorption directly through the mucous membranes in the mouth. They are ideal for precise and controlled dosing, particularly for individuals who need smaller doses or have difficulty swallowing standard tablets or capsules, like children or older people.

What precautions need to be taken while administering these drops?

It is important to administer the drops as directed by a healthcare provider. The dropper should be placed as far back under the tongue as possible in order to allow the liquid to be absorbed properly. Also, avoid eating or drinking anything for 15-30 minutes after taking the medication.

Can this formulation cause any side effects?

All medications can potentially cause side effects. However, as this formulation can be customized to individual needs, the risk of side effects can be reduced. If any side effects occur, consult with a healthcare provider immediately.

Is it necessary to shake the bottle before use?

Yes, it's generally good practice to shake the bottle before use to ensure the ingredients are well-mixed and evenly distributed throughout the solution.

Is it necessary to keep the bottle refrigerated?

You should follow the storage instructions provided by the pharmacist. If there are no specific instructions, it is normally acceptable to store at room temperature, away from light and heat. However, don't store it in the bathroom or other humid places.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.