MHR Tablet belongs to the class of 'Vitamins', primarily used to treat nutritional deficiencies. It is used to treat and prevent vitamin B6 deficiency, folate deficiency and vitamin B12 deficiency. MHR Tablet effectively treats various conditions caused due to lack of vitamins, such as anaemia (lack of red blood cells), peripheral neuropathy (nerve disorder), seizures (fits), hyperoxaluria (excess oxalate levels in urine), homocystinuria (accumulation of an amino acid called homocysteine in urine and blood), cyanide poisoning and hyperhomocysteinemia (high levels of homocysteine in the blood).

MHR Tablet contains Folic acid, Pyridoxine Hydrochloride, and Methylcobalamin. Folic acid is the synthetic form of folate. Folate is a water-soluble vitamin naturally found in food sources. It helps in the formation of red blood cells and prevents DNA changes that may lead to cancer. Pyridoxine Hydrochloride (also known as vitamin B6) is a water-soluble vitamin involved in protein, fat, and carbohydrate metabolism and the formation of red blood cells and neurotransmitters. Mecobalamin (Methylcobalamin) is a coenzyme form of vitamin B12 that regulates body functions, such as cell multiplication, blood formation, and protein synthesis.

Your doctor will decide the dosage based on your medical condition. Sometimes, MHR Tablet may have common side effects like upset nausea, stomach upset, diarrhoea, drowsiness, flushing, and numbness/tingling. These side effects do not require medical attention and gradually resolve over time.  

Let your doctor know if you are using any other medicines before starting MHR Tablet . If you are known to be allergic to MHR Tablet or its inactive components, please inform your doctor. Vitamins are absorbed readily through oral administration. Please tell your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food). The dosage form may be changed to intravenous administration of individual vitamins for better absorption of MHR Tablet . If you are a pregnant or breastfeeding mother, please consult your doctor before taking MHR Tablet .

MHR Tablet is used to treat nutritional deficiencies and contains Folic acid, Pyridoxine Hydrochloride, and Methylcobalamin. Folic acid is the synthetic form of folate, a water-soluble Vitamin B that prevents and treats folate deficiency and hyperhomocysteinemia. When used with other medications, Folic acid is used to treat pernicious, aplastic, or normocytic anemia (lack of red blood cells). When taken by pregnant women, Folic acid prevents miscarriage and neural tube defects in infants. Pyridoxine Hydrochloride (vitamin B6) is a water-soluble vitamin that treats and prevents vitamin B6 deficiency, anemia, peripheral neuropathy, seizures (fits), and hereditary disorders like hyperoxaluria and homocystinuria. It is involved in protein, fat, and carbohydrate metabolism and the creation of red blood cells and neurotransmitters. It helps in cognitive development through neurotransmitter biosynthesis and maintains normal homocysteine levels (an amino acid in the blood). Methylcobalamin (Mecobalamin) is a coenzyme form of vitamin B12 and treats Vitamin B12 deficiency, cyanide poisoning, and hyperhomocysteinemia. It regulates body functions, such as cell multiplication, blood formation, and protein synthesis.

• Nausea
• Stomach upset
• Diarrhoea
• Drowsiness
• Flushing
• Numbness/tingling 

Let your doctor know if you have any blood disorders like pernicious anaemia before starting MHR Tablet . Pyridoxine and folic acid in MHR Tablet are excreted into the breast milk. Pregnant or breastfeeding women should consult their doctor before taking MHR Tablet . Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Alcohol can also worsen the side effects like drowsiness and stomach upset. Hence, please avoid alcohol while using MHR Tablet .

Drug-Drug Interaction: MHR Tablet may interact with anti-cancer drugs (altretamine, cisplatin, and arsenic trioxide), fits medicines (phenytoin, phenobarbital, primidone), antibiotic (chloramphenicol), medicines treating Parkinson's disease (levodopa), drugs used to treat tumours (Fluorouracil), antibiotics (trimethoprim), stomach related drugs (sulfasalazine), and cholesterol-lowering drugs (cholestyramine).

Drug-Food Interaction: Excessive alcohol consumption reduces the absorption and increases the elimination of folic acid. Alcohol can also worsen the side effects like drowsiness and stomach upset.

Drug-Disease Interaction: Use MHR Tablet with medical advice if you have malabsorption syndrome (difficulty absorbing nutrition from food) and allergic reactions to medicines.

• ALTRETAMINE
• CISPLATIN
• ARSENIC TRIOXIDE
• PHENYTOIN
• PHENOBARBITAL
• PRIMIDONE
• CHLORAMPHENICOL
• LEVODOPA
• FLUOROURACIL
• TRIMETHOPRIM
• SULFASALAZINE
• CHOLESTYRAMINE

• Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, and salmon, shellfish, oysters, clams, dark green vegetables, such as spinach and kale, beets, avocados, potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.

• Try folate-rich food sources like broccoli, Brussels sprouts, leafy green vegetables, cabbage, kale, spring greens, spinach, peas, chickpeas, kidney beans, liver (avoid this during pregnancy), and breakfast cereals fortified with folic acid.

• Sprinkle sunflower seeds over your food, vegetables and salads. 

• Include fruits like citrus, banana and watermelon in your diet.

• Avoid smoking and alcohol consumption.

• Exercise regularly, and maintain a healthy lifestyle. Avoid excess fatty foods.

• Clinical monitoring of folic acid, vitamins B12 and B6 levels through blood examinations is recommended.

• Let your doctor and the laboratory staff know if you are using MHR Tablet since Pyridoxine may interfere with laboratory tests like urine test for urobilinogen.

Vitamin B6 deficiency: When your body doesn't have adequate levels of a water-soluble vitamin called Pyridoxine or Vitamin B6, this disease is developed. Vitamin B6 deficiency symptoms include fatigue, skin rashes, cracked and sore lips, weak immune system, tiredness and low energy levels, fits, tingling in hands and feet.

Vitamin B12 deficiency (cobalamin deficiency): When your body doesn't have adequate mineral levels called Vitamin B12, it leads to Vitamin B12 deficiency. Symptoms include fatigue, breathlessness, numbness, poor balance and memory trouble.

Folate deficiency: Folate deficiency occurs when your body won't have enough folate in your diet. Symptoms include fatigue, grey hair, mouth sores, tongue swelling and growth problems. Folate deficiency leads to anaemia.

Anaemia: It is a condition associated with a decrease in the red blood cells (RBCs) count or haemoglobin in the blood or a lowered ability to carry oxygen. Symptoms include fatigue, shortness of breath, light-headedness, dizziness and fast heartbeat.