Trinerve LC Tablet is used to treat nutritional deficiencies due to various complications or long-term diseases. It is used to treat and prevent folate deficiency, anaemia (lack of red blood cells), vitamin B12 deficiency, and neurological diseases such as peripheral neuropathy (nerve disorder), seizures (fits), muscle weakness, and heart or liver problems.

Trinerve LC Tablet contains folic acid, levocarnitine, and methylcobalamin. Folic acid (vitamin B9) replenishes the deficient folic acid in the body. It helps in the production of healthy red blood cells and DNA. Levocarnitine is a naturally occurring amino acid derivative that helps your body turn fat into energy. It works by improving the low levels of carnitine in the body. Methylcobalamin (vitamin B12) regulates body functions like cell growth, blood formation, and protein synthesis. It also prevents nerve damage by forming a protective layer (myelin) around the nerves.

You should take this medicine as prescribed by your doctor. The common side-effects of Trinerve LC Tablet are diarrhoea, nausea (feeling sick), and vomiting. These side effects are mild and don’t require medical attention. However, inform your doctor if any of these side effects persist or get worse.

Do not take Trinerve LC Tablet if you are allergic to any of its contents. Before taking Trinerve LC Tablet , inform your doctor if you are taking any prescription, non-prescription medicines, herbal products, or dietary supplements. Inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food), cancer, kidney dialysis, optic nerve damage, hypokalemia (low potassium levels in the blood), and stent in the heart. Inform your doctor if you are pregnant or breastfeeding. You are advised to stop taking medicines for indigestion (antacids) within two hours of taking Trinerve LC Tablet .

Trinerve LC Tablet contains folic acid, levocarnitine, and methylcobalamin belong to the class of  'nutritional supplements' primarily used to treat nutritional deficiencies due to various complications or long-term disease. Folic acid (vitamin B9) replenishes the deficient folic acid in the body. It helps in the production of healthy red blood cells and DNA. Levocarnitine is a naturally occurring amino acid derivative that helps your body turn fat into energy. It works by improving the low levels of carnitine in the body. Methylcobalamin (vitamin B12) regulates body functions like cell growth, blood formation, and protein synthesis. It also prevents nerve damage by forming a protective layer (myelin) around the nerves.

• Nausea
• Vomiting
• Headache

Do not use Trinerve LC Tablet if you are allergic to Trinerve LC Tablet or any of its contents. Let your doctor know if you have a history of seizures (fits), liver disease, kidney disease, cancer, obesity, hypokalemia, optic nerve damage, diabetes before using Trinerve LC Tablet . Please inform your doctor if you are using any prescription and non-prescription medications you are taking, including vitamins, herbal supplements. Do not take Trinerve LC Tablet if you are pregnant or breastfeeding unless prescribed by the doctor. Trinerve LC Tablet safe to be given to children below 12 years of age, infants, and newborns, yet the doctor's consultation is advised. Do not take antacids before or after 2 hours of taking Trinerve LC Tablet as they may interfere with the action of Trinerve LC Tablet . Do not consume excess alcohol while using Trinerve LC Tablet as it may interfere with the drug absorption in the body.

Drug-drug interactions: Trinerve LC Tablet may interact with an antibiotic (chloramphenicol), anticancer agent (methotrexate and fluorouracil), blood thinners (warfarin), anti-gout medicine (colchicine), antacids (cimetidine, omeprazole, lansoprazole, and ranitidine), a medicine used to treat diabetes (metformin), a medicine used to treat inflammatory bowel conditions (sulfasalazine), a medicine used to reduce cholesterol (cholestyramine), and antiepileptic drugs (phenytoin and fosphenytoin).

Drug-food interactions: Trinerve LC Tablet may interact with alcohol.

Drug-disease interactions: Trinerve LC Tablet should be used with caution in patients with malabsorption syndrome (difficulty absorbing nutrition from food), cancer, neural tube defects, kidney dialysis, optic nerve damage, diabetes, obesity, hypokalemia (low potassium levels in the blood), and stent in the heart.

• CHLORAMPHENICOL
• METHOTREXATE
• FLUOROURACIL
• WARFARIN
• COLCHICINE
• CIMETIDINE
• LANSOPRAZOLE
• RANITIDINE
• METFORMIN
• SULFASALAZINE
• CHOLESTYRAMINE
• PHENYTOIN
• FOSPHENYTOIN

• 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, and potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.

• 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.

• Serum levels of Cyanocobalamin present in Trinerve LC Tablet may be lowered by the use of oral contraceptives.

• For pernicious anemia,  the blood picture must be examined regularly.

• Monitor your blood glucose levels regularly while using Trinerve LC Tablet .

Folic acid deficiency: It is the lack of vitamin B9 or folic acid in the body. Folic acid is essential for the formation of red blood cells. Symptoms of folic acid deficiency include mouth sores and fatigue. 

Vitamin B12 deficiency: When your body doesn't have adequate mineral levels, vitamin B12 and low haemoglobin are required for red blood cell formation. Signs and symptoms of low vitamin B12 include fatigue, breathlessness, numbness, poor balance, and memory trouble.

Carnitine deficiency: Carnitine deficiency is when not enough of the nutrient 'carnitine' is available to the body. This can cause muscle weakness and heart or liver problems. Carnitine is obtained from foods, particularly animal-based foods. A carnitine deficiency occurs when the body does not absorb or get enough amount of carnitine from food. It is essential for a healthy life. Sometimes, your body is unable to absorb carnitine even if you are consuming it. Carnitine deficiency can lead to many health problems like encephalopathy (severe brain dysfunction), myopathy (muscle disease), hypoglycemia (low blood sugar) if the liver is affected, cardiomyopathy (heart problem), or swelling (oedema). Symptoms of carnitine deficiency are weakness in the hips, shoulders, upper arms and legs, and heart muscles, tiredness (fatigue), irritability, delayed movement (motor) development, and poor feeding in a baby.