SEFSTART Capsule capsule is used for the treatment of anaemia and nutritional deficiencies.

SEFSTART Capsule may also be prescribed for other conditions as determined by the doctor.

In SEFSTART Capsule, DHA (docosahexaenoic acid) is a dietary supplement that acts by providing enough nutrients required for normal growth and functioning of the body.

Folic acid is a nutritional supplement. It acts by regulating the process of formation of red blood cells by binding to certain enzymes. Thus, it improves the blood levels in the body and reduces the symptoms of anaemia.

Mecobalamin is a nutritional supplement that drug acts by increasing the production of erythrocyte and stimulating the synthesis of nucleic acid in the bone marrow. Thus, it improves the levels of red blood cells in the body.

Pyridoxine is a dietary supplement that acts by providing certain nutrients required for maintaining and improving the health of red blood cells.

The dosage and the drug form depend on the age, weight and medical condition of an individual. Take SEFSTART Capsule capsule as prescribed by your doctor.

• Swallow the capsule Do not crush or tear open the capsule. Take the drug with or without food. However, taking the drug with food prevents stomach upset.

If you miss a dose of SEFSTART Capsule, please take it as soon as you remember. However, if it is almost time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed dose.

The overdose symptoms of SEFSTART Capsule include the following:

• Numbness of hands and feet
• Light-headedness

You must seek immediate medical care if you experience any of the above symptoms.

Drugs that interact with SEFSTART Capsule include the following:

• Abacavir
• Arsenic trioxide
• Calcitriol
• Capecitabine
• Chloramphenicol
• Dolutegravir
• Doxercalciferol
• Fluorouracil
• Lamivudine
• Paricalcitol
• Rilpivirine

This is not a comprehensive list of drug interactions. Consult your doctor to know more about other possible drug interactions.

The following are the most common side effects of SEFSTART Capsule:

• Headache
• Drowsiness
• Stomach upset
• Burning or tingling sensation of hands and feet
• Nervousness
• Uncontrollable movements

The following are the severe side effects and you may require immediate medical attention:

• Clots in the arms and legs
• Anaphylaxis
• Fluid build up in the lungs
• Low levels of potassium in blood

This is not a complete list of side effects and others may occur. Please consult your doctor to know more about other possible side effects.

• Avoid taking the medicine if you are allergic to SEFSTART Capsule or similar drugs.
• Seek doctor’s advice before taking any other drug or herbal products while on SEFSTART Capsule.
• Avoid consumption of alcohol as it may alter the absorption of SEFSTART Capsule.
• Do not exceed the dose prescribed by the doctor.

You are advised not to take SEFSTART Capsule if

• it has passed the expiry date of the medicine printed on the pack.
• the foil or packaging is torn or shows signs of tampering or there is discolouration.

• Tell your doctor if you have any history of kidney or liver disease.
• Inform the doctor if you are taking any other drugs, OTC medications, herbal products or nutritional supplements.
• Tell the doctor if you have undergone any surgical procedure.

1. Is it safe to alter the dose of SEFSTART Capsule?

No. Altering the dose of SEFSTART Capsule is not advisable. Please take the medicine as recommended by your doctor.

2. Is it safe to take SEFSTART Capsule while undergoing dialysis?

Please consult your doctor before taking SEFSTART Capsule if you are undergoing dialysis.

3. How should SEFSTART Capsule be stored?

SEFSTART Capsule should be stored at room temperature (15-30^oC), away from heat, light, and moisture.