Efica-Cee/Efica-Cee 500

Efica-Cee: Each 5 mL (1 teaspoonful) contains: Ascorbic Acid 100 mg, Zinc 10 mg (equivalent to 27.45 mg Zinc Sulfate Monohydrate).
Efica-Cee 500: Each capsule contains: Ascorbic Acid 500 mg (equivalent to Sodium Ascorbate 562.5 mg).
This product contains Ascorbic Acid (equivalent to Sodium Ascorbate 562.5 mg), a water-soluble vitamin, essential for the synthesis of collagen and intercellular material.

Efica-Cee: For the prevention and treatment of Vitamin C and Zinc deficiencies.
Efica-Cee 500: For the treatment and prevention of ascorbic acid deficiency and scurvy.

Efica-Cee: See table.

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Care that should be taken when taking this Medicine: Do not take more than the recommended dose.
Missed Dose: If the child misses the dose for the day just give the next dose and the subsequent doses as the usually recommended schedule, ex. Once a day.
Do not double the dose unless prescribed by a physician.
Efica-Cee 500: Adults: Orally, 1 capsule daily or as prescribed by a physician.
Care that should be taken when taking this Medicine: Swallow the capsule whole; do not crush or chew.
Missed Dose: Just take the next dose if the patient missed a dose. Do not take a double dose to make up the missed dose.

Signs and Symptoms: Vitamin C: Prolonged intake of Vitamin C in excess of 2 g/day may lead to nausea, abdominal cramps, diarrhea, and nose bleeds.
Zinc: Rare occurrences of acute zinc poisoning have been reported. The toxicity signs observed after ingestion of high zinc doses (4-8 grams) include nausea, vomiting, diarrhea, fever, metallic taste, and lethargy (sleepiness).
If the patient had taken more than the recommended dose, consult to a doctor or contact a poison center right away.

If the patient is allergic (hypersensitive) to any component of the product.

Ascorbic acid should be given with care to patients with hyperoxaluria and glucose-6-phosphate dehydrogenase (G6PD) deficiency. Tolerance may be induced with prolonged use of high doses.
In case of acute overdoses of zinc sulfate, use of emetics or gastric lavage should be avoided for this is corrosive due to the formation of zinc chloride by stomach acid; treatment consists of administration of milk or alkali carbonates and activated charcoal. Routinely monitor zinc status in patients receiving long term TPN (Total Parenteral Nutrition). Prolonged administration of high doses of zinc supplements by mouth leads to copper deficiency with associated sideroblastic anemia and neutropenia. Zinc toxicity has occurred after the use contaminated water in haemodialysis solution. Using chelating such as sodium calcium edentate may reduce high serum zinc concentration.
Consult the Doctor: If the patient experienced any undesirable effect, talk to a doctor.

Large Doses of Ascorbic Acid are reported to cause diarrhea and other gastrointestinal disturbances, hyperoxaluria, formation of renal calcium oxalate calculi and haemolysis in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency.
Vitamin C: Vitamin C is usually well tolerated. However, nausea, vomiting, heartburn, abdominal cramps, fatigue, flushing, insomnia, and sleepiness have been reported with high doses (ex. 1 g or more daily).
Zinc: Gastrointestinal side effects such as nausea and vomiting are seen with doses of elemental zinc greater than 30 mg.
Patient should seek medical attention immediately at the first sign of any adverse drug reaction.

Efica-Cee: The amount of nutrients in the product are not expected to interact with food or medicines.
Efica-Cee 500: It should not be given for the first month after starting desferrioxamine treatment.

Store at temperatures not exceeding 30°C. Protect from heat and light.

Vitamin C / Vitamins & Minerals (Paediatric)

A11GA01 - ascorbic acid (vit C) ; Belongs to the class of ascorbic acid (vitamin C). Used as dietary supplements.
A11GB - Ascorbic acid (vitamin C), combinations ; Used as dietary supplements.

Non-Rx