myUpchar प्लस+ के साथ पूरेे परिवार के हेल्थ खर्च पर भारी बचत

Summary

Anaemia is a condition marked by a decrease in red blood cell (RBC) count or the haemoglobin concentration. There are different types of anaemia such as iron deficiency anaemia, megaloblastic anaemia, aplastic anaemia and many more. Causes of the condition can be diverse such as heavy blood loss due to parasitic infection, heavy menstrual flow, pregnancy and poor nutrition. Anaemia can lead to symptoms like fatigue, weakness, pale skin and difficulty in breathing. It can be investigated through diagnostic tests such as complete blood count including haemoglobin and red blood cells count, stool examination to rule out parasitic infection, and bone marrow examination in case of aplastic anaemia. Treatment of anaemia depends upon its underlying cause and may include proper nourishment and iron supplements in case of nutritional-deficiency anaemias. Severe anaemia is treated by whole blood transfusion. In the case of aplastic anaemia, or persistent anaemia, a bone marrow transplant is usually the last resort. The outcome of anaemia depends upon the underlying condition and since most of the causes are treatable, the outcome is also good. If the condition remains undetected, anaemia can lead to complications like premature delivery, anaemia in the newborn baby, low birth weight, convulsions and organ damage among others.

  1. What is anemia
  2. Types of anemia
  3. Stages of anemia
  4. Anemia symptoms
  5. Anemia causes and risk factors
  6. Prevention of anemia
  7. Diagnosis of anemia
  8. Anemia treatment
  9. Anemia prognosis & complications
  10. Medicines for Anemia
  11. Doctors for Anemia

What is anemia

Our blood is a circulating fluid in the body which provides different nutrients to and carries waste material out of the cells. One of the important components of blood is red blood cells (RBCs), which contain a protein called haemoglobin. The haemoglobin carries oxygen to each part of the body, which is essential to carry out important functions. Upon reduction of either red blood cells or haemoglobin level, our body suffers from a lack of oxygen, and hence the functions of the body are also affected. This condition in which there is a decrease in the RBC count or haemoglobin level is called as anaemia. According to the 2006 data by the Indian National Family Health Survey (NFHS), around 55% of females and 29% of males in the age group of 15-49 years suffer from anaemia. It is one of the major health issues in Indian females as most of those who are in the reproductive age are anaemic. Therefore, you should always visit your doctor for regular health check-up including laboratory tests to keep a check on red blood cell count and haemoglobin level. Also, as a preventive measure, you should have a nutritious diet containing iron, vitamin C and zinc among others.

What Is Anaemia?

Anaemia is a condition in which there is a decrease in the oxygen carrying capacity of the blood due to a low red blood cell count or low haemoglobin concentration.

Types of anemia

There are various types of anaemia as mentioned below. A few of these are commonly seen in the Indian population. These include:

  • Iron deficiency anaemia
    This is the most common type of anaemia and occurs due to a deficiency of iron. As iron is responsible for the production of haemoglobin, a decrease in its level due to poor nutrition can lead to this type of anaemia.
  • Megaloblastic anaemia
    It is also a type of nutritional anaemia caused by a deficiency of vitamin B12 and folic acid.
  • Gestational anaemia
    Due to physiological changes during pregnancy, there is an increase in volume and dilution of the blood, which leads to anaemia. Also, there is an increased demand for haemoglobin as the foetus grows in the womb of the mother.
  • Sickle cell disease
    It is an inherited condition found in children, in which the normal shape of red blood cells is changed and there is a production of pathological haemoglobin. This makes the red cells rigid, and hence they get destroyed while passing through small blood vessels thus causing anaemia.
  • Thalassemia
    It is an inherited condition which leads to the production of different types of haemoglobin due to a defect in genes, and hence the normal functional variant of haemoglobin reduces in the body, leading to anaemia.
  • Aplastic anaemia
    It is the condition in which the bone marrow of long bones (responsible for the production of new red blood cells) fails to produce the required amount of RBCs, thereby causing anaemia.
  • Miscellaneous
    This includes the other types of anaemia such as:
    • Hemorrhagic anaemia
      It occurs due to chronic blood loss caused by worm infestation, piles, and stomach or intestinal ulcers. Anaemia may also occur due to acute blood loss in case of accidents and heavy menstrual bleeding.
    • Anaemia in Chronic Kidney Disease
      Chronic kidney disease in which there is a decrease in the production of a factor called erythropoietin, which is necessary for the production of red blood cells. Hence, there is less number of red blood cells, which leads to anaemia.
    • Unexplained anaemia
      This type of anaemia usually occurs in the elderly. The anaemia is mild with a haemoglobin level not less than 1 g/dL below the normal range. It is known as unexplained anaemia because the condition cannot be attributed to a single cause, and there are multiple factors which are responsible for its development.
 

Stages of anemia

Depending upon the haemoglobin concentration denoted in g/dL unit, anaemia can be categorized in three main stages, which are:

In adults

  • Mild: Haemoglobin concentration of 11-11.9 g/dL
  • Moderate: Haemoglobin concentration of 8-10.9 g/dL
  • Severe: Haemoglobin concentration of less than 8 g/dL

In pregnant women

  • Mild: Haemoglobin concentration of 9-11 g/dL.
  • Moderate: Haemoglobin concentration of 7-9 g/dL.
  • Severe: Haemoglobin concentration <7 g/dL.

Treatment option is decided on the basis of the stage of anaemia and overall health of the person.

Anemia symptoms

As mentioned above, in anaemia, the oxygen-carrying capacity of the blood is reduced. Therefore, the symptoms are also related to this change and include:

  • Weakness
    A feeling of weakness is the most common symptom of anaemia and can be noticed as tiredness without doing any significantly heavy activity.
  • Difficulty in breathing
    One of the most noticeable symptoms of anaemia is having difficulty in taking breaths or taking efforts to catch a breath.
  • Uneasy feeling
    Sometimes you may feel a lack of sense of well-being or an unexplained uneasy feeling which may due to anaemia.
  • Dizziness
    Dizziness should never be ignored as it can lead to complications like injury due to a fall. This can be due to a reduced oxygen supply to your brain.
  • Decrease in performance
    You may not be able to exercise or work or study, which you could easily do before. It may include a persistent lack of concentration or focus in work.
  • Headache
    A headache a rare symptom of anaemia with a mild to moderate degree of pain.
  • Pica
    Longing to eat or eating things which are generally not edible like chalk, ice and clay, is known as pica. This feeling is mostly associated with anaemia but is rarely seen.

Anemia causes and risk factors

Some important and common causes of anaemia are listed below:

  • An iron deficient diet
    Children are recommended to take iron daily in a dose of 10 mg/day. For males, the recommended dose is 12 mg/day and for females of reproductive age, it is 15 mg/day. It implies that you should include a sufficient quantity of iron-rich food in your diet, otherwise you may suffer from iron-deficiency anaemia. Vegetarian foods in India are mostly not fortified with iron, and hence strict vegetarians are more prone to developing iron deficiency anaemia.
  • Vitamin B12 and folate deficiency
    If your diet is lacking foods rich in vitamin B12 such as meat, egg, fish, or if you are purely a vegetarian then you may suffer from this type of anaemia.
  • Celiac Disease
    It is an autoimmune disorder, a condition in which your immune system attacks your body instead of protecting it. In celiac disease, the immune system starts attacking the tissues of the small intestine. As a result, there is malabsorption and diarrhoea. Hence, there is a deficiency of nutrients in the body, which can lead to anaemia.
  • Low vitamin C intake
    Vitamin C is required for proper absorption of iron from your intestine. Hence, a deficiency of this vitamin can lead to anaemia.
  • Worm infection
    Worm infection is more common in children and it leads to blood loss through stool, leading to anaemia.
  • Pregnancy and lactation
    There is an increase in the iron requirement during pregnancy and lactation as the blood volume increases due to the dilution of blood. Hence, there is a physiological anaemia that occurs in pregnancy.
  • Drugs
    Some drugs used for the treatment of HIV (like zidovudine and nevirapine) and cancer can cause anaemia as a side effect.

Risk factors

There are certain factors, which increase the risk of developing anaemia. They are:

  • Strict vegetarian diet
    People eating only vegetarian food are at high risk of developing nutritional anaemia.
  • Pregnancy
    In pregnancy, there is an increased demand for iron and thus all pregnant females are at a higher risk of developing anaemia.
  • Poor economic condition
    It is found that people who belong to low economic class suffer from this condition due to a lack of nutritious food.
  • Alcohol consumption
    People who consume alcohol are at a higher risk because alcohol interferes with the absorption of iron. They may also suffer from peptic ulcers, which on chronic bleeding, cause anaemia.
  • Tobacco consumption
    Chewing tobacco can interfere with the metabolism of iron, which may lead to anaemia.
  • Having tea with food
    If you consume tea with or after food, it affects the absorption of iron from the diet, and hence increases the risk of developing anaemia.
  • Genetic factor
    If your maternal or paternal family member is suffering from a condition like sickle cell anaemia or thalassemia, you may inherit the condition too.

Prevention of anemia

Anaemia of nutritional origin is completely preventable by following some important tips such as:

  • Eating beans
    Beans are a good source of iron. Including various types of beans like soybean and French bean in your diet can help prevent iron-deficiency.
  • Consumption of meat, fish, chicken, or eggs
    They contain vitamin B12 and folic acid which can prevent megaloblastic anaemia.
  • Education and awareness
    Most people are not aware of the fact that nutrition plays an important role to prevent anaemia. Also, in Indian society, females of childbearing age tend to ignore their overall health and do not take an iron-rich diet, and hence suffer from anaemia in the early stage of pregnancy. Increasing awareness of this fact is important to reduce the cases of anaemia.
  • Avoiding tea with meals
    As tea affects the absorption of iron when taken with food, avoiding tea will help in proper absorption of iron from the intestine.
  • Preventing worm infection
    By taking one tablet of Albendazole annually or half-yearly with proper guidance and check-up by your doctor, worm infection can be prevented.

Diagnosis of anemia

For diagnosing the exact cause of anaemia, following diagnostic tools are used:

  • Complete medical history
    Your doctor will take down a complete medical history including your personal history to rule out anaemia due to poor nutrition, and family history to rule out an inherited cause of anaemia like sickle cell anaemia or thalassemia.
  • Clinical examination
    It helps in diagnosing the common type of anaemia by looking for discolouration (pallor) of the eyelids, tongue, nail beds and palms. Also, your feeble pulse can give a clue to the doctor along with an increased heart rate. For further confirmation, your doctor may prescribe diagnostic tests.
  • Complete blood count
    It includes an estimation of haemoglobin concentration, red blood cell count, red cell distribution width, packed cell volume, mean corpuscular volume, and mean corpuscular haemoglobin concentration.
  • Test for checking iron concentration in blood
    Test such as total iron binding capacity, serum iron, and serum ferritin may be advised to find out the concentration of iron stores in the blood.
  • Serum B12
    To rule out the deficiency of vitamin B12.
  • Serum Folic acid
    To test for any existing folic acid deficiency.
  • Bone marrow examination
    It is done to find out the cause in case of an unexplained anaemia or in suspected cases of aplastic anaemia.
  • Stool examination
    To rule out worm infection like hookworm, which can cause blood loss and anaemia.

Anemia treatment

Treatment of anaemia generally depends upon the underlying cause, grade of anaemia and overall health of the person.

General points for the treatment of anaemia:

  • Maintaining proper nutrition by taking iron, vitamin B12 and folic acid supplements under the guidance of your doctor.
  • Taking a diet rich in iron like green leafy vegetables, fresh fruits, egg, meat and fish.
  • Eating sufficient amount of vitamin-rich foods like citrus fruits including lemons, oranges, mango, and more. Also, vitamin C supplements are available over-the-counter. However, check with your doctor to know the correct dosage as per your age and body weight.
  • Albendazole tablet once every six months for deworming children.
  • A compulsory iron and folic acid supplementation in adolescent boys and girls and pregnant women irrespective of their anaemia status.

Treatment depending upon grades of anaemia:

  • For mild anaemia, your doctor will advise you to take a diet rich in iron and folic acid.
  • In case of moderate level of anaemia, your doctor may advise iron and folic acid supplements. It works especially if you are asymptomatic and can tolerate oral iron therapy without any side effects like gastric intolerance, which can cause diarrhoea. In case of oral iron intolerance, your doctor may start with injectable therapy, which generally does not require admission to the hospital, and you can go home after taking the dose and come back again for next one.
  • In case of severe anaemia, depending upon your overall health, your doctor may choose to give injectable iron or may advise hospitalization to check for your vitals like pulse, blood pressure, breathing. Also, sometimes artificial oxygen might be required.
  • Blood transfusion
    In case of severe anaemia and conditions like sickle cell anaemia and thalassemia, blood transfusion is the treatment of choice.
  • Bone marrow transplant
    Bone marrow is the blood cell-producing tissue present in the long bones. In conditions like aplastic anaemia, there is a destruction or malfunction of the bone marrow, and it is not able to produce blood cells. Therefore, bone marrow from a healthy donor may be transplanted to the person by surgery.
  • Erythropoietin
    It is a hormone present in the kidneys, which is necessary for the production of blood cells. It can be used for treating anaemia in people with kidney disease who are not able to produce erythropoietin due to kidney damage.
  • Splenectomy
    The spleen is a small organ near the stomach, which is important for new red blood cell production along with the destruction of old red blood cells. Red blood cells have a lifespan of 120 days. In people with anaemia, sometimes there is a tendency of excessive breakdown of red blood cells in the spleen. In such cases, surgical removal of the spleen is the treatment of choice (splenectomy).

Treatment of anaemia in pregnancy:

  • For mild anaemia with haemoglobin levels of 9-11 g/dL, your doctor may advise you oral iron and folic acid tablets on a daily basis and may ask to repeat laboratory test after a month to check for any improvement.
  • For moderate anaemia with haemoglobin levels of 7-9 g/dL, your doctor may first try to find out the cause and then start the treatment by giving oral iron and folic acid tablet. A monthly reassessment is done to check whether the haemoglobin levels have reached between 8-9 g/dL. Your doctor may also start injectable iron supplements to make your haemoglobin levels reach up to 9 g/dL and then again put you on oral supplements.
  • For severe anaemia with haemoglobin levels of <7 g/dL, your doctor needs to look for the cause for such low levels and may start injectable iron supplements immediately. The doctor may also hospitalise you for a blood transfusion if the delivery is near or the levels are too low.

Lifestyle management

Anaemia can be managed effectively by making some simple lifestyle changes. These include:

  • Avoiding Tobacco use
    Use of tobacco can affect the iron absorption and metabolism, which reduces the level of iron in the body thus causing its deficiency. Hence, avoiding tobacco use can help prevent anaemia.
  • Avoiding tea with food
    Tea can impair iron absorption, hence avoiding tea with meals can help to improve the absorption of iron.
  • Taking a diet rich in iron
    To maintain adequate iron stores in the body, have a diet rich in green leafy vegetables, fresh fruits, beans, egg, fish and meat.

Anemia prognosis & complications

Prognosis

The outcome of anaemia depends upon the underlying cause and overall health of the person. Mostly prognosis is very good as most of the causes are diagnosable and treatable.

Complications

Anaemia should not be ignored as its complication may be life-threatening:

  • Organ damage
    In case severe anaemia is not treated, a lack of oxygen to the organs may lead to organ damage and sometimes the damage may be permanent causing a lifelong disability.
  • Hypertension and convulsions in pregnancy
    Pregnant anaemic females have an increased risk of developing pregnancy-induced hypertension (high blood pressure), which further can lead to a pre-convulsion and convulsion (sudden involuntary shaky movements of the body caused due to a disorder in the brain) stage with life-threatening complications.
  • Early delivery
    In pregnancy, anaemia can lead to severe complications like premature delivery of the baby.
  • Low birth weight
    One more common complication of anaemia in pregnancy is a low birth weight of the baby (less than 2 kg). Sometimes the weight is extremely low (up to 1 kg) due to which the infant survival rate becomes low.
Dr. Krish Jivani

Dr. Krish Jivani

सामान्य चिकित्सा

Dr. Manoz Marwin

Dr. Manoz Marwin

सामान्य चिकित्सा

Dr. Prathamesh Mangale

Dr. Prathamesh Mangale

सामान्य चिकित्सा

Medicines for Anemia

Medicines listed below are available for Anemia. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Pregastar PlusPregastar Plus 75 Mg Tablet Sr109.0
AlpharedAlphared 2000 Iu Injection100.0
AnfoeAnfoe 10000 Iu Injection3200.0
CadicritCadicrit 2000 Mg Injection340.0
EposisEposis 10000 Iu Injection3047.0
EpotrendEpotrend 6000 Iu Prefilled Syringe2260.0
TransferTransfer 4000 Iu Injection1450.0
EpoceptEpocept 10000 Iu Injection3295.0
EpofitEpofit 10000 Iu Prefilled Syringe3500.0
RenocelRenocel 10000 Iu Injection3500.0
Deca Durabolin Injection.Deca Durabolin 50 Mg Injection256.0
Deca Durabolin InjectionDeca Durabolin 100 Mg Injection408.0
DecaneurabolDecaneurabol 25 Mg Injection108.0
DecaneurophenDecaneurophen 25 Mg Injection112.0
Durabolin (Organon)Durabolin 25 Mg Injection78.0
MetabolMetabol 25 Mg Injection86.0
Metadec (Jagsonpal)Metadec 100 Mg Injection337.0
NeurophenNeurophen 25 Mg Injection69.0
ProtabolProtabol 25 Mg Injection71.0
ZestabolinZestabolin 50 Mg Injection135.0
AminodecAminodec 50 Mg Injection120.0
AndecaAndeca 25 Mg Injection62.0
AumentoAumento 100 Mg Injection250.0
AurobolinAurobolin 25 Mg Injection76.0
BetadecabolinBetadecabolin 25 Mg Injection57.0
BevodecBevodec 25 Mg Injection68.0
CenpowerCenpower 25 Mg Injection73.0
Deca AnabolinDeca Anabolin 25 Mg Injection136.0
Decabolin (Medinova)Decabolin 25 Mg Injection75.0
DecadurakopDecadurakop 25 Mg Injection97.0
Deca EvabolinDeca Evabolin 25 Mg Injection39.0
DecakabDecakab 25 Mg Injection64.0
DecamaxDecamax 25 Mg Injection88.0
DecameribolDecameribol 50 Mg Injection69.0
DecamidDecamid 25 Injection86.0
DecaminDecamin 25 Mg Injection65.0
DecatrolinDecatrolin 25 Mg Injection96.0
DecdolDecdol 25 Mg Injection71.0
De ConbolDe Conbol 25 Mg Injection100.0
DocabolinDocabolin 50 Mg Injection40.0
EffibolEffibol 25 Mg Injection52.0
EffilinEffilin 25 Mg Injection63.0
InstadecInstadec 25 Mg Injection85.0
LeodecLeodec 25 Mg Injection84.0
MartidecaMartideca 25 Mg Injection108.0
MartiloneMartilone 25 Mg Injection54.0
MetabolinMetabolin 25 Mg Injection93.0
Met Up(Obsurge)Met Up 25 Mg Injection78.0
NadrosolNadrosol 25 Mg Injection110.0
Nandrolone DecanoateNandrolone Decanoate 25 Mg Injection12.0
Nd GoldNd Gold 25 Mg Injection92.0
NovodecNovodec 50 Mg Injection108.0
OctobolinOctobolin 25 Mg Injection39.0
OctodecOctodec 25 Mg Injection85.0
ProtadecProtadec 25 Mg Injection119.0
ProtomarkProtomark 25 Mg Injection114.0
ProtophenProtophen 25 Mg Injection52.0
RapticRaptic 25 Mg Injection80.0
RefastRefast 50 Mg Injection94.0
RevidecRevidec 25 Mg Injection85.0
SensinormSensinorm 25 Mg Injection66.0
SynodecSynodec 50 Mg Injection100.0
VoltaVolta 25 Mg Injection67.0
ZebolZebol 25 Mg Injection78.0
ZendecZendec 25 Mg Injection80.0
ZotabolinZotabolin 25 Mg Injection32.0
AldroneAldrone 25 Mg Injection20.0
Alkem NandroloneAlkem Nandrolone 25 Mg Injection12.0
AmdecAmdec Drops131.0
AnaballAnaball 25 Mg Injection33.0
AnamidAnamid 25 Mg Injection39.0
AvillinAvillin 25 Mg Injection31.0
BetabolinBetabolin 25 Mg Injection48.0
BiodebolBiodebol 25 Mg Injection21.0
CadabolicCadabolic 25 Mg Injection17.0
Celon (Clyde)Celon 25 Mg Injection81.0
CheribolCheribol 25 Mg Injection64.0
Decabolin (Nicholas)Decabolin 50 Mg Injection19.0
DecadexDecadex 25 Mg Injection25.0
Deca Evabolin (Woc)Deca Evabolin 25 Mg Injection16.0
Decamore BolinDecamore Bolin 25 Mg Injection16.0
DecanandrobolDecanandrobol 25 Mg Injection19.0
Deca NdrDeca Ndr 25 Mg Injection89.0
DecanevolDecanevol 50 Mg Injection140.0
DecapicDecapic 25 Mg Injection17.0
Deca RanbisoloneDeca Ranbisolone 25 Mg Injection21.0
DecavillinDecavillin 25 Mg Injection68.0
DetaduraDetadura 25 Mg Injection114.0
EldecEldec 25 Mg Injection63.0
Embolin DecEmbolin Dec 50 Mg Injection113.0
HidecHidec 25 Mg Injection80.0
IntabolinIntabolin 50 Mg Injection18.0
KindacKindac 25 Mg Injection80.0
LincodecLincodec 25 Mg Injection75.0
MetupMetup 25 Mg Tablet98.0
MyobolinMyobolin 25 Mg Injection55.0
NandroNandro 50 Mg Injection53.0
NandrobolNandrobol 25 Mg Injection35.0
NandrodecNandrodec 25 Mg Injection66.0
NandrolinNandrolin 25 Mg Injection18.0
NandyNandy 50 Mg Injection100.0
NdcNdc 25 Mg Injection81.0
NdrNdr 25 Mg Injection47.0
NeodecNeodec 25 Mg Injection75.0
NeurofolNeurofol 25 Mg Injection79.0
Nicobolin (Nicholas)Nicobolin 25 Mg Injection12.0
NoldyNoldy 25 Mg Injection74.0
N ZoleN Zole 25 Mg Injection62.0
SanbolSanbol 25 Mg Injection39.0
SolidecSolidec 50 Injection120.0
VelbolVelbol 25 Mg Injection59.0
WodroneWodrone 25 Mg Injection50.0
ZanetaZaneta 25 Mg Injection72.0
ZendroneZendrone 25 Mg Injection17.0
MeganeuronMeganeuron 500 Mcg Injection24.0
MethycobalMethycobal 500 Mcg Injection104.0
RejunuronRejunuron 500 Mcg Injection70.0
Absolut DmAbsolut Dm 500 Mcg Injection94.0
Acvit 12Acvit 12 500 Mcg Injection9.0
AlaminAlamin Injection149.0
AlphacobalAlphacobal 0.5 Mg Injection35.0
Beta Cobal ForteBeta Cobal Forte Injection53.0
Beta CobalBeta Cobal Injection59.0
BigvinBigvin 0.5 Mg Injection9.0
BunalcoBunalco Injection55.0
Cb MaxCb Max 0.5 Mg Injection34.0
CobanuronCobanuron Injection14.0
CobatusCobatus 1500 Mcg Tablet49.0
Cob ZCob Z 0.5 Mg Injection30.0
CostrumCostrum Injection22.0
DumelDumel Capsule125.0
EfcobaEfcoba 500 Mcg Injection59.0
FibrogesicFibrogesic Injection36.0
Keenuron ForteKeenuron Forte Capsule72.11
KeenuronKeenuron Capsule86.53
Macravit MeMacravit Me Injection30.0
Me 12Me 12 Injection22.0
MeaxonMeaxon H Tablet89.0
MecobalMecobal Injection15.0
Mecobal PlusMecobal Plus Capsule102.0
MecolbinMecolbin Injection23.0
MeconervMeconerv 1500 Mcg Tablet148.0
MeconeuronMeconeuron Injection22.0
MecosarMecosar 500 Mcg Injection20.0
MecovonMecovon 1000 Mcg Injection33.0
MedineuronMedineuron Injection35.0
MegoMego 0.5 Mg Injection14.0
Met B12Met B12 12 Mg Injection28.0
MethicoMethico 500 Mcg Tablet59.0
MikobMikob 1000 Mcg Injection24.0
Movacobal ForteMovacobal Forte Injection79.0
Movacobal NfMovacobal Nf Injection109.0
Mycobal (Marc)Mycobal Injection48.0
NerfitNerfit Injection29.0
NervisunNervisun 1000 Mcg Injection46.0
NervominNervomin 1500 Mcg Tablet81.72
Neuratab MNeuratab M Forte 1000 Mcg Injection40.0
NeurodinNeurodin 1000 Mcg Injection20.0
NeurofastNeurofast 2500 Mcg Injection85.0
NeurominNeuromin 500 Mcg Injection22.0
NeutronNeutron 1000 Mcg Injection92.0
NuriteNurite 500 Mcg Injection99.0
Ovit PlusOvit Plus 0.5 Mg Injection59.0
RejoiceRejoice 1000 Mcg Injection39.0
Rejunuron ForteRejunuron Forte 1500 Mcg/2 Ml Injection98.0
Rejunuron PlusRejunuron Plus 1000 Mcg/2 Ml Injection94.0
RexiteRexite 1000 Mcg Injection65.0
TrinerveTrinerve 500 Mcg Injection11.0
UnicobalUnicobal 500 Mcg Injection42.0
VitcobinVitcobin 0.5 Mg Injection7.0
Zintra MZintra M Injection32.0
AmycobalAmycobal 500 Mcg Injection44.0
BetanuronBetanuron Od 1500 Mcg Injection39.0
BlieuBlieu Capsule104.0
Cobaday OdCobaday Od Tablet90.0
Coba ForteCoba Forte 500 Mcg Injection33.0
Cobalan PlusCobalan Plus 1500 Mcg Injection45.0
CumeeCumee 2500 Mcg Injection70.0
CycobalCycobal Injection5.0
Cynocal M ForteCynocal M Forte Capsule114.0
Diacobal ForteDiacobal Forte 500 Mcg Injection80.0
Eratone RfEratone Rf Injection20.0
Fotia PlusFotia Plus Injection16.0
Hi CobalHi Cobal 2500 Mcg Injection75.0
Kesavit MKesavit M 0.5 Mg Injection51.0
MaxnerveMaxnerve Injection79.0
Mecabalin 500 μg InjectionMecabalin 500 Mcg Injection6.0
Meco 12Meco 12 Tablet36.0
MecobMecob Injection30.0
MecobexMecobex 500 Mg Injection12.0
MecofolMecofol Od Tablet89.0
Mecoindia PlusMecoindia Plus 1500 Mcg Tablet107.0
MeganervMeganerv Injection4.0
Meganerv PlusMeganerv Plus Injection17.0
MethylcobalaminMethylcobalamin 500 Mcg Injection70.0
MicabalMicabal Injection4.0
M Neuron GoldM Neuron Gold Injection19.0
MonocobalMonocobal Injection58.0
Mycobal Plus (Ind Swift)Mycobal Plus Injection11.0
NervoNervo Injection46.0
NeucobalNeucobal 500 Mcg Injection124.0
Neuri ForteNeuri Forte Injection18.0
Neurodol (Zeus)Neurodol Injection40.0
NeuroswiftNeuroswift 2500 Mcg Injection95.0
Nu B12Nu B12 500 Mcg Injection54.0
Nurokind OdNurokind Od 1500 Mcg Injection16.0
NurozNuroz 500 Mcg Injection23.0
ResnerResner 500 Y Injection20.0
SamionSamion 500 Mcg Injection30.0
ZebicomZebicom Injection54.0
Zonuron PlusZonuron Plus 1.5 Mg Injection43.0
Orofer SOrofer S 100 Mg Injection261.8
LenalidLenalid 10 Mg Capsule8976.0
Lenalid MfLenalid Mf 25 Mg Capsule18501.2
LenangioLenangio 10 Mg Capsule2821.0
LenidLenid 10 Mg Capsule2900.0
LenmidLenmid 10 Mg Capsule2000.0
LenomeLenome 25 Mg Capsule17142.9
LenomustLenomust 10 Mg Capsule8750.0
LenzestLenzest 10 Mg Capsule2888.2
MyelosafeMyelosafe Capsule85.0
Myelosafe PgMyelosafe Pg Tablet105.34
AdcobAdcob 100 Mg Injection220.0
FemozerFemozer 100 Mg Injection67.5
LeferonLeferon 100 Mg Injection185.26
Nid(Vilberry)Nid 20 Mg Injection275.0
SfeSfe 50 Mg Injection93.83
UnirautUniraut 100 Mg Injection246.66
VenoferVenofer 100 Mg Injection360.0
AnoferAnofer 100 Mg Injection274.5
FerojectFeroject 100 Mg Injection234.82
Globac SafeGlobac Safe 100 Mg Injection260.0
HemferHemfer 100 Mg Injection218.5
Rose Iron InjectionRose Iron Injection280.0
ActoriseActorise 25 Mcg Injection1500.0
BionespBionesp 40 Mg Injection2150.0
CrespCresp 25 Mcg Injection1599.0
DarbatitorDarbatitor 25 Mcg Injection1525.43
DarbecureDarbecure 25 Mcg Injection1558.0
DarceptDarcept 25 Mg Injection1714.28
DargenDargen 25 Mcg Prefilled Syringe1523.0
KabidarbaKabidarba 25 Mg Injection1513.32
BiovorinBiovorin 50 Mg Injection121.25
FastovorinFastovorin 50 Mg Injection325.0
LeucoparLeucopar 15 Mg Injection96.15
LeucovorinLeucovorin 15 Mg Injection297.0
Leucovorin (Dabur)Leucovorin 15 Mg Injection98.0
RecovorinRecovorin 15 Mg Injection95.63
H.B.RedH.B.Red Injection28.57
RenocritRenocrit 4000 Iu Prefilled Syringe1237.23
Acegaba MeAcegaba Me 100 Mg/500 Mcg Tablet60.0
AlcobalAlcobal 300 Mg/500 Mcg Tablet0.0
Cobal GCobal G 300 Mg/500 Mcg Tablet0.0
DoloneuronDoloneuron 100 Mg Tablet88.5
Escorvit ForteEscorvit Forte Tablet0.0
GabacomGabacom Tablet0.0
Gabaford Plus TabletGabaford Plus Tablet93.33
Gabagesic MGabagesic M 300 Mg/500 Mg Tablet129.0
GabaneuronGabaneuron 100 Tablet63.1
Gabantin PlusGabantin Plus 100 Mg/500 Mcg Tablet77.0
GabanylGabanyl 300 Mg/500 Mg Tablet110.0
GabarichGabarich 100 Mcg/500 Mcg Tablet63.0
Gabatop MGabatop M 300 Mg/500 Mcg Tablet0.0
Gapin M TabletGapin M Tablet 300 Mg/500 Mcg0.0
Gbm TabletGbm Tablet0.0
Milcy ForteMilcy Forte Tablet0.0
Neurodin GNeurodin G 300 Mg/1500 Mcg Tablet90.0
Neuro GmNeuro Gm 300 Mg/500 Mcg Tablet99.0
Novonerve GNovonerve G 300 Mg/500 Mcg Tablet115.35
Nuroclad GbNuroclad Gb 300 Mg/500 Mcg Tablet90.0
Nurogabin CapsuleNurogabin Capsule0.0
Nuromark GNuromark G 300 Mg/500 Mcg Tablet110.0
Renerve GRenerve G 100 Mcg/500 Mcg Capsule92.5
ZgabazZgabaz 300 Mg/500 Mg Tablet102.6
Cobagen PlusCobagen Plus Tablet95.28
Cubal PlusCubal Plus 500 Mcg/300 Mg Tablet185.0
Freenerve GFreenerve G 300 Mg/500 Mg Tablet130.0
Gababit Mn TabletGababit Mn Tablet99.0
Gabacip MGabacip M Tablet41.25
GabametGabamet 300 Mg/500 Mcg Tablet123.05
GabaminGabamin 300 Mg/500 Mcg Tablet111.75
Gabanerve TabletGabanerve Tablet99.37
Gabata PlusGabata Plus 300 Mcg/500 Mcg Tablet120.0
Gabatol MGabatol M 300 Mg/750 Mcg Capsule130.0
Gabella M TabletGabella M Tablet95.67
GabenGaben 75 Mg/750 Mcg Capsule93.5
GabilGabil 300 Mg/500 Mcg Tablet144.0
Gapitas MGapitas M 300 Mg/50 Mg Tablet99.0
Mecabalin GabaMecabalin Gaba Tablet147.5
Mecobec G TabletMecobec G Tablet130.0
Mecobest GMecobest G Tablet104.87
Mecofort GMecofort G Capsule133.65
Mecorik GMecorik G Tablet127.0
Meecofix GbMeecofix Gb Tablet62.5
Mewin GbMewin Gb Tablet75.23
Miko GMiko G Tablet110.0
Miol GMiol G 300 Mg/500 Mcg Tablet125.0
Monocobal GbMonocobal Gb 300 Mg/500 Mg Tablet111.21
Mycobalamine GMycobalamine G Tablet21.87
Necob G TabletNecob G Tablet110.0
Nervisun GNervisun G Tablet109.53
NervuptinNervuptin Tablet140.83
Nurovita GNurovita G 300 Mg/500 Mcg Tablet95.0
Shicobal GShicobal G 300 Mg/500 Mcg Tablet114.28
Templer MTempler M 300 Mg/500 Mcg Capsule118.48
VoltadinVoltadin 300 Mcg/500 Mcg Tablet161.0
AmnuriteAmnurite 10 Mg/1500 Mcg Tablet96.56
Anefol XtAnefol Xt Injection34.9
Cpink SCpink S 100 Mg/1.5 Mg Injection251.0
FerocadFerocad Capsule8.87
HaemazeHaemaze Forte Capsule63.0
Balamin PgBalamin Pg 750 Mcg/75 Mg Capsule110.0
Coba PgCoba Pg Tablet127.92
DewfitDewfit Capsule85.67
Doloneuron PgDoloneuron Pg 75 Mg Capsule79.0
Fibrogesic SrFibrogesic Sr 75 Mg/1500 Mcg Tablet120.0
GabamaxGabamax 750 Mcg/75 Mg Capsule86.89
Gabavit PGabavit P Capsule95.36
Gabawin MGabawin M 500 Mcg/25 Mg Tablet53.0
Gabaz PlusGabaz Plus Tablet95.0
Hexagab Sr TabletHexagab Sr Tablet109.0
Hexagab TabletHexagab Tablet99.0
Igalin SrIgalin Sr 75 Mg/1500 Mcg Tablet105.0
Kopreg MKopreg M 75 Mg/0.75 Mg Capsule79.5
Maxgalin MMaxgalin M 0.75 Mg/75 Mg Capsule120.0
Meaxon PgMeaxon Pg Tablet85.62
Mecobil PMecobil P 75 Mg/1500 Mcg Capsule105.0
Meconuron PMeconuron P 75 Mg/0.75 Mg Capsule87.0
Mecosule PlusMecosule Plus Capsule125.0
MegabidMegabid 0.5 Mg/75 Mg Capsule94.6
MethynxtMethynxt 750 Mcg/75 Mg Capsule98.0
Metlin TabletMetlin Tablet88.57
MidlinMidlin 150 Tablet70.0
Mikob GMikob G Capsule94.0
NatalifeNatalife Od Tablet127.0
Nervilax MNervilax M 750 Mcg/75 Mg Tablet115.0
Nervimin ANervimin A Capsule84.18
NervmaxNervmax Capsule129.0
Neugaba MNeugaba M 150 Capsule114.5
Neugalin MNeugalin M Capsule111.5
Neurodin PgNeurodin Pg Capsule85.71
Novonerve PgNovonerve Pg 75 Mg/750 Mcg Tablet105.73
OsteonuronOsteonuron 750 Mcg/75 Mg Capsule115.0
Peblin MPeblin M 500 Mcg/75 Mg Tablet144.26
Prebeta MPrebeta M 750 Mg/75 Mg Tablet94.0
Prebid PlusPrebid Plus 1.5 Mg/75 Mg Tablet Sr192.9
PrecovinPrecovin 1500 Mcg/75 Mg Capsule85.6
Preega MPreega M 750 Mcg/150 Mg Capsule147.0
Pregaba MPregaba M 750 Mcg/150 Mg Capsule170.95
Pregaba PlusPregaba Plus 0.75 Mg/75 Mg Capsule115.0
Pregabid MePregabid Me 150 Capsule208.0
Pregalin MPregalin M 1500 Mcg/150 Mg Tablet189.75
Pregalin XPregalin X 1.5 Mg/75 Mg Tablet Sr163.5
PregametPregamet 1500 Mcg/75 Mg Tablet Sr135.0
PregasafePregasafe Tablet119.0
Pregastar MPregastar M 150 Tablet195.0
Pregatrip MPregatrip M Capsule102.86
Pregeb MPregeb M 150 Capsule190.0
Preglobin MPreglobin M Capsule85.0
Pregraf MPregraf M 750 Mg/75 Mg Capsule95.0
Prejunate PlusPrejunate Plus 0.75 Mg/150 Mg Capsule171.0
PrelogicPrelogic 750 Mcg/75 Mg Capsule135.0
Preneurolin PlusPreneurolin Plus 750 Mcg/75 Mg Capsule94.5
Prynerve MPrynerve M Tablet115.0
Pyrica MPyrica M 750 Mcg/75 Mg Capsule120.0
RegafixRegafix 75 Mg/750 Mcg Capsule100.56
Rejunate PlusRejunate Plus 0.5 Mg/300 Mg Tablet109.52
Rejunuron DnRejunuron Dn 1500 Mcg/75 Mg Tablet143.0
RejusiteRejusite 1500 Mcg/75 Mg Tablet121.22
RelnopaRelnopa 1500 Mcg/75 Mg Tablet Sr103.81
Revlin MRevlin M 1500 Mcg/150 Mg Tablet Sr181.5
TrikovitTrikovit Tablet76.2
Vibrania PVibrania P 0.75 Mg/75 Mg Capsule95.0
WegalinWegalin 750 Mcg/75 Mg Capsule99.5
Wegalin ForteWegalin Forte 750 Mcg/150 Mg Capsule179.0
Zeegab MZeegab M Tablet125.0
Zeegab TotalZeegab Total Tablet166.66
Algaba MAlgaba M Tablet105.0
Altranerv CapsuleAltranerv Capsule85.71
AnodineAnodine 50 Mg Tablet64.1
Axinerve PAxinerve P 1500 Mcg/75 Mg Tablet124.0
AxinerveAxinerve Tablet75.0
AxogurdAxogurd 1500 Mcg/75 Mg Tablet Sr131.0
Cmialgia MCmialgia M Capsule105.0
Complete B12 PlusComplete B12 Plus Tablet127.6
Dcg ForteDcg Forte Capsule138.0
Dioflam TabletDioflam Tablet38.0
Engaba MEngaba M 75 Mg/750 Mcg Tablet88.57
Freenerve PFreenerve P 75 Mg/0.75 Mg Tablet130.0
Gabafit MGabafit M Tablet128.07
Gabasafe PlusGabasafe Plus Sr 1500 Mcg/75 Mg Tablet107.16
Gablincad M PlusGablincad M Plus Tablet104.0
GavafitGavafit 750 Mcg/75 Mg Tablet150.0
Gb 29Gb 29 Capsule93.0
G NeuroG Neuro 75 Mg/750 Mcg Capsule104.65
GrandlinGrandlin 750 Mcg/75 Mg Capsule89.0
HygablinHygablin 750 Mcg/75 Mg Capsule123.0
Jublin MJublin M 750 Mcg/75 Mg Capsule140.0
Kopreg PlusKopreg Plus Capsule99.76
Macraberin PMacraberin P Tablet108.3
Mahagaba MMahagaba M Capsule110.0
Mecobion PMecobion P 750 Mcg/150 Mg Tablet86.62
Mecoblend PMecoblend P Tablet91.93
Mecofort PgMecofort Pg Capsule122.0
Mecorik PgMecorik Pg Capsule100.0
MeprMepr 750 Mg/75 Mg Capsule80.0
MepregMepreg Capsule105.0
MethypregMethypreg Tablet90.85
Met Neurobion PMet Neurobion P Capsule102.1
Mine PgMine Pg Capsule100.0
Miol PMiol P 750 Mcg/75 Mcg Capsule139.0
Mnc Plus CapsuleMnc Plus Capsule110.0
Mobyle PMobyle P Capsule89.9
MygabMygab Capsule99.0
Mymi PlusMymi Plus Tablet102.86
Nervecap PNervecap P Tablet105.0
NervedolNervedol Tablet95.0
NervgloNervglo 75 Mg/750 Mcg Capsule129.0
Nervisun PNervisun P Capsule90.47
Nervo PlusNervo Plus Tablet75.0
NervshineNervshine Sr 75 Mg Tablet99.0
Neugabid PlusNeugabid Plus Tablet120.0
Neurocobal GNeurocobal G Capsule52.86
Neurokem MNeurokem M Capsule111.0
Neuropath MNeuropath M Capsule95.0
Nova M CapsuleNova M 750 Mcg/75 Mg Capsule112.5
Nuramed MNuramed M Capsule84.0
Nuroday PNuroday P 1500 Mcg/75 Mg Tablet110.5
Nurovita PNurovita P 750 Mcg/75 Mg Capsule81.0
Pbren MPbren M 750 Mcg/75 Mg Capsule108.0
Peg Sr M 75Peg Sr M 75 Tablet112.0
Pegsr MPegsr M 1500 Mcg/75 Mg Tablet112.0
Pregaba FortePregaba Forte 750 Mcg/75 Mcg Capsule149.0
PregabanylPregabanyl Capsule130.0
Pregabid M OdPregabid M Od 1500 Mcg/100 Mg Tablet116.0
Pregacent MPregacent M 75 Mg/750 Mcg Tablet99.5
Pregacip MPregacip M 750 Mcg/75 Mg Capsule114.5
Pregalin FortePregalin Forte Capsule125.0
Preganerve MPreganerve M Tablet96.0
PreganexPreganex Capsule144.75
PregapilPregapil 500 Mcg/75 Mg Capsule435.56
Pregapil MPregapil M 750 Mcg/75 Mcg Capsule48.56
Pregason MPregason M 75 Mg/750 Mcg Capsule54.8
Prelin MPrelin M 750 Mcg/75 Mg Capsule192.0
PremetPremet Capsule120.0
Premylin MPremylin M 750 Mcg/75 Mg Tablet109.0
Pre RenerPre Rener 750 Mcg/75 Mg Tablet100.0
Prezum MPrezum M 150 Mg/1500 Mcg Tablet163.0
Progab MProgab M Tablet85.0
Prynerve PlusPrynerve Plus 750 Mcg/75 Mg Capsule109.0
Ranprega MRanprega M Capsule35.56
Recobal MRecobal M Capsule89.5
Rejunuron PlRejunuron Pl Capsule143.0
Renerve PRenerve P 750 Mcg/75 Mg Capsule132.4
Repagab MRepagab M 1500 Mcg/75 Mg Tablet131.0
RicodinRicodin M 750 Mcg/75 Mg Tablet89.3
SubalginSubalgin 75 Mg/750 Mcg Tablet94.28
Trugaba MTrugaba M 750 Mcg/75 Mg Tablet89.9
Vitcobin PVitcobin P 500 Mcg/75 Mg Tablet Sr99.0
Zenerv MZenerv M 750 Mcg/75 Mg Capsule106.48
ZengalinZengalin 750 Mcg/75 Mg Capsule120.0
Zevanuron CapsuleZevanuron Capsule126.4
Zylin MZylin M M 750 Mcg/75 Mg Capsule116.5
Bigvin PlusBigvin Plus Soft Gelatin Capsule75.0
Calvit 12Calvit 12 137.5 Mg/5000 Iu/50 Mcg Injection39.0
Epalrica MEpalrica M 150 Mg/1500 Mcg Tablet173.0
EpineuronEpineuron 150 Mg/1500 Mcg Tablet142.3
Aldonil PlusAldonil Plus 150 Mg/1500 Mcg Tablet191.8
Alrista PlusAlrista Plus 150 Mcg/1500 Mcg Tablet172.7
MepalMepal 150 Mg/1500 Mcg Tablet143.0
Epalrica MpEpalrica Mp Tablet186.9
Insulate NpInsulate Np Tablet200.0
MaxmalaMaxmala 50 Mg/750 Mcg/100 Mg Capsule101.0
Nervup PgNervup Pg Capsule160.7
NeuropillNeuropill 100 Tablet115.7
OnerveOnerve Capsule195.0
Orthoneuron PlusOrthoneuron Plus Tablet95.18
Prelica PlusPrelica Plus Capsule108.0
Nova PlusNova Plus 75 Mg/750 Mcg/150 Mg Capsule97.5
Maxnuron PgMaxnuron Pg Tablet310.0
Meaxon PlusMeaxon Plus Injection108.0
Nervijen PlusNervijen Plus Capsule111.0
Medineuron PlusMedineuron Plus Injection 1000 Mcg/100 Mg60.0
Nurostar CNurostar C 1000 Mcg/12 Mg Injection22.99
MetnuriteMetnurite 500 Mg/1500 Mg Tablet47.1
RejumetRejumet 1000 Mg Tablet64.0
Sugamet McSugamet Mc 1000 Mg Tablet87.5
Bigomet MBigomet M 500 Mg/750 Mcg Tablet46.5
Formin PlusFormin Plus 1000 Mg/1500 Mcg Tablet66.5
Nerverich GaNerverich Ga 300 Mg/500 Mcg/100 Mg Tablet0.0
TrigabantinTrigabantin 100 Mg Tablet0.0
SupinitaSupinita Forte Tablet210.0
Nervijen NpNervijen Np Tablet129.0
DubinorDubinor Tablet130.0
Nortipan MNortipan M 1500 Mcg/10 Mg/75 Mg Tablet170.0
NeuroxetinNeuroxetin 20 Mg/0.5 Mg Capsule47.3
Rejunuron DlRejunuron Dl 30 Mg/750 Mg Capsule66.06
Dulane MDulane M 20 Mg/1.5 Mg Tablet93.0
Dumore MDumore M Capsule129.06
DuotopDuotop 20 Mg/1.5 Mg Tablet58.12
Duvanta ForteDuvanta Forte Capsule83.75
Duvanta NpDuvanta Np 20 Mg/500 Mcg Tablet76.0
Duxet MDuxet M 20 Mg/1500 Mcg Capsule68.0
Duzela MDuzela M 20 Mg/1.5 Mg Tablet93.0
Nerv DxNerv Dx Capsule54.18
Nervz DpnNervz Dpn Tablet104.66
Calcium LeucovorinCalcium Leucovorin 15 Mg Injection100.95
LucalLucal 15 Mg Injection95.23
UnifolinUnifolin 0.5 Mg Injection275.0
Axbc PlusAxbc Plus Capsule159.0
CobafastCobafast Capsule44.25
Haem Up FastHaem Up Fast Tablet81.5
Mycobal Plus (Marc)Mycobal Plus Syrup84.38
Necob PlusNecob Plus Capsule109.08
NeubaNeuba Capsule60.7
Nurokind ForteNurokind Forte Tablet54.45
Nurokind GoldNurokind Gold Rf Capsule84.0
Orofer XtOrofer Xt Dha Kit13.6
RicharRichar Cr 100 Tablet Cr125.0
Sioneuron ForteSioneuron Forte Tablet10.92
Zifol XtZifol Xt Suspension136.5

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