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NEUROMADE Hard Capsules

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use NEUROMADE Hard Capsules

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

NEUROMADE hard capsules

Read the entire package leaflet carefully before starting to take the medicine.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, consult your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet.

Contents of the package leaflet:

  1. What Neuromade capsules are and what they are used for
  2. Before taking Neuromade capsules
  3. How to take Neuromade capsules
  4. Possible side effects
  5. Storage of Neuromade capsules
  6. Further information

1. What NEUROMADE CAPSULES are and what they are used for

Neuromade capsules are an association of the water-soluble vitamins of the B group: thiamine (vitamin B1), pyridoxine (vitamin B6), and cyanocobalamin (vitamin B12) for oral administration.

Vitamins are essential nutrients that are involved in numerous human metabolic processes.

Neuromade capsules are indicated in adults and patients over 14 years of age, in:

Treatment of states of deficiency of vitamins B1, B6, and B12, which could cause neuropathies (diseases of the peripheral nervous system) and could manifest in cases of back pain, such as lumbalgia. Convalescence. Insufficient diet.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Before taking NEUROMADE CAPSULES

Do nottake NEUROMADE capsules

  • if you are allergic (hypersensitive) to the active substances, to cobalamins (e.g., hydroxocobalamin), to cobalt, or to any of the other components of the medicine (see section 6).
  • if you are being treated with levodopa (a medicine for Parkinson's disease).
  • if you have Leber's disease (hereditary optic nerve atrophy) or tobacco amblyopia (decreased visual acuity that can occur in people who abuse tobacco), as they may worsen.

Due to the doses of vitamins it contains, do not take this medicine:

  • if you are pregnant or breastfeeding.
  • children under 14 years of age.

Be careful with NEUROMADE capsules

  • Do not take a higher dose than recommended or for a longer period than recommended. When high doses of pyridoxine (vitamin B6) are administered continuously, adverse neurological effects (headache, tingling sensation, etc.) may occur. Cases of dependence and withdrawal have been reported when taking 200 mg of pyridoxine for a month.
  • As it contains vitamin B12, if you have a blood disease such as anemia, your doctor should check the cause before taking it.
  • If you are prone to gout, due to the content of vitamin B12, your doctor should perform a special clinical check, as it may worsen.
  • If you have kidney or liver disease, do not take this medicine, as the doses it contains exceed the recommended doses in these situations.
  • If you have conditions such as uremia (accumulation of urea in the blood), infections, iron or folic acid deficiency, or are being treated with medicines that have a suppressive effect on the bone marrow (e.g., chloramphenicol), the therapeutic response to vitamin B12 may decrease.
  • You should be careful with the sun or avoid exposure to it, as pyridoxine can cause photosensitivity with skin lesions.
  • If you have previously suffered from an allergy to vitamin B1 on skin contact (contact dermatitis) for professional reasons, you may experience a relapse when taking this medicine.
  • Interference with analytical tests: If you are going to undergo any diagnostic test (including blood tests, urine tests, skin tests that use allergens, etc.), inform your doctor that you are taking this medicine, as it may alter the results. In some determinations of urobilinogen, theophylline, and uric acid, false results may occur.

Use of other medicines

Tell your doctor or pharmacist if you are using or have recently used other medicines, including those obtained without a prescription.

Neuromade capsules may interact with the following medicines:

  • Levodopa (medicines for the treatment of Parkinson's disease).
  • Phenobarbital, phenytoin (medicines for epilepsy).
  • Amiodarone (for the heart).
  • Altretamine (for cancer treatment).
  • Neuromuscular blocking agents (used in anesthesia for surgery).
  • The following medicines may interfere with pyridoxine (vitamin B6) and may reduce its levels, including: antibiotics for tuberculosis (isoniazid, cycloserine, and ethionamide), penicillamine (for rheumatic diseases), hydralazine (for hypertension), immunosuppressants such as corticosteroids or cyclosporine and azathioprine (used in organ transplantation), cyclophosphamide (for cancer).
  • Several medicines can decrease the absorption of cyanocobalamin (vitamin B12) or reduce its effect, such as: ascorbic acid (vitamin C) in high doses, aminoglycoside antibiotics, colchicine (for gout treatment), H2 antagonists (medicines against stomach acid or stomach ulcers, such as ranitidine, cimetidine, etc.), aminosalicylic acid (for intestinal diseases), omeprazole (for stomach ulcers), medicines for epilepsy, metformin (for diabetes), chloramphenicol (antibiotic), sustained-release potassium preparations, or cobalt radiation.
  • Oral contraceptives may reduce the levels of both vitamin B6 and vitamin B12.

Taking NEUROMADE capsules with food and drinks

Alcoholic beverages decrease the effect of the vitamins.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Due to the doses of vitamins B that this medicine contains, which are higher than those recommended during pregnancy and breastfeeding, it is contraindicated during these periods.

Thiamine, pyridoxine, and cyanocobalamin pass into breast milk.

Driving and using machines

This medicine may cause drowsiness in a few patients, who should not drive and/or use machines during treatment.

3. How to take NEUROMADE CAPSULES

Follow the administration instructions of Neuromade capsules indicated by your doctor.

Consult your doctor or pharmacist if you have any doubts.

The normal dose is:

It is recommended to take 1 capsule per day. In certain cases, the doctor may indicate taking 2 capsules per day.

Oral route.

The capsules are taken with the help of a sufficient amount of water.

In general, the treatment should not exceed 2 weeks, although the doctor may recommend administration for more than 15 days.

Use in children

This medicine is contraindicated in children under 14 years of age.

If you take more NEUROMADE capsules than you should

It is not expected that ingestion of high doses of Neuromade capsules will produce toxic effects.

If you have taken more Neuromade capsules than you should, you may experience symptoms such as: gastrointestinal disorders (diarrhea, nausea, and vomiting), nervous system disorders such as reduced sensitivity, tingling, numbness in feet and hands; you may also experience headache, increased sensitivity to sunlight with skin lesions; drowsiness, difficulty breathing, among other effects, depending on the dose. In rare cases, a severe allergic reaction (anaphylactic shock) may occur.

In children, accidental ingestion of very high doses of vitamin B6 may also cause deep sedation, weakness, and difficulty breathing.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or go to a medical center, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to take NEUROMADE capsules

Do not take a double dose to make up for the forgotten doses.

If you have any further questions about the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Neuromade capsules can cause side effects, although not everyone gets them.

The assessment of side effects that may occur is based on the following frequencies:

uncommon (may affect between 1 and 10 in every 1,000 people).

Uncommonly, the following may appear: nausea, headache, effects on sensitivity (paresthesia) that manifest as a tingling sensation in arms and legs or alterations in touch, drowsiness, and skin rash (hypersensitivity reactions to vitamins B1, B6, and B12).

Other side effects that have been reported, with an unknown frequency, are: gastrointestinal disorders, diarrhea, photosensitivity with skin lesions such as blisters, dizziness, restlessness; disorder with reduced sensitivity and tingling, unsteady gait, numbness of feet or hands, which usually decrease when treatment is discontinued; a pyridoxine withdrawal syndrome more likely with higher doses and in treatments longer than a month; changes in urine color, swelling, and irritation in the eyes; occasionally anaphylactic reaction with itching, swelling, difficulty breathing, etc.; some cases of affection with nodules and pus on the face and neck.

If you experience any side effects, consult your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet.

Reporting of side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medicines Monitoring System for Human Use: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of NEUROMADE CAPSULES

Keep out of the reach and sight of children.

Do not use Neuromade capsules after the expiration date stated on the packaging after CAD. The expiration date is the last day of the month indicated.

No special storage conditions are required. Store in the original packaging.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Further information

Composition of NEUROMADE capsules

  • The active substances are: Thiamine hydrochloride (vitamin B1), Pyridoxine hydrochloride (vitamin B6), and Cyanocobalamin (Vitamin B12). Each capsule contains 50 mg of thiamine hydrochloride, 50 mg of pyridoxine hydrochloride, and 1,000 micrograms of cyanocobalamin.
  • The other components (excipients) are: Microcrystalline cellulose, silicon dioxide, and magnesium stearate.

Appearance of the product and packaging content

Neuromade capsules are presented in packages of 20 hard capsules.

Marketing authorization holder and manufacturer

TEOFARMA Srl

Via F.lli Cervi, 8

27010 Valle Salimbene (PV) – Italy

This package leaflet was approved in September 2011.

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for NEUROMADE Hard Capsules

Discuss questions about NEUROMADE Hard Capsules, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Antonio Cayatte

General medicine 44 years exp.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
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Doctor

Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

5.0 (924)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

  •  Neuroimaging
  •  Musculoskeletal system (MSK)
  •  Angiography
  •  Abdomen and pelvis
  •  Soft tissues

Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

5.0 (43)
Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

5.0 (195)
Doctor

Taisiia Proida

Family medicine 7 years exp.

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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Get NEUROMADE Hard Capsules Prescription Online

1

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2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for NEUROMADE Hard Capsules?

NEUROMADE Hard Capsules requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in NEUROMADE Hard Capsules?

The active ingredient in NEUROMADE Hard Capsules is Vitamin B1 in combination with vitamin B6 and/or vitamin B12. This information helps identify medicines with the same composition but different brand names.

Who manufactures NEUROMADE Hard Capsules?

NEUROMADE Hard Capsules is manufactured by Teofarma S.R.L.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of NEUROMADE Hard Capsules online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether NEUROMADE Hard Capsules is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy NEUROMADE Hard Capsules in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy NEUROMADE Hard Capsules in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to NEUROMADE Hard Capsules?

Other medicines with the same active substance (Vitamin B1 in combination with vitamin B6 and/or vitamin B12) include BENEXOL B1-B6-B12 FILM-COATED TABLETS, HYDROXIL B1-B6-B12 FILM-COATED TABLETS, VITAGOBENS B1 B6 B12 FILM-COATED TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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