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BECAREN 1000 micrograms TABLETS

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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 BECAREN 1000 micrograms TABLETS

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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

Becaren 1000 micrograms tablets

cyanocobalamin (vitamin B12)

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, 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 only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is Becaren and what is it used for
  2. What you need to know before you take Becaren
  3. How to take Becaren
  4. Possible side effects
  5. Storage of Becaren
  6. Contents of the pack and other information

1. What is Becaren and what is it used for

This medicine contains cyanocobalamin, which is known as vitamin B12.

Most people get enough vitamin B12 from their food, but if you have had stomach surgery or have certain intestinal diseases, if you follow a restricted diet or if you take certain medications, you may not absorb enough vitamin B12.

This medicine is used to treat vitamin B12 deficiency and maintenance treatment in adult patients:

  • Who have been diagnosed with pernicious anemia.
  • Who have poor absorption of vitamin B12 (e.g., due to atrophic gastritis, inflammatory bowel disease, celiac disease, total or partial gastrectomy, ileal resection, gastric bypass or other bariatric surgery).
  • With prolonged use of histamine H2 receptor antagonists, proton pump inhibitors, aminosalicylates, and metformin.

This medicine is also used to treat vitamin B12 deficiency due to reduced dietary intake (e.g., vegetarian diet) in adults.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you take Becaren

Do not take Becaren

Warnings and precautions

Consult your doctor or pharmacist before starting to take this medicine.

At the start of treatment, your doctor must diagnose your disease to clarify the underlying reason for the deficiency, which includes evaluating the functioning of your digestive tract. Your doctor will decide if the absorption of vitamin B12 from food is insufficient and if oral supplementation with this medicine is necessary.

Due to the serious nature of the disease, your doctor will probably want to monitor your response to this medicine during the first 3 months. This will likely involve a blood test. If you follow the treatment plan well, it may be for life, depending on your underlying disease.

If you need regular renal dialysis, your doctor should perform regular blood tests and it may be necessary to reduce the dose of this medicine.

If you have a folate deficiency, it may decrease your response to treatment. In this case, the use of this medicine should be accompanied by folate supplements.

Becaren contains 1000 micrograms of cyanocobalamin per tablet. If you are going to undergo analytical tests, you should inform your doctor or laboratory personnel that you are taking or have recently taken this medicine, as cyanocobalamin may affect the results of these tests (including blood tests, urine tests, skin tests using allergens, etc.) due to its red color. This medicine may affect the determination of antibodies against intrinsic factor (IF).

Children and adolescents

Do not give this medicine to children and adolescents under 18 years of age because the safety and benefits of this medicine are not yet known.

Other medicines and Becaren

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those obtained without a prescription.

This medicine may be affected by:

  • Proton pump inhibitors (e.g., omeprazole) and H2 histamine receptor antagonists (e.g., cimetidine); both are used to treat excess stomach acid that causes indigestion or ulcers.
  • Colchicine, for the treatment of gout.
  • Aminoglycosides (e.g., neomycin) and chloramphenicol, which are antibiotics.
  • Biguanides, e.g., metformin, which is used in the treatment of diabetes.
  • Aminosalicylic acid, which is used to treat inflammatory bowel disease.
  • Oral contraceptives.
  • Antiepileptic medicines (e.g., carbamazepine).
  • Potassium salts.
  • Methyldopa, which is used to treat high blood pressure.
  • Prolonged use of nitrous oxide (a gas used for anesthesia).
  • Second-generation antipsychotics (e.g., olanzapine and risperidone).
  • Colestyramine, which is used to reduce high cholesterol levels in the blood.
  • Glucocorticoids (e.g., prednisolone), which are often used to treat inflammatory diseases.

Using Becaren with alcohol

Alcohol may affect the absorption of this medicine in your body.

Pregnancy, breast-feeding, and fertility

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. As a precautionary measure, it is preferable to avoid the use of this medicine during pregnancy, unless the woman's condition requires treatment with cyanocobalamin. This medicine can be used during breast-feeding.

Driving and using machines

This medicine should not affect your ability to drive or use machines.

3. How to take Becaren

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

Use in adults

Dose for the treatment of vitamin B12 deficiency:

The recommended daily dose is 1 tablet, which corresponds to 1000 micrograms of cyanocobalamin, for 8 weeks, in the following indications:

  • Treatment of vitamin B12 deficiency in patients with reduced dietary intake (e.g., vegetarian diet).
  • Treatment of vitamin B12 deficiency and maintenance treatment in patients who have been diagnosed with pernicious anemia or who have poor absorption of vitamin B12.
  • Treatment in case of prolonged use of histamine H2 receptor antagonists, proton pump inhibitors, aminosalicylates, and metformin.

Patient with severe hematological or neurological symptoms of vitamin B12 deficiency should be initially treated parenterally until normalization of blood levels.

If well tolerated, oral vitamin B12 can be replaced for life in case of pernicious anemia or poor absorption of vitamin B12. The response to therapy should be regularly monitored. See also section 2. Warnings and precautions.

Maintenance dose:

1 tablet per week as a maintenance dose.

Your doctor will indicate the duration of the treatment, which will depend on your blood levels of vitamin B12, which should be normal.

If you have kidney problems

In patients with moderate kidney problems, this medicine can be used at the normal dose. In case of severe kidney problems, it is recommended to reduce the dose. Additionally, the amount of vitamin B12 in the blood serum should be regularly checked.

If you have liver problems

It is not known if you can take this medicine safely if you have liver problems. Inform your doctor if you have any liver problems.

How to take the tablets

This medicine is taken orally. The tablets should be swallowed whole with some water, preferably in the morning on an empty stomach. The way your body reacts to the medicine determines how long you have to take it. To find the optimal dose, your doctor must perform regular checks.

If you take more Becaren than you should

If you take more of this medicine than you should, talk to your doctor, who will decide on the necessary measures.

No cases of overdose have been reported.

No antidote is known for overdose. In case of overdose, the symptoms should be treated. In case of overdose or accidental ingestion, consult your doctor, pharmacist, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to take Becaren

If you forget to take a dose, you should take it as soon as you remember, unless it is time to take the next dose. If this happens, do not take the forgotten dose, but take your usual dose at the correct time. Do not take a double dose to make up for forgotten doses.

If you stop taking Becaren

You should always consult your doctor before stopping treatment.

If you have any further questions on the use of this medicine, 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, this medicine can cause side effects, although not everybody gets them.

Uncommon: may affect up to 1 in 100 users

  • Severe allergic reactions with symptoms such as hives, skin rash, or itching in large areas of the body.

Frequency not known (cannot be estimated from the available data):

  • Acne-like rash and blisters;
  • Fever.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet.

You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Becaren

Keep this medicine out of the sight and reach of children.

This medicine does not require any special storage conditions.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date is the last day of the month stated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Becaren

  • The active substance is cyanocobalamin (vitamin B12). Each tablet contains 1,000 micrograms (1 mg) of cyanocobalamin.
  • The other ingredients (excipients) are: microcrystalline cellulose, mannitol (E421), stearic acid, pregelatinized starch (from corn), potato starch, crospovidone, magnesium stearate, anhydrous colloidal silica.

Appearance of the product and contents of the pack

Becaren is presented in aluminum-PVC/PVDC blisters containing 30 tablets.

Marketing authorization holder and manufacturer

Marketing authorization holder

Vegal Farmacéutica, S.L.

Vía de las Dos Castillas, 9C portal 2, 2ºC

28224 Pozuelo de Alarcón, Madrid

Manufacturer:

FineFoods & Pharmaceuticals N.T.M S.p.A

Via Grignano, 43 - 24041 BREMBATE (BG)

Italy

Date of last revision of this leaflet: December 2024

Detailed 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 BECAREN 1000 micrograms TABLETS

Discuss questions about BECAREN 1000 micrograms TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€80
5.0 (29)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60
5.0 (2)
Doctor

Svetlana Kolomeeva

Cardiology 18 years exp.

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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€55

Frequently Asked Questions

Is a prescription required for BECAREN 1000 micrograms TABLETS?
BECAREN 1000 micrograms TABLETS 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 BECAREN 1000 micrograms TABLETS?
The active ingredient in BECAREN 1000 micrograms TABLETS is cyanocobalamin. This information helps identify medicines with the same composition but different brand names.
Who manufactures BECAREN 1000 micrograms TABLETS?
BECAREN 1000 micrograms TABLETS is manufactured by Italfarmaco S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of BECAREN 1000 micrograms TABLETS 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 BECAREN 1000 micrograms TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to BECAREN 1000 micrograms TABLETS?
Other medicines with the same active substance (cyanocobalamin) include OPTOVITE B12 1000 micrograms Injectable Solution, VITAMIN B12 FARMASIERRA 1000 MICROGRAMS HARD CAPSULES, FOLI-DOCE 400/2 micrograms 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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