{"id":58511,"date":"2024-02-27T18:40:43","date_gmt":"2024-02-27T18:40:43","guid":{"rendered":"https:\/\/medsname.com\/polybion-ampoule\/"},"modified":"2026-04-30T10:24:12","modified_gmt":"2026-04-30T10:24:12","slug":"polybion-ampoule","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/polybion-ampoule\/","title":{"rendered":"Ampol\u0103 Polybion"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">R\u0103spuns rapid<\/h3>\n<p><strong>Polybion Ampul\u0103 (B-complex cu B12 ampul\u0103 multi-B parenteral\u0103 (Merck))<\/strong> este o preparare parenteral\u0103 de B-complex (B1, B2, B3, B5, B6, B12) utilizat\u0103 pentru \u00eenlocuire rapid\u0103 atunci c\u00e2nd absorb\u021bia oral\u0103 este afectat\u0103 sau la pacien\u021bii alcoolici cu deficien\u021b\u0103 multi-B.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>B1 (tiamin\u0103), B2 (riboflavin\u0103), B3 (niacinamid\u0103), B5 (dexpantenol), B6 (piridoxin\u0103), B12 (cianocobalamin\u0103)<\/li>\n<li>IM sau IV lent (conform etichetei), doz\u0103 de o ampul\u0103<\/li>\n<li>Indica\u021bii: malabsorb\u021bie, tulburare de consum de alcool, deficien\u021b\u0103 nutri\u021bional\u0103 sever\u0103, post-bariatric<\/li>\n<li>Fabricant certificat WHO-GMP (Merck)<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>produc\u0103tor certificat WHO-GMP<\/strong> \u00b7 Ambalaj discret \u00b7 Livrare worldwide \u00b7 <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\" style=\"color:#2c7cb0;\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Polybion Ampoule este procurat de la un fabricant certificat WHO-GMP. Fiecare comand\u0103 este expediat\u0103 \u00een ambalaje discrete, f\u0103r\u0103 branding, la nivel mondial \u0219i este acoperit\u0103 de Politica noastr\u0103 de Asigurare pentru Reshipment. Pl\u0103ti\u021bi \u00een siguran\u021b\u0103 cu card de credit, transfer bancar SEPA sau criptomoned\u0103. Consulta\u021bi <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a>.<\/p>\n<h2>Ce este Polybion Ampoule?<\/h2>\n<p>Polybion este o injec\u021bie cu complex multi-B care combin\u0103 principalele vitamine hidrosolubile B \u00eentr-un singur flacon pentru administrare IM (sau IV lent\u0103). Combina\u021bia abordeaz\u0103 modelul tipic de deficien\u021b\u0103 multi-B observat \u00een tulburarea de consum de alcool, malnutri\u021bia sever\u0103, malabsorb\u021bia post-bariatric\u0103 \u0219i nutri\u021bia parenteral\u0103 prelungit\u0103 f\u0103r\u0103 acoperire adecvat\u0103 cu vitamine B.<\/p>\n<h2>Indica\u021bii<\/h2>\n<ul>\n<li><strong>Deficien\u021b\u0103 nutri\u021bional\u0103 sever\u0103<\/strong> \u00een malnutri\u021bie sau tulbur\u0103ri de alimenta\u021bie<\/li>\n<li><strong>Tulburarea de consum de alcool<\/strong> \u2014 deficien\u021ba multi-B (\u00een special tiamin\u0103, B12, folat) este regula mai degrab\u0103 dec\u00e2t excep\u021bia<\/li>\n<li><strong>Malabsorb\u021bie post-bariatric\u0103<\/strong> \u2014 \u00een special dup\u0103 proceduri Roux-en-Y sau BPD-DS<\/li>\n<li><strong>Diarree sever\u0103 prelungit\u0103, pierderi prin fistul\u0103<\/strong><\/li>\n<li><strong>Hiperemez\u0103 gravidic\u0103<\/strong> \u2014 acoperire parenteral\u0103 cu tiamin\u0103 + complex B<\/li>\n<li><strong>Profilaxia sindromului de realimentare<\/strong> \u2014 \u00eenc\u0103rcare cu tiamin\u0103 \u00eenainte de realimentare (specialist)<\/li>\n<li><strong>Adjuvant \u00een neuropatia periferic\u0103<\/strong> de etiologie nutri\u021bional\u0103 mixt\u0103<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Encefalopatia Wernicke necesit\u0103 tiamin\u0103 \u00een DOZE MARI, nu complexul B<\/strong><\/p>\n<p style=\"margin-bottom:0;\">\u00cen cazul suspiciunii de encefalopatie Wernicke (confuzie, ataxie, oftalmoplegie \u2014 clasic \u00een tulburarea de consum de alcool, hiperemez\u0103, realimentare) preparatele standard cu complex B, cum ar fi Polybion, furnizeaz\u0103 tiamin\u0103 INSUFICIENT\u0102 pentru tratament. Ghidurile specializate recomand\u0103 tiamin\u0103 IV \u00een doze mari de 500 mg de trei ori pe zi timp de 2\u20133 zile, apoi 250 mg zilnic. Polybion este potrivit pentru preven\u021bie \u0219i \u00eenlocuirea de rutin\u0103; tratamentul Wernicke necesit\u0103 tiamin\u0103 \u00een doze mari dedicate.<\/p>\n<\/div>\n<h2>Doza<\/h2>\n<p>Utilizare tipic\u0103: un flacon IM sau IV lent zilnic timp de 5\u20137 zile, apoi o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103 p\u00e2n\u0103 c\u00e2nd aportul oral este restabilit, apoi trecere la complexul B oral (Beplex Forte, Becozinc) pentru \u00eentre\u021binere. \u00cen mediul spitalicesc, doza \u0219i calea de administrare sunt adaptate individual \u00een func\u021bie de indica\u021bie.<\/p>\n<h2>Efecte secundare<\/h2>\n<ul>\n<li><strong>Reac\u021bie la locul inject\u0103rii<\/strong> \u2014 frecvent\u0103, de obicei u\u0219oar\u0103<\/li>\n<li><strong>Anafilaxie<\/strong> \u2014 rar\u0103, dar raportat\u0103 cu tiamina parenteral\u0103; resucitarea ar trebui s\u0103 fie disponibil\u0103 pentru primele doze IV la pacien\u021bii cu risc ridicat<\/li>\n<li><strong>Neuropatie cu piridoxin\u0103<\/strong> \u2014 doar la doze extreme sus\u021binute (B6 &gt;500 mg\/zi timp de s\u0103pt\u0103m\u00e2ni)<\/li>\n<li><strong>Eritem cu niacin\u0103<\/strong> \u2014 tranzitorie<\/li>\n<li><strong>Colorare galben\u0103 a urinei<\/strong> datorit\u0103 riboflavinei \u2014 inofensiv\u0103<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Levodopa<\/strong> \u2014 B6 (piridoxin\u0103) reduce efectul levodopei neprotejate (relevant dac\u0103 levodopa este administrat\u0103 f\u0103r\u0103 un inhibitor periferic al decarboxilazei, ceea ce este rar \u00een formul\u0103rile moderne)<\/li>\n<li><strong>Fenitoin\u0103<\/strong> \u2014 piridoxina poate reduce u\u0219or nivelurile de fenitoin\u0103<\/li>\n<li><strong>Diuretice de ans\u0103<\/strong> \u2014 poate epuiza tiamina; pacien\u021bii care folosesc diuretice de ans\u0103 \u00een doze mari (insuficien\u021b\u0103 cardiac\u0103) pot beneficia de suplimentare cu complex B<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate la orice component\u0103<\/li>\n<li>Ulcere peptice active (relativ; niacinamida \u00een doze mari poate agrava)<\/li>\n<\/ul>\n<h2>Depozitare<\/h2>\n<p>Depozita\u021bi sub 25\u00b0C, protejat de lumin\u0103. Folosi\u021bi amprenta dup\u0103 deschidere.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd este necesar complex B parenteral \u00een locul celui oral?<\/h3>\n<p>C\u00e2nd absorb\u021bia este afectat\u0103 (malabsorb\u021bie, post-bariatric, diaree sever\u0103), c\u00e2nd aderen\u021ba este nesigur\u0103, c\u00e2nd este necesar\u0103 \u00eenlocuire rapid\u0103 sau c\u00e2nd pacientul nu poate tolera administrarea oral\u0103 (v\u0103rs\u0103turi severe, postoperator f\u0103r\u0103 alimentare). \u00cen rest, complexul B oral (Beplex Forte, Becozinc) este preferat \u2014 mai ieftin \u0219i eficient.<\/p>\n<h3>Va ajuta cu oboseala?<\/h3>\n<p>Doar dac\u0103 oboseala se datoreaz\u0103 unei deficien\u021be documentate de vitamine din grupul B. Majoritatea cazurilor de oboseal\u0103 la adul\u021bii bine hr\u0103ni\u021bi nu sunt cauzate de deficien\u021b\u0103 de vitamine B; verifica\u021bi mai \u00eent\u00e2i tiroida, feritina, vitamina D, B12, acidul folic, glucoza \u0219i depresia. Doze mari de complex B f\u0103r\u0103 deficien\u021b\u0103 nu cresc nivelul de energie.<\/p>\n<h3>Este dureroas\u0103 injec\u021bia?<\/h3>\n<p>Un disconfort la locul inject\u0103rii este comun. Injectarea intravenoas\u0103 lent\u0103 (acolo unde eticheta permite) reduce senza\u021bia de \u00een\u021bep\u0103tur\u0103.<\/p>\n<h3>Pot s\u0103 o iau pe termen lung?<\/h3>\n<p>Administrarea pe termen lung a complexului B parenteral este neobi\u0219nuit\u0103. Dac\u0103 este necesar\u0103 men\u021binerea, trece\u021bi la administrarea oral\u0103 (Beplex Forte, Becozinc) sau \u00eenlocuire specific\u0103 (B12 IM lunar pentru anemie pernicioas\u0103, acid folic oral, tiamin\u0103 oral\u0103). Reinjectarea lunar\u0103 a complexului B f\u0103r\u0103 indica\u021bie nu este bazat\u0103 pe dovezi.<\/p>\n<h3>Ajut\u0103 la neuropatia periferic\u0103?<\/h3>\n<p>\u00cen neuropatia cu deficien\u021b\u0103 documentat\u0103 de vitamine B (alcoolic\u0103, diabetic\u0103 cu deficien\u021b\u0103 de B12, post-bariatric\u0103, malabsorb\u021bie), \u00eenlocuirea ajut\u0103. \u00cen neuropatia f\u0103r\u0103 deficien\u021b\u0103, beneficiul este mic sau inexistent.<\/p>\n<h3>Este sigur \u00een sarcin\u0103?<\/h3>\n<p>Folosit \u00een hiperemeza gravidic\u0103 cu acoperire de tiamin\u0103 pentru profilaxia Wernicke. Dozele mari de B6 (piridoxin\u0103) peste 500 mg\/zi timp de s\u0103pt\u0103m\u00e2ni risc\u0103 neuropatie senzorial\u0103 fetal\u0103; dozele standard de complex B parenteral sunt mult sub acest nivel.<\/p>\n<h3>Ce zici de tiamina singur\u0103 \u00een tulburarea de consum de alcool?<\/h3>\n<p>Pacien\u021bii cu risc ridicat de tulburare de consum de alcool (\u00een special cei care se prezint\u0103 pentru detoxifiere sau cu risc de realimentare) ar trebui s\u0103 primeasc\u0103 tiamin\u0103 parenteral\u0103 100\u2013300 mg \u00eenainte de orice fluide care con\u021bin glucoz\u0103 \u2014 glucoza f\u0103r\u0103 tiamin\u0103 poate precipita sindromul Wernicke la pacien\u021bii cu deficien\u021b\u0103. Polybion con\u021bine tiamin\u0103, dar concentra\u021bia poate fi insuficient\u0103 pentru dozele de tratament la pacien\u021bii cu risc ridicat.<\/p>\n<h3>C\u00e2t de repede ac\u021bioneaz\u0103?<\/h3>\n<p>Apari\u021bia depinde de indica\u021bie. Pentru deficien\u021be nutri\u021bionale, biochimia \u00eencepe s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103 \u00een c\u00e2teva zile, simptomele clinice \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni. Pentru Wernicke acut, este necesar\u0103 tiamin\u0103 \u00een doze mari dedicate (nu complexul B standard).<\/p>\n<h3>Polybion vs Walcobal?<\/h3>\n<p>Polybion este un complex de vitamine B (1, 2, 3, 5, 6, 12). Walcobal este doar metilcobalamin\u0103 \u00een doze mai mari (2500 mcg fa\u021b\u0103 de cantitatea mai mic\u0103 de B12 din Polybion). Folosi\u021bi Polybion pentru deficien\u021be multiple de vitamine B, Walcobal pentru deficien\u021b\u0103 izolat\u0103 de B12 sau neuropatie specific\u0103 B12.<\/p>\n<h3>Medicul meu de familie poate s\u0103-mi prescrie Polybion?<\/h3>\n<p>Da \u2014 injec\u021bia intramuscular\u0103 face parte din competen\u021bele standard ale medicinei primare. Confirma\u021bi \u00eentotdeauna indica\u021bia \u0219i asigura\u021bi-v\u0103 c\u0103 exist\u0103 mijloace de resuscitare pentru prima doz\u0103 parenteral\u0103 de complex B la pacien\u021bii cu istoric de alergie.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Vitamine &amp; Minerale<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vitamin-b12-1500-mcg-tablets-nerve-health-energy\/\">Vitamina B12 1500 mcg<\/a> \u2014 doze mari orale de cyanocobalamin<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/walcobal-injection\/\">Walcobal Injectabil<\/a> \u2014 methylcobalamin IM<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/polybion-ampoule\/\">Ampol\u0103 Polybion<\/a> \u2014 complex B parenteral<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/beplex-forte\/\">Beplex Forte<\/a> \u2014 complex B oral<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/becozinc\/\">Becozinc<\/a> \u2014 complex B cu zinc<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/thiamine-hcl-100\/\">Tiamin\u0103 HCL 100<\/a> \u2014 tiamin\u0103 100 mg pentru neuropatia asociat\u0103 alcoolului<\/li>\n<\/ul>\n<h2>Declinare de responsabilitate medical\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nAceast\u0103 pagin\u0103 are scop strict informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical profesionist. Suplimentarea cu vitamine \u0219i minerale ar trebui s\u0103 fie ghidat\u0103, ideal, de teste de laborator atunci c\u00e2nd se suspecteaz\u0103 deficien\u021be. Suplimentarea cu doze mari nu este benign\u0103 \u2014 vitamina A este teratogen\u0103, vitamina E cre\u0219te riscul de s\u00e2nger\u0103ri, beta-carotenul cre\u0219te riscul de cancer pulmonar la fum\u0103tori, iar calciul \u00een doze mari are un semnal cardiovascular. Pacientele gravide sau care al\u0103pteaz\u0103 trebuie s\u0103 urmeze recomand\u0103rile obstetrice pentru suplimentarea prenatal\u0103. Pacien\u021bii sub tratament cu warfarin trebuie s\u0103 men\u021bin\u0103 o aport constant de vitamina K. Pacien\u021bii care iau levotiroxin\u0103, fluoroquinolone sau tetracicline trebuie s\u0103 separe administrarea de fier \u0219i calciu cu 4 ore. Dezv\u0103lui\u021bi \u00eentotdeauna toate suplimentele medicului prescriptor \u0219i farmacistului.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Suport complex de vitamine B<br \/>\n\u2705 Cre\u0219te nivelul de energie<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te func\u021bia nervoas\u0103<br \/>\n\u2705 Sus\u021bine metabolismul<br \/>\n\u2705 Promoveaz\u0103 s\u0103n\u0103tatea celular\u0103<\/p>\n<p><strong>Ampol\u0103 Polybion<\/strong> con\u021bine <strong>Vitamin B Complex<\/strong> &amp; <strong>Vitamina B12<\/strong>.<\/p>","protected":false},"featured_media":58512,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[4505,4506,4507,3862],"class_list":{"0":"post-58511","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-polybion","10":"product_tag-polybion-ampoule","11":"product_tag-vitamin-b-complex","12":"product_tag-vitamin-b12","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/58511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58511"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58512"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58511"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58511"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58511"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}