Cernevit®
Intravenous Multivitamin Nutritional Support
A parenteral multivitamin preparation combining 12 water-soluble and
fat-soluble vitamins, providing nutritional support for individuals who,
following professional medical assessment, require intravenous multivitamin supplementation.
About Cernevit®
Understanding Cernevit®
Cernevit® is a lyophilized multivitamin preparation intended for injection or infusion, combining multiple water-soluble and fat-soluble vitamins within a single formulation.
The formulation contains 12 vitamins, including Vitamin A, D3, E, C, B1, B2, B5, B6, B12, folic acid, biotin and nicotinamide. It is primarily used in individuals receiving parenteral nutrition and provides a medical option for micronutrient supplementation.
Cernevit® should not be regarded as a general wellness “vitamin drip.” Suitability, frequency of administration and monitoring arrangements should be assessed by qualified healthcare professionals based on the individual’s health status, nutritional requirements and other sources of vitamin intake.
Important: Cernevit® does not contain Vitamin K. If Vitamin K supplementation is required, this should be assessed separately by a healthcare professional.
Medical Background
Micronutrients Are an Essential Part of Comprehensive Nutritional Support
In addition to proteins, fats and carbohydrates, the human body requires vitamins and other micronutrients to support normal metabolism, physiological functions and cellular activity.
When adequate nutrition cannot be obtained through normal dietary intake or intestinal absorption, some individuals may require parenteral nutritional support.
01
Metabolism and Energy Utilization
B-group vitamins and other micronutrients are involved in normal energy metabolism and cellular function.
02
Tissue and Physiological Function
Maintaining an appropriate vitamin status is an important component of supporting normal physiological function, tissue health and nutritional balance.
03
Micronutrients in Parenteral Nutrition
Within Parenteral Nutrition, micronutrients should be considered alongside macronutrients as part of a comprehensive nutritional management plan.
12 Vitamins
12 Essential Vitamins in a Single Preparation
Cernevit® combines both water-soluble and fat-soluble vitamins in a single lyophilized formulation.
If Vitamin K supplementation is required, this should be assessed and arranged separately by a qualified healthcare professional.
How It Works
How Does Cernevit® Provide Multivitamin Support?
The focus is not on providing a single vitamin at a high dose, but rather on combining multiple vitamins required for normal human metabolism within a medically indicated parenteral nutrition formulation.
01 · COMBINATION
Multivitamin Combination
Provides 12 different vitamins within a single preparation to support micronutrient requirements in parenteral nutrition.
02 · MICELLE
Mixed Micelle Technology
Helps incorporate both water-soluble and fat-soluble vitamins into the same lyophilized formulation.
03 · IV ROUTE
Parenteral Supplementation
Administered through the intravenous route for individuals who, following medical assessment, require parenteral vitamin supplementation.
04 · MONITORING
Ongoing Medical Monitoring
Dietary intake, nutritional supplements, medications and other vitamin sources should all be considered to reduce the risk of duplicate supplementation or excessive intake.
Key Features
Formulation and Clinical Use Features
12-in-1 Multivitamin Formula
One vial combines 12 water-soluble and fat-soluble vitamins, providing comprehensive micronutrient support for individuals who require parenteral multivitamin supplementation.
Intravenous Administration
Cernevit® is a prescription parenteral multivitamin preparation that must be prepared and administered by qualified healthcare professionals in accordance with prescribing and administration requirements.
Compatible with Parenteral Nutrition
Where compatibility and stability have been confirmed, Cernevit® may be used alongside appropriate parenteral nutrition formulations according to clinical requirements.
Room-Temperature Storage Before Opening
Unopened Cernevit® may be stored under the room-temperature conditions specified in the official product information and generally does not require refrigeration. Always follow the storage instructions stated on the product packaging.
Does Not Contain Vitamin K
Vitamin K is not included in Cernevit®'s 12-vitamin formulation. If Vitamin K supplementation is required, this should be assessed separately by a qualified healthcare professional.
Prescription Medical Product
Suitability, dosage, frequency and duration of use should be determined by a doctor based on the individual's health status and clinical requirements.
Suitability & Contraindications
Who May Require Further Assessment?
The official indication primarily applies to individuals aged 11 years and above who are receiving parenteral nutrition and require multivitamin supplementation.
- Individuals currently receiving Parenteral Nutrition
- Individuals who are unable to obtain adequate nutrition through normal dietary intake due to their clinical condition
- Individuals with limited or insufficient oral nutritional supplementation
- Individuals with malnutrition or an increased nutritional risk
- Individuals requiring parenteral micronutrient support
- Individuals considered by their medical team to require multivitamin supplementation
Individuals Who May Require Further Assessment
Not Suitable / Special Considerations
- Known hypersensitivity to any active ingredient or excipient
- Allergy to soy, soy-derived ingredients or peanut-related components
- Known hypersensitivity to Vitamin B1 or other components of the formulation
- Existing hypervitaminosis involving any vitamin contained in the formulation
- Impaired liver or kidney function requiring individualized assessment or adjustment
- Concurrent use of other high-dose vitamin supplements or related medications
BMS Assessment Process
BMS Clinic Professional Assessment Process
Based on the individual’s medical background, nutritional status, current medications and actual clinical needs, our medical team develops an individualized management approach.
STEP 01
Health and Nutritional Assessment
Review dietary intake, nutritional requirements, current health status and the reason for receiving parenteral nutrition.
STEP 02
Medical and Medication History
Review existing medical conditions, liver and kidney function, allergy history, medications and other nutritional supplements.
STEP 03
Relevant Investigations
Where clinically appropriate, blood tests, liver and kidney function, electrolytes and relevant nutritional markers may be considered.
STEP 04
Medical Evaluation and Planning
Based on the individual’s clinical condition, the doctor will assess whether Cernevit® or another form of nutritional support may be appropriate.
STEP 05
Professional Medical Administration
Preparation, injection or infusion is carried out by qualified healthcare professionals in accordance with prescription and administration requirements.
STEP 06
Ongoing Monitoring
Where continued use is required, nutritional status and safety should be reassessed according to clinical needs.
Usage / Administration
How Is Cernevit® Used?
Reconstitution
Before use, the lyophilized powder must be reconstituted by trained healthcare professionals using an appropriate solution in accordance with the product instructions.
Slow Intravenous Injection
Official prescribing information states that Cernevit® may be administered by slow intravenous injection over a period of at least approximately 10 minutes.
Intravenous Infusion
It may also be added to an appropriate infusion solution for intravenous administration.
Use With Parenteral Nutrition
If mixed with other parenteral nutrition formulations, compatibility and stability must be confirmed in advance.
Do not self-administer: Cernevit® should not be prepared, mixed or administered intravenously by patients themselves.
Preparation
What Information Should Be Provided Before Use?
Health and Medical History
Including current medical conditions, significant past medical history, previous surgeries, current nutritional status and any recent changes in health.
Complete Medication Information
Including prescription medicines, over-the-counter medications, anticoagulants, long-term medications and any other medical products used recently.
Allergy History
Particular attention should be given to allergies involving soy, peanuts, vitamin injections, medications or any related ingredients that have previously caused an allergic reaction.
Recent Test Results
Recent blood test results, liver and kidney function tests, electrolyte levels or other nutrition-related investigations may be provided for the doctor's assessment.
Other Nutritional Supplements
Please inform the medical team about any vitamins, nutritional supplements, herbal products or other intravenous nutritional support currently being used to help avoid duplicate supplementation.
Pregnancy or Breastfeeding
If you are pregnant, planning a pregnancy or breastfeeding, please inform a healthcare professional before use so that an individualized medical assessment can be carried out.
Monitoring & Safety
Ongoing Monitoring Is More Important Than Supplementation Alone
The presence of multiple vitamins does not mean supplementation can be given without limitation.
The medical team should consider all nutritional sources and adjust the management approach according to the duration of use, overall health status and clinical requirements.
Vitamin A
As a fat-soluble vitamin, total intake should be carefully considered during long-term supplementation. Individuals with impaired liver function may require closer monitoring by the medical team.
Vitamin D
During long-term supplementation, overall assessment should take into account the individual’s health status, other sources of Vitamin D and relevant clinical information.
Vitamin E
As another fat-soluble vitamin, ongoing use should take into account dietary intake, oral supplements and other nutritional sources as part of the total vitamin intake.
Liver Function
Individuals with impaired liver function or conditions such as cholestasis may require closer monitoring and individualized adjustment of their nutritional supplementation plan.
Renal Function
Renal function may affect the requirements, metabolism and clearance of certain vitamins. Assessment should therefore be based on the individual’s clinical condition.
Total Vitamin Intake
Vitamins obtained from diet, oral nutritional supplements, other intravenous nutrition and medications should all be considered as part of the total intake to reduce the risk of duplicate or excessive supplementation.
Laboratory Test Considerations
Certain Vitamins May Affect Laboratory Test Results
If you are receiving Cernevit®, inform your doctor and the laboratory before undergoing blood tests or other investigations.
Biotin
Biotin may interfere with certain laboratory tests that use biotin-streptavidin technology, potentially causing falsely elevated or falsely decreased results. If you are receiving Cernevit®, please inform your doctor and the laboratory before undergoing relevant tests.
Vitamin C
Ascorbic acid may interfere with certain blood glucose and urine glucose testing systems. Before undergoing relevant investigations, healthcare professionals should be informed of your current vitamin supplementation to support accurate interpretation of laboratory results.
Side Effects / Safety
Possible Adverse Reactions
Not everyone will experience adverse reactions. However, individuals receiving intravenous administration should remain under appropriate medical observation so that any abnormal reactions can be identified and managed promptly.
Allergic Reactions Require Immediate Medical Attention
If breathing difficulty, chest discomfort, throat tightness, urticaria, significant skin rash or other systemic allergic symptoms occur during injection or infusion, administration should be stopped immediately and appropriate medical care provided.
Injection / Infusion Site
Pain or localized reactions
Gastrointestinal
Nausea, diarrhea and other gastrointestinal symptoms
Skin
Rash, pruritus, erythema or urticaria
Respiratory / Chest
Breathing discomfort, chest discomfort or throat tightness
General Reactions
Fever, generalized discomfort or pain
Hepatobiliary Parameters
Some individuals may experience changes in liver enzymes, bile acids or related laboratory parameters
Neurological / Taste
Altered taste and other reported reactions
Cardiovascular
Increased heart rate and other reported reactions
Storage
Storage and Handling
Unopened Shelf Life
According to official product information, unopened Cernevit® may have a shelf life of up to approximately 2 years when stored under the specified conditions.
Room Temperature Storage
Unopened Cernevit® may be stored at room temperature under the conditions specified in the product information and generally does not require refrigeration.
After Reconstitution
Once reconstituted, the preparation should preferably be used immediately. If immediate use is not possible, storage time and conditions should follow aseptic preparation requirements and appropriate professional medical standards.
Actual storage conditions, expiry dates, handling after reconstitution and administration requirements should follow the locally approved product information, the instructions stated on the actual product packaging and the guidance of qualified healthcare professionals.
1. Is Cernevit® a regular vitamin drip?
No. Cernevit® is a prescription parenteral multivitamin preparation, primarily intended for individuals who, following medical assessment, require multivitamin supplementation via the intravenous route.
2. How many vitamins does Cernevit® contain?
Cernevit® contains 12 water-soluble and fat-soluble vitamins, including Vitamins A, D3, E and C, several B-group vitamins, folic acid and biotin.
3. Does Cernevit® contain Vitamin K?
No. Vitamin K is not included in the 12-vitamin formulation of Cernevit®. If Vitamin K supplementation is required, this should be assessed separately by a qualified healthcare professional.
4. Can Cernevit® be taken orally?
No. Cernevit® is a prescription preparation intended for injection or infusion and is not an oral vitamin product.
5. Can I purchase and inject Cernevit® myself?
Cernevit® should not be prepared, mixed or administered intravenously by patients themselves. It should be handled and administered by qualified healthcare professionals in accordance with prescribing and administration requirements.
6. Is Cernevit® suitable for everyone?
No. Nutritional status, liver and kidney function, allergy history, current medications and other sources of vitamin intake should be considered before use, followed by an individualized assessment by a healthcare professional.
7. Can Cernevit® be used by someone with a soy or peanut allergy?
Official product information for Cernevit® includes specific safety warnings regarding relevant allergies. Anyone with a history of allergy to soy, peanuts or related ingredients should inform their doctor before use.
8. Can Cernevit® be used simply for fatigue?
Fatigue alone is not sufficient to determine whether Cernevit® is appropriate. Fatigue may have many possible causes, so overall health, dietary intake and nutritional requirements should first be assessed.
9. Are blood tests required before using Cernevit®?
This depends on the individual situation. Based on medical history and clinical requirements, the doctor may consider blood tests, liver and kidney function tests, electrolytes or other relevant nutritional markers.
10. How often is Cernevit® used?
Official prescribing information provides standard administration guidance. However, the actual frequency, dosage and duration of use for each individual should be determined by the doctor according to clinical and nutritional requirements.
11. What should be considered during long-term use?
Long-term use requires consideration of the potential accumulation of fat-soluble vitamins, liver and kidney function, as well as vitamin intake from diet, oral supplements and other nutritional sources, to reduce the risk of duplicate or excessive supplementation.
12. Can Cernevit® be used with other intravenous nutritional support?
Where compatibility and stability have been confirmed, qualified healthcare professionals may use Cernevit® with appropriate intravenous fluids or parenteral nutrition formulations according to clinical requirements.
13. Can other vitamin supplements be taken at the same time?
The doctor should be informed of all sources of vitamins and nutritional supplementation, including oral products and other intravenous nutritional support, to reduce the risk of duplicate or excessive supplementation.
14. Can Cernevit® be used during pregnancy?
Suitability during pregnancy should be assessed individually by a doctor based on actual clinical need, the individual's health status, and the potential risks and benefits.
15. Can Cernevit® be used while breastfeeding?
Medical assessment is recommended before use during breastfeeding. Decisions should follow the locally approved Cernevit® product information and the guidance of qualified healthcare professionals.
FAQ
Cernevit® Frequently Asked Questions
The information provided on this page is intended for health education and general informational purposes only. It is designed to help readers better understand Cernevit® intravenous multivitamin nutritional support and is not intended to replace the assessment, diagnosis, advice or recommendations of a doctor, registered healthcare professional or other qualified medical professional.
Cernevit® is a multivitamin preparation intended for parenteral administration. It is not a general daily wellness vitamin supplement and is not suitable for everyone. Whether Cernevit® is required, as well as the appropriate dosage, method of administration and monitoring arrangements, must be assessed and determined by qualified healthcare professionals based on the individual’s nutritional status, medical history, liver and kidney function, allergy history, current medications and other sources of nutrition or vitamin supplementation. Patients should not prepare, inject or modify the administration of Cernevit® themselves.
Individual nutritional requirements, responses to use and safety considerations may vary depending on health status, nutritional condition, concurrent medications or supplements and other relevant factors. Product information, formulation details, methods of administration and medical information presented on this page are provided for general reference only and do not constitute a guarantee of therapeutic effectiveness, an assurance of specific outcomes or individualized medical advice.
Learn More About Cernevit® Intravenous Multivitamin Nutritional Support
Each individual has different nutritional status, dietary intake, intestinal absorption capacity and health needs. Through professional medical assessment, it is possible to further evaluate whether parenteral multivitamin supplementation may be appropriate and to develop a suitable nutritional support approach based on the individual’s health status. If you would like to learn more about Cernevit®, intravenous multivitamin supplementation, parenteral nutritional support or related medical assessment, please contact the BMS Clinic team for further information.