addtim injection - Thiamine(Vitamin B1) (50mg/ml) medicine

Addtim Injection (thiamine Vitamin B1): Comprehensive Medicine Guide

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🏭 Arkson Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for thiamine deficiency.
Reviewed by
SaathiMed Expert Panel | Oct 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or shortness of breath
  • Swelling of the face, lips, tongue, or throat
  • Severe rash or hives
  • Dizziness or fainting
  • Chest pain or palpitations
  • Bluish discoloration of lips or skin

If experiencing severe symptoms, call emergency services immediately.

What is addtim injection used for?

This medicine is a thiamine (vitamin B1) injection used to treat thiamine deficiency, which can cause beriberi, Wernicke's encephalopathy, and other neurological and cardiovascular problems. It is given intramuscularly by a healthcare professional.

  • Generic Name: Thiamine
  • Manufacturer: Arkson Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 addtim injection के बारे में (Hindi Summary)

उपयोग: यह दवा थायमिन (विटामिन बी1) का इंजेक्शन है, जिसका उपयोग थायमिन की कमी के इलाज के लिए किया जाता है। यह बेरीबेरी, वर्निक एन्सेफैलोपैथी और अन्य न्यूरोलॉजिकल समस्याओं में दिया जाता है। यह इंजेक्शन डॉक्टर द्वारा मांसपेशियों में लगाया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, लालिमा या सूजन शामिल है। कभी-कभी मतली, बेचैनी या गर्मी लग सकती है। गंभीर एलर्जी प्रतिक्रियाएं दुर्लभ हैं लेकिन तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल डॉक्टर द्वारा ही लगाई जानी चाहिए। खुद से इंजेक्शन न लगाएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन न करें क्योंकि इससे थायमिन की कमी बढ़ सकती है। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर को बताएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 addtim injection Uses & Benefits

[{"condition":"Thiamine deficiency","description":"Treats or prevents thiamine deficiency caused by inadequate dietary intake, malabsorption, or increased requirements.","evidence":"Well-established"},{"condition":"Beriberi","description":"Used to treat dry beriberi (neurological) and wet beriberi (cardiovascular) caused by severe thiamine deficiency.","evidence":"Well-established"},{"condition":"Wernicke's encephalopathy","description":"Emergency treatment of Wernicke's encephalopathy, often associated with chronic alcohol use, to prevent progression to Korsakoff syndrome.","evidence":"Well-established"},{"condition":"Korsakoff syndrome","description":"May be used in the management of Korsakoff syndrome, though neurological damage may be irreversible.","evidence":"Limited"}]

Off-label uses: [{"condition":"Leigh's disease","description":"Sometimes used off-label in mitochondrial disorders such as Leigh's disease, but evidence is limited.","evidence":"Limited"},{"condition":"Maple syrup urine disease","description":"May be used as an adjunct in the management of maple syrup urine disease, but not standard.","evidence":"Limited"}]

Primary treatment for: Thiamine deficiency

Also treats: Beriberi, Wernicke's encephalopathy, Korsakoff syndrome

📋 Drug Information

Generic Name(s)Thiamine
Brand NameAmintoz Injection
ManufacturerArkson Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action ClassVitamins
Route of AdministrationIntramuscular
StorageStore at room temperature (15-30°C). Protect from light and freezing. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always administer this injection in a healthcare setting where resuscitation equipment is available.
2
Ask patients about any history of allergic reactions to thiamine before administering.
3
Advise patients to avoid alcohol consumption during treatment to improve outcomes.
4
Monitor for signs of anaphylaxis for at least 30 minutes after injection.
5
For patients with malabsorption, consider intramuscular thiamine as it bypasses the gut.
6
Educate patients on the importance of follow-up to monitor response and adjust dosing.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fatigue and weakness
This medicine is used for thiamine deficiency which can cause fatigue.
Likely Use
✅
Confusion
Thiamine deficiency can cause confusion; this medicine may be prescribed.
Likely Use
❌
Headache
This medicine is not a primary treatment for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThiamine is rapidly absorbed after intramuscular injection, with peak blood levels achieved within 30 minutes to 1 hour. Absorption is not dependent on gastrointestinal factors, making it suitable for patients with malabsorption.
DistributionThiamine is distributed widely throughout body tissues, with highest concentrations in the liver, brain, heart, and kidneys. It crosses the placenta and is excreted in breast milk.
Protein BindingThiamine is not significantly bound to plasma proteins.
MetabolismThiamine is metabolized in the liver to its active form, thiamine pyrophosphate, and other metabolites. It is not extensively metabolized; excess is excreted unchanged.
Half-LifeThe elimination half-life of thiamine is approximately 1 to 4 hours, but it may be prolonged in cases of deficiency or renal impairment.
ExcretionThiamine and its metabolites are primarily excreted in the urine. Small amounts may be excreted in bile and feces.
BioavailabilityIntramuscular administration provides high bioavailability, close to 100%, as it bypasses gastrointestinal absorption.
Onset of ActionThe onset of action is rapid, with effects on metabolic processes beginning within minutes to hours after injection. Clinical improvement in deficiency symptoms may take days to weeks.
Peak Plasma TimePeak plasma concentrations are typically reached within 30 minutes to 1 hour after intramuscular injection.
Duration of ActionThe duration of action depends on the dose and the patient's thiamine status. Generally, the effects last for several hours to days, but repeated doses may be necessary to replenish body stores.

How It Works

Thiamine is converted in the body to its active form, thiamine pyrophosphate (TPP), which serves as a coenzyme for several key enzymes involved in carbohydrate metabolism, including pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase, and transketolase. These enzymes are essential for the production of energy and for the synthesis of neurotransmitters. By replenishing thiamine, this medicine helps restore normal metabolic function, particularly in the nervous system and heart, where energy demands are high.

Mechanism Steps

1
Administration and absorption: Thiamine is administered intramuscularly and absorbed into the bloodstream.
2
Conversion to active form: Thiamine is phosphorylated to thiamine pyrophosphate (TPP) in the liver and other tissues.
3
Coenzyme function: TPP acts as a coenzyme for pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase, and transketolase, facilitating carbohydrate metabolism and energy production.
4
Restoration of metabolic balance: Improved metabolism leads to reversal of neurological and cardiovascular symptoms associated with thiamine deficiency.

💡 How to Take addtim injection

Strength: Thiamine 50 mg/mL injection

1This medicine is administered by a healthcare professional as an intramuscular injection.
2Do not self-administer.
3The injection is typically given into a large muscle such as the buttocks or thigh.
4Follow your doctor's instructions regarding the number of doses and schedule.
5Report any side effects immediately.

Dosage Information

Adult DosageThe dosage of this medicine is individualized by a qualified clinician based on the indication, severity of deficiency, and patient's clinical condition. For thiamine deficiency, typical adult doses range from 10 to 100 mg intramuscularly, but higher doses may be used in severe cases such as Wernicke's encephalopathy. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function and overall health status. Consult a doctor for individualized dosing.
Renal ImpairmentNo specific dose adjustment is established for renal impairment, but use with caution and monitor renal function.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment, but use with caution.
Maximum Daily DoseThe maximum daily dose is determined by the prescribing clinician based on the patient's condition. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Alcohol
Avoid
Alcohol worsens thiamine deficiency and reduces treatment efficacy.

⏰ What to Do If You Miss a Dose

📌 If you miss a scheduled dose
→ Contact your healthcare provider as soon as possible.
💡 Do not attempt to self-administer an extra dose.

⚠️ Side Effects of addtim injection

✅ Common Side Effects

Injection site pain (Common (1-10%))
Apply a cold compress to the site. It usually resolves on its own.
Injection site redness or swelling (Common (1-10%))
Keep the area clean and avoid scratching. Consult a doctor if it worsens.
Nausea (Uncommon (0.1-1%))
Take small sips of water and rest. If persistent, consult your doctor.
Restlessness (Uncommon (0.1-1%))
Try to relax. If it interferes with daily activities, inform your doctor.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of the face, lips, or throat, or a severe rash.
Severe allergic reaction (Rare (<0.1%))
Discontinue use and get emergency help if you notice hives, itching, or swelling.

⚠️ Rare Side Effects

Hypotension
Lie down and seek medical help if you feel dizzy or faint.
Cyanosis
Seek immediate medical attention if you notice bluish discoloration of lips or skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Furosemide Moderate
Fluorouracil Moderate

🚨 Major Interactions

  • Alcohol

⚡ Moderate Interactions

  • Loop diuretics (e.g., furosemide)
  • Fluorouracil

🍷 Alcohol Interaction

Alcohol consumption should be avoided while receiving this medicine because alcohol reduces thiamine absorption and increases the body's requirement for thiamine, potentially worsening deficiency and reducing the effectiveness of treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to thiamine or any component of the formulation"]

⚠️ Warnings & Precautions

["Administer with caution in patients with a history of allergic reactions to thiamine.","Use with caution in patients with renal impairment; dose adjustment may be needed.","Avoid alcohol consumption during treatment.","Do not administer intravenously; this medicine is for intramuscular use only.","Keep epinephrine available in case of anaphylaxis."]

🤱 Lactation Safety

Thiamine is excreted in breast milk and is considered safe for breastfeeding mothers when used as prescribed. Consult your doctor for guidance.

💊 Overdose Management

Overdose with thiamine is unlikely to cause serious effects due to its water-soluble nature and rapid excretion. However, if a large dose is accidentally administered, monitor the patient for signs of allergic reactions and provide supportive care. In case of severe reactions, treat symptomatically.

⏰ Missed Dose

If you miss a scheduled dose, contact your healthcare provider as soon as possible. Do not attempt to self-administer an extra dose. Your doctor will advise on the next steps.

Additional Safety Advice

General Safety

This medicine must be administered by a qualified healthcare professional only. Do not attempt to self-administer. Before receiving this injection, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Also, disclose any allergies, especially to thiamine or other vitamins. If you have kidney or liver disease, your doctor may need to adjust the dose or monitor you closely. Avoid alcohol consumption while receiving this medicine, as alcohol can worsen thiamine deficiency and reduce its effectiveness. Do not drive or operate heavy machinery immediately after the injection if you feel dizzy or unwell. Keep all follow-up appointments and report any unusual symptoms promptly.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal function and may require dose adjustment. Monitor for signs of deficiency and adverse effects.

🤰 Pregnancy Planning (TTC)

Thiamine is essential during pregnancy. If you are planning pregnancy, ensure adequate intake through diet and supplements as advised by your doctor.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon about this medicine. It is generally safe to continue, but your doctor will advise.

🦷 Dental Procedures

No specific precautions for dental procedures, but inform your dentist about this medicine.

💚 Lifestyle Tips for Better Results

🏃
Maintain a balanced diet rich in thiamine-containing foods such as whole grains, legumes, and lean meats.
🥗
Avoid excessive alcohol consumption.
😴
If you have malabsorption, work with your doctor to manage the underlying condition.
💧
Engage in regular moderate exercise as tolerated.
🧘
Get adequate sleep to support neurological health.

🏋️ Exercise Considerations

No specific exercise restrictions are required while on this medicine, but if you experience dizziness or weakness, avoid strenuous activities until you feel better.

🥗 Diet Recommendations

Include thiamine-rich foods like whole grains, pork, legumes, and nuts.
Limit alcohol intake.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine is given in a healthcare setting and generally does not affect your ability to work or drive. However, if you feel dizzy or unwell after the injection, avoid driving or operating machinery until symptoms resolve.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. The duration of treatment depends on the underlying condition and your response. Your doctor will determine when to discontinue or switch to oral therapy.

📅 Long-Term Use Effects

Long-term use of thiamine injection is generally safe when used as prescribed. Prolonged high doses may lead to hypersensitivity reactions in rare cases. Regular monitoring of clinical response is advised. When deficiency is corrected, oral supplementation may be sufficient.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral thiamine supplementation

May be used for mild deficiency or maintenance after initial injection therapy.

Evidence: Well-established
Dietary modification

Increasing intake of thiamine-rich foods can help prevent deficiency.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, inform your doctor about recent vaccinations.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate or freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from light and freezing. If you need to administer it during travel, ensure you have access to a healthcare professional. Check customs regulations for carrying injectable medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with chronic alcohol use disorder presented with confusion and unsteady gait.
He was diagnosed with Wernicke's encephalopathy and treated with intramuscular thiamine. His symptoms improved significantly within a few days, and he was advised to abstain from alcohol and continue oral thiamine.
💡 Lesson: Early recognition and treatment of thiamine deficiency can prevent irreversible neurological damage.
👤 A 40-year-old woman with celiac disease and malabsorption developed peripheral neuropathy.
She received intramuscular thiamine injections and experienced gradual improvement in her nerve pain and weakness over several weeks. She was also started on a gluten-free diet and oral thiamine supplements.
💡 Lesson: Intramuscular thiamine is effective for patients with malabsorption who cannot absorb oral thiamine adequately.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The injection starts working quickly, but clinical improvement may take days to weeks depending on the severity of deficiency.

Q: Is this injection painful?

A: Some pain at the injection site is common but usually mild and temporary.

Q: Can I take oral thiamine instead?

A: Oral thiamine may be used if absorption is adequate; however, intramuscular is preferred when rapid replenishment is needed or absorption is impaired.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for addtim injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Thiamine injection is a painkiller.
    Fact: Thiamine injection is a vitamin supplement used to treat deficiency, not a painkiller.
  • Myth: Thiamine injection can be self-administered.
    Fact: It must be given by a healthcare professional.
  • Myth: Thiamine injection is only for alcoholics.
    Fact: It is used for anyone with thiamine deficiency due to various causes.

🔄 Alternative Options

Generic Alternatives

  • Thiamine injection (generic)

Brand Alternatives

  • Addtim Injection

📊 Comparison with Similar Medicines

[{"medicine":"Thiamine injection","composition":"Thiamine (Vitamin B1)","route":"Intramuscular","primary_use":"Thiamine deficiency"},{"medicine":"Vitamin B complex injection","composition":"Multiple B vitamins","route":"Intramuscular","primary_use":"Multiple vitamin deficiencies"}]

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