[amitsa]

Bryanna,

I have never heard of anything like this. I wish to ask if you are aware of anything like this.

My brother aged 35 went to see a dentist on 11th February,2014. He had a composite filling on his upper left sixth premolar which had broken. He visited the dentist .The dentist said it was a deep cavity but said there was still small space till the infection reached the pulp. Actually while drilling she hit the pulp nerve. She filled the deep cavity with GIC filling very tightly(I suppose). My brother complained of pain after 4-5 days. He went to the dentist again.She said,the pain would go away slowly. He waited for a month but the pain did not go away. He again went to the dentist.She said is the
pain unbearable ? He said No. So she said it is not required to remove it. He then kept filling for 3 months.

The pain passed into the back of the head (occipital nerves) and became severe. Finally he said I can no longer take this. He asked the dentist to remove it.She removed it. While extraction ,my brother said,he had a shock like sensation.

After removal,my brother had severe burning pain where the tooth existed and above it which went into the superior alveolar nerve . This pain was constant and unbearable. My brother visited an orofacial pain specialist in Mumbai. She took his history and diagnosed it as Trigeminal Deafferentation pain. She said the Central Nervous system is involved in this type of pain.

The pain specialist said this pain may abate or may last for a lifetime.My brother refused to get a nerve block done last year.He said he wanted to wait and try other methods. He also fears getting a nerve block. He also did not take a stent and a mixture of Lidocaine based anaesthetics to be applied topically which the pain specialist provided.

He has been trying some B vitamins (B6,B12,folic acid,myoinositol,L carnitine,Benfotiamine) for the last one year to see if nerve pain goes away. He has tried Pregabalin, Gabapentin, Amitriptyline - even antidepressant duloxetine but no effect. The pain has reduced but is still there. He is bearing it. I advised him to go to the pain specialist and get her Lidocaine based paste to be applied topically inside the stent.

My brother complaints the dentist has destroyed his life. He says he wants to jump in front of a train and end his life and pain once and for all.

From what I have gotten off the internet, applying Lidocaine seems to be the only solution. But again the pain is inside in the nerve and the pallette has bone ,so Lidocaine cannot reach there,if at all in small amounts.

Are nerve blocks successful ? I have heard there are serious complications if not done properly including something called as ANAESTHESIA DOLOROSA which is painful numbness though very rare .

Bryanna, What is your advice on this ? The pain is burning pain which is felt in the superior alveolar nerve. My brother is extremely restless.


Regards,
Amit.

[Bryanna]

Amit,

I am going to re post some of your thread and answer in bold type.

<<My brother aged 35 went to see a dentist on 11th February,2014. He had a composite filling on his upper left sixth premolar which had broken. He visited the dentist .The dentist said it was a deep cavity but said there was still small space till the infection reached the pulp. Actually while drilling she hit the pulp nerve. She filled the deep cavity with GIC filling very tightly(I suppose). My brother complained of pain after 4-5 days. He went to the dentist again.She said,the pain would go away slowly. He waited for a month but the pain did not go away. He again went to the dentist.She said is the
pain unbearable ? He said No. So she said it is not required to remove it. He then kept filling for 3 months.>>

TO ME THIS SOUNDS LIKE THERE WAS INFECTION STARTING PRIOR TO THE DENTIST DOING THE FILLING BECAUSE IF SHE WAS ABLE TO GET INTO THE THE PULP THAT EASILY THAN THE DECAY HAD ALREADY PERFORATED IT. BECAUSE THE PERFORATION WAS SMALL SHE FIGURED SHE WOULD PUT IN SOME MEDICATED MATERIAL AND HOPE THE PULP TISSUE HEALED. HOWEVER, IF THE TOOTH WAS ALREADY INFECTED AS I SUSPECT IT WAS, THEN THE MEDICATED FILLING WAS NOT GOING TO HELP. SECONDLY, THE VIBRATIONS FROM THE DRILL AND THE PACKING OF THE FILLING MATERIAL WOULD HAVE CONTRIBUTED TO FURTHER TRAUMA OF THIS TOOTH WHICH IS WHY HE CONTINUED TO HAVE PAIN.

<<The pain passed into the back of the head (occipital nerves) and became severe. Finally he said I can no longer take this. He asked the dentist to remove it.She removed it. While extraction ,my brother said,he had a shock like sensation.>>

HE WAS GETTING REFERRED PAIN FROM THE TOOTH BEING INFLAMED AND PERHAPS SOME NERVES WERE OVER STIMULATED BY EITHER THE TRAUMA OF THE INITIAL DRILLING AND/OR THE EXTRACTION OF THE TOOTH. THE SHOCK SENSATION COULD HAVE OCCURRED FOR A NUMBER OF REASONS. IT COULD HAVE BEEN ACTUALLY AN INJECTION SHE GAVE HIM IN THE PALATE OR IN THE UPPER VESTIBULE ON THE FACIAL SIDE. SHE COULD HAVE INJECTED ANESTHETIC INTO THE SOCKET AS SHE WAS REMOVING OR JUST AFTER SHE REMOVED THE TOOTH WHICH COULD HAVE HIT A BUNDLE OF SKELETAL NERVES.

<<After removal,my brother had severe burning pain where the tooth existed and above it which went into the superior alveolar nerve . This pain was constant and unbearable. My brother visited an orofacial pain specialist in Mumbai. She took his history and diagnosed it as Trigeminal Deafferentation pain. She said the Central Nervous system is involved in this type of pain>>

YES, SHE COULD HAVE NICKED THE ANTERIOR OR POSTERIOR SUP ALVEOLAR NERVE IF THIS WAS AN UPPER PRE MOLAR AND ESPECIALLY IF THE NERVE WAS ALREADY INFLAMED. I WILL ATTACH A DIAGRAM OF THE NERVES SO YOU CAN SEE WHERE THEY ARE LOCATED AND YOU CAN ALSO SEE HOW EACH TOOTH IS INTRICATELY CONNECTED TO A NERVE THAT ALSO CONNECTS TO OTHER BUNDLES OF NERVES. I AM NOT WELL VERSED ENOUGH TO DISCUSS TRIGEMINAL PAIN DISORDERS IN GREAT DETAIL. HERE IS A VERY INFORMATIVE LINK THAT MAY HELP YOU OR HIM TO COMMUNICATE BETTER WITH HIS OROFACIAL PAIN DR....
https://www.dartmouth.edu/~dons/part_2/chapter_19.html

<<The pain specialist said this pain may abate or may last for a lifetime.My brother refused to get a nerve block done last year.He said he wanted to wait and try other methods. He also fears getting a nerve block. He also did not take a stent and a mixture of Lidocaine based anaesthetics to be applied topically which the pain specialist provided.>>

I CAN UNDERSTAND WHY HE WOULD HESITATE TO TAKE THE STENT AND NERVE BLOCK.

<<He has been trying some B vitamins (B6,B12,folic acid,myoinositol,L carnitine,Benfotiamine) for the last one year to see if nerve pain goes away. He has tried Pregabalin, Gabapentin, Amitriptyline - even antidepressant duloxetine but no effect. The pain has reduced but is still there. He is bearing it. I advised him to go to the pain specialist and get her Lidocaine based paste to be applied topically inside the stent.

VITAMIN B WORKS BEST WHEN IT IS TAKEN AS COMPLEX AND NOT AS INDIVIDUAL B'S. A VERY GOOD VITAMIN B SUPPLEMENT IS BY THORNE AND IT'S CALLED B COMPLEX #12. HE CAN TAKE 3 A DAY IF NEEDED. VITAMIN C IN DOSES TO BOWEL TOLERANCE, D3 MINIMUM OF 4000 IU'S A DAY ARE ALSO VERY HELPFUL FOR NERVE REPAIR. VITAMIN C SHOULD BE TAKEN AT 250 MGS AT THE ONSET AND THEN ANOTHER 250 6 HOURS LATER AND REPEAT AGAIN. IF THIS GOES WELL, THEN INCREASE TO 500 MGS 3 TIMES A DAY. ONE OF THE BEST VITAMIN C SUPPLEMENTS IN MY OPINION IS PERQUE POTENT C GUARD POWDER. IT IS ABSORBED EASILY AND YOU CAN REGULATE THE DOSAGE YOURSELF AS IT IS IN A POWDER FORM. I TAKE MY IN PLAIN WATER AND MY DAILY INTAKE AT THIS POINT IS 3000 MGS A DAY.

<<My brother complaints the dentist has destroyed his life. He says he wants to jump in front of a train and end his life and pain once and for all.>>

I IMAGINE HE IS VERY UPSET AND JUST WANTS THE PAIN TO STOP. HOWEVER HE HAS TO TAKE MEASURES EVERY DAT TO TRY TO REPAIR THE NERVES. IT MAY NEVER GO AWAY COMPLETELY OR IT COULD TAKE MONTHS OR YEARS TO CURE BUT THE SOONER HE GETS REGIMENTED WITH A PROTOCOL THE BETTER THE CHANCES WILL BE.

<<From what I have gotten off the internet, applying Lidocaine seems to be the only solution. But again the pain is inside in the nerve and the pallette has bone ,so Lidocaine cannot reach there,if at all in small amounts.>>

LIDOCAINE MAY BE HELPFUL IF USED TOPICALLY BUT IT IS NOT GOING TO REPAIR THE NERVES IN ANY WAY. IT IS ONLY MEANT TO DULL THE PAIN.

<<Are nerve blocks successful ? I have heard there are serious complications if not done properly including something called as ANAESTHESIA DOLOROSA which is painful numbness though very rare>>

NERVE BLOCKS ARE RESERVED FOR THE EXTREME CASES WHEN OTHER LESS INVASIVE TRIALS HAVE FAILED. THEY CAN WORK TO SOME DEGREE BUT THEY CAN ALSO ADD INSULT TO INJURY.

<<Bryanna, What is your advice on this ? The pain is burning pain which is felt in the superior alveolar nerve. My brother is extremely restless.>>

I RECOMMEND THAT HE SEEK HELP FROM A NUTRITIONIST OR AYURVEDIC PRACTITIONER. THEY WILL GUIDE HIM WITH NOT JUST SUPPLEMENTS AND FOOD BUT LIFESTYLE CHANGES TO HELP HIM RELAX HIS NERVOUS SYSTEM.

[Vowel Lady]

This sounds horrible. I had heavy duty pain after a dental procedure three years ago. I had zero pain going into the procedure. It went from bad to worse. I too asked a dentist to pull the tooth, out of desperation. This did not help at all.

After trying many medications that either didn't work or had too many side effects, I ended up having a cream made especially for me that I rub on my jaw and ear area 3-4 x a day and the back of my neck 1x a day. In this cream is lidocaine, Capsaisin and Gabapentin. The cream is made by a compounding pharmacy and requires a doctor's prescription. Much less side effects using a cream like this...but this (a customized cream) is not available everywhere.

I also take certain tablets (pills) by mouth. One is Desipramine (most folks take Elavil) and I also take Baclofen. All of this has really helped me. (I'm taking five medications)

Very generally, the two or three meds that seem to help many folks with this type of situation are: Gabapentin, Elavil and Baclofen. I've seen these meds mentioned over and over again and folks getting varying degrees of pain relief. Some people do well on just one medication. It seems your brother has tried some of these..he might need a different dosage or various combinations of meds. Again, I take five medications for this pain.

There is a lidocaine applicator for inside the mouth called Kanka that is a little helpful. You can get it on amazon.

Good that he is taking these vitamins. I have found the B's (a good B multi plus extra B12 and magnesium possibly a little helpful, I'm not sure) I also did acupuncture, which helped a little...but ended up being expensive and only helped a very small amount.

I have known people who have attempted suicide from this pain. It is not to be taken lightly. If he is not getting better, he WILL need meds to help with pain relief ASAP.

I personally think time and medication has made my pain more controllable.

It might be a matter of trial and error with the meds, plus time.

Sending healing thoughts. Check out the TRigeminal Neuralgia site here for possibly more insight.

[Bryanna]

Amit,
Here is the diagram showing the trigeminal nerves and how they connect to nerves that branch off of the teeth.

[amitsa]

I stay in Mumbai,India. Thorne supplements are available here. They are imported from US.There are Indian brands also.

My brother has some questions ON VITAMINS.

The good thing about Thorne is it does not have Folic acid. It has Methyl folate. I have heard folic acid is dangerous if taken for long time in large amounts.

Can somebody tell the safe level of folic acid per day for men ?
In India,all Vitamin B supplements have 1.5 mg or atleast 1 mg of folic acid per pill in them. The RDA is just in micrograms Is this safe ? My brother fears taking B complex because of this.

Also,Is cyanacobalamin (form of vit B12) safe or is METHYLCOBALAMIN safe ? There are many B complex vitamins with cyanacobalamin that are dirt cheap here but dont know if they are safe ? I READ IT HAS CYANIDE MOLECULE WHICH IS POISON.

I dont know if Bryanna can answer these but these are questions my brother has in his mind about vitamins.

One more thing.
I did not get why you have asked to take Vit C and Vit D. Do they help in nerve repair or regeneration. From what I have learnt,it is just vitamin B that is useful.

Vit D is for bones and calcium absorption and Vit C is an antioxidant from what I know.

-Amit.

[Bryanna]

Hi Amit,

First let me explain that when someone is very healthy with NO genetic, auto immune or chronic problems, they live a happy, peaceful, stress free and active lifestyle and their diet is impeccably clean and nutritious, their need for daily vitamin and mineral supplementation will be minimum. Anyone outside of those categories, would most likely benefit from supplementation and the individual needs will vary. It is unfortunate that most of the population probably falls into the category of needing help. So when something goes awry such as a dental problem that involves infection, inflammation and nerve pain, the need for help increases.

As you are aware, everything that goes on in the mouth has a systemic affect on the entire body. Therefore, it's important to nurture the whole body and not just that one tiny area of his mouth. As you can see by the "nerve" diagram that I provided, the nerves are all intricately connected and that connection does not stop at the face, head, or neck. It travels throughout the body.

I personally use and recommend Thorne and Perque brands as the quality is consistently remarkable compared to most other brands. I also use and recommend Biotics Research Bio D Mulsion Forte as I have found it to be the most readily absorbed form of supplemental vitamin D.

B vitamins are water soluble meaning the body utilizes what it needs and then excretes what is left over. Therefore it is beneficial to supplement with it 2-3 times a day. Providing that the quality of the supplement is pure and without toxic chemical fillers, etc, (as with Thorne products) a vitamin B complex is very safe to take in high dosages for long periods of time for both men and women. When you take B vitamins in a complex form, they work synergistically to compliment the digestion and absorption of each other which actually reduces the likelihood of any unpleasant side effects. When just taken singularly, there is no synergistic affect and that is when absorption is poor and unpleasant temporary side effects can occur. So it always makes sense to take B vitamins in a complex form. You can always add more of a singular B to the complex if needed.

Vitamin C is a water soluble vitamin as well and the body excretes vitamin C rapidly. Therefore it is beneficial to supplement with it a few times a day. It is essential to every living organism in the body to have plenty of vitamin C circulating throughout the body on a continual basis. Vit C acts as a catalyst which means it increases the rate of a chemical reaction such as absorption of other vitamins and minerals without changing it's own chemical structure. So when you take vitamin C, you not only get the benefit of the absorption of other nutrients, you get the full anti oxidant benefit of the C itself.

Vitamin D is extremely influential and beneficial to nearly every single cell of the body, not just the bones. Vitamin D3 is cholecalciferol which is the natural form of D that we obtain from sunlight. This form of D is virtually non toxic as compared to the synthetic form of D2 which is toxic. However, the blood levels of vitamin D should be tested with a specific blood test called 25 (OH) D every 3 months during high dosage supplementation until the optimal blood levels are achieved. Then the daily dosage can be lowered and monitored once a year. The most easily and readily absorbed supplement form of Vit D3 is via an emulsified liquid as it gets into the blood stream quicker than pill form and can be taken once a day with a fatty meal or on a spoon in olive oil for best absorption.

When you take supplements that compliment each other, as B, C and D do, you get the full benefit of each supplement. When you have trauma or injury that involves the nervous system, you need to not only rescue the area that has been affected but you need to nurture the rest of the body so it can help repair and rejuvenate the injured area to be well again. Focusing on the symptom rather than the deeply connected causes and contributing factors of it, only serves as a topical and temporary solution. This is why using medications or surgery alone without proper nutrition and nurturing of the systemic connections will not be able to cure the problem.

Amit, I am curious... how is the health of the rest of his teeth? Does he see a dentist regularly or just when something hurts? Does he have root canaled teeth or periodontal disease?

Bryanna

Originally Posted by amitsa

I stay in Mumbai,India. Thorne supplements are available here. They are imported from US.There are Indian brands also.

My brother has some questions ON VITAMINS.

The good thing about Thorne is it does not have Folic acid. It has Methyl folate. I have heard folic acid is dangerous if taken for long time in large amounts.

Can somebody tell the safe level of folic acid per day for men ?
In India,all Vitamin B supplements have 1.5 mg or atleast 1 mg of folic acid per pill in them. The RDA is just in micrograms Is this safe ? My brother fears taking B complex because of this.

Also,Is cyanacobalamin (form of vit B12) safe or is METHYLCOBALAMIN safe ? There are many B complex vitamins with cyanacobalamin that are dirt cheap here but dont know if they are safe ? I READ IT HAS CYANIDE MOLECULE WHICH IS POISON.

I dont know if Bryanna can answer these but these are questions my brother has in his mind about vitamins.

One more thing.
I did not get why you have asked to take Vit C and Vit D. Do they help in nerve repair or regeneration. From what I have learnt,it is just vitamin B that is useful.

Vit D is for bones and calcium absorption and Vit C is an antioxidant from what I know.

-Amit.

[amitsa]

My brother's oral health is absolutely fine - no root canaled teeth or periodontal disease.

He is obese.

He has mild depression and severe anxiety . He used to take Clonazepam (benzo) for that. He took it for 6 months. But that was 4-5 years back.He stopped it because he felt hew might get addicted . He had horrible time coming off it - withdrawal symptoms.

He takes Escitalopram SSRI 10 mg for depression. He tried duloxetine for pain but that did not work.So he reverted back to his favourite- escitalopram.


He took Nuhenz as advised by a neuro here (twice a day) by La Renon for 2.5 months - www.larenon.com

NUHENZ
mecobalamin 1500 mcg,
Alpha lipoic acid 200 mg,
Benfotiamine 200 mg,
Folic acid 1.5 mg,
Chromium polynicotinate 200 mg,
Myo-inositol 100 mg,
Pyridoxine hydrochloride 3 mg.


He also tried Becosules (Vitamin B complex) by Pfizer once a day for 1.5 month - http://www.pfizerindia.com
He was taking Mecobalamin (vit B12) separately 1500 mcg twice daily during this time. He takes this even now.

Becosules :
Calcium pantothenate 50 mg,
Vitamin B12 15 mcg,
Folic acid 1.5 mg,
Thiamine mononitrate 10 mg,
Riboflavin 10 mg,
Pyridoxine hydrochloride 3 mg,
Niacinamide 100 mg,
Vitamin C as Ascorbic acid 150 mg,
Biotin 100 mcg,

Becosules is a very famous brand in India by Pfizer (it is actually American).
Is the folic acid content of 1.5 mg OK for long term use ?

He is not sure how long to take vit B complex ,vit C.

He just takes a Becosules pill sometimes nowadays and a Vit B12 pill. But he is not taking any Vit C supplement.

Regards,
Amit.

[Vowel Lady]

It is very, super, incredibly interesting Amitsa that your brother has no root canalled teeth. My tooth wasn't root canalled, but I had others that were. I don't think it had anything to do with root canaled teeth. And I had very good oral hygeine as well and went for my cleanings religiously every six months.

Again, I have found medication and time to be very helpful with this nerve pain. Vitamins and good, clean eating has helped somewhat as well.

Blessings.

[Bryanna]

Vowel Lady,

I've talked about the correlation between infected teeth and nerve irritation many times on this forum. Infected teeth do not have to be root canaled, although that is often the case. They can have deep decay as a source of the infection as was the case in the brother of Amit.

Tooth decay takes time, months or even years, to become deep. Therefore someone can have (unknowingly) for a long time. In that time frame, bacteria would begin to migrate in the area around that tooth maybe even as far as into the alveolar nerves. Therefore, when the tooth is extracted there is already infection and inflammation occurring. Any extraction of an infected tooth, root canaled or not, is more complicated than extracting a tooth that was not infected. An example of a tooth needing to be extracted other than root canaled or infected .... a fractured tooth, a recently broken or injured tooth, or teeth removed for orthodontics.

Perhaps you could share the reasoning as to why you needed to have teeth root canaled since your oral hygiene was very good and you had routine dental care every 6 months? What happened to the teeth that ended up root canaled?

Bryanna

Originally Posted by Vowel Lady

It is very, super, incredibly interesting Amitsa that your brother has no root canalled teeth. My tooth wasn't root canalled, but I had others that were. I don't think it had anything to do with root canaled teeth. And I had very good oral hygeine as well and went for my cleanings religiously every six months.

Again, I have found medication and time to be very helpful with this nerve pain. Vitamins and good, clean eating has helped somewhat as well.

Blessings.

[Bryanna]

Hi Amit,

Thank you for sharing that information regarding your brother. It sounds like he has some difficulties that he's been experiencing and it's really kind of you to try so hard to help him

Regarding his health, I would be remiss if I didn't mention to you that obesity is a health problem. People who are obese are often malnourished due the excessive high calorie, high sugar, and low nutrient rich foods in their diet. One does not need to be thin to be malnourished as it is the quality of the food that predisposes someone to malnutrition, not the quantity.

In the medical profession known as Functional Medicine, obese people generally have what they refer to as "diabesity". This is a term that references obesity to common health complications such as diabetes, elevated blood sugar and blood pressure and elevated bad LDL cholesterol. These things are normally found in obese people because their diets are poor, their activity level is lacking, their self esteem is low and their organs are working way too hard.

It is interesting how many people tend to try an overlook their own or someone elses obesity problem. I personally think we do that because we have become accustomed to seeing so many obese people that it just seems normal. But the fact is, obesity is a huge health concern.

I don't know if you are aware of this or not, so I will share it with you. Your brothers mental health problems are commonly found in people with diets lacking in nutrition. Some mental health issues are genetic, but a family member is most likely to only experience those issues to any disabling degree when they are nutrient deficient. The medications that are given can only mask the symptoms of the mental illness as they do not in any way alter the deficiencies that are present. This is one reason why the meds only work for a period time before they are increased or changed or new ones are added to the regimen.

You are asking me if a particular dosage of a vitamin is adequate or perhaps too much for him. In all honestly, due to his obesity there is no supplement or amount of supplements that are going to be of much help to him for the long term even just pertaining to the nerve pain. The reason being is that he is most likely severely deficient in many vitamins, minerals, enzymes, etc. Truly the best thing he can do is get help to lose the weight, eat healthier meals and exercise. Initially this will be hard, but once he sees a positive change and that will occur quickly, he will feel SO much better.

Regarding the Becosules supplements, they are an over the counter drug made by a pharmaceutical company. The ingredients used to make their products are sourced from chemicals, not food or any other naturally occurring substance.

I sincerely suggest that he seek help from a Nutritionist and/or an Ayurvedic Physician. I hope that you can maybe help him with that

People don't realize how inflamed their bodies, organs and central nervous system is when they are obese. I wish I could offer you more, but he needs to address his obesity and vitamin/mineral deficiencies as they are all contributing factors to his non healing nerve pain. Otherwise he is going to be prescribed an arsenal of medications that at best will only give him some temporary relief.

I hope I have not offended you, him or anyone else. My intentions are sincerely to offer you helpful recommendations and guidance.

Bryanna

Originally Posted by amitsa

My brother's oral health is absolutely fine - no root canaled teeth or periodontal disease.

He is obese.

He has mild depression and severe anxiety . He used to take Clonazepam (benzo) for that. He took it for 6 months. But that was 4-5 years back.He stopped it because he felt hew might get addicted . He had horrible time coming off it - withdrawal symptoms.

He takes Escitalopram SSRI 10 mg for depression. He tried duloxetine for pain but that did not work.So he reverted back to his favourite- escitalopram.


He took Nuhenz as advised by a neuro here (twice a day) by La Renon for 2.5 months - www.larenon.com

NUHENZ
mecobalamin 1500 mcg,
Alpha lipoic acid 200 mg,
Benfotiamine 200 mg,
Folic acid 1.5 mg,
Chromium polynicotinate 200 mg,
Myo-inositol 100 mg,
Pyridoxine hydrochloride 3 mg.


He also tried Becosules (Vitamin B complex) by Pfizer once a day for 1.5 month - http://www.pfizerindia.com
He was taking Mecobalamin (vit B12) separately 1500 mcg twice daily during this time. He takes this even now.

Becosules :
Calcium pantothenate 50 mg,
Vitamin B12 15 mcg,
Folic acid 1.5 mg,
Thiamine mononitrate 10 mg,
Riboflavin 10 mg,
Pyridoxine hydrochloride 3 mg,
Niacinamide 100 mg,
Vitamin C as Ascorbic acid 150 mg,
Biotin 100 mcg,

Becosules is a very famous brand in India by Pfizer (it is actually American).
Is the folic acid content of 1.5 mg OK for long term use ?

He is not sure how long to take vit B complex ,vit C.

He just takes a Becosules pill sometimes nowadays and a Vit B12 pill. But he is not taking any Vit C supplement.

Regards,
Amit.