Composition
Each effervescent tablet contains:
Ascorbic acid ..........................................
1 g
Excipients: Sodium bicarbonate, citric acid anhydrous, saccharin sodium, riboflavin sodium phosphate, sorbitol powder, lemon flavor, and povidone K30.

Therapeutic Indications
Treatment and prevention of vitamin C deficiency.

Prophylaxis and treatment of scurvy.

Methemoglobinemia.

Promoting wound healing.

Common cold, influenza, and other infectious diseases.

Dental caries and bleeding gums.

Adjuvant in the treatment of iron deficiency anaemia.

As a dietary supplement.

Dosage and Administration
1-2 Effervescent tablets daily.

One effervescent tablet is dissolved in a half a glass of water, given as effervescent syrup of a pleasant taste.

Contraindications
Hypersensitivity to ascorbic acid.

Warnings and Precautions
Cevitil should be given with caution to patients with hyperoxaluria or renal insufficiency.

In diabetic patients, Cevitil should be discontinued for several days before determination of the glucose content in urine.

Excessive doses of Cevitil should be avoided in:
Diabetic patients.

Patients on sodium-restricted diet or anticoagulant therapy.

Patients undergoing tests for occult blood in stools.

Patients with G6PD deficiency, because large doses of ascorbic acid leads to hemolysis.


Smokers appear to have increased requirements of ascorbic acid because the vitamin is oxidized and excreted more rapidly than in non smokers.
So smokers having ascorbic acid deficiency should decrease or stop smoking.

Drug Interactions
Salicylates: Salicylates inhibit ascorbic acid uptake by leukocytes and platelets.

Warfarin: Ascorbic acid may inhibit it’s anticoagulant effect.

Disulfiram: Large doses of ascorbic acid may diminish the effect of disulfiram.

Iron: Ascorbic acid increases iron absorption in the gastrointestinal tract.

Pregnancy and Lactation
Cevitil is not recommended during pregnancy, unless it is clearly needed, and it should be used with caution during lactation.