Surbex Z is a multivitamin supplement that is commonly used to help meet daily nutritional requirements and support overall health. While many people tolerate Surbex Z well, it can still lead to side effects in some individuals. Common and less common side effects of Surbex Z tablets may include.

Common Side Effects

  • Upset Stomach: Some people may experience gastrointestinal discomfort, including nausea, stomach cramps, or diarrhea when taking Surbex Z.
  • Metallic Taste: Sometimes Surbex Z can cause a metallic or unpleasant taste in the mouth.
  • Constipation: High doses of Surbex Z may lead to constipation in some individuals. Ensuring that you’re not exceeding the recommended daily intake of Surbex Z can help prevent this.
  • Headache: Some individuals may experience headaches as a side effect of Surbex Z, although it’s not always directly attributed to Surbex Z.

Less Common Side Effects

  • Copper Deficiency: Long-term and high-dose Surbex Z can interfere with copper absorption in the body, potentially leading to copper deficiency. Symptoms of copper deficiency include anemia, fatigue, and neurological issues.
  • Immune System Dysfunction: Excessive zinc intake may suppress the immune system, making individuals more susceptible to infections. This is more likely to occur with the use of Surbex Z for long-term or high-dose.
  • Nerve Damage: Prolonged and excessive Surbex Z intake can lead to nerve damage, causing symptoms such as numbness and tingling in the extremities.
  • Reduced HDL Cholesterol: High doses of Surbex Z can also reduce high-density lipoprotein (HDL) cholesterol levels, which is considered a less common side effect.
Surbex Z Side Effects

What is Surbex Z?

Surbex Z is one of the leading brands of Multivitamins with Zinc, manufactured and marketed by Abbott Laboratories Pakistan.

Surbex Z : Available Formulations and Strengths

Presently, Surbex Z is available in Tablet Form

Surbex Z Tablet Contains:

Ascorbic Acid 500 mg,

Cyanocobalamin 12 mcg,

Folic Acid 150 mcg,

Nicotinamide 100 mg,

Pyridoxine 20 mg,

Riboflavin (Vitamin B2) 15 mg,

Thiamine HCl (Vitamin B1) 15 mg,

Tocopherol (Vitamin E) 30 IU,

Zinc Oxide 22.5 mg.

What Are The Possible Drug Interactions of Surbex Z?

  1. Antibiotics (Quinolones and Tetracyclines): Surbex Z can bind to these antibiotics, such as ciprofloxacin and doxycycline, reducing their absorption. To prevent this interaction, it’s recommended to take these antibiotics at least 2 hours before or 4-6 hours after taking Surbex Z.
  2. Penicillamine: Penicillamine, used to treat Wilson’s disease and rheumatoid arthritis, can chelate with Surbex Z, reducing its effectiveness. Surbex Z should be taken at least 2 hours apart.
  3. Diuretics (Thiazides): Some diuretics can increase the excretion of Surbex Z from the body, potentially leading to zinc deficiency.
  4. Iron Supplements: High doses of Surbex Z can interfere with the absorption of iron. It’s advisable to take iron supplements and Surbex Z at different times of the day to maximize absorption of both.
  5. Bisphosphonates (Alendronate, Risedronate): Surbex Z can interfere with the absorption of bisphosphonates, which are used to treat osteoporosis. To avoid this interaction, Surbex Z should be taken on an empty stomach with water only, at least 30 minutes before food, beverages, or other medications.
  6. ACE Inhibitors and Angiotensin II Receptor Blockers (ARBs): High doses of Surbex Z may interfere with the effectiveness of these blood pressure medications.
  7. Loop Diuretics: Loop diuretics like furosemide can increase the urinary excretion of Surbex Z. This may lead to lower zinc levels in the body.
  8. Anti-Seizure Medications: Surbex Z can interact with certain anti-seizure drugs like carbamazepine and valproic acid, affecting their absorption.