Surbex Z Tablets
Abbott Laboratories (Pakistan) LimitedDRAP reg. 010972
We sell this without asking for a prescription
Same day or next day in Karachi, Lahore, Islamabad, Rawalpindi for orders confirmed before 6pm. Tracked courier, 2 to 4 working days everywhere else. Delivery Rs 250 in Rawalpindi and Islamabad, Rs 300 everywhere else, cash on delivery. Delivery details
Prices in PKR, checked 14 October 2026.
What Surbex Z is
A vitamin B-complex tablet with vitamin C and zinc, made by Abbott Laboratories (Pakistan) Limited.
- Registered with DRAP under number 010972.
- We sell it without asking for a prescription. Our pharmacist answers questions on WhatsApp before you order.
- For a formula with more vitamins and minerals, compare our multivitamins.
Composition per tablet
Ten nutrients in each tablet.
| Nutrient | Per tablet |
|---|---|
| Vitamin C | 500 mg |
| Nicotinamide | 100 mg |
| Calcium pantothenate | 20 mg |
| Vitamin B1 (thiamine) | 15 mg |
| Vitamin B2 (riboflavin) | 15 mg |
| Vitamin B6 (pyridoxine) | 20 mg |
| Vitamin B12 | 12 mcg* |
| Folic acid | 150 mcg* |
| Zinc | 22.5 mg |
| Vitamin E | 30 IU* |
* Two DRAP documents in the record for 010972 give different figures. A 2013 DRAP letter approving the price of an additional pack restates the composition with “Vitamin E ........ 30iu”, vitamin B12 12mcg and folic acid 150mcg, the figures we print. The registry’s label-claim field reads “VitE 10U”, “Vit B12 12mg” and “Acid Folic 150mg”. We read the field’s “10U” and milligrams as data-entry errors (DRAP does not say so). Neither document is a decision on the composition, and Abbott Pakistan’s DRAP-approved advertisements name vitamin E and folic acid without amounts, so we have not yet confirmed these three figures; we will from the carton.
What it is used for
A vitamin B-complex tablet with vitamin C and zinc. We found no Abbott leaflet stating its uses, so we don’t list any: ask your doctor or our pharmacist whether it suits you.
How to take it
Take it as the directions on the pack say, or as your doctor advises.
- Follow the pack or your doctor on how many tablets to take, and when.
- Warning: On an antibiotic or another medicine listed under interactions below? Check the timing there before your first tablet.
- Taking another supplement too? Add its zinc, vitamin B6 and folic acid to this tablet’s before you compare with the upper limits below.
How much you get, against the upper limits
Vitamin B6 is above the EFSA and NHS figures, and nicotinamide is above the US limit. Zinc, vitamin C and folic acid are below every limit listed.
| Nutrient | Per tablet | Upper limit, by authority | This tablet |
|---|---|---|---|
| Vitamin B6 | Per tablet: 20 mg | Upper limit, by authority: US (NIH ODS): 100 mg. EFSA (2023): 12 mg. NHS: no more than 10 mg a day from supplements unless a doctor advises. | This tablet: Above EFSA and NHS. Below US. |
| Nicotinamide | Per tablet: 100 mg | Upper limit, by authority: US (NIH ODS): 35 mg, a limit covering both forms of niacin. EFSA: 900 mg for nicotinamide. NHS: 500 mg a day or less is unlikely to cause harm. | This tablet: Above US. Well below EFSA and NHS. |
| Zinc | Per tablet: 22.5 mg | Upper limit, by authority: US (NIH ODS): 40 mg. EFSA: 25 mg. | This tablet: Below both, but close to EFSA. |
| Vitamin C | Per tablet: 500 mg | Upper limit, by authority: US (NIH ODS): 2,000 mg. | This tablet: Below. |
| Folic acid | Per tablet: 150 mcg | Upper limit, by authority: US (NIH ODS): 1,000 mcg. | This tablet: Below. |
| Vitamins B1, B2, B12 and pantothenic acid | Per tablet: 15 mg; 15 mg; 12 mcg; 20 mg (as calcium pantothenate) | Upper limit, by authority: No formal upper limit (US, EFSA). NHS: 100 mg of thiamin, 40 mg of riboflavin, 2 mg of vitamin B12 and 200 mg of pantothenic acid a day or less from supplements is unlikely to cause harm. | This tablet: All below the NHS figures. |
| Vitamin E | Per tablet: 30 IU (being confirmed, see composition) | Upper limit, by authority: EFSA: 300 mg a day for adults (a review is ongoing). | This tablet: Under 30 mg whichever figure is right: far below. |
EFSA’s vitamin B6 limit is based on peripheral neuropathy (nerve damage), and it also covers pregnancy and breastfeeding.
The US limit of 35 mg covers both forms of niacin. EFSA sets nicotinamide separately, at 900 mg.
Side effects
What NIH ODS documents for each nutrient, and the dose it appears at compared with this tablet.
| Nutrient | What can happen | At what dose |
|---|---|---|
| Zinc | What can happen: Nausea, vomiting, loss of appetite, stomach upset and headache (NIH ODS). | At what dose: High intakes; NIH ODS gives no dose for these. Effects on copper, immune function and HDL cholesterol need 50 mg a day or more for weeks: over double this tablet’s 22.5 mg. |
| Vitamin C | What can happen: Diarrhoea, nausea and stomach cramps are the most common (NIH ODS). | At what dose: The NHS says more than 1,000 mg a day can cause stomach pain, diarrhoea and flatulence: twice this tablet’s 500 mg. |
| Vitamin B6 | What can happen: Sensory nerve damage (sensory neuropathy), with long-term high doses (NIH ODS). | At what dose: NIH ODS: 1 to 6 g a day for 12 to 40 months “can cause severe and progressive sensory neuropathy”, and US experts noted “several reports show sensory neuropathy occurring at doses lower than 500 mg/day”. EFSA (2023), from studies of nerve damage, set its adult upper limit at 12 mg a day. This tablet contains 20 mg: see the upper limits above, and ask your doctor before taking it long-term. |
| Vitamin B2 (riboflavin) | What can happen: Discoloured urine. | At what dose: At 400 mg a day for migraine prevention, noted as a minimal side effect by the Canadian Headache Society, via NIH ODS. This tablet contains 15 mg. |
| Nicotinamide | What can happen: Flushing is not expected. | At what dose: NIH ODS states that nicotinamide does not cause flushing. Flushing comes from nicotinic acid, a different form of niacin. |
Drug interactions
On any of these medicines, follow the timing shown or speak to your doctor first. Source: NIH Office of Dietary Supplements, except where a row names a medicine’s own label.
| Medicine | What happens | What to do |
|---|---|---|
| Quinolone antibiotics, such as ciprofloxacin, and tetracyclines | What happens: Taken together, NIH ODS says, they “could inhibit the absorption of both zinc and the antibiotic”. The US Cipro label’s entry for products containing minerals such as zinc: “Decrease CIPRO absorption, resulting in lower serum and urine levels”. | What to do: Follow the gap on your antibiotic’s own label; the sources differ. NIH: take the antibiotic at least 2 hours before, or 4 to 6 hours after, this tablet. For ciprofloxacin, Sami’s label for Novidat: 1-2 hours before, or at least 4 hours after, mineral preparations (it names calcium, magnesium, aluminium and iron, not zinc). The US Cipro label: at least 2 hours before, or 6 hours after, products containing zinc: the most conservative of the three. |
| Penicillamine | What happens: Zinc reduces its absorption and effect. | What to do: Separate them by at least 1 hour. |
| Thiazide diuretics | What happens: They increase the zinc lost in urine. | What to do: Speak to your doctor first. |
| Iron supplements of 25 mg or more | What happens: Taken at the same time, they reduce zinc absorption. | What to do: Speak to your doctor first. |
| Methotrexate | What happens: It is a folate antagonist, and this tablet contains folic acid. | What to do: Speak to your doctor before taking folic acid. |
| Phenytoin, carbamazepine, valproate | What happens: They lower blood folate, and folate supplements may lower the levels of these drugs. | What to do: Speak to your doctor first. |
| Metformin, and acid-reducing drugs such as omeprazole and ranitidine | What happens: NIH ODS: metformin “might reduce the absorption of vitamin B12”; acid-reducing drugs can interfere with absorbing vitamin B12 from food. | What to do: Speak to your doctor first. |
When to speak to a doctor first
Before taking Surbex Z, speak to a doctor if any of these apply to you.
- Warning: You are pregnant or breastfeeding.
- Warning: You take any medicine in the interactions table above.
- Warning: You have kidney problems: NIH ODS notes that high vitamin C intakes may raise urinary oxalate, which could contribute to kidney stones, especially in people with kidney disorders.
Storage
Keep it below 30°C, somewhere dry and away from light.
- Below 30°C.
- In a dry place.
- Away from light.
- Out of the reach of children.
- In the original pack.
Surbex Z vs Surbex T
Both are Abbott tablets with the same vitamin C, nicotinamide, pantothenate and B1. Surbex Z adds zinc, folic acid and vitamin E, and has more B2, B6 and B12.
| Per tablet | Surbex Z | Surbex T |
|---|---|---|
| Vitamin C | Surbex Z: 500 mg | Surbex T: 500 mg |
| Nicotinamide | Surbex Z: 100 mg | Surbex T: 100 mg |
| Calcium pantothenate | Surbex Z: 20 mg | Surbex T: 20 mg |
| Vitamin B1 | Surbex Z: 15 mg | Surbex T: 15 mg |
| Vitamin B2 | Surbex Z: 15 mg | Surbex T: 10 mg |
| Vitamin B6 | Surbex Z: 20 mg | Surbex T: 5 mg |
| Vitamin B12 | Surbex Z: 12 mcg | Surbex T: 4 mcg |
| Folic acid | Surbex Z: 150 mcg | Surbex T: None |
| Zinc | Surbex Z: 22.5 mg | Surbex T: None |
| Vitamin E | Surbex Z: 30 IU (being confirmed) | Surbex T: None |
| DRAP registration | Surbex Z: 010972 | Surbex T: 000046 |
Returns and replacements
Medicines and supplements can’t be returned once they have left our pharmacy.
- Returned medicine can never go back into saleable stock. That is a safety rule, not a commercial one.
- If an item arrives damaged or wrong, tell us on WhatsApp within 24 hours and we replace it. That is us fixing our mistake, not a return.
- Anything that arrives expired or within a month of expiry we replace or refund, your choice, with no time limit.
Frequently asked questions
Surbex Z kis liye hai?
Surbex Z is a vitamin B-complex tablet with vitamin C and zinc, made by Abbott in Pakistan. We found no Abbott leaflet stating its uses, so we don’t list any: ask your doctor or our pharmacist whether it suits you. We sell it without asking for a prescription.
Surbex Z kab lena chahiye?
Take it as the directions on the pack say, or as your doctor advises. If you are on a quinolone antibiotic such as ciprofloxacin, or a tetracycline, keep a gap between the two: the NIH Office of Dietary Supplements says taking them together could inhibit the absorption of both the zinc and the antibiotic. Follow the gap on your antibiotic’s label. The NIH Office of Dietary Supplements says at least 2 hours before, or 4 to 6 hours after, the zinc. For ciprofloxacin, Sami’s label for Novidat says 1-2 hours before, or at least 4 hours after, mineral preparations, and the US Cipro label says at least 2 hours before, or 6 hours after, products containing zinc.
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Questions about Surbex Z Tablets?
Send your question on WhatsApp and a pharmacist will come back to you.
DRAP registration
- SURBEX-Z TAB (010972), Abbott Laboratories (Pakistan) Limited. DRAP’s registry shows: Provisionally Active, “Not Verified”.
DRAP publishes no definition of this verification flag, so we can’t tell you what it means. We searched DRAP’s website for “Surbex” on 16 October 2026 and found no alert naming Surbex. When we tested it, the search did not find a word that appears only inside an alert’s attached PDF, so an alert that names a product only in its PDF may not show up. DRAP describes its registered products index as a provisional list that “cannot be used as a reference for any purpose”. Checked against the registry on .
Sources
- NIH Office of Dietary Supplements: Zinc fact sheet for health professionals
- SAMI Pharmaceuticals: Novidat (ciprofloxacin) Summary of Product Characteristics (tablets R.N-01/QC/10/2025, PDF)
- US FDA label: Cipro (ciprofloxacin) tablets, Bayer, revised 9/2024 (DailyMed)
- NIH Office of Dietary Supplements: Vitamin C fact sheet for health professionals
- NIH Office of Dietary Supplements: Vitamin B6 fact sheet for health professionals
- NIH Office of Dietary Supplements: Niacin fact sheet for health professionals
- NIH Office of Dietary Supplements: Folate fact sheet for health professionals
- NIH Office of Dietary Supplements: Riboflavin fact sheet for health professionals
- NIH Office of Dietary Supplements: Vitamin B12 fact sheet for health professionals
- NHS: Vitamins and minerals
- NHS: B vitamins and folic acid
- NHS: Vitamin C
- EFSA: Overview on tolerable upper intake levels (PDF)
- EFSA (2023): Scientific opinion on the tolerable upper intake level for vitamin B6