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At a glance

Mecobalamin is an active form of vitamin B12 used for peripheral neuropathy and megaloblastic anemia. It helps maintain myelin integrity, neuronal function, red blood cell formation, and DNA synthesis.

Indications
  • Peripheral neuropathy
  • Diabetic neuropathy
  • Alcoholic neuropathy
  • Drug-induced neuropathy
  • Entrapment neuropathy
  • Lumbago, intercostal neuralgia
  • Diabetic retinopathy
  • Multiple sclerosis
  • Parkinson's disease, Alzheimer's disease
  • Bell's palsy
  • Megaloblastic anemia due to vitamin B12 deficiency
Pharmacology

Mecobalamin is the active coenzyme form of vitamin B12 that acts as a cofactor for methionine synthase enzyme. It helps maintain myelin integrity, neuronal function, and red blood cell formation.

Dosage

Oral (Adult): 1500 mcg/day in 3 divided doses, after meals

Injection (Adult):

  • Peripheral neuropathy: 500 mcg IM/IV, 3 times weekly
  • Megaloblastic anemia: 500 mcg IM/IV, 3 times weekly; after 2 months, maintenance: 500 mcg every 1-3 months
Side effects

Oral: Anorexia, nausea, vomiting, diarrhea

Injection: Rash, headache, hot sensation, diaphoresis, pain/induration at IM injection site

Potentially Fatal: Anaphylactoid reactions (parenteral)

Use in pregnancy

Use in Pregnancy: Limited data; however, vitamin B12 is generally considered compatible with breastfeeding.

Precautions & warnings
  • Do not use for months if there is no response after a certain period
  • Avoid prolonged large doses in patients handling mercury or mercury compounds
  • Consult doctor during pregnancy and lactation
Overdose effects

No specific overdose information available; symptomatic and supportive treatment.

Storage conditions

Store at room temperature, protected from moisture and light; keep out of reach of children.

Mecobalamin — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.