Introduction About MEDOC SL TABLET MEDOC SL TABLET is used in the management of peripheral neuropathy and megaloblastic anemia that is caused due to vitamin B12 deficiency. It contains vitamin B12 as active ingredient which supports nerve function and red blood cell production. It aids in myelin production for nerve protection and participates in DNA synthesis, essential for both nerve regeneration and correcting megaloblastic anemia. Take MEDOC SL TABLET as advised by your physician. Do not stop taking MEDOC SL TABLET without consulting your doctor. Before taking MEDOC SL TABLET, inform your doctor if you have iron or folate deficiency, diabetes, kidney problems, gastrointestinal tract problems, any active infections or if you are pregnant or breastfeeding as a precaution. Avoid concomitant administering of MEDOC SL TABLET wit vitamin C rich foods or supplements, stomach ulcer medicines like cimetidine, ranitidine, etc, as they may reduce the absorption of vitamin B12 in the body. Methylcobalamin is usually well-tolerated. However, it may cause nausea, vomiting, diarrhea, weight gain, low potassium levels in the body in some individuals. Consult your doctor if any of these side effects trouble you. Uses Of MEDOC SL TABLET Management of the following conditions caused due to vitamin B12 deficiency: Peripheral neuropathy Megaloblastic anemia How MEDOC SL TABLET Works MEDOC SL TABLET contains Methylcobalamin which is an active form of vitamin B12. It helps the body in several ways, particularly in nerve function and red blood cell production. For neuropathic pain, Methylcobalamin works by aiding in the production of myelin, a protective covering for nerves, and by participating in the synthesis of DNA and RNA, the building blocks of cells. This supports nerve regeneration and proper nerve signaling, making it especially useful in managing conditions like neuropathy. In megaloblastic anemia, the bone marrow produces large, immature red blood cells due to impaired DNA synthesis. Methylcobalamin helps correct this by ensuring proper DNA formation, allowing the bone marrow to produce healthy, normal-sized red blood cells, thereby resolving the anemia. How to use MEDOC SL TABLET Take MEDOC SL TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight and health condition. Do not stop taking MEDOC SL TABLET without consulting your doctor. Side Effects Of MEDOC SL TABLET Common Nausea Vomiting Diarrhea Rapid weight gain Polycythemia (increase RBC in blood) Low blood potassium levels Pulmonary edema Stop taking MEDOC SL TABLET and consult your doctor immediately if you experience any of the following side effects: Severe allergic reactions (such as skin rashes, itching, swelling of the face, throat, eyes, nose and difficulty in breathing or swallowing) How To Manage Side Effects Nausea And Vomiting Eat small, frequent meals instead of large ones, and avoid greasy, spicy, or strong-smelling foods. Stay hydrated by sipping clear liquids like water, ginger ale, or herbal teas throughout the day. Ginger, either in tea, candies, or as a supplement, can help reduce nausea. Resting in an upright position after eating can also minimize symptoms. If prescribed by your doctor, take anti-nausea medications as directed. Additionally, relaxation techniques such as deep breathing, meditation, or gentle distractions like listening to music can help manage nausea. Always consult your healthcare provider for personalized advice. Warning & Precautions Pregnancy Consult your doctor There is no proper information regarding the use of Vitamin B12 1500mcg in pregnant women. Although, Vitamin B12 is an essential pre-natal supplement during pregnancy, higher doses are generally not suggested. Therefore, inform your doctor before taking MEDOC SL TABLET if you are pregnant or think you may be pregnant. Breastfeeding Consult your doctor There is no proper information regarding the use of Vitamin B12 1500mcg in breastfeeding women. Therefore, inform your doctor before taking MEDOC SL TABLET if you are breastfeeding as a precaution. Driving and Using Machines Use with Caution Do not drive or handle any heavy tools or machines if your ability is affected by MEDOC SL TABLET. Alcohol Use with Caution Avoid excessive consumption of alcohol while taking MEDOC SL TABLET as it may impair vitamin B12 absorption in the body. Kidney Monitoring required Therapeutic responses may become less in some patients with kidney problems. Therefore, if you have any kidney related problems, inform your doctor as a precaution so that your doctor can adjust the dose accordingly. Allergy Contraindicated Do not take MEDOC SL TABLET if you are allergic to Methycobalamin. Use In Pediatrics Consult your doctor There is no proper information regarding the use of Vitamin B12 1500mcg in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice. Use In Geriatrics Use with Caution MEDOC SL TABLET should be used with caution in elderly patients. Therefore, consult your doctor for advice. Others Before taking MEDOC SL TABLET, inform your doctor if you: Have diabetes Have iron or folate deficiency Have any active infections Have any gut problems Interactions Drug-Drug Interactions: Bone marrow suppressants like chloramphenicol Iron or folate supplementation Colchicine (gout medicine) Aminoglycosides Anticonvulsants (such as phenytoin, Phenobarbital, primidone) Para-aminosalicylic acid (anti-TB agent) Vitamin C supplements or drinks H2 receptor blockers (ranitidine, cimetidine, nizatidine, famotidine)