Used For:

• Mecofol Plus NF is used primarily for nerve repair, protection, and metabolic support.Peripheral neuropathy (due to diabetes, alcohol, or drugs)Vitamin B12 deficiency and megaloblastic anemiaTingling, numbness, or burning sensations in hands or feetSciatica or back pain with nerve compressionNeurological disorders (e.g., neuralgia, neuritis)Adjunct therapy in diabetes, hypertension, or hypothyroidism (conditions linked to neuropathy)General weakness or fatiguePost-illness recovery

Contraindications:

• Hypersensitivity to any component (especially cobalt or cobalamin compounds)Severe renal or hepatic impairmentLeber’s disease (hereditary optic neuropathy) – methylcobalamin may worsen symptomsIron or folate overdose conditions (e.g., certain anemias not due to B12/folate deficiency)Patients on Levodopa alone (Vitamin B6 interferes with its action)

Side Effects:

• Generally well-tolerated. Mild, transient side effects may include:Nausea or stomach upsetHeadache or dizzinessMild diarrhea or constipationSkin rash or itching (rare allergic reaction)Red-colored urine (harmless due to B12 excretion)

Precautions:

• Take after meals to avoid gastric irritation.Avoid taking with other vitamin supplements containing B12, B6, or folic acid unless prescribed.Pregnancy/Lactation: Usually safe under medical advice.Diabetic patients: Alpha-lipoic acid may slightly lower blood sugar — monitor glucose levels.Long-term use: Should be supervised by a healthcare provider to prevent over-supplementation.Avoid alcohol, which worsens neuropathy and reduces vitamin absorption.

Dietary Restrictions:

• Include foods rich in B-vitamins: milk, eggs, fish, chicken, leafy greens, and legumes.Avoid alcohol and smoking, as they interfere with nerve repair and vitamin absorption.Maintain balanced blood sugar if diabetic (as neuropathy worsens with poor glycemic control).Avoid antacids or proton pump inhibitors (PPIs) close to dose timing — they reduce B12 absorption.Stay well hydrated.