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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Micobal-A Tablet SR is used to treat neuropathic pain (nerve pain). It works by lowering the pain signals to the brain and promoting the synthesis of myelin, a substance that protects nerve fibres and rejuvenates injured nerve cells. In some cases, this medicine may cause side effects such as constipation, dizziness, dry mouth, feeling sleepy, and headache.
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Consume Type :

ORAL

Return Policy :

Not Returnable

About Micobal-A Tablet SR

Micobal-A Tablet SR is used to manage neuropathic pain due to damaged nerves. Neuropathic pain is pain caused by a lesion or disease of the somatosensory nervous system. The pain could be intermittent or continuous, like a prickling, stabbing, tingling, or burning sensation.

Micobal-A Tablet SR is a combination of two drugs: Amitriptyline and Methylcobalamin. Amitriptyline belongs to a class of medications known as tricyclic antidepressants, and it works by boosting serotonin levels in the brain. This can make you feel better. This can also alter how your nerves receive pain signals, causing pain to subside. Methylcobalamin is a vitamin B derivative that promotes the synthesis of myelin, which protects nerve fibres and rejuvenates injured nerve cells. They work together to alleviate neuropathic pain (pain from damaged nerves).

Take Micobal-A Tablet SR as prescribed by your doctor. Depending on your medical condition, you are advised to take Micobal-A Tablet SR for as long as your doctor has prescribed it for you. In some cases, you may experience certain common side effects such as constipation, dizziness, dry mouth, feeling sleepy, difficulty peeing, and headache. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Please do not take Micobal-A Tablet SR if you have had an allergic reaction to Micobal-A Tablet SR or any ingredients in it. Tell your doctor if you're pregnant, trying to get pregnant, or breastfeeding. Micobal-A Tablet SR is generally not recommended in pregnancy and breastfeeding. Your doctor will only prescribe Micobal-A Tablet SR for your pain while you're pregnant or breastfeeding if the benefits of taking medicine outweigh the risks. Micobal-A Tablet SR may cause side effects like Light-headedness or dizziness, which may affect your concentration ability. Hence, it is recommended not to drive or operate machinery until you are mentally alert. Seek medical attention if the symptoms persist longer. Avoid consuming alcohol along with Micobal-A Tablet SR as it could lead to increased dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Micobal-A Tablet SR

Treatment of Neuropathic pain

Directions for Use

Swallow Micobal-A Tablet SR as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Micobal-A Tablet SR is a combination of two drugs: Amitriptyline and Methylcobalamin. Amitriptyline belongs to a class of medications known as tricyclic antidepressants. Antidepressants are considered to function by boosting serotonin levels in the brain, making you feel better. And also, these can alter how your nerves receive pain signals, causing pain to subside. Methylcobalamin is a vitamin B derivative that promotes the synthesis of myelin, which protects nerve fibres and rejuvenates injured nerve cells. They work together to alleviate neuropathic pain (pain from damaged nerves).

How Micobal-A Tablet SR Works

Micobal-A Tablet SR is a combination of two drugs: Amitriptyline and Methylcobalamin. Amitriptyline belongs to a class of medications known as tricyclic antidepressants, and it works by boosting serotonin levels in the brain. This can make you feel better. This can also alter how your nerves receive pain signals, causing pain to subside. Methylcobalamin is a vitamin B derivative that promotes the synthesis of myelin, which protects nerve fibres and rejuvenates injured nerve cells. They work together to alleviate neuropathic pain (pain from damaged nerves).

Storage

Store in a cool and dry place away from sunlight

Side Effects of Micobal-A Tablet SR

  • Constipation

  • Dizziness

  • Dry Mouth

  • Feeling Sleepy

  • Difficulty Peeing

  • Headache

  • Appetite changes

What if I have taken an overdose of Micobal-A Tablet SR

Take Micobal-A Tablet SR only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Micobal-A Tablet SR if you have allergic reactions to Micobal-A Tablet SR or any ingredients. Tell your doctor if you're pregnant, trying to get pregnant, or breastfeeding. Micobal-A Tablet SR is generally not recommended in pregnancy and breastfeeding. Your doctor will only prescribe Micobal-A Tablet SR for your pain while pregnant or breastfeeding if the benefits of taking medicine outweigh the risks. Micobal-A Tablet SR may cause side effects like Light-headedness or dizziness, affecting your concentration. Hence, it is recommended not to drive or operate machinery until you are mentally alert. Seek medical attention if the symptoms persist longer. Avoid consuming alcohol with Micobal-A Tablet SR as it could lead to increased dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to rule out any side effects. Let your doctor know if you have a history of heart disease, severe kidney disease, a blood disorder called porphyria, epilepsy, glaucoma, or suicidal tendency.

Drug-Drug Interactions

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AmitriptylineBepridil
Critical
AmitriptylinePotassium chloride
Critical

Drug-Drug Interactions

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AmitriptylineBepridil
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Micobal-A Tablet SR and Bepridil may increase the risk of irregular heartbeat.

How to manage the interaction:
Although combining Micobal-A Tablet SR with Bepridil may result in an interaction, it can be used if a doctor recommends it. If you have sudden dizziness, lightheadedness, fainting, or fast or rapid heartbeats during therapy, get emergency medical help. Do not discontinue any medication without consulting a doctor.
AmitriptylinePotassium chloride
Critical
How does the drug interact with Micobal-A Tablet SR:
The combination of Micobal-A Tablet SR and Potassium chloride may cause stomach and upper intestinal discomfort. (Only applicable to an oral preparation)

How to manage the interaction:
Although co-administration of Micobal-A Tablet SR and Potassium chloride is not recommended as it can possibly lead to an interaction, they can be taken if prescribed by a doctor. If you experience severe stomach pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (in particular with blood), decreased hunger, and black stools while taking these medications, consult a doctor immediately. Do not discontinue any medications without talking to a doctor.
AmitriptylineRasagiline
Critical
How does the drug interact with Micobal-A Tablet SR:
Using Micobal-A Tablet SR together with Rasagiline can increase the risk of serotonin syndrome (A condition resulting from the accumulation of high levels of serotonin in the body. Serotonin is especially a mood stabilizer).

How to manage the interaction:
Although using Rasagiline and Micobal-A Tablet SR together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and loose stools. Inform a doctor if you have recently taken Micobal-A Tablet SR. Do not discontinue any medications without consulting a doctor.
AmitriptylineDronedarone
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Micobal-A Tablet SR and Dronedarone may increase the risk of irregular heartbeat.

How to manage the interaction:
Although combining Micobal-A Tablet SR with Dronedarone may result in an interaction, it can be used if a doctor recommends it. If you have any heart problems or electrolyte imbalances, you may be susceptible. If you have sudden dizziness, lightheadedness, fainting, or fast or rapid heartbeats during therapy, get emergency medical help. Do not discontinue any medication without consulting a doctor.
AmitriptylineZiprasidone
Critical
How does the drug interact with Micobal-A Tablet SR:
Taking Micobal-A Tablet SR and Ziprasidone may increase the risk of irregular heartbeat.

How to manage the interaction:
Although there is a interaction between Micobal-A Tablet SR with Ziprasidone, but it can be taken together if prescribed by your doctor. However, consult your doctor immediately if you experience sudden dizziness, lightheadedness, fainting, or fast or rapid heartbeats . Do not discontinue any medication without consulting a doctor.
AmitriptylineFurazolidone
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Furazolidone with Micobal-A Tablet SR can increase the risk of serotonin syndrome(increased serotonin hormone).

How to manage the interaction:
Although using Furazolidone and Micobal-A Tablet SR together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Inform a doctor if you have recently taken Micobal-A Tablet SR. Do not discontinue any medications without consulting a doctor.
AmitriptylinePimozide
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Micobal-A Tablet SR and Pimozide may increase the risk of irregular heartbeat.

How to manage the interaction:
Although combining Micobal-A Tablet SR with Pimozide may result in an interaction, it can be used if a doctor recommends it. If you have any heart problems or electrolyte imbalances, you may be susceptible. If you have sudden dizziness, lightheadedness, fainting, or fast or rapid heartbeats during therapy, get emergency medical help. Do not discontinue any medication without consulting a doctor.
AmitriptylineMethylene blue
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Methylene blue with Micobal-A Tablet SR can increase the risk of serotonin syndrome (increased serotonin hormone).

How to manage the interaction:
Although using Methylene blue and Micobal-A Tablet SR together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Inform a doctor if you have recently taken Micobal-A Tablet SR. Do not discontinue any medications without consulting a doctor.
AmitriptylineSelegiline
Critical
How does the drug interact with Micobal-A Tablet SR:
Co-administration of Micobal-A Tablet SR together with Selegiline can increase the risk of serotonin syndrome (A condition resulting from the accumulation of high levels of serotonin in the body. Serotonin is a mood stabilizer).

How to manage the interaction:
Although using Selegiline and Micobal-A Tablet SR together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Inform a doctor if you have recently taken Micobal-A Tablet SR. Do not discontinue any medications without consulting a doctor.
AmitriptylineSparfloxacin
Critical
How does the drug interact with Micobal-A Tablet SR:
Combining Micobal-A Tablet SR and Sparfloxacin may increase the risk of irregular heartbeat.

How to manage the interaction:
Although combining Micobal-A Tablet SR with Sparfloxacin may result in an interaction, it can be used if a doctor recommends it. If you have any heart problems or electrolyte imbalances, you may be susceptible. If you have sudden dizziness, lightheadedness, fainting, or fast or rapid heartbeats during therapy, get emergency medical help. Do not discontinue any medication without consulting a doctor. Note: Sparfloxacin is no longer available in the market. Grepafloxacin should not be combined with any other medications.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Nutritional deficits can cause neuropathy symptoms. Choose foods high in nutrients, such as fruits, vegetables, and whole grains.

  • Replace fatty protein sources with lean alternatives and consume modest quantities of healthy fat sources for improved well-being. Saturated fat in fatty meats and dairy products has been linked to inflammation and an increased risk of type 2 diabetes.

  • Elevated blood sugar levels are linked to various chronic health problems, including diabetic peripheral neuropathy. Increase Omega–3 fatty acids, Fiber, and Antioxidants such as flaxseeds, fruits, vegetables, nuts, and beans to help you maintain a healthy blood sugar level and control your diabetes.

  • Create a diet that includes vegetables, fruits, whole grains, legumes, omega-3-rich foods, and lean protein sources.

  • Instead of saturated and trans fats, choose monounsaturated and polyunsaturated fats (fish, nuts, and vegetable oils).

  • Select/prepare foods and beverages with fewer added sugars/caloric sweeteners.

  • Be mindful of salt; consume no more than 2,300 mg each day.

  • Limit or avoid alcohol consumption.

Habit Forming

No

Therapeutic Class

CENTRAL NERVOUS SYSTEM AGENTS

Micobal-A Tablet SR Substitute

Substitutes safety advice
  • Amicobal 10/1500 Tablet 15's

    15.57per tablet
  • Amnuring 10 Tablet 10's

    by AYUR

    16.38per tablet
  • Mecotrip Tablet 10's

    15.21per tablet
  • Meaxon AT Tablet 10's

    by AYUR

    13.50per tablet
  • Joycobal AT Tablet 15's

    16.20per tablet
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Alcohol

Caution

It is unclear whether alcohol can be taken while using this medication. However, as a precautionary measure, it is best to avoid alcohol while taking medication.

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Pregnancy

Caution

Micobal-A Tablet SR is generally not recommended in pregnancy. Your doctor will only prescribe Micobal-A Tablet SR for your pain while you're pregnant if the benefits of taking medicine outweigh the risks.

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Breast Feeding

Caution

Micobal-A Tablet SR is generally not recommended in breastfeeding. Your doctor will only prescribe Micobal-A Tablet SR for your pain while you're breastfeeding if the benefits of taking medicine outweigh the risks.

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Driving

Caution

Micobal-A Tablet SR may cause side effects like Light-headedness or dizziness, affecting your ability to concentrate and drive. Hence, it is recommended not to drive or operate machinery until you are mentally alert. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Limited information was available for the use of Micobal-A Tablet SR in patients with liver impairment. Please consult the doctor. Your doctor will prescribe only if the benefits outweigh the risks.

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Kidney

Caution

Limited information was available for the use of Micobal-A Tablet SR in patients with Kidney impairment. Please consult the doctor. Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Caution

Limited information was available for the use of Micobal-A Tablet SR in paediatric patients. Please consult the doctor. Your doctor will prescribe only if the benefits outweigh the risks.

FAQs

Micobal-A Tablet SR is used to manage neuropathic pain due to damaged nerves.
Micobal-A Tablet SR is a combination of two drugs: Amitriptyline and Methylcobalamin. Amitriptyline belongs to a class of medications known as tricyclic antidepressants. Antidepressants are considered to function by boosting serotonin levels in the brain, making you feel better. And also, these can alter how your nerves receive pain signals, causing pain to subside. Methylcobalamin is a vitamin B derivative that promotes myelin synthesis, a material that protects nerve fibres and rejuvenates injured nerve cells. They work together to alleviate neuropathic pain (pain from damaged nerves).
No, it is a prescribed drug given by a physician to prevent specific medical conditions. Taking it on your own can cause unwanted side effects.
Do not discontinue Micobal-A Tablet SR without consulting your doctor, as it could lead to withdrawal symptoms. To treat your condition effectually, continue taking Micobal-A Tablet SR for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Micobal-A Tablet SR; your doctor will reduce the dose gradually.
Micobal-A Tablet SR is safe if used in the dose and duration recommended by your doctor. Take it precisely as directed, and do not skip any dose. Follow your doctor's guidelines carefully and inform your doctor if any of the side effects disturb you.

Country of origin

India
Other Info - MI86617

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