stamicar 500mg/1500mcg/1.5mg tablet - Levo-carnitine (500mg) + Methylcobalamin (1500mcg) medicine

Benfotor-LC Tablet: Comprehensive Guide to Uses, Side Effects, and Safety

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🏭 Panacea Biotec Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for diabetic neuropathy; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Seizures or convulsions

If experiencing severe symptoms, call emergency services immediately.

What is stamicar 500mg/1500mcg/1.5mg tablet used for?

This medicine is a combination of Levo-carnitine and Methylcobalamin used to support nerve health, improve energy metabolism, and treat deficiencies. It is commonly prescribed for diabetic neuropathy and carnitine or vitamin B12 deficiency.

  • Generic Name: Levo-carnitine (500mg) + Methylcobalamin (1500mcg)
  • Manufacturer: Panacea Biotec Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 stamicar 500mg/1500mcg/1.5mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा लेवो-कार्निटाइन और मिथाइलकोबालामिन का संयोजन है, जिसका उपयोग तंत्रिका स्वास्थ्य को बेहतर बनाने, ऊर्जा चयापचय को बढ़ावा देने और कमियों को पूरा करने के लिए किया जाता है। यह आमतौर पर डायबिटिक न्यूरोपैथी, कार्निटाइन की कमी और विटामिन बी12 की कमी के इलाज में दी जाती है। यह दवा तंत्रिका दर्द, झुनझुनी, सुन्नता और थकान में राहत देने में मदद कर सकती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, पेट की गड़बड़ी, दस्त, भूख में कमी और शरीर से मछली जैसी गंध आना शामिल हो सकते हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी प्रतिक्रिया, चकत्ते, सूजन या सांस लेने में कठिनाई हो सकती है। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। खुराक को स्वयं न बदलें और न ही बिना सलाह के बंद करें। अपने डॉक्टर को अन्य सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। यदि आप गर्भवती हैं, स्तनपान करा रही हैं या गर्भधारण की योजना बना रही हैं, तो डॉक्टर से सलाह लें। गुर्दे या यकृत की बीमारी वाले मरीजों को सावधानी बरतनी चाहिए। इस दवा के साथ शराब का सेवन न करें। चक्कर आने पर वाहन न चलाएं। दवा को बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 stamicar 500mg/1500mcg/1.5mg tablet Uses & Benefits

[{"condition":"Diabetic peripheral neuropathy","description":"This medicine is used to support nerve function and reduce symptoms such as tingling, numbness, and burning pain in the feet and hands associated with diabetic neuropathy.","evidence":"Moderate"},{"condition":"Carnitine deficiency","description":"Levo-carnitine is used to treat primary and secondary carnitine deficiency, which can cause muscle weakness, fatigue, and cardiomyopathy.","evidence":"Well-established"},{"condition":"Vitamin B12 deficiency","description":"Methylcobalamin is used to treat vitamin B12 deficiency, which can lead to anemia, fatigue, and neurological symptoms.","evidence":"Well-established"},{"condition":"Chronic fatigue syndrome","description":"This medicine may help improve energy levels and reduce fatigue in some patients with chronic fatigue syndrome, though evidence is limited.","evidence":"Limited"},{"condition":"Peripheral neuropathy of other causes","description":"It may be prescribed for neuropathy associated with other conditions such as chemotherapy-induced neuropathy or idiopathic neuropathy.","evidence":"Limited"}]

Off-label uses: [{"condition":"Male infertility","description":"Levo-carnitine and methylcobalamin have been studied for improving sperm motility and quality in some cases of male infertility.","evidence":"Limited"},{"condition":"Age-related cognitive decline","description":"Some studies suggest potential benefits for memory and cognitive function, but evidence is not conclusive.","evidence":"Limited"},{"condition":"Depression adjunct","description":"Methylcobalamin has been explored as an adjunct in treatment-resistant depression, but more research is needed.","evidence":"Limited"}]

Primary treatment for: Diabetic peripheral neuropathy

Also treats: Carnitine deficiency, Vitamin B12 deficiency, Chronic fatigue syndrome, Peripheral neuropathy of other causes

📋 Drug Information

Generic Name(s)Levo-carnitine (500mg) + Methylcobalamin (1500mcg)
Brand Namestamicar 500mg/1500mcg/1.5mg tablet
ManufacturerPanacea Biotec Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 4 weeks.
6
Report any unusual bleeding or bruising immediately.
7
If you have diabetes, monitor your blood sugar regularly.
8
Inform your doctor if you have a history of seizures.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Tingling or numbness in hands and feet
This medicine is commonly prescribed for diabetic neuropathy.
Likely Use
✅
Chronic fatigue
May be used if associated with carnitine or B12 deficiency.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Muscle weakness
May be used in carnitine deficiency.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevo-carnitine is absorbed from the gastrointestinal tract after oral administration, with bioavailability estimated at 5-15% due to low permeability and possible degradation by gut bacteria. Methylcobalamin is absorbed in the ileum via intrinsic factor-mediated active transport and passive diffusion; bioavailability varies depending on intrinsic factor availability.
DistributionLevo-carnitine is widely distributed in the body, with highest concentrations in skeletal muscle, heart, liver, and kidney. It crosses the blood-brain barrier to a limited extent. Methylcobalamin is distributed to the liver, bone marrow, and other tissues; it is stored in the liver and can cross the placenta and enter breast milk.
Protein BindingLevo-carnitine does not bind significantly to plasma proteins. Methylcobalamin binds to transcobalamin II and other transport proteins in plasma.
MetabolismLevo-carnitine is not extensively metabolized; it undergoes limited conversion to acetylcarnitine and other acylcarnitines. Methylcobalamin is metabolized in the liver to various cobalamin coenzymes.
Half-LifeThe elimination half-life of levo-carnitine is approximately 3-6 hours after oral administration. The half-life of methylcobalamin is not well established but is estimated to be around 6 days for total body cobalamin, with a rapid initial phase of 1-2 hours.
ExcretionLevo-carnitine is primarily excreted unchanged in the urine, with some excretion in bile and feces. Methylcobalamin is excreted in bile and urine, with enterohepatic recirculation.
BioavailabilityOral bioavailability of levo-carnitine is low, approximately 5-15%. Bioavailability of methylcobalamin from oral tablets is variable but generally lower than injectable forms; it relies on intrinsic factor for active absorption.
Onset of ActionThe onset of action for this medicine varies depending on the indication. For nerve-related symptoms, improvement may be noticed within a few weeks of consistent use. For energy metabolism, effects may be felt within days to weeks.
Peak Plasma TimePeak plasma concentrations of levo-carnitine are reached approximately 3-4 hours after oral administration. Peak levels of methylcobalamin after oral intake are reached in about 3-6 hours.
Duration of ActionThe duration of action depends on the tissue stores and the condition being treated. Levo-carnitine effects may last several hours, while methylcobalamin's effects on nerve function are long-term and require sustained supplementation.

How It Works

This medicine combines two active ingredients with complementary roles. Levo-carnitine facilitates the transport of long-chain fatty acids into mitochondria for beta-oxidation, thereby enhancing energy production. It also helps remove toxic acyl groups from mitochondria. Methylcobalamin serves as a coenzyme for methionine synthase, which converts homocysteine to methionine, and for methylmalonyl-CoA mutase, which converts methylmalonyl-CoA to succinyl-CoA. These reactions are essential for myelin synthesis, nerve cell maintenance, and red blood cell production. Together, they support neuronal health and energy metabolism.

Mechanism Steps

1
Levo-carnitine uptake: Levo-carnitine is taken up into cells via the organic cation transporter 2 (OCTN2) and concentrates in tissues such as muscle, heart, and liver.
2
Fatty acid transport: Inside mitochondria, levo-carnitine combines with long-chain fatty acyl-CoA to form acylcarnitine, which is transported across the inner mitochondrial membrane by carnitine-acylcarnitine translocase.
3
Beta-oxidation: Once inside the mitochondrial matrix, acylcarnitine is converted back to acyl-CoA, which undergoes beta-oxidation to produce acetyl-CoA and ATP.
4
Methylcobalamin coenzyme function: Methylcobalamin acts as a coenzyme for methionine synthase, converting homocysteine to methionine, and for methylmalonyl-CoA mutase, converting methylmalonyl-CoA to succinyl-CoA.
5
Myelin synthesis and nerve function: These reactions support the synthesis of myelin phospholipids and maintain the integrity of the nervous system, aiding in nerve repair and signal transmission.

💡 How to Take stamicar 500mg/1500mcg/1.5mg tablet

Strength: Tablet containing Levo-carnitine 500 mg and Methylcobalamin 1500 mcg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush, chew, or break it.
3Take it with food to reduce stomach upset.
4Follow your doctor's prescribed dose and frequency.
5Do not take more than the recommended dose.
6If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally once or twice daily, or as directed by your physician. The exact dose and frequency depend on the indication, severity of the condition, and individual patient factors. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult your doctor for appropriate dosing.
Renal ImpairmentIn patients with renal impairment, dose adjustment may be required. Levo-carnitine is excreted by the kidneys, and accumulation may occur in severe renal impairment. Consult your doctor for dose modification.
Hepatic ImpairmentIn patients with hepatic impairment, no specific dose adjustment is established. Use with caution and under medical supervision.
Maximum Daily DoseThe maximum recommended daily dose is not established from available information. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and improves tolerability.
Alcohol
Avoid
May worsen side effects and reduce effectiveness.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of stamicar 500mg/1500mcg/1.5mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Stomach upset (Common (5-10%))
Take with meals. Avoid spicy or fatty foods. Consult doctor if severe.
Diarrhea (Uncommon (1-5%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.
Loss of appetite (Uncommon (1-5%))
Eat small, frequent meals. Consult doctor if weight loss occurs.
Fishy body odor (Rare (<1%))
This is harmless and may reduce with continued use. Consult doctor if bothersome.

🚨 Serious Side Effects

Allergic reaction (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or difficulty breathing.
Seizures (Rare (<0.1%))
If you have a history of seizures, inform your doctor. Seek emergency care if a seizure occurs.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek immediate medical help if you develop a severe rash with blistering or peeling skin.

⚠️ Rare Side Effects

Acne
Consult a dermatologist if acne becomes bothersome.
Hyperthyroidism-like symptoms
Report symptoms such as rapid heartbeat, weight loss, or sweating to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Valproate Major
Phenytoin Major
Levothyroxine Moderate
Metformin Moderate
Omeprazole Moderate
Antacids Minor
Colchicine Minor

🚨 Major Interactions

  • Warfarin
  • Anticonvulsants (e.g., valproate, phenytoin)

⚡ Moderate Interactions

  • Levothyroxine
  • Metformin
  • Proton pump inhibitors (e.g., omeprazole)

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine. Alcohol can worsen neurological symptoms, increase the risk of stomach upset, and may reduce the effectiveness of methylcobalamin and levo-carnitine. It can also exacerbate underlying conditions such as neuropathy.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to levo-carnitine, methylcobalamin, or any component of the formulation.","Severe renal impairment without medical supervision.","Use in patients with a history of seizures should be cautious and only under medical advice."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose without consulting your doctor.","Inform your doctor if you have kidney disease, liver disease, or a history of seizures.","This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol consumption while taking this medicine.","If you are pregnant or breastfeeding, consult your doctor before use.","Keep out of reach of children.","Do not use if the packaging is damaged or the expiry date has passed.","This medicine is not a substitute for a balanced diet and healthy lifestyle."]

🤱 Lactation Safety

Levo-carnitine and methylcobalamin are excreted in breast milk. Consult your doctor before using this medicine while breastfeeding. It is generally considered compatible but medical advice is recommended.

💊 Overdose Management

Overdose with this medicine is unlikely to cause serious harm due to its low toxicity. However, if you suspect an overdose, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include severe nausea, vomiting, diarrhea, and abdominal cramps. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without consulting your doctor. Inform your doctor about all other medicines, supplements, or herbal products you are taking, as interactions may occur. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Patients with kidney or liver disease should use this medicine with caution and under medical supervision. Avoid alcohol consumption while taking this medicine, as it may worsen side effects or reduce effectiveness. Do not drive or operate heavy machinery if you feel dizzy or drowsy after taking this medicine. Keep this medicine out of reach of children. Store it in a cool, dry place away from direct sunlight. Do not use it after the expiry date. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Adequate levels of vitamin B12 and carnitine are important for fetal development, but supplementation should be under medical guidance.

🏥 Post-Surgery Considerations

This medicine may be continued after surgery if prescribed by your doctor. Inform your surgeon and anesthesiologist about all medicines you are taking before any surgical procedure.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. No specific precautions are usually needed, but your dentist may advise on temporary discontinuation if necessary.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce nerve stress.
🥗
Regular low-impact exercise like walking or swimming.
😴
Practice good posture and ergonomics.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to support nerve health.
🌞
Manage blood sugar levels if you have diabetes.
🚭
Avoid smoking and excessive alcohol.

🏋️ Exercise Considerations

Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness or fatigue, avoid strenuous activities until you know how the medicine affects you. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like fish, flaxseeds, and walnuts.
Reduce processed and high-sugar foods.
Stay well hydrated.
Eat a balanced diet rich in fruits and vegetables.
Ensure adequate protein intake.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some individuals. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue your daily activities, but listen to your body and rest if needed.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or allergic reactions, stop immediately and seek medical help. Your doctor will advise on the duration of treatment based on your condition.

📅 Long-Term Use Effects

Long-term use of this medicine is generally considered safe when taken as prescribed. However, prolonged high doses of levo-carnitine may increase trimethylamine N-oxide (TMAO) levels, which has been linked to cardiovascular risk, though this is not firmly established. Regular monitoring of vitamin B12 levels, renal function, and neurological symptoms is advised. Do not use for extended periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain and neuropathy.

Evidence: Well-established
Acupuncture

May help with neuropathic pain in some patients.

Evidence: Limited
Alpha-lipoic acid supplementation

An antioxidant that may help with diabetic neuropathy.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor before any vaccination while taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue taking your doses at the same intervals as prescribed; consult your doctor for specific advice. Check customs regulations for carrying prescription medicines to your destination.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with type 2 diabetes and peripheral neuropathy
He was prescribed this medicine for tingling and burning in his feet. After 6 weeks of consistent use along with blood sugar control, he noticed a significant reduction in tingling and improved sleep. He emphasized taking it with breakfast to avoid stomach upset.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 40-year-old woman with chronic fatigue and vitamin B12 deficiency
She started this medicine after blood tests revealed low B12 and carnitine levels. Within a month, her energy levels improved, and her fatigue reduced. She also incorporated dietary changes and regular exercise.
💡 Lesson: This medicine can help correct deficiencies and improve energy, but lifestyle modifications are equally important.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in nerve symptoms may be noticed within a few weeks of consistent use. For energy levels, effects may be felt within days to weeks. However, individual response varies.

Q: Can I take this medicine with other supplements?

A: Consult your doctor before taking any other supplements, as interactions may occur.

Q: Is this medicine safe for long-term use?

A: Long-term use should be under medical supervision. Your doctor will monitor for any potential side effects and adjust the dose as needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for stamicar 500mg/1500mcg/1.5mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure diabetic neuropathy completely.
    Fact: This medicine helps manage symptoms and support nerve health, but it is not a cure. Lifestyle changes and blood sugar control are essential.
  • Myth: It is a vitamin supplement and can be taken without a prescription.
    Fact: This is a prescription medicine. It should only be taken under medical supervision.
  • Myth: More is better; taking extra doses will speed up recovery.
    Fact: Taking more than the prescribed dose can increase side effects and is not beneficial. Always follow your doctor's advice.

🔄 Alternative Options

Generic Alternatives

  • Levo-carnitine + Methylcobalamin tablets from other manufacturers

Brand Alternatives

  • Benfotor-LC Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Benfotor-LC Tablet","composition":"Levo-carnitine 500mg + Methylcobalamin 1500mcg","primary_use":"Diabetic neuropathy, carnitine deficiency","route":"Oral"},{"medicine":"Pregabalin + Methylcobalamin","composition":"Pregabalin 75mg + Methylcobalamin 750mcg","primary_use":"Neuropathic pain","route":"Oral"},{"medicine":"Gabapentin + Methylcobalamin","composition":"Gabapentin 300mg + Methylcobalamin 500mcg","primary_use":"Neuropathic pain","route":"Oral"}]

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