Dline M 500mg/750mcg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden swelling of the face, lips, or throat
- Difficulty breathing or wheezing
- Severe chest pain or palpitations
- Fainting or severe dizziness
- Blood in vomit or black, tarry stools
- Yellowing of the skin or eyes
- Severe headache with vision changes
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is storax plus tablet used for?
This medicine is a combination of Citicoline 500 mg and Methylcobalamin 750 mcg used to support nerve repair and cognitive function. It is commonly prescribed for diabetic neuropathy, stroke recovery, and vitamin B12 deficiency with nerve symptoms. It is taken orally, usually once or twice daily, and should be used only under medical supervision.
- Generic Name: Citicoline (500mg) + Methylcobalamin (750mcg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 storax plus tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिटिकोलिन 500 मिलीग्राम और मिथाइलकोबालामिन 750 माइक्रोग्राम का संयोजन है। यह मुख्य रूप से नसों की मरम्मत और दिमागी कार्यक्षमता को सहारा देने के लिए इस्तेमाल की जाती है। डायबिटीज के कारण होने वाली नसों की समस्या (न्यूरोपैथी), स्ट्रोक के बाद रिकवरी, और विटामिन बी12 की कमी से जुड़े न्यूरोलॉजिकल लक्षणों में यह दवा फायदेमंद मानी जाती है। यह झुनझुनी, सुन्नपन, जलन और कमजोरी जैसे लक्षणों को कम करने में मदद कर सकती है। यह दवा डॉक्टर की सलाह के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा को अधिकांश लोग अच्छी तरह सहन करते हैं। कुछ लोगों में हल्की मतली, पेट में असहजता, सिरदर्द, चक्कर आना और नींद में बदलाव जैसे सामान्य दुष्प्रभाव हो सकते हैं। ये आमतौर पर अस्थायी होते हैं और शरीर के अभ्यस्त होने पर ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको त्वचा पर चकत्ते, खुजली, चेहरे या गले में सूजन, सांस लेने में कठिनाई, सीने में दर्द या बेहोशी जैसी समस्या हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। गोली को पानी के साथ पूरा निगलें, भोजन के साथ या भोजन के बाद लेना बेहतर होता है। बिना डॉक्टर की सलाह के गोली को चबाएं या तोड़ें नहीं। अपनी मर्जी से दवा की मात्रा न बढ़ाएं। अगर आपको लीवर, किडनी, हृदय या निम्न रक्तचाप की समस्या है तो डॉक्टर को बताएं। अन्य दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में डॉक्टर को जानकारी दें। इस दवा के साथ शराब न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। दवा को बच्चों की पहुंच से दूर रखें और ठंडी, सूखी जगह पर स्टोर करें।
💊 storax plus tablet Uses & Benefits
[{"condition":"Diabetic peripheral neuropathy","description":"This medicine is used to support nerve repair and reduce symptoms such as tingling, burning, and numbness in the hands and feet caused by diabetes-related nerve damage.","evidence":"Moderate"},{"condition":"Stroke recovery","description":"Citicoline in this medicine may help improve recovery of neurological function after an ischemic stroke when used as part of a comprehensive rehabilitation plan.","evidence":"Moderate"},{"condition":"Traumatic brain injury","description":"This medicine is sometimes prescribed to support cognitive and neurological recovery after head injury, although evidence is mixed.","evidence":"Limited"},{"condition":"Age-related cognitive decline","description":"It may be used to support memory and attention in older adults with mild cognitive impairment, but it is not a proven treatment for dementia.","evidence":"Limited"},{"condition":"Vitamin B12 deficiency with neurological symptoms","description":"The Methylcobalamin component helps correct vitamin B12 deficiency and supports healthy nerve function when deficiency is confirmed.","evidence":"Well-established"},{"condition":"Glaucoma","description":"Citicoline has been studied as an add-on therapy to support optic nerve health in glaucoma, but it is not a primary treatment.","evidence":"Limited"}]
Off-label uses: [{"condition":"Tinnitus","description":"Sometimes prescribed off-label to reduce ringing in the ears, but evidence is weak and inconsistent.","evidence":"Limited"},{"condition":"Attention deficit hyperactivity disorder (ADHD)","description":"Rarely used off-label as an add-on for attention problems, but it is not a standard treatment.","evidence":"Limited"},{"condition":"Bipolar depression","description":"Citicoline has been studied off-label as an add-on treatment for bipolar depression, but it is not a first-line option.","evidence":"Limited"},{"condition":"Parkinson's disease","description":"Sometimes used off-label to support nerve function, but it does not replace standard Parkinson's disease treatment.","evidence":"Limited"}]
Primary treatment for: Diabetic peripheral neuropathy
Also treats: Stroke recovery, Traumatic brain injury, Vitamin B12 deficiency with neurological symptoms, Age-related cognitive decline, Glaucoma (adjunct)
📋 Drug Information
| Generic Name(s) | Citicoline (500mg) + Methylcobalamin (750mcg) |
| Brand Name | storax plus tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a cool, dry place. Protect from direct sunlight and moisture. Keep the tablet in its original container or blister pack until use. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Citicoline is a precursor of phosphatidylcholine and acetylcholine. It helps stabilize neuronal membranes, supports the synthesis of neurotransmitters, and reduces free fatty acid release after ischemic injury. Methylcobalamin is the active form of vitamin B12. It acts as a cofactor for methionine synthase and methylmalonyl-CoA mutase, which are essential for myelin synthesis, nerve cell maintenance, and normal red blood cell formation. Together, they support nerve repair, improve cholinergic transmission, and help reduce oxidative stress in nerve tissue.
Mechanism Steps
💡 How to Take storax plus tablet
Strength: Each tablet contains Citicoline 500 mg and Methylcobalamin 750 mcg. It is an immediate-release oral tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, or as prescribed by your doctor. The exact dose and duration depend on the condition being treated, such as diabetic neuropathy, stroke recovery, or vitamin B12 deficiency. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Take the tablet with water, preferably with food. Follow your doctor's instructions carefully. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may take the same adult dose, but they should be monitored for dizziness, low blood pressure, and falls. Dose must be individualized by a qualified clinician based on renal and hepatic function and other medicines being taken. |
| Renal Impairment | No specific dose adjustment is established for mild to moderate kidney disease. In severe kidney disease, use with caution and consult your doctor. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is established for mild to moderate liver disease. In severe liver disease, use with caution and consult your doctor. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is not established from the available information. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of storax plus tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Levodopa | Major | |
| Warfarin | Major | |
| Anticholinergic drugs | Moderate | |
| SSRIs/SNRIs | Moderate | |
| Blood pressure medicines | Moderate | |
| Cholinergic drugs | Moderate | |
| Vitamin B12 supplements | Minor | |
| Alcohol | Minor |
🚨 Major Interactions
- Levodopa
- Warfarin
- Anticholinergic drugs
⚡ Moderate Interactions
- Antidepressants (SSRIs, SNRIs)
- Blood pressure medicines
- Cholinergic drugs
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can worsen dizziness, increase nerve damage, and reduce the potential benefits of Citicoline and Methylcobalamin. If you drink alcohol regularly, discuss it with your doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to Citicoline or Methylcobalamin","Children unless specifically prescribed by a specialist","Severe uncontrolled low blood pressure","Use with caution in pregnancy and breastfeeding unless advised by a doctor"]
⚠️ Warnings & Precautions
["Do not exceed the prescribed dose.","Inform your doctor if you have liver disease, kidney disease, heart disease, or low blood pressure.","Tell your doctor about all other medicines, especially levodopa, warfarin, antidepressants, and blood pressure medicines.","Avoid alcohol while taking this medicine.","Do not drive or operate machinery if you feel dizzy.","Do not use this medicine to self-treat undiagnosed nerve symptoms.","Keep out of reach of children.","Store in a cool, dry place away from direct sunlight."]
🤱 Lactation Safety
It is not known whether Citicoline and Methylcobalamin pass into breast milk in significant amounts. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
There is no specific antidote for overdose of this medicine. If you suspect an overdose, contact your doctor or a poison control center immediately. Treatment is supportive and symptomatic. Do not try to vomit unless instructed by a healthcare professional.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Swallow the tablet whole with a glass of water, preferably with or after food to reduce stomach upset. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Do not take more than the recommended dose. Inform your doctor if you have liver disease, kidney disease, low blood pressure, or heart problems. Tell your doctor about all other medicines, supplements, and herbal products you are taking, especially blood thinners, antidepressants, and levodopa. Avoid alcohol while taking this medicine because it may worsen dizziness and nerve symptoms. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using 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.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to dizziness and low blood pressure. They should rise slowly from sitting or lying positions. Regular monitoring of kidney function, blood pressure, and vitamin B12 levels is advised. Falls prevention measures should be taken if dizziness occurs.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. There is limited data on its safety in pregnancy. Your doctor may adjust or change the treatment based on your condition and needs.
🏥 Post-Surgery Considerations
This medicine may be continued after surgery if prescribed by your doctor. Inform your surgical team about all medicines you are taking. It does not usually interfere with wound healing, but your doctor will decide the timing of continuation.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. There is no significant interaction with local anesthetics or dental procedures. If you have a bleeding disorder or take blood thinners, your dentist may take extra precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine. However, if you have dizziness or low blood pressure, avoid sudden position changes and strenuous activities. If you have neuropathy, choose low-impact exercises and check your feet regularly for injuries. Consult your doctor before starting a new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work routine. If your job involves fine motor skills or alertness, discuss with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects such as allergic reactions, chest pain, or fainting, stop the medicine and seek immediate medical help. Your doctor will decide when it is safe to stop based on your condition and response to treatment.
📅 Long-Term Use Effects
Long-term use of this medicine is generally considered safe when taken under medical supervision. Regular monitoring of vitamin B12 levels, kidney function, and clinical response is advised. Some patients may need periodic dose review. There is no evidence that long-term use causes serious harm at recommended doses, but unnecessary prolonged use should be avoided. Your doctor will decide the duration based on your condition.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for nerve and muscle recovery.
Evidence: Well-establishedEssential for preventing and managing diabetic neuropathy.
Evidence: Well-establishedSupports nerve health and prevents deficiency.
Evidence: Well-establishedSometimes used as a supplement for neuropathic pain, but evidence is mixed.
Evidence: LimitedMay help reduce neuropathic pain in some patients.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive routine vaccinations while taking this medicine. Inform your healthcare provider about all medicines you are taking before any vaccination.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container or blister pack
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or extreme temperatures. Store it at room temperature and away from direct sunlight. If you are traveling across time zones, continue taking your dose at the same local time as prescribed, or ask your doctor for guidance. Check customs rules for carrying prescription medicines in your destination country. Carry enough supply for your entire trip plus a few extra days.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some people may notice mild improvement in 1 to 2 weeks, but meaningful benefit usually takes 4 to 12 weeks of regular use. Your doctor will assess your response.
A: Yes, taking it with food is recommended to reduce stomach upset.
A: Do not stop without consulting your doctor. Stopping suddenly may slow your recovery or worsen symptoms.
A: There is limited data on its use in pregnancy. Consult your doctor before taking it if you are pregnant or planning pregnancy.
A: Avoid alcohol while taking this medicine because it can worsen dizziness and nerve symptoms.
A: Yes, it may interact with levodopa, warfarin, antidepressants, and blood pressure medicines. Always inform your doctor about all medicines you take.
🤔 Common Patient Concerns
🔄 Substitutes for storax plus tablet
View AllAlternative brands with exact same active ingredient:
-
citimac m 500mg/750mcg tabletMacleods Pharmaceuticals Pvt Ltd ₹309.38 54.4% CHEAPER
-
Strocolin M 500mg/750mcg CapsuleCarise Pharmaceuticals Pvt Ltd ₹393.75 41.9% CHEAPER
-
citic m 500mg/750mcg capsuleCarise Pharmaceuticals Pvt Ltd ₹420.00 38% CHEAPER
-
ceham m 500 mg/750 mcg tabletAlkem Laboratories Ltd ₹440.63 35% CHEAPER
-
nurocot m 500mg/750mcg tabletLeeford Healthcare Ltd ₹500.00 26.2% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure all types of nerve damage.
Fact: This medicine supports nerve repair but does not cure all nerve damage. It works best as part of a comprehensive treatment plan. - Myth: It is a vitamin supplement and can be taken without a prescription.
Fact: This is a prescription medicine. It should be taken only under medical supervision. - Myth: More dose means faster recovery.
Fact: Taking more than the prescribed dose does not speed up recovery and may increase side effects. - Myth: It can replace standard treatment for diabetes or stroke.
Fact: This medicine is an add-on therapy. It does not replace standard treatment for diabetes, stroke, or other conditions.
🔄 Alternative Options
Generic Alternatives
- Citicoline 500 mg + Methylcobalamin 750 mcg tablet (generic)
Brand Alternatives
- Dline M 500mg/750mcg Tablet