Thiamine(Vitamin B1) (100mg) + Vitamin B6 (Pyridoxine) (1000mcg) + Methylcobalamin (50mg)

🩺 Quick Overview

A high-potency neurotropic B-complex formulation designed for the therapeutic management of severe B-vitamin deficiencies and neuropathic conditions. Thiamine (B1) is essential for carbohydrate metabolism and nerve function. Pyridoxine (B6) acts as a cofactor in amino acid metabolism and neurotransmitter synthesis. Methylcobalamin (B12) is the active form of vitamin B12, crucial for myelin synthesis, hematopoiesis, and neuronal health. This combination is particularly relevant in the Indian context due to the high prevalence of nutritional deficiencies, diabetic neuropathy, and vegetarian/vegan diets leading to B12 deficiency.

Medical Uses

  • Diabetic Peripheral Neuropathy (symptomatic management)
  • Vitamin B-Complex Deficiency (severe, established)
  • Megaloblastic Anemia due to B12/folate deficiency (with folate)
  • Neurological manifestations of B12 deficiency (Subacute Combined Degeneration of cord, peripheral neuropathy)

Side Effects

  • Nausea
  • Headache
  • Mild diarrhea
  • Skin flushing or itching (especially with initial doses)

💊 Dosage & Administration

Adult Dosage: One tablet once daily, or as directed by the physician. Often prescribed for 4-8 weeks initially, then reassessed. For severe deficiency, parenteral therapy may be initiated first.

Instructions: Take after food to improve tolerance and absorption. Swallow whole with a glass of water. Do not crush or chew. Best taken in the morning to avoid potential sleep disturbances from B6. Consistent daily intake is key.

🏭 Available Brands in India

Neurobion Forte Merck Ltd. Nervijen Forte Alkem Laboratories Ltd. Nodosis Forte Macleods Pharmaceuticals Ltd. Nurokind Forte Mankind Pharma Ltd. Becosules Forte Pfizer Ltd.

Mechanism of Action

The combination acts synergistically to support neuronal metabolism, repair, and function. Thiamine (as TPP) is a coenzyme for pyruvate dehydrogenase and transketolase in the Krebs cycle and pentose phosphate pathway, crucial for ATP production in neurons. Pyridoxine (as PLP) is a cofactor for over 100 enzymes involved in neurotransmitter synthesis (GABA, serotonin, dopamine) and homocysteine metabolism. Methylcobalamin is a cofactor for methionine synthase (converting homocysteine to methionine) and L-methylmalonyl-CoA mutase. It is essential for myelin synthesis and maintenance, and for neuronal methylation reactions.