viboliv 300 mg injection - Metadoxine (300mg) medicine

Metadoxine 300 mg Injection: Complete Medicine Guide

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🏭 Dr Reddy's Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for acute alcohol intoxication and supportive care in alcoholic liver disease.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Swelling of the face, lips, or throat
  • Difficulty breathing or wheezing
  • Severe rash or hives
  • Sudden drop in blood pressure or fainting
  • Yellowing of the skin or eyes
  • Severe abdominal pain or persistent vomiting
  • Fast or irregular heartbeat

If experiencing severe symptoms, call emergency services immediately.

What is viboliv 300 mg injection used for?

This medicine is a Metadoxine 300 mg injection used to speed up alcohol clearance and support liver function in acute alcohol intoxication and alcoholic liver disease. It is given only by a healthcare professional in a hospital or clinic setting.

  • Generic Name: Metadoxine (300mg)
  • Manufacturer: Dr Reddy's Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 viboliv 300 mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा मेटाडॉक्सिन 300 मिलीग्राम इंजेक्शन है, जिसका उपयोग शराब के तीव्र नशे और अल्कोहलिक लिवर रोग में सहायक उपचार के लिए किया जाता है। यह शरीर में शराब और उसके जहरीले पदार्थ एसिटाल्डिहाइड को तेजी से तोड़ने में मदद करती है और लिवर की कोशिकाओं को ऑक्सीडेटिव नुकसान से बचाती है। यह दवा केवल अस्पताल या क्लिनिक में योग्य डॉक्टर या नर्स द्वारा ही दी जाती है। मरीज को इसका सेवन खुद से नहीं करना चाहिए। इलाज के दौरान शराब का सेवन पूरी तरह बंद करना जरूरी है।

साइड इफेक्ट्स: इस दवा से आमतौर पर हल्के दुष्प्रभाव होते हैं, जैसे जी मिचलाना, उल्टी, सिरदर्द, चक्कर आना और इंजेक्शन लगाने की जगह पर दर्द या जलन। कभी-कभी नींद आना, मुंह सूखना या धातु जैसा स्वाद महसूस हो सकता है। गंभीर एलर्जी प्रतिक्रिया बहुत कम होती है, लेकिन अगर चेहरे या गले में सूजन, सांस लेने में तकलीफ, त्वचा पर चकत्ते या ब्लड प्रेशर अचानक गिर जाए तो तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर या नर्स द्वारा अस्पताल या क्लिनिक में ही दी जानी चाहिए। अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और पुरानी बीमारियों के बारे में बताएं। इलाज के दौरान शराब बिल्कुल न पिएं। अगर आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं या स्तनपान करा रही हैं, तो डॉक्टर को जरूर बताएं। इंजेक्शन के बाद अगर सूजन, सांस लेने में दिक्कत या गंभीर त्वचा प्रतिक्रिया हो तो तुरंत आपातकालीन मदद लें।

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

💊 viboliv 300 mg injection Uses & Benefits

[{"condition":"Acute alcohol intoxication","description":"This medicine is used to accelerate the metabolism of alcohol and acetaldehyde, helping to reduce blood alcohol levels and improve clinical signs of intoxication such as drowsiness, confusion, and unsteady gait.","evidence":"Established in clinical practice"},{"condition":"Alcoholic liver disease (supportive therapy)","description":"This medicine is used as an adjunct to support liver cell function, reduce oxidative stress, and improve biochemical markers in patients with alcohol-related liver injury.","evidence":"Moderate evidence"},{"condition":"Alcohol withdrawal support","description":"This medicine may be used as part of a supervised treatment plan to support patients during alcohol withdrawal, alongside standard supportive care.","evidence":"Limited evidence"}]

Off-label uses: [{"condition":"Non-alcoholic fatty liver disease","description":"Sometimes prescribed off-label to support liver function in patients with fatty liver not related to alcohol, but strong clinical evidence is lacking.","evidence":"Limited"},{"condition":"Drug-induced liver injury","description":"Occasionally used off-label as supportive therapy in selected cases of drug-induced liver injury, under specialist supervision.","evidence":"Limited"}]

Primary treatment for: Acute alcohol intoxication

Also treats: Alcoholic liver disease, Alcohol withdrawal syndrome

📋 Drug Information

Generic Name(s)Metadoxine (300mg)
Brand Nameviboliv 300 mg injection
ManufacturerDr Reddy's Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassHepatoprotectives
Route of AdministrationParenteral
StorageStore in a cool, dry place protected from light. Do not freeze. Keep out of reach of children. Follow the storage instructions on the product label.
Shelf LifeNot established from the available information. Refer to the product packaging for the expiry date.
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
Administer this medicine only in a setting where emergency resuscitation equipment is available.
2
Assess liver function and allergy history before giving the injection.
3
Monitor vital signs before, during, and after administration.
4
Advise patients to avoid alcohol completely during and after treatment.
5
Document the dose, route, and time of administration clearly in the medical record.
6
Arrange follow-up liver function tests and clinical review as clinically indicated.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Acute alcohol intoxication
This medicine is commonly used in this condition under medical supervision.
Likely Use
Alcoholic liver disease
This medicine may be used as supportive therapy.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary
Common cold
This medicine is not used for viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot established from the available information.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismNot established from the available information.
Half-LifeNot established from the available information.
ExcretionNot established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionNot established from the available information.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

How It Works

Metadoxine works by increasing the activity of alcohol dehydrogenase and aldehyde dehydrogenase, the enzymes that break down alcohol and its toxic metabolite acetaldehyde. It also helps restore hepatic glutathione levels, reduces lipid peroxidation, and stabilizes liver cell membranes. These actions together accelerate alcohol clearance and protect liver cells from oxidative damage.

Mechanism Steps

1
Enzyme activation: This medicine increases the activity of alcohol dehydrogenase and aldehyde dehydrogenase, which speeds up the conversion of alcohol to acetaldehyde and then to acetate.
2
Acetaldehyde clearance: By enhancing aldehyde dehydrogenase activity, this medicine helps remove acetaldehyde, the toxic byproduct of alcohol that causes flushing, nausea, and liver injury.
3
Glutathione restoration: This medicine helps replenish glutathione, a key antioxidant in liver cells, which reduces oxidative damage caused by alcohol metabolism.
4
Membrane stabilization: This medicine stabilizes liver cell membranes and reduces lipid peroxidation, helping to protect hepatocytes from further injury.

💡 How to Take viboliv 300 mg injection

Strength: Metadoxine 300 mg injection (immediate release)

1This medicine is given by a healthcare professional as an injection.
2The injection is usually administered slowly into a vein or muscle.
3Vital signs are monitored before, during, and after administration.
4Report any discomfort, rash, or breathing difficulty immediately.
5Do not attempt to self-administer this medicine at home.

Dosage Information

Adult DosageThe usual adult dose of this medicine is determined by the treating clinician based on the indication, severity of intoxication, liver function, and clinical response. It is typically given as a slow intravenous or intramuscular injection in a hospital or clinic setting. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-administer.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. The dose should be individualized by a clinician, and vital signs and liver function should be monitored closely.
Renal ImpairmentNot established from the available information. Use with caution in patients with kidney impairment and follow clinician guidance.
Hepatic ImpairmentNot established from the available information. Use with caution in patients with severe liver impairment and monitor liver function closely.
Maximum Daily DoseNot established from the available information. The maximum daily dose must be determined by the treating clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

Alcohol
Avoid completely
Alcohol worsens liver injury and reduces the benefit of treatment.
Light, nutritious meals
Encourage
Good nutrition supports liver recovery.

⏰ What to Do If You Miss a Dose

📌 A scheduled dose is missed in the hospital
→ Inform the nursing staff or treating doctor immediately.
💡 The medical team will decide whether to give the dose late or skip it based on your condition.
📌 You are receiving outpatient injections and miss an appointment
→ Contact your clinic as soon as possible to reschedule.
💡 Do not attempt to self-administer the injection at home.

⚠️ Side Effects of viboliv 300 mg injection

✅ Common Side Effects

Nausea (Common)
Usually settles on its own. Inform the nursing staff if it persists or becomes severe.
Vomiting (Common)
Report to the treating team if vomiting is repeated or prevents oral intake.
Headache (Common)
Rest and hydration usually help. Tell your doctor if the headache is severe or persistent.
Dizziness (Common)
Avoid sudden standing and do not drive until the feeling passes.
Injection site pain (Common)
Apply a cold compress if advised. Report severe pain or swelling at the site.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare)
Stop the injection immediately and seek emergency medical care if you develop swelling of the face or throat, difficulty breathing, or a widespread rash.
Severe hypotension (Rare)
Inform the medical team immediately if you feel faint, very dizzy, or have a sudden drop in blood pressure.
Abnormal liver enzyme elevation (Rare)
Your doctor may monitor liver tests. Report yellowing of eyes or skin, dark urine, or right upper abdominal pain.

⚠️ Rare Side Effects

Palpitations
Report to your doctor if you notice a fast or irregular heartbeat.
Mood changes or agitation
Tell your treating team so they can assess whether the medicine needs to be adjusted.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Disulfiram Major
Sedatives and hypnotics Major
Anticonvulsants Moderate
Levodopa Moderate
Oral pyridoxine supplements Minor

🚨 Major Interactions

  • Disulfiram
  • Sedatives and hypnotics

⚡ Moderate Interactions

  • Anticonvulsants
  • Levodopa

🍷 Alcohol Interaction

Alcohol must be strictly avoided while receiving this medicine. Drinking alcohol during treatment can worsen liver injury, reduce the effectiveness of the injection, and increase the risk of serious complications. Patients should discuss safe long-term alcohol cessation strategies with their doctor.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to Metadoxine or any component of the formulation","Severe uncontrolled liver failure where the risk outweighs the benefit","Concurrent use of disulfiram without specialist supervision","Pregnancy unless clearly needed and approved by the treating obstetrician"]

⚠️ Warnings & Precautions

["This medicine must be administered only by a qualified healthcare professional.","Do not drive or operate machinery until any dizziness or drowsiness has resolved.","Avoid alcohol completely during and after treatment.","Inform your doctor about all medicines, supplements, and herbal products you take.","Use with caution in patients with severe liver or kidney disease.","Report any signs of allergic reaction immediately.","Follow-up monitoring of liver function may be required."]

🤱 Lactation Safety

Not established from the available information. Breastfeeding women should consult their doctor before receiving this medicine.

💊 Overdose Management

There is no specific antidote for Metadoxine overdose. Treatment should be supportive and symptomatic, with close monitoring of vital signs, liver function, and neurological status. In case of suspected overdose, contact emergency medical services immediately and provide supportive care in a hospital setting.

⏰ Missed Dose

This medicine is given by a healthcare professional, so missed doses are uncommon. If a scheduled dose is missed, inform the treating team and follow their instruction. Do not attempt to self-administer an extra dose.

Additional Safety Advice

General Safety

This medicine must be given only by a trained healthcare professional in a setting where emergency equipment and medicines are available. Inform your doctor about all prescription and non-prescription medicines you take, especially sedatives, antidepressants, anticonvulsants, and medicines for liver disease. Do not drink alcohol while receiving this medicine, because alcohol can worsen liver stress and reduce the benefit of treatment. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding. Do not attempt to self-administer this injection at home. If you notice swelling, breathing difficulty, or a severe skin reaction after the injection, seek emergency care immediately. Keep all follow-up appointments so your liver function and overall response can be monitored.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine. Monitor vital signs, liver function, and neurological status closely during treatment.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, discuss this medicine with your doctor before receiving it. Safety in pregnancy is not established from available information.

🏥 Post-Surgery Considerations

Not established from the available information. Inform your surgeon and anesthesiologist if you have received this medicine recently.

🦷 Dental Procedures

Not established from the available information. Inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Avoid alcohol completely and seek support for alcohol cessation.
🥗
Eat a balanced diet rich in fruits, vegetables, and whole grains.
😴
Stay well hydrated with water and non-alcoholic fluids.
💧
Get adequate rest and sleep to support liver recovery.
🧘
Attend all follow-up appointments and laboratory tests.
🌞
Consider counselling or rehabilitation programs for alcohol dependence.

🏋️ Exercise Considerations

Avoid driving or operating heavy machinery until any dizziness or drowsiness has resolved. Light activity is generally safe once you feel well, but follow your doctor's advice based on your overall condition.

🥗 Diet Recommendations

Include plenty of fresh fruits and vegetables
Choose whole grains and lean proteins
Limit fatty, fried, and processed foods
Avoid alcohol completely
Stay well hydrated

💼 Impact on Daily Work & Life

This medicine is given in a hospital or clinic setting, so it may require time away from work for treatment and monitoring. Do not drive or operate machinery until any dizziness or drowsiness has resolved. Discuss return-to-work timing with your doctor.

🛑 When to Stop This Medicine

This medicine is stopped by the treating clinician based on clinical improvement and response to treatment. Do not stop or adjust treatment on your own. If you experience a serious side effect, inform your doctor immediately.

📅 Long-Term Use Effects

Long-term effects of this medicine are not well established from available information. It is generally used for short-term supportive treatment in acute settings. Patients with alcoholic liver disease need regular monitoring of liver function, abstinence from alcohol, and long-term follow-up with a specialist.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Alcohol cessation counselling and rehabilitation

Essential for long-term recovery in alcohol use disorders.

Evidence: Well-established
Nutritional support with vitamins

Thiamine, folic acid, and other vitamins support recovery in alcoholic liver disease.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information. Discuss routine vaccinations with your doctor, especially hepatitis A and B vaccination for liver protection.

📦 Storage Guide

✅ DO

Store in a cool, dry place protected from light

❌ DON'T

Do not freeze the injection

✅ DO

Keep in the original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep out of reach of children

❌ DON'T

Do not use after the expiry date

✈️ Traveling with This Medicine

This medicine is given only in a hospital or clinic setting, so travel-related self-administration is not applicable. If you are receiving treatment and plan to travel, carry a copy of your prescription and medical records. Keep the injection in its original packaging and follow the storage instructions. Inform your treating doctor before travel so that follow-up and monitoring can be arranged at your destination.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 42-year-old man brought to the emergency department with acute alcohol intoxication
He was drowsy, confused, and had an unsteady gait. After receiving this medicine under medical supervision, his alertness improved and his blood alcohol level decreased faster than expected with supportive care alone. He was counselled about alcohol cessation and referred for rehabilitation.
💡 Lesson: This medicine can speed up recovery from acute alcohol intoxication when given early under medical supervision, but it does not replace counselling and rehabilitation.
👤 A 55-year-old woman with alcoholic liver disease admitted for supportive care
She received this medicine as part of a supervised treatment plan along with vitamins and nutritional support. Her liver enzyme levels improved over the following weeks, and she reported better appetite and energy. She remained alcohol-free during follow-up.
💡 Lesson: This medicine can support liver recovery in alcoholic liver disease, but abstinence from alcohol and regular follow-up are essential for long-term benefit.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The onset of action is not precisely established from available information. In clinical practice, improvement in alertness and reduction in intoxication signs may be seen within hours after administration under medical supervision.

Q: Can I take this medicine at home?

A: No. This medicine is an injection that must be given only by a qualified healthcare professional in a hospital or clinic setting.

Q: Can I drink alcohol while receiving this medicine?

A: No. Alcohol must be strictly avoided during and after treatment because it can worsen liver injury and reduce the benefit of the medicine.

Q: Is this medicine safe in pregnancy?

A: Safety in pregnancy is not established from available information. Use only if clearly needed and after consultation with your obstetrician.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can this medicine be taken at home?
  • How long does this medicine take to work?
  • Is this medicine safe for the liver?
  • Can I drink alcohol after receiving this medicine?
  • What if I miss a dose?
  • Does this medicine interact with other medicines?

🔄 Substitutes for viboliv 300 mg injection

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 be used as a home remedy for hangovers.
    Fact: This medicine is a prescription injection that must be given only by a healthcare professional in a medical setting.
  • Myth: This medicine allows a person to drink alcohol safely.
    Fact: Alcohol must be strictly avoided during treatment because it can worsen liver injury and reduce the benefit of the medicine.
  • Myth: This medicine is a cure for alcohol addiction.
    Fact: This medicine supports alcohol clearance and liver function, but it is not a cure for alcohol addiction. Counselling and rehabilitation are important parts of care.

🔄 Alternative Options

Generic Alternatives

  • Metadoxine 300 mg injection

Brand Alternatives

  • Viboliv 300 mg injection

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (Metadoxine 300 mg injection)","class":"Hepatoprotective and alcohol clearance enhancer","route":"Parenteral","main_use":"Acute alcohol intoxication and alcoholic liver disease"},{"medicine":"Thiamine injection","class":"Vitamin B1","route":"Parenteral","main_use":"Prevention and treatment of thiamine deficiency in alcohol use"}]

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