Monocobal-PB Capsule is a prescription medicine used for the treatment of neuropathic pain. It decreases pain by modulating calcium channel activity of the nerve cells. This medicine also protects nerve fibers and heal damaged nerve cells.
Monocobal-PB Capsule is taken by mouth with or without food, preferably at bedtime. It is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor as this is a habit-forming medicine. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor.
Some common side effects of this medicine include nasopharyngitis, increased appetite, euphoric mood, tremor, blurred vision, dry mouth, dizziness, and sleepiness. Do not drive or do anything that requires mental focus until you know how this medicine affects you. The side effects are mild in nature and get improve with time. This medicine may cause weight gain and to control it, you should exercise regularly and take a balanced diet. It is important to inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts.
Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.
Monocobal-PB Capsule is a combination of medicines used to treat long-lasting (chronic) pain caused by nerve damage due to diabetes, shingles or spinal cord injury. It reduces pain and its associated symptoms such as mood changes, sleep problems, and tiredness. Pregabalin, an active ingredient of this medicine, is thought to work by interfering with pain signals that travel through the damaged nerves and the brain. It also contains nutritional supplements that improve nerve conduction. Taking Monocobal-PB Capsule regularly will improve your physical and social functioning and overall quality of life.
Side effects of Monocobal-PB Capsule
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Monocobal-PB
Sleepiness
Dizziness
Nasopharyngitis (inflammation of the throat and nasal passages)
Increased appetite
Blurred vision
Constipation
Muscle cramp
Edema (swelling)
Erectile dysfunction
Weight gain
Balance disorder (loss of balance)
Lethargy
Vertigo
Vomiting
Headache
Confusion
Disorientation
Abnormality of voluntary movements
How to use Monocobal-PB Capsule
Take this medicine in the dose and duration as advised by your doctor. Monocobal-PB Capsule may be taken with or without food, but it is better to take it at a fixed time.
How Monocobal-PB Capsule works
Monocobal-PB Capsule is a combination of two medicines: Methylcobalamin and Pregabalin. Methylcobalamin is a form of vitamin B which helps in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Pregabalin is an alpha 2 delta ligand which decreases the pain by modulating calcium channel activity of the nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).
Safety advice
Alcohol
UNSAFE
Monocobal-PB Capsule may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Monocobal-PB Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Monocobal-PB Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Monocobal-PB Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Monocobal-PB Capsule should be used with caution in patients with kidney disease. Dose adjustment of Monocobal-PB Capsule may be needed. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Monocobal-PB Capsule is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Monocobal-PB Capsule may not be needed in these patients. Please consult your doctor.
What if you forget to take Monocobal-PB Capsule?
If you miss a dose of Monocobal-PB Capsule, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
You have been prescribed Monocobal-PB Capsule for treating and preventing nerve pain.
Its side effects are usually mild and temporary.
It may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
To lower the chances of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Avoid consuming alcohol when taking Monocobal-PB Capsule, as it may cause excessive sleepiness.
Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression or suicidal thoughts or behavior.
Do not stop taking the medication suddenly without talking to your doctor.
Fact Box
Habit Forming
No
Therapeutic Class
NEURO CNS
Patient concerns
Treatment of night emmision pb Nightfall ki samasya kaise door hogi Bahut lambe samay se ye samasya hain
Dr. Deepak Kumar Soni
Ayurveda
Nightfall is also called wet dream or nocturnal emission which people often suffer during adolescence. In this disorder, individual experiences leakage the genital fluid while sleeping. Briefly, they ejaculate involuntarily in sleep during the night and hour of morning means that this nocturnal discharge helps the body get rid of extra semen. People are always embarrassed to admit it but it is not rare problem as there are innumerable people who are facing this problem. However, this problem fades away or minimizes as they grow adult and come to lead an active sexual life. Apart from being embarrassing, this causes physical weakness, sexual dream, weak immune system, hormonal imbalances, wrong sleeping patter. Tips of controlling Night fall: Daily consumption of pomegranate is the best way to reduce frequent nightfall. You should dry pomegranate under the sunlight for 2-3 days. Then grind them well into powder. Mix a teaspoon of this powder with little honey and consume twice a day till you are treated this problem.
I am suffering from myopia since the age of 12 years and my glasses no. is -4 But now my near sight is also disturbed I am facing PB with these glasses to read the nearest written words .my dr.are not solving my PB.
Dr. Vishal Maniar
Ophthalmology
U need distance plus near glasses both together,go for progressive glassesIf u dont want glasses then clear lens exchange with multifocal artificial lens
Sir Plz suggest me effective pain killer with minimum side effects for back pain and arthritis, which can be taken on regular basis as and when required.
Dr. Vikas Sharma
Neurology
dpeneds on the type of pain - muscular or neuropathic; show tro nearby neuro
Burning sensation in sole ,penile region regularly No spot at penile area but constant burning sensation at sole and penile area No relief from amoxicillin,ceprofloxin doxycyclene Period :last 14 days
Dr. Pranay Gandhi
Sexology
that may be a neuropathic pain. do u have high bp or diabetes. take tablet pregama m 1 od for 15 days
Hi I am having diabetics last 2 years. Now I am taking kombiglize xr 1000 mg. Additoinally I am having amway nutralite product such as daily multi vitamin, protien powder,solomon omega 3 Now fasting blood sugar level is under control fasting 90 and PB 168. Pleaee suggest.
Dr. Sanjay Bhatt
Physician
It is better to consult diabetologist near by as he should check your reports and must watch for dose adjustment. Online it is not possible. Or you can visit my clinic at gurgaon sector 52 RDCITY IN BALJEET COMPLEX 0124 6470647.REGULAR AEROBIC EXERCISES, PROPER MEDICINE AND MAINTAIN MEDICAL NUTRITION THERAPY. ONE CAN DEFINITELY CONTROL DIABETIES. AND LIVE HAPPY LIFE
Monocobal-PB Capsule is a combination of two medicines: Pregabalin and Methylcobalamin. This medicine is useful in the treatment of nerve pain (neuropathic pain). It calms the damaged or overactive nerves by acting on the brain, thereby decreasing the pain sensation. It also helps in the regeneration of damaged nerves in the body.
Can I stop taking Monocobal-PB Capsule when my pain is relieved?
No, you should not stop taking Monocobal-PB Capsule even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Monocobal-PB Capsule, you may experience withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain and sweating. You may need to gradually taper the use of Monocobal-PB Capsule before you stop the medication completely.
How to manage weight gain associated with the use of Monocobal-PB Capsule?
Monocobal-PB Capsule can make you feel hungry which might make you eat more, thereby increasing your chances of putting on weight. However, preventing weight gain is easier than losing the increased weight. Try to eat a healthy balanced diet without increasing your portion sizes (per-meal intake). Do not eat food items that contain a lot of calories, such as soft drinks, oily food, chips, cakes, biscuits, and sweets. If you feel hungry between meals, avoid eating junk food and eat fruits, vegetables and low-calorie foods. Regular exercise will help prevent weight gain. If you maintain good eating habits and exercise regularly, you might not gain any weight.
Can the use of Monocobal-PB Capsule cause sleepiness or drowsiness?
Yes, Monocobal-PB Capsule may make you feel drowsy or you may suddenly fall asleep during your daily activities. Sometimes, you might not even feel drowsy or have any other warning signs before you suddenly fall asleep. Avoid driving a car, operating machinery, working at heights or participating in potentially dangerous activities at the beginning of your treatment until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.
Are there any serious side effects associated with the use of Monocobal-PB Capsule?
Serious side effects caused because of the use of Monocobal-PB Capsule are uncommon and rare. However, it may cause serious side effects like allergic reaction, suicidal thoughts or swelling of limbs (hands, legs or feet). Stop taking Monocobal-PB Capsule and contact your doctor if you have any signs of these serious side effects. Signs of an allergic reaction include swelling of your face, mouth, lips, gums, tongue and neck. Allergic reactions can also lead to trouble in breathing, skin rash, hives (raised bumps) or blisters. Pay attention to any changes, especially sudden changes in mood, behaviors, thoughts or feelings, or if you have suicidal thoughts.
How long will the Monocobal-PB Capsule take to act?
An initial benefit with Monocobal-PB Capsule may be seen after 2 weeks of treatment. However, it may take around 2-3 months or more (in some patients) to see the full benefits.
What if I forget to take Monocobal-PB Capsule?
If you forget to take the scheduled dose of Monocobal-PB Capsule and it is almost time for your next dose, skip the dose you missed and take your next dose at the scheduled time. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose you missed because this may increase the risk of unwanted side effects. If you are not sure what to do, consult your doctor about how to manage a situation like this.
Will a higher than the recommended dose of Monocobal-PB Capsule be more effective?
No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms that are not relieved by the recommended doses, please consult your doctor for re-evaluation.
Can I drink alcohol while taking Monocobal-PB Capsule?
No, do not drink alcohol while taking Monocobal-PB Capsule. Drinking alcohol can increase the severity of drowsiness or sleepiness caused by Monocobal-PB Capsule.
How often should I see the doctor ?
You may need to see your doctor regularly if you have started to take Monocobal-PB Capsule. However, you must consult your doctor if the advised dosage of Monocobal-PB Capsule does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.
Are there any special instructions regarding storage and disposal of this medicine?
Keep your tablets in the pack until it is time to take them. Store them in a cool dry place. Store them out of sight and reach of children. Unused medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them.
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References
MedlinePlus. Vitamin B12. [Accessed 22 Apr. 2019] (online) Available from:
Pregabalin. Vega Baja, Puerto Rico: Pfizer Pharmaceuticals LLC; 2009. [Accessed 22 Apr. 2019] (online) Available from:
PubChem. Methylcobalamin hydrate. [Accessed 22 Apr. 2019] (online) Available from:
Pregablin. New York, New York: Pfizer; 2004 [revised Jun 2011]. [Accessed 22 Apr. 2019] (online) Available from:
Pregabalin & Methylcobalamin [Patient Information Sheet]. Ahmedabad, Gujarat: Torrent Pharmaceuticals Ltd.; 2017. [Accessed 28th Sept. 2023] (online) Available from: