Methycobal is a medication containing methylcobalamin, the active coenzyme form of vitamin B₁₂. It is used for the treatment of neurological and hematological disorders associated with vitamin B₁₂ deficiency.

Indications for Use:

1. Neurological Disorders:
   • Peripheral neuropathy.
   • Diabetic neuropathy.
   • Trigeminal neuralgia.
2. Hematological Disorders:
   • Megaloblastic anemia caused by vitamin B₁₂ deficiency.
3. Other Conditions:
   • Liver diseases.
   • Pancreatitis.
   • Dystrophic conditions in children.
   • Down syndrome.
   • Cerebral palsy.

Contraindications:

• Known hypersensitivity to methylcobalamin or any components of the drug.
• Erythremia, erythrocytosis, or thromboembolism.
• Pregnancy and Lactation: Use only under strict medical supervision when clearly indicated.

Side Effects:

1. Allergic Reactions:
   • Skin rash, pruritus (itching), urticaria (hives).
2. Cardiovascular System:
   • Tachycardia, chest pain (pain in the heart area).
3. Nervous System:
   • Headache, dizziness, agitation.
4. Other:
   • Diarrhea.
   • Hypercoagulability when used in high doses.

Special Instructions:

1. Blood Parameter Monitoring:
   • For prolonged use, regular monitoring of peripheral blood parameters is recommended.
2. Drug Interactions:
   • Methylcobalamin may enhance allergic reactions caused by thiamine.
   • It is not recommended to combine with drugs that increase blood coagulation.
3. Pregnancy and Lactation:
   • Use only under medical supervision and when strictly necessary.
4. Consultation Required:
   • Prior to using Methycobal, consult a healthcare provider to evaluate the appropriateness of treatment and determine the optimal dosage. Self-medication is strongly discouraged and may result in adverse outcomes.

• Injection solution, in 1 ml ampoules containing 500 mcg of active substance.
• Intended for intramuscular or intravenous administration.
• Also available in tablet form (Methycobal oral tablets), but in this case we are talking about the injection form.