Fibocob-G Tablet is a combination medicine used for the treatment of neuropathic pain. This medicine decreases pain by modulating calcium channel activity of the nerve cells.
Fibocob-G Tablet is taken by mouth with or without food, preferably at bedtime. It is advised to take medicine 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. 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 are nausea, peripheral edema, ataxia, blurred vision, fever and nystagmus (involuntary eye movement). It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. It is important to inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts.
Before taking the medicine you should tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. It can usually be mixed safely with other medicines but some drugs (including antacids and alcohol) do affect the way it works and can increase the chance of side effects.
Fibocob-G Tablet 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. It is thought to work by interfering with pain signals that travel through the damaged nerves and the brain. Using this medicine regularly will improve your physical and social functioning and overall quality of life. It takes a few weeks to work so you need to use it regularly even if you feel it is not doing any good. Once your symptoms have gone you should still keep using the medicine until your doctor advises you to stop.
Side effects of Fibocob-G Tablet
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 Fibocob-G
Dizziness
Sleepiness
Tiredness
How to use Fibocob-G Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Fibocob-G Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Fibocob-G Tablet works
Fibocob-G Tablet is a combination of two medicines: Gabapentin and Methylcobalamin. Gabapentin is an alpha 2 delta ligand which decreases pain by modulating calcium channel activity of the nerve cells. 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. Together, they relieve neuropathic pain (pain from damaged nerves).
Safety advice
Alcohol
UNSAFE
Fibocob-G Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Fibocob-G Tablet 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
Fibocob-G Tablet 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
Fibocob-G Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Fibocob-G Tablet should be used with caution in patients with kidney disease. Dose adjustment of Fibocob-G Tablet may be needed. Please consult your doctor.
Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Fibocob-G Tablet in patients with liver disease. Please consult your doctor.
What if you forget to take Fibocob-G Tablet?
If you miss a dose of Fibocob-G Tablet, 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.
Fibocob-G Tablet is a combination of two medicines: Gabapentin and Methylcobalamin. This medication is useful in the treatment of pain due to nerve damage (peripheral neuropathy). This medication works by regenerating damaged nerves in the body and decreasing the pain sensation.
Q. What is peripheral neuropathy?
The nerves in the periphery of your body, such as the nerves in your toes and fingertip are called peripheral nerves and any damage to one or more of these nerves is called peripheral neuropathy. These nerves carry messages to/from the brain and spinal cord from/to the rest of the body. A damage caused to these nerves stops them from functioning properly and the messages traveling between your central and peripheral nervous system get disrupted.
Q. Can I stop taking Fibocob-G Tablet when my pain is relieved?
No, take Fibocob-G Tablet for the full prescribed length of time. Your symptoms may improve before the nerves are completely regenerated and healed.
Q. Can the use of Fibocob-G Tablet cause sleepiness?
Yes, the most common side effect of Fibocob-G Tablet is sleepiness. Do not drive, operate heavy machinery or engage in other activities that need your full attention. Do not drink alcohol while taking Fibocob-G Tablet as it can lead to severe sleepiness , causing falls or accidents.
Q. Can I take a higher than the recommended dose of this medicine?
No, taking a higher than the recommended dose of Fibocob-G Tablet can lead to increased chances of side effects and toxicity. If you are experiencing increased severity of your symptoms that are not relieved by the recommended doses, please consult your doctor for re-evaluation.
Q. What is the recommended storage condition for the Fibocob-G Tablet?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
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References
Stahl SM, editor. Gabapentin. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 275-77.
McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 599.
Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 410.
Combs Jr. GF, McClung JP. The Vitamins: Fundamental Aspects in Nutrition and Health. 5th ed. Westborough, MA: Academic Press; 2017.
PubChem. Methylcobalamin hydrate. [Accessed 22 Apr. 2019] (online) Available from:
Arlak Biotech. Methylcobalamin+gabapentin [Product Information]. [Accessed 14 Aug. 2024] (online) Available from:
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