Methycobal Tablet 15's (Methylcobalamin 500 mcg) is generally not ideal as a maintenance dose because daily 500 mcg dosing is often higher than needed for long-term vitamin B12 deficiency management and peripheral neuropathy maintenance.

🩺 Suitability of Methycobal Tablet 15 as Maintenance Dose

• The 500 mcg daily dose is typically used for initial treatment or correction of deficiency, not for maintenance.
• Maintenance usually requires lower or less frequent dosing to sustain adequate B12 levels without unnecessary excess.

💊 Alternative Medications

• Other vitamin B12 formulations like cyanocobalamin or hydroxocobalamin are commonly used for maintenance.
• Methylcobalamin remains an option but at adjusted doses or frequencies.

💊 Dosage Regimens

• Daily: 250–500 mcg methylcobalamin orally once daily (lower than initial treatment).
• Weekly: 1000 mcg methylcobalamin once weekly.
• Thrice weekly: 1000 mcg methylcobalamin three times per week is also used for maintenance.

🏥 Considerations

• Choice depends on absorption ability, severity of deficiency, and patient compliance.
• Injectable forms may be preferred if absorption is poor.
• Always follow your doctor’s guidance for personalized dosing.

Consult a neurologist or a physician experienced in managing vitamin B12 deficiency for tailored maintenance therapy.