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Rikobalin Capsule belongs to the class of medications ‘anticonvulsants’ used in the treatment of neuropathic pain. Neuropathic pain is a chronic (long-term) progressive nerve disease that causes nerve pain due to nerve damage or the nervous system's malfunctioning. It is mostly seen in patients who had suffered a trauma or nerve injury, diabetes, vitamin deficiencies, cancer, multiple sclerosis (disease of the brain and spinal cord), shingles (a viral infection), and HIV.
Rikobalin Capsule is a combination of two medicines: Pregabalin and Methylcobalamin. Pregabalin acts by decreasing the pain signals sent by a damaged nerve in the body. On the other hand, Methylcobalamin helps rejuvenate and protect damaged nerve cells by producing a substance called myelin (outer protective layer of nerve cell - neuron).
You should take this medicine as prescribed by your doctor. The common side-effects of Rikobalin Capsule are dizziness, drowsiness, headache, anorexia (loss of appetite), nausea or vomiting, diarrhea, headache, hot sensation (burning pain), vision problems, and diaphoresis (sweating). Inform your doctor if any of these side effects persist.
Do not take Rikobalin Capsule if you are allergic to ‘Pregabalin’ and ‘Methylcobalamin’ or any contents before taking Rikobalin Capsule if you have a history of heart diseases, liver or kidney disease, alcoholism, or drug abuse. It should not be used in children and adolescents below 18 years. Inform your doctor if you are pregnant and breastfeeding. Do not drive or operate heavy machinery as Rikobalin Capsule may cause dizziness or drowsiness. Rikobalin Capsule contains lactose, so inform your doctor if you have any intolerance to sugars. Do not discontinue treatment without telling your doctor.
Rikobalin Capsule is used in the treatment of Neuropathic pain. The detailed uses of Rikobalin Capsule are as follows:
Rikobalin Capsule is a combination of two drugs: Pregabalin and Methylcobalamin. Pregabalin is an anticonvulsant that affects the brain's chemicals that send pain signals across the nervous system. It works by binding to the specific site on voltage-gated calcium channels (responsible for excitatory response), thereby decreasing brain activity. This effect helps in relieving nerve pain and lowers the risk of seizures. On the other hand, Methylcobalamin is a form of vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a substance called myelin (outer protective layer of nerve cells). Together, Rikobalin Capsule helps in providing relief from neuropathic pain and improved nerve signal conduction.
Caution
Alcohol may worsen the condition by increasing the risk of side-effects.
Unsafe
Rikobalin Capsule is a category C medicine. It is not recommended for use in pregnant women unless the doctor thinks the benefits outweigh the risks.
Caution
Rikobalin Capsule should be used with caution in breastfeeding mothers unless the doctor thinks the benefits outweigh the risks.
Caution
Rikobalin Capsule may cause dizziness and drowsiness. So, avoid driving or operating heavy machinery while using Rikobalin Capsule.
Caution
Rikobalin Capsule should be used with caution in patients with liver diseases. Dose adjustments may be necessary.
Caution
Rikobalin Capsule should be used with caution in patients with kidney diseases. Dose adjustments may be necessary
Unsafe
Rikobalin Capsule is not recommended for anyone below the age of 18 years.
Consult your doctor
Please inform your doctor if you have any pre-existing heart problems
Consult your doctor
Limited information available for use of Rikobalin Capsule in elderly patients. Please consult your doctor.
Include food rich in vitamin B and D in your diet.
Include cayenne pepper in your diet as it can help in lowering neuropathic pain.
Exercising regularly helps in improving overall health and combating pain.
Rest well, get plenty of sleep.
Try taking a warm bath as it can be soothing.
Avoid smoking and alcohol consumption.
Meditation and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.
Acupuncture can be helpful by stimulating pressure points.
Using essential oils for massages can help increase circulation.

Have a query?
Rikobalin Capsule may increase the risk of heart failure in patients with heart diseases. It may cause dizziness and somnolence (sleepiness). So, it might increase the risk of accidental injury in elderly patients. Rikobalin Capsule may also cause temporary vision problems. However, if this condition is persistent, consult your doctor immediately. Patients with diabetes who gain weight with Rikobalin Capsule may need a change in diabetic medicines. If you notice decreased urination while taking Rikobalin Capsule, inform your doctor as Rikobalin Capsule may cause kidney failure in some cases. It may increase suicidal tendencies, though it is rare. You may experience convulsions after discontinuing Rikobalin Capsule. In such cases, inform your doctor immediately.
Drug-Drug Interaction: Rikobalin Capsule may interact with a pain killer (oxycodone), opioids, antianxiety drugs (lorazepam), antacid (omeprazole), antibiotic (neomycin), and anti-gout medication (colchicine).
Drug-Food Interaction: Avoid alcohol consumption while using Rikobalin Capsule.
Drug-Disease Interaction: Rikobalin Capsule should be used with caution in patients with liver diseases, kidney diseases, heart problems, alcoholism, drug abuse, and suicidal tendencies.
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Rikobalin Capsule is used in the treatment of neuropathic pain, a chronic (long-term) progressive nerve disease that causes nerve pain due to nerve damage or the nervous system's malfunctioning.
Rikobalin Capsule is a combination of two medicines: Pregabalin and Methylcobalamin. Rikobalin Capsule block the brain's pain signals and protect nerve cells from further damage, thereby improving nerve signal conduction to the whole body parts. These effects help to reduce pain in patients with neuropathic pain.
Rikobalin Capsule should not be given to children and adolescents under the age of 18 years as it may increase suicidal thoughts.
Rikobalin Capsule should not be stopped abruptly as it may cause withdrawal reactions such as trouble sleeping, headache, nausea, feeling anxious, diarrhea, flu-like symptoms, convulsions, nervousness, depression, pain, sweating, and dizziness. Rikobalin Capsule should be stopped gradually over a minimum of 1 week.
Rikobalin Capsule can be used in patients with diabetes if they have neuropathic pain. However, inform your doctor if you notice any weight gain while using Rikobalin Capsule. Your doctor may change your diabetic medicines to stop weight gain. Also, take some measures to control weight such as eating a balanced diet and exercising regularly.
Rikobalin Capsule may cause drowsiness. So, it is advised to refrain from activities such as driving or operating heavy machinery if you feel sleepy after taking Rikobalin Capsule.
You may notice pain improvement within 2-3 days after taking Rikobalin Capsule. However, it may take 2-3 months for your symptoms to improve depending on your health condition.
Rikobalin Capsule may increase your appetite, which might make you eat more, and thus increases the risk of weight gain. However, it’s easier to prevent weight gain than losing the weight. Try to eat a healthy balanced diet. Avoid consuming high-calorie foods, such as soft drinks, chips, oily food, biscuits, cakes, and sweets. If you feel hungry between meals, do not eat junk food, instead eat vegetables, fruits, and low-calorie foods. Regular exercise helps to prevent weight gain. If you still have any concerns, discuss with your doctor.
Rikobalin Capsule may rarely cause serious side effects such as allergic reaction, suicidal thoughts or swelling of limbs (legs, hands, or feet). If you experience any signs of these side effects, discontinue Rikobalin Capsule and consult your doctor. Signs of an allergic reaction include swelling of your face, lips, mouth, tongue, gums, and neck. Allergic reactions can also lead to skin rash, difficulty breathing, hives (raised bumps) or blisters. Watch out for any changes, especially sudden changes in behaviors, mood, thoughts or feelings, or if you have suicidal thoughts.
Rikobalin Capsule may show an initial benefit after 2 weeks of taking it. However, for full benefits, it may take around 2 to 3 months or more (in some patients).
If you forget to take a dose of Rikobalin Capsule, take it as soon as you remember. But, if it is time for your next dose, skip the missed dose and take your regular dose. Do not take a double dose to make up for a forgotten dose.
No, taking a higher than the recommended dose may not be more effective, rather it may increase the risk of toxicity and serious side effects. If your symptoms are not relieved or there is an increased severity of your symptoms after using the recommended doses, please consult your doctor.
You are advised to avoid alcohol consumption while taking Rikobalin Capsule as it may increase the risk of side effects. However, if you have any concerns, please discuss with your doctor.
If you have started taking Rikobalin Capsule, you may need to see your doctor regularly. However, if the recommended doses does not improve your symptoms or if the side effects persist or worsen which affect your routine activities, consult your doctor.
Store Rikobalin Capsule at room temperature in a cool place. Protect from light and moisture. Keep it out of reach of children.
The side effects of Rikobalin Capsule include nausea, vomiting, headache, dizziness, drowsiness, increased appetite, weight gain and vision problems. If these side effects persist or worsen, please consult your doctor.
You are recommended to take Rikobalin Capsule only if it is advised by your doctor. Therefore, if you are pregnant or planning pregnancy, take your doctor’s advice.
You are recommended to avoid driving or using any tools or machines until you know how Rikobalin Capsule affects you as it may cause dizziness or drowsiness in some people.
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