Warnings for special population
Pregnancy
Metcobal PG Capsule is not recommended for use in pregnancy as it may harm your foetus. Consult your doctor before taking this medicine.
Breast-feeding
Metcobal PG Capsule is not recommended for use in breastfeeding as it may pass into breastmilk and harm your baby. Consult your doctor before taking this medicine.
General warnings
Kidney disease and dialysis
Metcobal PG Capsule should be used with extreme caution if you have an impaired kidney function. Your doctor will advise kidney tests while taking this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on your condition and therapeutic response.
Suicidal tendencies
Metcobal PG Capsule may cause suicidal ideation (suicidal thoughts). Caution should be maintained while using this medicine if you have any psychological condition. Your doctor may monitor you closely for any mood and behavioural changes. Replacement with a suitable alternative should be considered based on your clinical condition.
Driving or operating machines
Metcobal PG Capsule may increase your risk of experiencing drowsiness, dizziness, difficulty in concentrating, etc. Hence, activities that need a high level of mental attention like driving vehicles or operating heavy machines should be avoided.
Withdrawal symptoms
Do not stop using Metcobal PG Capsule abruptly. The risk of withdrawal symptoms is significantly high if it is discontinued suddenly. Complete the treatment with this medicine as prescribed by your doctor.
Oedema
Metcobal PG Capsule may increase the risk of oedema. Hence, it should be used with caution if you have any condition of fluid retention. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative as needed, based on your clinical condition.
Heart block
Metcobal PG Capsule may cause heart rhythm abnormalities which could result in a blockage and associated complications. It should be used with caution if you have any condition related to the heart and blood vessels. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative as needed, based on your clinical condition.
Potential for abuse
Metcobal PG Capsule may cause dependence, especially in chronic alcohol users or in people who have used other habit-forming agents in the past. Report the past use of alcohol or other drugs to your doctor before receiving this medicine. Your doctor may consider replacing it with a suitable alternative based on your clinical condition.
Rhabdomyolysis
Metcobal PG Capsule has been associated with rare cases of muscle breakdown conditions that affect kidneys. You should report any instance of muscle pain, weakness, the presence of dark reddish colouration of urine, etc., to your doctor on priority. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative as needed, based on your clinical condition.
Use in elderly
Metcobal PG Capsule should be used with caution in elderly. Appropriate dose adjustments or replacement with a suitable alternative may be required in elderly people.
Gastrointestinal surgery
Metcobal PG Capsule should be used with caution in people who have had recent surgery of the stomach or intestines, as they may have reduced absorption of this medicine.
Use in children
Metcobal PG Capsule is not recommended for use in children less than 18 years of age since the safety and effectiveness of this medicine are not studied.