Can I Take Mycobal for Facial Nerve Paralysis Recovery? - Neurology

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Medications for Facial Nerve Palsy


Hello, about a month ago I experienced facial nerve paralysis on the left side of my face.
I have been taking steroids and B vitamins, and my symptoms have improved by more than 90% so far.
I am currently on the lowest dose of steroids (one pill a day), but I still have some mild numbness in my lips.
A relative who used to work in a hospital (not a healthcare professional) saw my condition and bought me some capsules called "Mikobor." I found online that it is indeed a medication related to nerve health.
Doctor, is it safe for me to take this? Thank you!

Lin Xiansheng, 40~49 year old female. Ask Date: 2017/02/10

Dr. Jiang Junyi reply Neurology


Hello: Mecobalamin, the main component of which is vitamin B12, has the following functions: 1.
Improves nucleic acid and protein metabolism in nerve cells: It participates in the synthesis of nucleic acids and nucleoproteins, activating the metabolism and biosynthesis of amino acid proteins, thereby promoting nucleic acid and protein metabolism in nerve cells.
2.
Repair of nerve tissue: It facilitates the formation of myelin sheaths and has a reparative effect on nerve tissue, inhibiting degeneration and inflammation of brain cells.
For facial nerve paralysis, in addition to taking vitamin B12, it is recommended to increase the intake of other B vitamins and to enhance rehabilitation and other supportive therapies.
It is advisable to consult a neurologist or a rehabilitation physician for discussion, examination, and treatment.
Wishing you good health, peace, and joy.
Dr.
Tao, Neurology Department, cares about you.

Reply Date: 2017/02/10

More Info


Yes, you can take Mycobal (Mecobalamin) for facial nerve paralysis recovery. Mycobal is a form of vitamin B12 that plays a crucial role in nerve health and regeneration. It is particularly beneficial for conditions involving nerve damage, such as facial nerve paralysis, which can occur due to various reasons, including viral infections, trauma, or other underlying health issues.

Mecobalamin works by promoting the repair of nerve tissues and enhancing the metabolism of nerve cells. It aids in the synthesis of nucleic acids and proteins, which are essential for the regeneration of damaged nerves. Additionally, it helps in the formation of the myelin sheath, which insulates nerve fibers and facilitates efficient nerve signal transmission. This can be particularly helpful in your case, as you are experiencing residual symptoms like slight numbness in your lips after your facial nerve paralysis.

In your situation, where you have already seen significant improvement (about 90%) after steroid treatment and B vitamins, adding Mycobal can potentially enhance your recovery further. It is important to note that while vitamin B12 supplementation can be beneficial, it should be part of a comprehensive treatment plan that may include physical therapy, acupuncture, and other supportive therapies to maximize recovery.

However, it is essential to consult with your healthcare provider before starting any new medication or supplement, including Mycobal. They can provide personalized advice based on your medical history and current treatment regimen. They may also monitor your progress and adjust your treatment plan as necessary.

In addition to taking Mycobal, consider the following recommendations to support your recovery from facial nerve paralysis:
1. Physical Therapy: Engaging in facial exercises can help improve muscle strength and coordination. A physical therapist can guide you through specific exercises tailored to your needs.

2. Acupuncture: Some patients find relief and improvement in symptoms through acupuncture, which may help stimulate nerve function and reduce pain.

3. Healthy Diet: A balanced diet rich in vitamins and minerals can support overall nerve health. Foods high in antioxidants, omega-3 fatty acids, and vitamins B1, B6, and B12 are particularly beneficial.

4. Stress Management: Stress can exacerbate symptoms, so practices such as yoga, meditation, or deep-breathing exercises can be helpful.

5. Regular Follow-ups: Keep in touch with your healthcare provider to monitor your condition and make any necessary adjustments to your treatment plan.

6. Avoiding Excessive Strain: Be mindful of not overexerting the affected facial muscles, as this can lead to fatigue and discomfort.

In conclusion, Mycobal can be a valuable addition to your treatment for facial nerve paralysis, but it should be taken under the guidance of your healthcare provider. With a comprehensive approach that includes medication, therapy, and lifestyle adjustments, you can optimize your recovery and improve your quality of life.

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