Micobor: Uses, Risks, and Concerns for Children - Pharmacology

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The medication "Mikobor" (National Health Administration Drug Code 029034) is used for the treatment of peripheral neuropathy.
It is typically prescribed for conditions that involve nerve damage or dysfunction, such as diabetic neuropathy, postherpetic neuralgia, or other neuropathic pain syndromes.
Regarding your concerns about children potentially misusing this medication as a stimulant, it is important to note that Mikobor is not classified as a stimulant.
However, any medication should be kept out of reach of children to prevent accidental ingestion or misuse.
As for the risk of addiction, Mikobor is not known to be addictive in the same way that certain controlled substances are.
However, any medication can have side effects, and it is crucial to use it only as prescribed by a healthcare professional.
If your child is experiencing prolonged periods of sleepiness or boredom, it may be beneficial to consult a pediatrician for further evaluation and guidance.
Thank you.

Janice, 40~49 year old female. Ask Date: 2004/07/01

Dr. Liu Huiya reply Pharmacology


Hello Janice: The medication you inquired about, Methycobal (250μg), is an active form of vitamin B12 that can accelerate the metabolism of nerve cells and repair damaged nerve fiber sheaths.
Therefore, it can be used to treat anemia caused by vitamin B12 deficiency due to peripheral neuropathy.
Additionally, due to its neuroprotective effects, it can also be used to treat dizziness.
Although this medication is not addictive, it is recommended to discontinue use if there is no improvement after a period of treatment.
Since this medication is prescription-only, it must be used only after a physician's diagnosis confirms that it is appropriate for the indicated conditions.
Therefore, I would like to offer you the following advice: 1.
Do not give someone else's medication to anyone else for safety reasons.
2.
If you are concerned that your child has excessive sleepiness, you should seek help from a pediatric psychiatrist or neurologist for evaluation and treatment.
3.
Medications used by adults should be stored in a location that is not easily accessible to children to prevent accidental ingestion.
If the medication has been stored for a long time and will not be used in the near future, it should be returned to the original dispensing pharmacist or a community pharmacy for proper disposal.
Alternatively, you can remove the outer packaging (foil or plastic) and flush the medication down the toilet.

Reply Date: 2004/07/01

More Info


Micobor, known as Methycobal (Methylcobalamin), is a form of vitamin B12 that plays a crucial role in the body, particularly in the maintenance of healthy nerve cells and the production of DNA and red blood cells. It is primarily used to treat peripheral neuropathy, which can occur due to various conditions, including diabetes, vitamin B12 deficiency, and certain neurological disorders. The medication is also utilized in cases of anemia related to vitamin B12 deficiency and can help alleviate symptoms such as dizziness and fatigue associated with nerve damage.


Uses of Micobor
Micobor is prescribed in situations where there is a confirmed deficiency of vitamin B12 or when there are symptoms indicative of nerve damage. Conditions that may warrant the use of Micobor include:
1. Peripheral Neuropathy: This condition involves damage to the peripheral nerves, leading to symptoms like pain, tingling, or numbness, often in the hands and feet.

2. Vitamin B12 Deficiency: This can result from dietary insufficiency, malabsorption issues, or certain medical conditions that affect the body's ability to absorb nutrients.

3. Anemia: Specifically, megaloblastic anemia, which is characterized by the production of large, abnormal red blood cells due to a lack of vitamin B12.

4. Neurological Disorders: Some neurological conditions may benefit from the neuroprotective effects of methylcobalamin.


Risks and Concerns for Children
While Micobor is generally considered safe when used as directed, there are several concerns regarding its use in children, especially if found in an unmonitored environment like a child's drawer. Here are some key points to consider:
1. Misuse as a Stimulant: There is a concern that children might misuse Micobor, thinking it could serve as a stimulant or energy booster. However, Micobor is not classified as a stimulant and does not have the properties of one. It is important to educate children about medications and ensure they understand that they should only take medications prescribed by a healthcare professional.

2. Potential for Overuse: If a child were to take Micobor without medical supervision, there could be risks of side effects or interactions with other medications. While Micobor is not known to be addictive, any medication should be taken under the guidance of a healthcare provider.

3. Symptoms of Overuse: If a child is exhibiting excessive sleepiness or lethargy, it is crucial to consult a healthcare professional. These symptoms could be indicative of an underlying issue that needs to be addressed rather than a direct result of Micobor use.

4. Storage and Safety: Medications should always be stored out of reach of children to prevent accidental ingestion. If you find medications like Micobor in a child's space, it is advisable to remove them and consult a healthcare professional for guidance on proper disposal and any necessary follow-up.


Conclusion
In summary, Micobor is a valuable medication for treating specific conditions related to vitamin B12 deficiency and nerve health. However, it is essential to use it responsibly and under the supervision of a healthcare provider, especially in children. If there are concerns about a child's health or behavior, such as excessive sleepiness or potential misuse of medications, it is crucial to seek medical advice promptly. Always prioritize safety by keeping medications securely stored and educating children about the importance of using medications only as directed.

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