Can Mecobalamin Tablets be used as an adjunctive treatment for epilepsy?
Jul 30, 2025
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Under normal circumstances, Mecobalamin tablets can serve as an adjunctive treatment for epilepsy, but they are not the primary therapeutic agent. Epilepsy mainly results from abnormal discharges of brain neurons, and the core of treatment is to suppress these abnormal neuronal discharges using antiepileptic drugs in order to control the frequency and severity of seizures. As an active form of vitamin B12, Mecobalamin participates in the synthesis and repair of nerve myelin sheaths and helps improve the metabolic function of nerve cells.
Generally speaking, Mecobalamin Tablets can serve as an adjunctive treatment for epilepsy but are not considered primary therapeutic agents. Detailed explanations are as follows:
Epilepsy is primarily caused by abnormal discharges of neurons in the brain. The main treatment focuses on using antiepileptic drugs to suppress abnormal neuronal discharges and control the frequency and severity of seizures. Mecobalamin Tablets, as an active form of vitamin B12, participate in the synthesis and repair of nerve myelin sheaths, improve the metabolic function of nerve cells, and help protect neurons and maintain stability within the nervous system. For patients whose seizures are indirectly triggered by nerve damage or metabolic abnormalities, this medication can aid in controlling the condition by nourishing nerves and reducing factors that cause abnormal nerve excitability. However, this drug cannot directly suppress abnormal discharges of brain neurons nor replace the direct control of seizures provided by antiepileptic drugs, thus it can only serve as an adjunctive therapy.
In addition to pharmacological treatment, patients with epilepsy should also pay attention to lifestyle adjustments, such as maintaining good living habits, eating a light diet, avoiding excessive fatigue, and thereby reducing the risk of seizures.
