


Category Name Neuro-Nutritional Supplement β Anti-Neuropathy & Metabolic Support Combination Tablet
Common Indications
- Diabetic peripheral neuropathy β numbness, tingling, burning, and pain in feet and hands
- Nutritional and B12 deficiency neuropathy
- Metabolic neuropathy associated with insulin resistance
- Blood sugar regulation support (Chromium, Inositol, Benfotiamine)
- Oxidative stress and nerve damage from free radicals (Alpha Lipoic Acid)
- Bone health support in diabetic and neuropathic patients (Calcium Carbonate + Vitamin D3)
- General neurological support and axonal repair
Common Dosing
- Standard Adult Dose: One tablet once or twice daily, with or after food, or as directed by your doctor
- Duration: Long-term use as prescribed, especially in diabetic neuropathy management
Always follow your doctor's prescribed dose and duration.
Common Side Effects Generally well tolerated. Possible mild effects include:
- Nausea or mild GI discomfort (take with food)
- Mild skin flushing (Alpha Lipoic Acid or Niacinamide-related)
- Headache
- Constipation (Calcium Carbonate component)
Common Interactions
- Antidiabetic drugs β Chromium Picolinate and Benfotiamine may enhance blood glucose lowering; monitor blood sugar
- Levodopa β Pyridoxine (B6) may reduce effectiveness in Parkinson's treatment
- Metformin β Long-term use depletes B12; Methylcobalamin supplementation is beneficial
- Anticonvulsants β May deplete B vitamins and folate; supplementation is supportive
- Iron and Calcium supplements β Separate doses by 2 hours to avoid absorption interference
Special Instructions
| Condition | Guidance |
|---|---|
| π€° Pregnancy | Generally safe at recommended doses. Folic Acid, B12, and Vitamin D3 are essential in pregnancy. Use under medical supervision. |
| π€± Breastfeeding | Generally safe. These nutrients are beneficial for both mother and infant. Consult your doctor. |
| πΊ Alcohol | Avoid. Alcohol depletes B vitamins, worsens neuropathy, and impairs nerve regeneration. |
| π Driving | No significant effect on driving ability at recommended doses. |
| π« Liver Disease | Use with caution. Consult your doctor for dose guidance. |
| π« Kidney Disease | Use with caution. Monitor for accumulation of calcium and fat-soluble vitamin components. |
Mechanism of Action Each component in Cothyl-CD3 targets a specific aspect of neuropathic and metabolic damage:
- Methylcobalamin (Active B12): Directly supports myelin sheath synthesis and axonal regeneration β the most bioavailable form of B12 for neurological repair
- Alpha Lipoic Acid: Universal antioxidant (both fat and water soluble) that neutralizes free radicals in nerve tissue, regenerates other antioxidants (Vitamins C and E), and improves mitochondrial nerve function
- Benfotiamine (Fat-Soluble B1): Activates the pentose phosphate pathway, reducing advanced glycation end-products (AGEs) that damage nerves in diabetic neuropathy
- Inositol (Myo-Inositol): Improves nerve conduction velocity and insulin signalling; reduces symptoms of peripheral neuropathy
- Chromium Picolinate: Enhances insulin receptor sensitivity, improving cellular glucose utilisation and supporting glycaemic control
- Pyridoxine (B6): Essential cofactor for neurotransmitter synthesis and peripheral nerve function
- Folic Acid: Supports DNA synthesis, homocysteine metabolism, and neuronal repair
- Vitamin D3: Modulates neuroinflammation and supports calcium-dependent nerve signal transmission
- Calcium Carbonate: Provides essential calcium for nerve impulse propagation and bone health
Together they provide comprehensive neuroprotective, antioxidant, and metabolic support β addressing multiple pathways of diabetic and nutritional neuropathy simultaneously.
Instructions to Take
- Take with or after food to minimize GI discomfort
- Take at the same time each day for consistent levels
- Do not exceed the recommended dose
- Monitor blood glucose if on antidiabetic therapy β may enhance glucose-lowering effect
- Allow at least 2 hours between this tablet and iron, antacid, or calcium supplements
- Store in a cool, dry place away from sunlight and moisture
This information is intended for general reference purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before starting, changing, or stopping any medication.

