Algorithm for prescribing B vitamins in the complex therapy of pain syndrome

Algorithm for prescribing B vitamins in the complex therapy of pain syndrome

O.А. Shavlovskaya

Olga A. Shavlovskaya, e-mail: shavlovskaya@1msmu.ru

International University of Restorative Medicine, Moscow

B vitamins are prescribed both in complex therapy and as monotherapy for back pain, as well as neuropathies of various origins and localization. B vitamins (thiamine, pyridoxine, cyanocobalamin) have a neurotropic effect and moderate analgesic properties. B vitamins were included in the Clinical Guidelines "Skeletal Muscle (Non-Specific) Lower Back Pain" (2023). A therapeutic combination of B vitamins and non-steroidal anti-inflammatory drugs enhances the analgesic effect. This therapeutic combination has a high level of evidence, 1A. Complex medicines containing B vitamins are widely used in clinical practice. A number of studies have demonstrated the clinical effectiveness of combined therapy of Neurodiclovit and Neuromultivit in patients with lower back pain of varying severity, polyneuropathies of various origins (in particular, diabetic one). The course of Neuromultivit therapy is recommended to be carried out according to a 2-stage scheme (at the 1st stage, intramuscular administration, followed by the 2nd stage representing oral administration) whose total duration is up to 3 months.

Keywords: B vitamins, thiamine, pyridoxine, cyanocobalamin, Neurodiclovit, Neuromultivit, lower back pain, diabetic polyneuropathy.

For citation: Shavlovskaya O.А. Algorithm for prescribing B vitamins in the complex therapy of pain syndrome. RMJ. 2026;2:47–50. DOI: 10.32364/2225-2282-2026-2-9