Intended for healthcare professionals

Rapid response to:

Clinical Review

Recent developments in Bell's palsy

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7465.553 (Published 02 September 2004) Cite this as: BMJ 2004;329:553

Rapid Response:

Underrecongnized use of oral B-12 for Bell's palsy

The article, "Recent development in Bell's Palsy" did not mention the
use of oral B-12 for Bell's palsy. I thought to now bring this to wider
attention.

I discovered this treatment when about 6 years ago a patient called
me describing symptoms of Bell's Palsy. Since to my understanding the efficacy of prednisone
was slow and uncertain, I went to look at the available research on
PubMed. I found this article,in Methods Find Exp Clin Pharmacol.
Oct;17(8):539-44.1995,Methylcobalamin treatment of Bell's palsy by MA
Jalaludin. A daily 5 milligram dose of oral methylcobalamin was shown to
be useful in a controlled trial.

I suggested that this use, as compared with the results of the recent
therapy studies using prednosisone &/or acyclovir, seemed superior. Symptoms were gone by the end of a week.
Subsequently we have used oral B-12 with about 6 other paitents. Only one
failed to resolve guickly and completely on this regimen.

I urge others to consider this easy, cheap, non-toxic rememdy, and
for researchers to investigate this further.

Competing interests:
None declared

Competing interests: No competing interests

21 February 2005
Irwin Abraham MD
Physician private practice
520 White Spruce Blvd.,Rochester Ny USA 14623