Kozing Tablet is a combination medication containing Methylcobalamin 750 mcg and Pregabalin 75 mg, indicated for the management of neuropathic pain and associated neurological disorders. Methylcobalamin, an active form of Vitamin B12, plays a crucial role in nerve regeneration, myelin sheath repair, and overall neuronal health, thereby aiding in the treatment of peripheral neuropathies and vitamin B12 deficiency-related neurological conditions. Pregabalin, a gamma-aminobutyric acid (GABA) analogue, exerts its effect by binding to the alpha-2-delta subunit of voltage-gated calcium channels in the central nervous system, resulting in decreased release of excitatory neurotransmitters and attenuation of neuropathic pain signals. Kozing Tablet is commonly prescribed for diabetic neuropathy, postherpetic neuralgia, fibromyalgia, and other chronic neuropathic pain syndromes. The combination enhances symptomatic relief by addressing both nerve repair and pain modulation. Patients should use this medication under medical supervision due to potential side effects such as dizziness, somnolence, and gastrointestinal disturbances. Dose adjustments may be necessary in renal impairment. It is contraindicated in patients with hypersensitivity to any component. Regular monitoring and adherence to prescribed dosage ensure optimal therapeutic outcomes while minimizing adverse effects.