GABAPENTIN(400MG) + METHYLCOBALAMIN(1500MG) + NORTRIPTYLINE(10MG)

This medicine is primarily used to treat neuropathic pain (nerve pain) caused by conditions such as: - Diabetic neuropathy - Post-herpetic neuralgia (pain after shingles) - Peripheral neuropathy - Nerve damage due to injury or other medical conditions - Chronic pain conditions involving nerve damage It helps reduce pain, tingling, burning sensations, and numbness associated with nerve problems.

This combination works through three mechanisms: Gabapentin calms overactive nerves by affecting calcium channels and reducing abnormal electrical signals in damaged nerves. Methylcobalamin is an active form of Vitamin B12 that helps repair protective nerve coverings and supports nerve regeneration. Nortriptyline increases levels of certain brain chemicals (serotonin and norepinephrine) that help reduce pain signals. Together, they provide comprehensive relief from nerve pain.

Common side effects include drowsiness, dizziness, tiredness, dry mouth, blurred vision, constipation, increased appetite, and weight gain. Some people may experience nausea, headache, or difficulty concentrating. Most side effects are mild and temporary, improving as your body adjusts to the medicine. Contact your doctor if side effects persist, worsen, or if you experience unusual mood changes, difficulty urinating, or irregular heartbeat.

Take this medicine exactly as prescribed by your doctor. It can be taken with or without food, but taking it with food may help reduce stomach upset. Swallow the tablet whole with water; do not crush or chew it. Take it at the same time each day for best results. Do not stop taking this medicine suddenly without consulting your doctor, as gradual dose reduction may be needed. Follow your doctor's instructions carefully regarding dosage and duration.

Avoid alcohol as it can increase drowsiness and dizziness. This medicine may cause drowsiness and blurred vision; avoid driving or operating machinery until you know how it affects you. Inform your doctor if you have kidney problems, liver disease, heart conditions, diabetes, or glaucoma. Consult your doctor before use if pregnant, planning pregnancy, or breastfeeding. Elderly patients may be more sensitive to side effects. Do not stop abruptly. Inform your doctor about all other medicines you take to avoid interactions, especially antidepressants, pain medicines, and sedatives.