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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Dufree-M 20/1500 Capsule is used to treat neuropathic pain. It contains Duloxetine and Methylcobalamin, which works by increasing the levels of a chemical messenger (like serotonin and noradrenaline) in the brain required to regulate pain. Also, it helps rejuvenate and protect damaged nerve cells. It may cause side effects such as drowsiness, nausea, constipation, headache, dry mouth, increased sweating, or loss of appetite. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer :

Maxmo Pharmaceuticals

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Dufree-M 20/1500 Capsule

Dufree-M 20/1500 Capsule belongs to the class of medications called ‘anticonvulsants’ used to treat neuropathic pain. Neuropathic pain is a chronic (long-term) progressive nerve disease that causes nerve pain due to nerve damage or the nervous system's malfunctioning. It is mostly seen in patients who had suffered a trauma or nerve injury, diabetes, vitamin deficiencies, cancer, multiple sclerosis (disease of the brain and spinal cord), shingles (a viral infection), and HIV.

Dufree-M 20/1500 Capsule is a combination of two medicines: Duloxetine and Methylcobalamin. Duloxetine is a selective-serotonin reuptake (SSRI) inhibitor that works by increasing the levels of a chemical messenger (like serotonin and noradrenaline) in the brain required to regulate pain that travels through damaged nerves. On the other hand, Methylcobalamin is a form of vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a substance called myelin (a protective layer of nerve cells). 

Take this medicine as prescribed by your doctor. Dufree-M 20/1500 Capsule may cause side-effects such as drowsiness, nausea, constipation, headache, dry mouth, increased sweating, anorexia (loss of appetite) and hot sensation (burning pain). Inform your doctor if any of these side-effects persist.

Do not take Dufree-M 20/1500 Capsule if you are allergic to Duloxetine, Methylcobalamin, or any contents of it. Before taking Dufree-M 20/1500 Capsule , inform your doctor if you have liver or kidney disease, seizures (fits), mania, bipolar disorder, glaucoma (an eye condition), bleeding disorders, or at risk of hyponatremia (low sodium levels, especially in patients taking diuretics or water pills). It is not recommended for use in children and young adults as it increases the risk of suicidal tendencies. Inform your doctor if you are pregnant or breastfeeding before using Dufree-M 20/1500 Capsule . 

Uses of Dufree-M 20/1500 Capsule

Treatment of Neuropathic pain.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Dufree-M 20/1500 Capsule is a combination of two medicines: Duloxetine and Methylcobalamin. Duloxetine is a selective-serotonin reuptake (SSRI) inhibitor that increases serotonin levels and noradrenaline in the brain required for regulating pain through the damaged nerves. Methylcobalamin is a form of vitamin B12 that helps in rejuvenating and protecting damaged nerve cells by producing a substance called myelin (a protective layer of nerve cells). Together, Dufree-M 20/1500 Capsule effectively treats neuropathic pain, improve nerve conduction for proper nerve signal functioning in the body. 

How Dufree-M 20/1500 Capsule Works

Dufree-M 20/1500 Capsule is a combination of two medicines: Duloxetine and Methylcobalamin. Duloxetine is a selective-serotonin reuptake (SSRI) inhibitor that works by increasing the levels of a chemical messenger (like serotonin and noradrenaline) in the brain required to regulate pain that travels through damaged nerves. On the other hand, Methylcobalamin is a form of vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a substance called myelin (a protective layer of nerve cells).

Storage

Store in a cool and dry place away from sunlight

Side Effects of Dufree-M 20/1500 Capsule

  • Drowsiness
  • Nausea
  • Constipation
  • Headache
  • Dry mouth
  • Increased sweating
  • Anorexia (loss of appetite)
  • Hot sensation (burning pain)

What if I have taken an overdose of Dufree-M 20/1500 Capsule

Do not take more than the prescribed dose of Dufree-M 20/1500 Capsule as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

Before taking Dufree-M 20/1500 Capsule , inform your doctor if you have taken any antidepressants within the last 14 days or any medications used to treat infections. Please consult your doctor before stopping the medicine as it may cause withdrawal symptoms such as dizziness, tingling sensation, sleep disturbances, restlessness, nausea or vomiting, headache, or excessive sweating. So, do not abruptly stop taking medicine even if your symptoms improve. It may increase suicidal thoughts, so it is advised to use caution in patients with mania, bipolar disorder or depression. Prolonged use of Dufree-M 20/1500 Capsule may decrease sodium level, affect blood pressure, and blood sugar level, so regular medical check-ups are required. Dufree-M 20/1500 Capsule may increase your bleeding risk, and worsen your glaucoma condition. Hence, if you experience any eye problem or a bleeding problem, consult a doctor. 

Drug-Drug Interactions

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DuloxetineRasagiline
Critical
DuloxetineSelegiline
Critical

Drug-Drug Interactions

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DuloxetineRasagiline
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Rasagiline with Dufree-M 20/1500 Capsule 10's can increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
Taking Rasagiline and Dufree-M 20/1500 Capsule 10's is not recommended as they can possibly result in an interaction, but they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, pain in the muscles, stomach cramps, nausea, vomiting, and loose stools. Do not discontinue any medications without consulting a doctor.
DuloxetineSelegiline
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Dufree-M 20/1500 Capsule 10's with selegiline may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
Although there is an interaction between Dufree-M 20/1500 Capsule 10's and Selegiline, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, blurred vision, pain in the muscles, stomach cramps, nausea, vomiting, and diarrhoea. Do not discontinue any medications without consulting your doctor.
DuloxetineLinezolid
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Dufree-M 20/1500 Capsule 10's with Linezolid can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although taking Dufree-M 20/1500 Capsule 10's with Linezolid is not recommended, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, blurred vision, pain in the muscles, stomach cramps, nausea, vomiting, and diarrhoea. Do not discontinue any medications without consulting a doctor.
DuloxetineProcarbazine
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Dufree-M 20/1500 Capsule 10's with procarbazine can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Dufree-M 20/1500 Capsule 10's with Procarbazine is not recommended, but they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering or shaking, pain in the muscles, stomach cramps, nausea, vomiting, and diarrhoea. Do not discontinue any medications without consulting your doctor.
DuloxetineSafinamide
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Coadministration of safinamide with Dufree-M 20/1500 Capsule 10's can increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
Taking Safinamide with Dufree-M 20/1500 Capsule 10's is not recommended as it can result in an interaction, but they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, pain in the muscles, stomach cramps, nausea, vomiting, and loose stools. Do not discontinue any medications without consulting a doctor.
DuloxetineTranylcypromine
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Tranylcypromine with Dufree-M 20/1500 Capsule 10's can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Tranylcypromine with Dufree-M 20/1500 Capsule 10's is not recommended but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhoea. Do not discontinue any medications without consulting your doctor.
DuloxetinePhenelzine
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking phenelzine with Dufree-M 20/1500 Capsule 10's can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Dufree-M 20/1500 Capsule 10's with Phenelzine is not recommended, but they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, fever, excessive sweating, shivering, blurred vision, pain in the muscles, stomach cramps, nausea, vomiting, and diarrhoea. Do not discontinue any medications without consulting your doctor.
DuloxetineMetoclopramide
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Coadministration of metoclopramide with Dufree-M 20/1500 Capsule 10's increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Metoclopramide with Dufree-M 20/1500 Capsule 10's is not recommended, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience any unusual symptoms. Do not discontinue any medications without consulting a doctor.
DuloxetineEliglustat
Critical
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Coadministration of eliglustat and Dufree-M 20/1500 Capsule 10's can significantly increase the blood levels of eliglustat. This may increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking Dufree-M 20/1500 Capsule 10's with Eliglustat is not recommended, but they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, slow heart rate, or weak pulse. Do not discontinue any medications without consulting your doctor.
DuloxetineAlfentanil
Severe
How does the drug interact with Dufree-M 20/1500 Capsule 10's:
Taking Dufree-M 20/1500 Capsule 10's with Alfentanil can cause serotonin syndrome due to the additive effect. Serotonin syndrome is a condition in which a chemical called serotonin builds up in your body.

How to manage the interaction:
Although taking Dufree-M 20/1500 Capsule 10's with Alfentanil can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience confusion, fever, sweating, muscle spasms or stiffness, stomach cramps, nausea, vomiting, and diarrhea, contact a doctor immediately. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include food rich in vitamin B and D in your diet.
  • Include cayenne pepper in your diet as it can help in lowering neuropathic pain.
  • Exercising regularly helps in improving overall health and combating pain.
  • Rest well, get plenty of sleep.
  • Try taking a warm bath as it can be soothing.
  • Avoid smoking and alcohol consumption.
  • Meditation and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.
  • Acupuncture can be helpful by stimulating pressure points.
  • Using essential oils for massages can help increase circulation.

Habit Forming

Yes

Therapeutic Class

ANTICONVULSANT

Dufree-M 20/1500 Capsule Substitute

Substitutes safety advice
  • Dilna M Tablet 10's

    11.25per tablet
  • Dulorest-M Capsule 10's

    26.90per tablet
  • Dulamat-M 20 Capsule 10's

    14.90per tablet
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Alcohol

Caution

Alcohol may worsen the condition by increasing the risk of side-effects

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Pregnancy

Unsafe

Dufree-M 20/1500 Capsule is a category C medicine, so it is not recommended for use in pregnant women.

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Breast Feeding

Caution

Dufree-M 20/1500 Capsule should be used with caution in breastfeeding mothers.

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Driving

Caution

Dufree-M 20/1500 Capsule may cause drowsiness. So, avoid driving or operating heavy machinery while using Dufree-M 20/1500 Capsule .

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Liver

Caution

Dufree-M 20/1500 Capsule should be used with caution in patients with liver diseases.

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Kidney

Caution

Dufree-M 20/1500 Capsule should be used with caution in patients with kidney diseases.

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Children

Unsafe

Dufree-M 20/1500 Capsule is not recommended for children and anyone below 18 years. Please seek medical advice for more information.

FAQs

Dufree-M 20/1500 Capsule is used to treat neuropathic pain.
Dufree-M 20/1500 Capsule is a combination of two medicines: Duloxetine and Methylcobalamin. Duloxetine increases the number of neurotransmitters like serotonin and noradrenaline in the brain that can regulate pain. On the other hand, methylcobalamin (vitamin B12) can protect the nerve cells from further damage. Thus, Dufree-M 20/1500 Capsule prevents nerve damage due to various conditions like injury or diabetic neuropathy and smooth conduction of nerve signal throughout the body.
Dufree-M 20/1500 Capsule should be taken either in the morning or evening. If you feel drowsy after taking Dufree-M 20/1500 Capsule , consider taking it in the evening. Also, it is recommended to take Dufree-M 20/1500 Capsule every day at the same time for the best results.
Dufree-M 20/1500 Capsule should not be used with antidepressants, especially antidepressants like monoamine oxidase (MAO) inhibitors (moclobemide, linezolid) as they cause serious side-effects. It is advised to wait at least 14 days after stopping MAO inhibitors before taking $namd also wait at least 5 days after stopping Dufree-M 20/1500 Capsule before taking any MAO inhibitors.
Seek medical attention immediately if you notice any depressive thoughts while using Dufree-M 20/1500 Capsule . Your doctor may change the dose or medicine to treat your condition.
The common side effects of Dufree-M 20/1500 Capsule include drowsiness, nausea, constipation, headache, dry mouth, increased sweating, anorexia (loss of appetite), and hot sensation (burning pain). Please inform your doctor if any of these side effects persist or worsen.
No, do not stop taking Dufree-M 20/1500 Capsule , even if you start to feel better. Stopping the medication suddenly may cause withdrawal symptoms. If you need to stop the medication, your doctor will guide you on how to gradually reduce the dose safely.
Dufree-M 20/1500 Capsule usually takes 2-4 weeks to start working. Keep taking Dufree-M 20/1500 Capsule for the prescribed duration to notice the full benefits of the medicine.

Country of origin

India
Other Info - DUF0018

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