Himcob 75mg/10mg/1500mg Tablet
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Himcob 75mg/10mg/1500mg Tablet is a combination medicine indicated to manage neuropathic pain associated with diabetic peripheral neuropathy and postherpetic neuralgia. Neuropathic pain is a chronic progressive nerve disease that causes nerve pain due to nerve damage or a malfunctioning nervous system. Symptoms include spontaneous, untriggered pain, unpleasant feeling, shooting, burning or stabbing pain, and evoked pain (pain caused by events usually not painful).
Himcob 75mg/10mg/1500mg Tablet is a combination of three drugs: Methylcobalamin (vitamin), Nortriptyline (antidepressant), and Pregabalin (anti-convulsant). Methylcobalamin is a vitamin that aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Together, Himcob 75mg/10mg/1500mg Tablet helps to treat neuropathic pain.
Take Himcob 75mg/10mg/1500mg Tablet as prescribed. Based on your medical condition, your doctor will decide the dose and duration. In some cases, Himcob 75mg/10mg/1500mg Tablet may cause dizziness, sleepiness, nausea, blurred vision, peripheral oedema (swelling of the lower legs and hands), weight gain, and dry mouth. The majority of these side effects do not necessitate medical attention and will subside gradually over time. However, if you are experiencing these side effects regularly, you should consult your doctor.
Please do not take Himcob 75mg/10mg/1500mg Tablet if you are allergic to any of its ingredients. Consult your doctor before taking Himcob 75mg/10mg/1500mg Tablet if you are pregnant or breastfeeding. Himcob 75mg/10mg/1500mg Tablet may cause drowsiness and dizziness, so drive only if you are alert. Himcob 75mg/10mg/1500mg Tablet should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with Himcob 75mg/10mg/1500mg Tablet as it could lead to increased dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to rule out any side effects.
Himcob 75mg/10mg/1500mg Tablet is a combination of three drugs: Methylcobalamin (a form of vitamin B), Nortriptyline (antidepressant), and Pregabalin (anti-convulsant). Himcob 75mg/10mg/1500mg Tablet is indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc. Methylcobalamin aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Together, Himcob 75mg/10mg/1500mg Tablet helps to treat neuropathic pain.
If you are allergic to any of the ingredients in Himcob 75mg/10mg/1500mg Tablet, do not consume it. Please do not stop taking Himcob 75mg/10mg/1500mg Tablet without first consulting your doctor, as this may result in withdrawal symptoms. If you are pregnant or breastfeeding, do not take Himcob 75mg/10mg/1500mg Tablet unless your doctor has prescribed it. Himcob 75mg/10mg/1500mg Tablet may cause drowsiness and dizziness, therefore drive only if you are alert. Himcob 75mg/10mg/1500mg Tablet is not recommended for children as safety and effectiveness have not been established. Avoid drinking alcohol while taking Himcob 75mg/10mg/1500mg Tablet as it may cause drowsiness and sleepiness. If you have suicidal thoughts, consult your doctor right away.
Drug-Drug Interactions: Himcob 75mg/10mg/1500mg Tablet may have interaction with antidepressant medications (e.g. duloxetine, sertraline, escitalopram), pain killer medications (e.g. codeine, hydrocodone, morphine, oxycodone, tramadol, acetaminophen), anti-convulsant medications (e.g. topiramate), anti-anxiety medications (e.g. alprazolam), sedative-hypnotics medications (e.g. zolpidem), antihistamine medications (e.g. diphenhydramine, cetirizine), muscle relaxant medications (e.g. cyclobenzaprine), antiemetic medications (e.g. ondansetron), and herbal medications to treat depression (e.g. St John's wort).
Drug-Food Interactions: Avoid alcohol consumption while taking Himcob 75mg/10mg/1500mg Tablet as it might cause increased drowsiness and sleepiness.
Drug-Disease Interactions: Use Himcob 75mg/10mg/1500mg Tablet with medical advice if you have had anticholinergic effects, cardiovascular disease, pheochromocytoma, acute myocardial infarction recovery, cardiovascular disease, depression, seizure disorders, drug dependence, suicidal tendency, angioedema, creatine kinase elevations, peripheral oedema, PR interval prolongation, bone marrow suppression, diabetes, renal/liver disease, schizophrenia/bipolar disorder, hyper/hypoglycemia, schizophrenia, thyroid disorders and urinary retention.
Include vitamin B and D-rich foods in your diet.
Cayenne pepper should be included in your diet because it can help with neuropathic pain.
Exercising regularly helps to improve overall health and combat pain.
Rest well and get plenty of rest.
Taking a warm bath can be very relaxing.
Avoid smoking and drinking alcohol.
Meditation and yoga can reduce stress, pain sensitivity and improve coping skills.
Acupuncture, by stimulating pressure points, can be beneficial.
Massages with essential oils can help increase circulation.
Himcob 75mg/10mg/1500mg Tablet contains Nortriptyline (antidepressant), which can lead to suicidal thoughts. Suicidal thoughts or behaviour should be closely monitored in people taking Himcob 75mg/10mg/1500mg Tablet. If you have suicidal thoughts, don't be afraid to talk to your doctor right away.
Neuropathic pain: Neuropathic pain is caused due to damaged sensory nerves. It is caused by chronic progressive nerve disease or due to infection or injury. The pain could be intermittent or continuous, which is felt as prickling, stabbing, tingling or burning sensation. A feeling of numbness and loss of sensations is also familiar with neuropathic pain. Usually, the body sends the pain signals when there is an injury, but with neuropathic pain, the pain is not triggered by an injury. The body unpromptedly sends the pain signals. Symptoms include spontaneous, untriggered pain, unpleasant feeling, shooting, burning or stabbing pain, difficulty resting or sleeping and evoked pain (pain caused by events usually not painful).
Alcohol
Unsafe
Avoid consumption of alcohol while taking Himcob 75mg/10mg/1500mg Tablet as it may increase drowsiness and sleepiness.
Pregnancy
Caution
If you're pregnant, don't take Himcob 75mg/10mg/1500mg Tablet unless your doctor tells you to. Please consult your doctor if you have any concerns about this; your doctor will only prescribe if the benefits outweigh the risks.
Breast Feeding
Caution
Consult your doctor as there is no substantial research yet on the use of Himcob 75mg/10mg/1500mg Tablet in breastfeeding/nursing mothers.
Driving
Unsafe
Himcob 75mg/10mg/1500mg Tablet causes drowsiness, sleepiness and blurred vision. Do not drive or operate machinery unless you are alert.
Liver
Caution
Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this. Your doctor will prescribe only if the benefits outweigh the risks.
Kidney
Caution
Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this. Your doctor will prescribe only if the benefits outweigh the risks.
Children
Unsafe
Himcob 75mg/10mg/1500mg Tablet should not be given to children as the safety and efficacy have not been established.
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