Trimetcobal Tablet 10's 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).

Trimetcobal Tablet 10's combines three drugs: Mecobalamin, Pregabalin, and Nortriptyline. Mecobalamin is a vitamin that aids in producing myelin, which protects nerve fibres and regenerates damaged nerve cells. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Together, Trimetcobal Tablet 10's helps to treat neuropathic pain.

Take Trimetcobal Tablet 10's as prescribed. Your doctor will decide the dose and duration based on your medical condition. In some cases, Trimetcobal Tablet 10's may cause dizziness, sleepiness, nausea, blurred vision, peripheral oedema (swelling of the lower legs and hands), weight gain, and dry mouth. These side effects do not necessitate medical attention and will subside gradually over time. However, you should consult your doctor if you are experiencing these side effects regularly.

Please do not take Trimetcobal Tablet 10's if you are allergic to any of its ingredients. Consult your doctor before taking Trimetcobal Tablet 10's if you are pregnant or breastfeeding. Trimetcobal Tablet 10's may cause drowsiness and dizziness, so drive only if alert. Trimetcobal Tablet 10's should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol with Trimetcobal Tablet 10's as it could increase dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to avoid side effects.

Trimetcobal Tablet 10's is a combination of three drugs: Mecobalamin, Pregabalin, and Nortriptyline. Trimetcobal Tablet 10's is indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc. Mecobalamin aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Together, Trimetcobal Tablet 10's helps to treat neuropathic pain.

• Constipation
• Dry mouth
• Headache
• Feeling sleepy, tired or dizzy
• Diarrhoea

If you are allergic to any of the ingredients in Trimetcobal Tablet 10's, do not consume it. Please do not stop taking Trimetcobal Tablet 10's without consulting your doctor, as this may result in withdrawal symptoms. If you are pregnant or breastfeeding, do not take Trimetcobal Tablet 10's unless your doctor has prescribed it. Trimetcobal Tablet 10's may cause drowsiness and dizziness; therefore, drive only if alert. Trimetcobal Tablet 10's is not recommended for children as safety and effectiveness have not been established. Avoid drinking alcohol while taking Trimetcobal Tablet 10's as it may cause drowsiness and sleepiness. If you have suicidal thoughts, consult your doctor right away.

Drug-Drug Interactions: Trimetcobal Tablet 10's 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 Trimetcobal Tablet 10's as it might cause increased drowsiness and sleepiness.

Drug-Disease Interactions: Use Trimetcobal Tablet 10's 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.

• DULOXETINE
• SERTRALINE
• ESCITALOPRAM
• CODEINE
• HYDROCODONE
• MORPHINE
• OXYCODONE
• TRAMADOL
• ACETAMINOPHEN
• TOPIRAMATE
• ALPRAZOLAM
• ZOLPIDEM
• DIPHENHYDRAMINE
• CETIRIZINE
• CYCLOBENZAPRINE
• ONDANSETRON
• ST JOHN'S WORT

• Include vitamin B and D-rich foods in your diet.
• Your diet should include Cayenne pepper 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, and pain sensitivity, and improve coping skills.
• Acupuncture, by stimulating pressure points, can be beneficial.
• Massages with essential oils can help increase circulation.

Trimetcobal Tablet 10's contains Nortriptyline (antidepressant), which can lead to suicidal thoughts. Suicidal thoughts or behaviour should be closely monitored in people taking Trimetcobal Tablet 10's. If you have suicidal thoughts, don't hesitate to talk to your doctor immediately.

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 a 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).