Mecobalamin+pregabalin+nortriptyline
About Mecobalamin+pregabalin+nortriptyline
Mecobalamin+nortriptyline+pregabalin 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).
Mecobalamin+nortriptyline+pregabalin 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, Mecobalamin+nortriptyline+pregabalin helps to treat neuropathic pain.
Take Mecobalamin+nortriptyline+pregabalin as prescribed. Your doctor will decide the dose and duration based on your medical condition. In some cases, Mecobalamin+nortriptyline+pregabalin 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 Mecobalamin+nortriptyline+pregabalin if you are allergic to any of its ingredients. Consult your doctor before taking Mecobalamin+nortriptyline+pregabalin if you are pregnant or breastfeeding. Mecobalamin+nortriptyline+pregabalin may cause drowsiness and dizziness, so drive only if alert. Mecobalamin+nortriptyline+pregabalin should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol with Mecobalamin+nortriptyline+pregabalin as it could increase dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to avoid side effects.
Uses of Mecobalamin+pregabalin+nortriptyline
Medicinal Benefits
Mecobalamin+nortriptyline+pregabalin is a combination of three drugs: Mecobalamin, Pregabalin, and Nortriptyline. Mecobalamin+nortriptyline+pregabalin 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, Mecobalamin+nortriptyline+pregabalin helps to treat neuropathic pain.
Directions for Use
Storage
Side Effects of Mecobalamin+pregabalin+nortriptyline
- Constipation
- Dry mouth
- Headache
- Feeling sleepy, tired or dizzy
- Diarrhoea
Drug Warnings
If you are allergic to any of the ingredients in Mecobalamin+nortriptyline+pregabalin, do not consume it. Please do not stop taking Mecobalamin+nortriptyline+pregabalin without consulting your doctor, as this may result in withdrawal symptoms. If you are pregnant or breastfeeding, do not take Mecobalamin+nortriptyline+pregabalin unless your doctor has prescribed it. Mecobalamin+nortriptyline+pregabalin may cause drowsiness and dizziness; therefore, drive only if alert. Mecobalamin+nortriptyline+pregabalin is not recommended for children as safety and effectiveness have not been established. Avoid drinking alcohol while taking Mecobalamin+nortriptyline+pregabalin as it may cause drowsiness and sleepiness. If you have suicidal thoughts, consult your doctor right away.
Drug Interactions
Drug-Drug Interactions: Mecobalamin+nortriptyline+pregabalin 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 Mecobalamin+nortriptyline+pregabalin as it might cause increased drowsiness and sleepiness.
Drug-Disease Interactions: Use Mecobalamin+nortriptyline+pregabalin 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.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid consumption of alcohol while taking Mecobalamin+nortriptyline+pregabalin as it may increase drowsiness and sleepiness.
Pregnancy
cautionIf you're pregnant, don't take Mecobalamin+nortriptyline+pregabalin 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
cautionConsult your doctor as there is no substantial research yet on the use of Mecobalamin+nortriptyline+pregabalin in breastfeeding/nursing mothers.
Driving
cautionMecobalamin+nortriptyline+pregabalin causes drowsiness, sleepiness and blurred vision. Do not drive or operate machinery unless you are alert.
Liver
cautionInform your doctor before receiving the Mecobalamin+nortriptyline+pregabalin if you have a history of liver diseases/conditions. Your doctor may adjust your dose depending on your current liver conditions.
Kidney
cautionInform your doctor before receiving the Mecobalamin+nortriptyline+pregabalin if you have a history of kidney diseases/conditions. Your doctor may adjust your dose depending on your current liver conditions.
Children
unsafeMecobalamin+nortriptyline+pregabalin should not be given to children as the safety and efficacy have not been established.
Habit Forming
Diet & Lifestyle Advise
- 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.
Special Advise
Mecobalamin+nortriptyline+pregabalin contains Nortriptyline (antidepressant), which can lead to suicidal thoughts. Suicidal thoughts or behaviour should be closely monitored in people taking Mecobalamin+nortriptyline+pregabalin. If you have suicidal thoughts, don't hesitate to talk to your doctor immediately.
Patients Concern
Disease/Condition Glossary
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).
FAQs
Mecobalamin+nortriptyline+pregabalin is used to treat Neuropathic pain.
Mecobalamin+nortriptyline+pregabalin contains Mecobalamin, Pregabalin, and Nortriptyline. 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 alters the way nerves receive pain signals, thereby decreasing pain. Together, Mecobalamin+nortriptyline+pregabalin helps to treat neuropathic pain.
Mecobalamin+nortriptyline+pregabalin contains pregabalin. It may cause weight gain due to an increase in appetite. Maintain a healthy weight by regular exercise and following a proper diet.
Dry mouth could be a side-effect of Mecobalamin+nortriptyline+pregabalin. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.
Do not stop taking Mecobalamin+nortriptyline+pregabalin without consulting your doctor, as this could result in withdrawal symptoms. Continue taking Mecobalamin+nortriptyline+pregabalin for as long as prescribed to treat your condition effectively. If you experience any difficulty while taking Mecobalamin+nortriptyline+pregabalin, do not be afraid to speak with your doctor.
Mecobalamin+nortriptyline+pregabalin is used to treat diabetic neuropathy. Diabetic neuropathy is a condition that causes nerve damage due to high blood glucose levels. It primarily affects the nerves in the legs and feet.
Mecobalamin+nortriptyline+pregabalin may cause peripheral oedema. The swelling of the hands and lower legs are known as peripheral oedema. If you experience oedema, avoid sitting or standing for extended periods. Raise your legs by laying down and placing a pillow under them.
Mecobalamin+nortriptyline+pregabalin is a combination medicine that contains mecobalamin, pregabalin, and nortriptyline. It is effectively used in the treatment of neuropathic pain.
Mecobalamin+nortriptyline+pregabalin may cause sleepiness or drowsiness. To overcome sleepiness or drowsiness, try getting moving, taking a short walk, or stretching, cold shower, and some fresh air. Drink water or other non-caffeinated fluids to stay hydrated. However, consult your doctor if you're consistently struggling with sleepiness.
Taking Mecobalamin+nortriptyline+pregabalin can affect your sexual life. You might experience lower sex drive, erectile dysfunction, or problems with ejaculation or orgasm. If you notice any of these changes, it's important to tell your doctor. They can help you find solutions or adjust your medication to minimize these effects.
The common side effects of Mecobalamin+nortriptyline+pregabalin may include 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.
The time it takes for Mecobalamin+nortriptyline+pregabalin to take effect can vary from person to person. Some people may start feeling better within a couple of weeks, while others may need 4 to 6 weeks to experience the full benefits. The exact treatment duration will depend on your medical condition, and your doctor will provide personalized guidance on the recommended treatment course.
Focus on nutrient-dense foods, be mindful of your portion sizes, and avoid high-calorie snacks like crisps, cakes, biscuits, and sweets. Instead, opt for fresh fruits and vegetables, low-calorie foods, whole grains, and lean protein sources. Regular exercise will also help stabilize your weight and support overall health and well-being.
If you forget to take Mecobalamin+nortriptyline+pregabalin, take it as soon as you remember if it's within a few hours. If it's almost time for your next dose, skip the missed one and continue as usual. Don't take a double dose to make up for it. If you're unsure or frequently forget doses, consult your doctor or pharmacist for guidance. Taking medication at the same time every day can help make it a habit and reduce the likelihood of forgetting.
Do not take more Mecobalamin+nortriptyline+pregabalin than prescribed. Be aware of serious side effects like abnormal heartbeat, seizures, allergic reactions, and suicidal thoughts. If you experience any of these, tell your doctor right away and get medical help immediately to avoid serious problems.
Taking more than the recommended dose of Mecobalamin+nortriptyline+pregabalin won't improve its effectiveness and can be harmful. Stick to the recommended dosage to minimize risks and maximize benefits. If you have concerns, consult your doctor for personalized guidance.
While taking Mecobalamin+nortriptyline+pregabalin, be aware of potential interactions and risks. Avoid excessive alcohol consumption, driving, and operating heavy machinery until you know how the medication affects you. Also, consult your doctor before taking other medications, or supplements, or changing your diet and exercise routine. Limit grapefruit intake and exercise caution with opioid medications, as they may interact with Mecobalamin+nortriptyline+pregabalin. By following your doctor's guidance, you can minimize risks and ensure the medication works effectively for you.
Regular doctor's visits are important when receiving medical treatment. How often you visit will depend on your situation, but expect more frequent visits during the initial treatment phase to adjust plans and monitor side effects. Even during maintenance, regular check-ins will help track progress and address concerns. This helps ensure you receive the best care and stay on track with your treatment.
Mecobalamin+nortriptyline+pregabalin should be stored in a cool and dry place away from sunlight and keep it out of reach of children. When disposing, check the expiration date, remove the label, and throw it away in a plastic bag in the household trash. Do not flush it down the toilet or sink. Follow these steps to keep the medication safe and effective.
