Pregabalin+nortriptyline
About Pregabalin+nortriptyline
Nortriptyline+pregabalin is a combination medicine indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc. Neuropathic pain is a chronic progressive nerve disease which causes nerve pain due to nerve damage or a malfunctioning nervous system.
Nortriptyline+pregabalin is a combination of two drugs: Pregabalin (anti-convulsant) and Nortriptyline (antidepressant). Pregabalin affects the chemicals in the brain that send pain signals across the nervous system. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Together, Nortriptyline+pregabalin helps to treat neuropathic pain.
In some cases, you may experience certain common side-effects such as dizziness, sleepiness, nausea, blurred vision, peripheral oedema (swelling of lower legs and hands), weight gain and dry mouth. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
Consult your doctor if you are pregnant or breastfeeding. Nortriptyline+pregabalin may cause drowsiness and dizziness, so drive only if you are alert. Nortriptyline+pregabalin should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with Nortriptyline+pregabalin 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.
Uses of Pregabalin+nortriptyline
Medicinal Benefits
Nortriptyline+pregabalin is a combination of two medicines, namely: Pregabalin and Nortriptyline. Nortriptyline+pregabalin is indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc. Pregabalin is an anti-convulsant which affects the chemicals in the brain that send pain signals across the nervous system. Nortriptyline is an antidepressant which works by increasing the levels of nerve transmitters (serotonin and noradrenaline) in the brain, thereby reduces the pain messages arriving in the brain. Together, Nortriptyline+pregabalin helps to treat neuropathic pain (pain due to nerve damage).
Directions for Use
Storage
Side Effects of Pregabalin+nortriptyline
- Dizziness
- Sleepiness
- Nausea
- Blurred vision
- Peripheral oedema (swelling of lower legs and hands)
- Weight gain
- Dry mouth
Drug Warnings
Do not take Nortriptyline+pregabalin if you are allergic to any of its contents. Inform your doctor before taking Nortriptyline+pregabalin if you have or had heart problems, bipolar syndrome, severe liver disease or if you have taken MAO inhibitors in the last 14 days. Consult your doctor before taking cough-cold medicines containing adrenaline-like drugs such as ephedrine, phenylpropanolamine, isoprenaline, noradrenaline or phenylephrine. Consult your doctor if you are pregnant or breastfeeding. Nortriptyline+pregabalin may cause drowsiness and dizziness, so drive only if you are alert. Nortriptyline+pregabalin should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with Nortriptyline+pregabalin as it could lead to increased drowsiness and sleepiness.
Drug Interactions
Drug-Drug Interactions: Nortriptyline+pregabalin may interact with antidepressants (amitriptyline, duloxetine, mirtazapine, fluoxetine, sertraline, citalopram, escitalopram, bupropion), pain killer (codeine, fentanyl, hydrocodone, morphine, oxycodone, tramadol, acetaminophen), anti-convulsant (gabapentin, phenobarbital, phenytoin, clonazepam, topiramate), anti-anxiety (diazepam, alprazolam), sedative-hypnotics (zolpidem), antihistamine (diphenhydramine, cetirizine), muscle relaxant (cyclobenzaprine), antiemetic (ondansetron).
Drug-Food Interactions: Avoid alcohol consumption while taking Nortriptyline+pregabalin as it might cause increased drowsiness and sleepiness.
Drug-Disease Interactions: Inform your doctor if you have angioedema, creatine kinase elevations, heart problems, depression, fits, pheochromocytoma (tumour of the adrenal gland), bone marrow suppression, tardive dyskinesia (involuntary facial movements), glaucoma, schizophrenia, bipolar disorder, thyroid problems, urinary retention, kidney and liver problems.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeAvoid consumption of alcohol while taking Nortriptyline+pregabalin as it may cause increased drowsiness and sleepiness.
Pregnancy
cautionPlease consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
cautionConsult your doctor before taking Nortriptyline+pregabalin; your doctor will decide whether Nortriptyline+pregabalin can be taken by breastfeeding mothers or not.
Driving
unsafeNortriptyline+pregabalin may cause drowsiness, sleepiness and blurred vision. Do not drive or operate machinery unless you are alert.
Liver
cautionDose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.
Kidney
cautionDose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.
Children
cautionNortriptyline+pregabalin should not be given to children as safety and efficacy have not been established.
Habit Forming
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 the 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.
Special Advise
Nortriptyline+pregabalin contains Nortriptyline which may cause suicidal thoughts. People taking Nortriptyline+pregabalin should be closely monitored for suicidal thoughts or behaviour. Do not be reluctant to speak with your doctor immediately if you experience suicidal tendencies.
Patients Concern
Disease/Condition Glossary
Neuropathic pain: Neuropathic pain is caused due to damaged sensory nerves. It is caused by chronic progressive nerve disease, 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 common 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
Nortriptyline+pregabalin is used to treat neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc.
Nortriptyline+pregabalin affects the chemicals in the brain that send pain signals across the nervous system. It increases nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain.
Dry mouth could be a side-effect of 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.
To treat your condition effectually, continue taking Nortriptyline+pregabalin for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Nortriptyline+pregabalin.
Nortriptyline+pregabalin is used to treat nerve pain due to diabetic neuropathy. Diabetic neuropathy is a condition in which nerve damage occurs due to high blood glucose levels. It mostly damages the nerves in the legs and feet.
Nortriptyline+pregabalin may cause peripheral oedema. Peripheral oedema is the swelling of hands and lower legs. Avoid sitting or standing for too long. Raise your legs by putting a pillow under the legs while lying down.
Nortriptyline+pregabalin may cause weight gain due to an increase in appetite. Maintain a healthy weight by regular exercise and following a proper diet.
Nortriptyline+pregabalin is a combination of two drugs: Pregabalin (anti-convulsant) and Nortriptyline (antidepressant). Pregabalin affects the chemicals in the brain that send pain signals across the nervous system. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Together, they help treat neuropathic pain.
When taking Nortriptyline+pregabalin, you must be mindful of your diet and lifestyle to maintain a healthy weight. This medication combination can increase your appetite, leading to weight gain. 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.
Nortriptyline+pregabalin causes sleepiness or drowsiness as a common side effect. Because Nortriptyline+pregabalin is a tricyclic antidepressant that increases the levels of certain neurotransmitters (serotonin and noradrenaline) in the brain and works by modulating calcium channel activity in nerve cells, which can lead to drowsiness as a side effect, this side effect does not require medical attention and will resolve gradually over time. It's essential to be cautious when engaging in activities that require alertness, such as driving or operating heavy machinery. However, you are advised to talk to your doctor if you experience these side effects persistently.
Taking 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. Remember, being open and honest about your sexual health is crucial in managing potential side effects and finding the best treatment for you.
Most common side effects of Nortriptyline+pregabalin tend to subside as your body adapts to the medication. However, in rare cases, you may experience severe reactions, including allergic responses, significant mood changes (such as suicidal ideation), seizures, or irregular heartbeats. If you encounter any of these symptoms, seek medical attention immediately. Prompt treatment can help address these issues and ensure your safety. Remember, it's always best to consult with your healthcare provider if you have concerns.
The time it takes for Nortriptyline+pregabalin to take effect can vary considerably from person to person. While some people may start feeling better after a couple of weeks, it may take up to 4-6 weeks to experience the full benefits. The exact duration of treatment will depend on your individual medical condition, and your doctor will provide personalized guidance on the recommended course of treatment.
If you forget to take Nortriptyline+pregabalin, take it as soon as you remember. A small variation in time may not show much effect. If it is too late, continue taking the next dose as indicated, But never take a double dose in your next dose. Consult your doctor if you are uncomfortable or experiencing symptoms.
Never use a greater quantity of medicine than prescribed. Nortriptyline+pregabalin may cause serious side effects such as abnormal heartbeat, seizures, allergic reactions, and suicidal ideation. Please inform your doctor and get medical assistance as soon as possible to avoid major complications.
Taking more than the recommended dosage does not provide additional relief and can increase the risk of adverse effects and long-term health complications.
While taking Nortriptyline+pregabalin, it's crucial to be mindful of potential interactions and risks. Avoid excessive alcohol consumption, as it may intensify side effects, and refrain from driving or operating heavy machinery until you understand how the medication affects you. Additionally, consult your doctor before taking other medications or supplements to prevent interactions, and limit grapefruit or grapefruit juice intake, as it may impact absorption. Sudden changes in diet or exercise routines should also be avoided. Furthermore, exercise caution when taking medications containing opioids, as they may interact with Nortriptyline+pregabalin. By following your doctor's guidance and being aware of these potential interactions, you can minimize risks and ensure the medication works effectively for you.
Regular check-ins with your doctor are crucial when receiving medical treatment to monitor your progress and address any concerns. The frequency of visits may vary depending on your individual situation, but typically, you can expect to see your doctor regularly during the initial treatment phase to adjust treatment plans and monitor side effects. During maintenance, periodic check-ins will also help track your progress and address any concerns.
Storage: Store the Nortriptyline+pregabalin in its original container to protect it from the external environment. Keep the medication out of reach of children. Store in a cool and dry place away from sunlight.Disposal: Do not consume it after the expiration date.Check the expiration date, remove the label, keep it in a plastic bag, and throw it in household trash. Do not flush the medication down the toilet or sink.
No, Nortriptyline+pregabalin is not an OTC drug; it cannot be given directly without a registered medical practitioner prescription.
The most common side effects of the Nortriptyline+pregabalin are blurred vision, dizziness, dry mouth, peripheral oedema (swelling of lower legs and hands), nausea, sleepiness, and weight gain. These side effects may not cause many complications but gradually decrease over time. If you feel any discomfort, contact your doctor; you may get guidance to suppress your discomfort.
Nortriptyline+pregabalin may interact with antidepressants (amitriptyline, duloxetine, mirtazapine, fluoxetine, sertraline, citalopram, escitalopram, bupropion), pain killer (codeine, fentanyl, hydrocodone, morphine, oxycodone, tramadol, acetaminophen), anti-convulsant (gabapentin, phenobarbital, phenytoin, clonazepam, topiramate), anti-anxiety (diazepam, alprazolam), sedative-hypnotics (zolpidem), antihistamine (diphenhydramine, cetirizine), muscle relaxant (cyclobenzaprine), antiemetic (ondansetron). So, please confirm with your doctor about pre-existing diseases and your present medication. Your doctor will weigh the risks and suggest the medication to avoid drug interactions.
While using Nortriptyline+pregabalin, following a healthy diet and lifestyle is essential to maximize the medication's effectiveness and minimize potential side effects. Eat a balanced diet rich in whole foods, fruits, vegetables, and whole grains, and stay hydrated by drinking plenty of water. Limit your intake of processed and high-sugar foods, and exercise regularly with activities like walking or light physical activity to maintain overall health. Aim for 7-8 hours of sleep per night to help your body recover and manage stress through relaxation techniques like meditation or deep breathing. Additionally, avoid excessive alcohol consumption and smoking. Following these guidelines and consulting your doctor for personalized advice can optimize your treatment and improve your overall well-being.
The most crucial advice while using any medication is to prioritize your mental health and safety. If you're using a medication that can increase the risk of suicidal thoughts or behaviour, it's essential to be closely monitored by your healthcare provider. If you experience any thoughts or feelings of self-harm, it's vital to seek help immediately. Don't hesitate to reach out to your doctor or a crisis helpline for support. Remember, your well-being is the top priority; timely intervention can make a significant difference.
Nortriptyline+pregabalin can be taken with or without food. Swallow it as a whole with a glass of water, do not chew or break it. Always follow your physician's instructions for how much and how many doses to take. Also, inform your doctor if you are having any discomfort; they will guide you in managing it.
Before using this medication, you should inform your doctor about your medical history, including any ongoing medicines, to avoid potential interactions and minimize side effects.
There have been no long-term side effects reported as of now. If you experience any side effects that persist, please stop taking the medication and consult the doctor immediately.
Nortriptyline+pregabalin is a combination of two drugs: Pregabalin (anti-convulsant) and Nortriptyline (antidepressant).
Nortriptyline+pregabalin should not be given to children as safety and efficacy have not been established. Please reach out to the doctor for more assistance.