Gabapentin 300mg + Nortriptyline 10mg

Gabapentin 300mg + Nortriptyline 10mg — Uses and Benefits

This combination medicine is mainly used to treat chronic nerve pain (neuropathic pain).

WHAT THIS MEDICINE IS USED FOR

• Nerve pain caused by diabetes (diabetic neuropathy)
• Pain following shingles (post-herpetic neuralgia)
• Other types of chronic nerve-related pain as advised by your doctor

HOW IT WORKS

• Gabapentin calms overactive nerve signals that cause pain by acting on the nervous system
• Nortriptyline is a tricyclic antidepressant that, in low doses, helps reduce nerve pain by changing certain brain chemical levels
• Together they work in different ways to give better pain relief than either alone

WHAT IT IS NOT USED FOR

• It is not a painkiller for common headaches, muscle pain, or fever
• It is not meant for treating depression alone, even though Nortriptyline is an antidepressant
• It should not be used for sudden, short-term pain like an injury
• It is not a first-choice treatment for anxiety or sleep problems

How to Use Gabapentin 300mg + Nortriptyline 10mg

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually once or twice a day
• It can be taken with or without food, but taking it with food may reduce stomach upset
• Swallow the tablet whole with water; do not crush or chew unless advised
• Take it at the same time(s) each day to maintain steady levels in the body
• Do not stop taking it suddenly without talking to your doctor, as this can cause withdrawal-like symptoms

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue your normal schedule
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children and pets
• Do not use after the expiry date printed on the pack
• Dispose of unused medicine safely, do not flush down the drain

Gabapentin 300mg + Nortriptyline 10mg — Side Effects

COMMON SIDE EFFECTS

• Drowsiness or sleepiness
• Dizziness
• Dry mouth
• Constipation
• Weight gain
• Blurred vision

LESS COMMON SIDE EFFECTS

• Nausea or vomiting
• Difficulty concentrating
• Swelling of hands or feet
• Low blood pressure on standing up
• Tremors

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of allergic reaction such as rash, swelling of face/lips/tongue, difficulty breathing
• Irregular or fast heartbeat
• Severe confusion or hallucinations
• Thoughts of self-harm or suicide
• Difficulty urinating
• Severe drowsiness or fainting
• Yellowing of skin or eyes

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Gabapentin 300mg + Nortriptyline 10mg — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under a doctor's supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to Gabapentin, Nortriptyline, or any other ingredient in this medicine
• Have had a recent heart attack
• Are taking or have recently stopped taking MAO inhibitor medicines

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney or liver disease
• Have heart problems or irregular heartbeat
• Have glaucoma or urinary retention problems
• Have a history of depression, suicidal thoughts, or other mental health conditions
• Are pregnant, planning pregnancy, or breastfeeding
• Have epilepsy or a seizure disorder
• Are elderly, as you may be more sensitive to side effects

MEDICINES THAT CAN INTERACT

• Other sedating medicines, sleeping pills, or alcohol
• Other antidepressants or medicines affecting mood
• Antacids containing aluminium or magnesium (can reduce absorption of Gabapentin)
• Medicines for irregular heart rhythm
• Opioid pain medicines

FREQUENTLY ASKED QUESTIONS

Can I drive after taking this medicine?

No, avoid driving or operating machinery until you know how this medicine affects you, as it can cause drowsiness and dizziness.

Will this medicine work immediately?

No, nerve pain relief usually takes a few weeks of regular use to become noticeable.

Can I drink alcohol while taking this medicine?

• No, alcohol can increase drowsiness and other side effects, so it should be avoided.
• Doctor ya pharmacist se salah lein.