Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin

Dosage Forms Available

• Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin is available for use via the oral route in the form of both tablets and capsules.

Age and Dose Restrictions

• This medicine is intended for adults and children above 17 years of age.

Contraindications

• This medicine is contraindicated in patients with known allergies to Cyanocobalamin / Vitamin B12, Nortriptyline, or Pregabalin.

• It is also contraindicated in patients with heart problems, liver disease, and a history of depression or suicidal thoughts.

Other Medications to Avoid

• This combination may interact with other antidepressants (such as fluoxetine sertraline), anticonvulsants (such as carbamazepine, phenytoin), opioid painkillers (such as morphine, codeine), anticholinergic medicine (such as atropine, scopolamine), and anti-diabetic medications (such as metformin, insulin).

Overdose and Missed Dose

• An overdose of Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin may cause severe drowsiness, confusion, agitation, hallucinations, high or low blood pressure and heart rate, seizures, trouble breathing, or coma. Seek immediate medical care in case of suspected overdose.

• If you miss a dose of this medication, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• To manage drowsiness or dizziness, avoid activities that require mental alertness until you know how the medicine affects you.

• Drinking plenty of water may help to alleviate symptoms of dry mouth and constipation.

• Rest and keep well-hydrated to manage headaches.

Use in Driving and Operating Machinery

• Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin may cause drowsiness or dizziness. It is advised to avoid driving or operating machinery until you know how the medication affects you.

Use in Pregnancy and Lactation

• It is recommended to consult your doctor before using Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin during pregnancy or while breastfeeding.

Caution in Other Conditions

• Patients with kidney disease, liver disease, or heart conditions should exercise caution when taking Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin.

Special Dietary and Lifestyle Recommendations

• Regular exercise can help manage chronic pain and improve overall health.

• A balanced diet rich in vitamins and minerals, especially Vitamin B12, can support nerve health.

• Adequate hydration can help manage some side effects of the medication.

• Stress management strategies such as yoga, meditation, or relaxation exercises may be beneficial for patients dealing with chronic pain.