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Nervimac-3D Tablet is a combination medicine used to manage diabetic neuropathy, neuropathic pain, and nutritional deficiencies. This medicine works by altering the nerve signals that cause pain and thereby protects nerve fibres. It helps provide a protective effect on the nerve tissues and the brain. You may experience common side effects like nausea, vomiting, diarrhoea, stomach upset, dizziness, and rash.
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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
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More about the Product

Composition :

METHYLCOBALAMIN-1500MCG+NORTRIPTYLINE-10MG+PREGABALIN-75MG

Manufacturer/Marketer :

Mighty Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nervimac-3D Tablet

Nervimac-3D Tablet 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).

Nervimac-3D Tablet is a combination of three drugs: Methylcobalamin (vitamin), Nortriptyline (antidepressant), and Pregabalin (anti-convulsant). Methylcobalamin is a vitamin that aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Together, Nervimac-3D Tablet helps to treat neuropathic pain.

Take Nervimac-3D Tablet as prescribed. Based on your medical condition, your doctor will decide the dose and duration. In some cases, Nervimac-3D Tablet may cause dizziness, sleepiness, nausea, blurred vision, peripheral oedema (swelling of the lower legs and hands), weight gain, and dry mouth. The majority of these side effects do not necessitate medical attention and will subside gradually over time. However, if you are experiencing these side effects regularly, you should consult your doctor.

Please do not take Nervimac-3D Tablet if you are allergic to any of its ingredients. Consult your doctor before taking Nervimac-3D Tablet if you are pregnant or breastfeeding. Nervimac-3D Tablet may cause drowsiness and dizziness, so drive only if you are alert. Nervimac-3D Tablet should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with Nervimac-3D Tablet 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 Nervimac-3D Tablet

Nervimac-3D Tablet is used in the treatment of Neuropathic pain. The detailed uses of Nervimac-3D Tablet are as follows:

  • Neuropathic Pain: Nervimac-3D Tablet is used to treat diabetic neuropathy, post-herpetic neuralgia (shingles), sciatica, and spinal cord injuries.
  • Fibromyalgia: Nervimac-3D Tablet helps manage widespread pain and fatigue.
  • Peripheral Neuropathy: Nervimac-3D Tablet supports nerve repair and reduces tingling, numbness, and burning sensations.
  • Chronic Pain Syndromes: Nervimac-3D Tablet is used to treat pain, including lower back pain and migraine prevention.

Key Benefits

Nervimac-3D Tablet is a combination of three drugs: Methylcobalamin (a form of vitamin B), Nortriptyline (antidepressant), and Pregabalin (anti-convulsant). Nervimac-3D Tablet is indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, spinal cord injury, etc. Methylcobalamin aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Nortriptyline works by increasing nerve transmitters (serotonin and noradrenaline) in the brain, thereby reducing the pain messages arriving in the brain. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Together, Nervimac-3D Tablet helps to treat neuropathic pain.

Directions for Use

  • Take Nervimac-3D Tablet with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Nervimac-3D Tablet Works

Nervimac-3D Tablet contains three active ingredients that work together to target nerve pain and support nerve recovery from different angles: Pregabalin acts as a nerve-calming agent. It binds to specific areas in your brain and spinal cord to reduce the release of excess chemical pain signals, quieting overactive nerves. Nortriptyline is a chemical messenger booster. It increases the levels of natural pain-blocking chemicals, such as serotonin and norepinephrine, in your central nervous system, stopping pain signals from reaching the brain. Methylcobalamin helps produce myelin, the protective outer coating that surrounds and insulates your nerves. By repairing this protective sheath, it helps restore healthy nerve function and reduces abnormal numbness and tingling.
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Nervimac-3D Tablet as it may increase drowsiness and sleepiness.

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Pregnancy

Caution

If you're pregnant, don't take Nervimac-3D Tablet 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.

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Breast Feeding

Caution

Consult your doctor as there is no substantial research yet on the use of Nervimac-3D Tablet in breastfeeding/nursing mothers.

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Driving

Unsafe

Nervimac-3D Tablet causes drowsiness, sleepiness and blurred vision. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this. Your doctor will prescribe only if the benefits outweigh the risks.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this. Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Unsafe

Nervimac-3D Tablet should not be given to children as the safety and efficacy have not been established.

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Heart

Caution

Please inform your doctor if you have a history of heart disease before using Nervimac-3D Tablet . Your doctor will prescribe it only if the benefits outweigh the risks.

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Geriatrics

Caution

Nervimac-3D Tablet should be given with caution in elderly patients due to an increased risk of side effects. Please consult your doctor before using Nervimac-3D Tablet .

What if I have taken an overdose of Nervimac-3D Tablet

If you suspect an overdose, seek immediate medical attention or contact a local poison control centre. Symptoms of an overdose may include extreme drowsiness, confusion, rapid heartbeat, or severe dizziness.

Diet & Lifestyle Advise

  • Manage Blood Sugar Levels: If you have diabetes, keeping your blood sugar within your target range is crucial to prevent further nerve damage.
  • Eat a Balanced Diet: Focus on foods rich in B-complex vitamins, such as leafy green vegetables, eggs, lean meats, and whole grains, to support nerve health.
  • Stay Physically Active: Engage in low-impact exercises like walking, swimming, or cycling to improve blood circulation to your nerves and reduce chronic pain.
  • Inspect Your Feet Daily: Nerve damage can reduce your ability to feel pain, so check your feet daily for cuts, blisters, or infections that you might not otherwise feel.
  • Avoid Alcohol: Limit or completely avoid alcohol, as it can worsen nerve damage and significantly increase the drowsy side effects of Nervimac-3D Tablet .
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How Soon It Starts Working

The time required for Nervimac-3D Tablet to start to work: The time required for Nervimac-3D Tablet to show its action is unknown. The time for which the effects of Nervimac-3D Tablet last: The duration of action for Nervimac-3D Tablet is clinically unknown.

What if you forget to take Nervimac-3D Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep Nervimac-3D Tablet out of the sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Avoid driving: Do not drive, operate machinery, or perform tasks requiring deep focus until you know how Nervimac-3D Tablet affects your alertness, as it commonly causes drowsiness and dizziness.
  • Do not stop suddenly: Never stop taking Nervimac-3D Tablet suddenly. Stopping abruptly can cause withdrawal symptoms such as nausea, headaches, anxiety, or a return of your nerve pain. Your doctor will help you by gradually decreasing dose levels over time.
  • Do not drink alcohol: Avoid drinking alcohol while taking this medicine, as the combination can lead to dangerous sedation, severe dizziness, and slowed breathing.
  • Let your doctor know: Inform your dentist, surgeon, or any medical specialist that you are taking Nervimac-3D Tablet before undergoing any surgical or dental procedures.
  • Monitor your mental health closely: If you, your family, or your caregivers notice sudden changes in your mood, severe anxiety, depression, or suicidal thoughts, contact your healthcare provider immediately.
  • Children and adolescents: This medicine is generally intended for adults. Its safety and effectiveness in children and adolescents have not been established for most nerve pain conditions, so it should only be used in younger patients if specifically prescribed and closely monitored by a specialist.

Drug-Drug Interactions

verifiedApollotooltip
  • Sedatives and Sleep Medicines: Taking Nervimac-3D Tablet with sleeping pills, tranquillisers, or muscle relaxants can cause extreme drowsiness and dangerous breathing difficulties.
  • Monoamine Oxidase Inhibitors (MAOIs): Do not take Nervimac-3D Tablet with MAO inhibitors (used to treat depression or Parkinson's disease) or within 14 days of stopping an MAOI. Combining these medicines can cause serious, potentially life-threatening reactions, including dangerously high blood pressure, fever, or changes in mental status.
  • Strong Pain Relievers: Combining this medicine with opioid pain medications can increase the risk of severe sleepiness, slowed breathing, and profound sedation.
  • Heart and Blood Pressure Medications: Some drugs used to manage heart rhythms or high blood pressure may interact with Nervimac-3D Tablet , increasing the risk of an irregular heartbeat.
Mecobalamin + Nortriptyline + PregabalinIsocarboxazid
Critical
Mecobalamin + Nortriptyline + PregabalinSafinamide
Critical

Drug-Drug Interactions

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Mecobalamin + Nortriptyline + PregabalinIsocarboxazid
Critical
How does the drug interact with Nervimac-3D Tablet:
Taking Nervimac-3D Tablet with isocarboxazid may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in the body).

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and isocarboxazid, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
Mecobalamin + Nortriptyline + PregabalinSafinamide
Critical
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nervimac-3D Tablet with safinamide may increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increases in the body).

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and safinamide, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
Mecobalamin + Nortriptyline + PregabalinZiprasidone
Critical
How does the drug interact with Nervimac-3D Tablet:
Coadministration of nortriptyline with ziprasidone can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between nortriptyline and ziprasidone, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath. Do not discontinue any medications without consulting a doctor.
Mecobalamin + Nortriptyline + PregabalinSelegiline
Critical
How does the drug interact with Nervimac-3D Tablet:
Co-administration of Nervimac-3D Tablet with selegiline may increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increases in the body).

How to manage the interaction:
Although there is an interaction between and selegiline, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
Mecobalamin + Nortriptyline + PregabalinPotassium citrate
Critical
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nervimac-3D Tablet with potassium citrate can increase the risk or severity of gastric bleeding, and ulceration.

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and potassium citrate, it can be taken if your doctor has advised it. However, if you experience dizziness, lightheadedness, abdominal pain, bloating, decreased hunger, red or black tarry stools, coughing up or vomiting blood, severe headache, and weakness, contact a doctor immediately. Do not stop using any medications without talking to a doctor.
Mecobalamin + Nortriptyline + PregabalinTranylcypromine
Critical
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nortriptyline with Tranylcypromine can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
Although there is an interaction between nortriptyline and tranylcypromine, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
Mecobalamin + Nortriptyline + PregabalinLinezolid
Critical
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nervimac-3D Tablet with linezolid may increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increases in the body).

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and linezolid, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
Mecobalamin + Nortriptyline + PregabalinPimozide
Severe
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nervimac-3D Tablet with pimozide can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and pimozide, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath. Do not discontinue any medications without consulting a doctor.
Mecobalamin + Nortriptyline + PregabalinSaquinavir
Severe
How does the drug interact with Nervimac-3D Tablet:
Coadministration of Nervimac-3D Tablet with saquinavir can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Nervimac-3D Tablet and saquinavir, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath. Do not discontinue any medications without consulting a doctor.
Mecobalamin + Nortriptyline + PregabalinDroperidol
Severe
How does the drug interact with Nervimac-3D Tablet:
Taking droperidol with Nervimac-3D Tablet can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is an interaction between droperidol and Nervimac-3D Tablet, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Must be completely avoided, as it severely interacts with Nervimac-3D Tablet to cause extreme drowsiness, dizziness, and loss of physical coordination.
  • Grapefruit Juice: May alter how your body breaks down and processes the medicine, potentially increasing the risk of side effects.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[MISCELLANEOUS]

FAQs

Nervimac-3D Tablet is used to treat neuropathic pain associated with diabetic peripheral neuropathy and postherpetic neuralgia.
Nervimac-3D Tablet contains Methylcobalamin, Nortriptyline, and Pregabalin. Methylcobalamin aids in producing myelin, a substance that protects nerve fibres and regenerates damaged nerve cells. Nortriptyline alters the way nerves receive pain signals, thereby decreasing pain. Pregabalin reduces pain by interfering with pain messages travelling through the brain and down the spine. Together, Nervimac-3D Tablet helps to treat neuropathic pain.
Dry mouth could be a side-effect of Nervimac-3D Tablet . 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 Nervimac-3D Tablet without consulting your doctor, as this could result in withdrawal symptoms. Continue taking Nervimac-3D Tablet for as long as prescribed to treat your condition effectively. If you experience any difficulty while taking Nervimac-3D Tablet , do not be afraid to speak with your doctor.
Nervimac-3D Tablet 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.
Nervimac-3D Tablet 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.
Nervimac-3D Tablet is not a painkiller. However, it is a combination medicine used to manage neuropathic pain, particularly in conditions like diabetic peripheral neuropathy and postherpetic neuralgia.
The common side effects of Nervimac-3D Tablet include sleepiness, dizziness, nausea, blurred vision, peripheral oedema (swelling of the lower legs and hands), weight gain, and dry mouth. Most of these side effects do not require medical attention and gradually resolve over time. However, please consult the doctor if these symptoms persist or worsen.
Nervimac-3D Tablet is a medication combination consisting of Methylcobalamin (Vitamin B12), Nortriptyline (Tricyclic Antidepressant), and Pregabalin (Anticonvulsant), commonly prescribed for managing neuropathic pain and nerve damage.
To manage weight gain associated with Nervimac-3D Tablet , maintain a balanced diet rich in fibre and protein while avoiding processed and sugary foods. Engage in regular physical activity, including cardio and strength training, to boost your metabolism. Monitor your weight and consult your doctor if you notice any significant changes.
Yes, Nervimac-3D Tablet may cause sleepiness or dizziness as a common side effect. Therefore, avoid driving or operating heavy machinery unless you are fully alert.
Nervimac-3D Tablet may affect sexual health in some individuals. It may cause side effects such as reduced libido, erectile dysfunction, or difficulty achieving orgasm, mainly due to Nortriptyline and Pregabalin affecting neurotransmitters and nerve function. Please consult the doctor for guidance or alternative treatment options if you experience any changes in your sexual health.
Nervimac-3D Tablet is generally well tolerated, but in very rare cases, it may cause allergic reactions, such as rash, itching, or swelling, and breathing difficulties, especially in individuals with pre-existing lung conditions or when combined with CNS depressants.
Nervimac-3D Tablet starts working as soon as you begin taking it. However, it may take a few weeks to show its complete effects. Therefore, continue taking it as prescribed by the doctor, and please consult your doctor if you have any concerns.
If you forget a dose of Nervimac-3D Tablet , take it as soon as you remember. However, if it's almost time for your next dose, skip the missed one and continue with your regular dosing schedule. Do not double the dose.
If you accidentally overdose on Nervimac-3D Tablet , seek immediate medical attention. Overdose symptoms can be severe and include drowsiness, confusion, vision problems, dizziness, irregular heartbeat, low blood pressure, convulsions, and breathing difficulties. In extreme cases, an overdose can lead to coma or even life-threatening complications. Call your doctor or emergency services right away for urgent treatment.
No, taking a higher dose of Nervimac-3D Tablet than recommended will not necessarily be more effective and may increase the risk of serious side effects. Always follow the dosage instructions provided by your doctor or pharmacist.
Avoid consuming alcohol while taking Nervimac-3D Tablet as it may increase drowsiness or sleepiness. Avoid driving or operating heavy machinery until you know how the medication affects you. Avoid taking other medicines, including herbal supplements and OTC medications, without a doctor’s advice.
While taking Nervimac-3D Tablet , your doctor may recommend regular check-ups based on your medical condition to monitor your response, adjust dosages, and manage potential side effects. Please consult your doctor immediately if you experience any changes in your condition.
Nervimac-3D Tablet should be stored in a cool and dry place, away from sunlight. Keep it out of sight and reach of children.
No, you should avoid alcohol while taking this medicine. Alcohol significantly increases drowsiness, dizziness, and the risk of severe breathing difficulties. Talk to your doctor.
Nervimac-3D Tablet is generally not recommended during pregnancy unless your doctor decides that the benefits outweigh the potential risks to the baby. If you suspect you are pregnant, consult your healthcare provider immediately. Talk to your doctor.
Yes, some patients experience weight gain or an increased appetite while taking this medicine. Managing your diet and staying physically active can help control your weight. Talk to your doctor.
No. Nervimac-3D Tablet helps relieve nerve pain and may support nerve health through its methylcobalamin component, but it does not permanently cure the underlying cause of nerve damage. Managing the condition causing the nerve damage, such as diabetes, is also important. Continue taking the medicine only as advised by your doctor.
The length of treatment varies depending on the cause of your nerve pain, how severe it is, and how well you respond to the medicine. Some people may need treatment for several weeks, while others may require longer-term therapy to keep their symptoms under control. Do not stop taking the medicine without consulting your doctor, even if you start feeling better.

Disclaimer

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Reference

  1. National Health Service (NHS). Nortriptyline - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  2. National Health Service (NHS). Pregabalin - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  3. National Center for Biotechnology Information (NCBI). Pmc3888748 Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026]Check here
  4. National Center for Biotechnology Information (NCBI). Pmc6003018 Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026]Check here
  5. Drugs.com Clinical Review Team. Pregabalin Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  6. Drugs.com Clinical Review Team. Nortriptyline Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  7. Electronic Medicines Compendium (EMC). Pil.5044 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here

Country of origin

India

Manufacturer/Marketer address

Pl.No.33-10/2, Manchkotmba Garden, Murali Nagar East, Visakhapatnam, Andhra Pradesh, 530007, India
Other Info - NER0528

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