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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
ZEN 200MG TABLET is used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves). It contains Carbamazepine, which decreases the excessive and abnormal nerve activity in the brain, thereby controlling seizures. In some cases, you may experience certain common side effects such as dizziness, tiredness, uncontrolled movements, nausea, headache, changes in liver enzymes or low white blood cells count, and minor skin reactions. Before using this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Composition :

CARBAMAZEPINE-200MG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About ZEN 200MG TABLET

ZEN 200MG TABLET belongs to a group of medicines called anticonvulsants or anti-epileptics used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves). Epilepsy is a neurological disorder in which there is a sudden rush of electric impulses (electric activity) in the brain. As a result, the brain's electrical rhythms become imbalanced, resulting in recurrent episodes of seizures or fits. Trigeminal neuralgia is a condition which affects the trigeminal nerve that carries sensations from the face to the brain. 

ZEN 200MG TABLET contains 'Carbamazepine' that reduces the electrical impulses and subsequent firing of the nerve impulses that cause fits. Thus, ZEN 200MG TABLET decreases the excessive and abnormal nerve activity in the brain, thereby controlling seizures. 

You are advised to take ZEN 200MG TABLET for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dizziness, tiredness, uncontrolled movements, nausea, headache, changes in liver enzymes or low white blood cells count, and minor skin reactions. 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.

To treat your condition effectually, continue taking ZEN 200MG TABLET for as long as your doctor has prescribed. Please do not stop taking ZEN 200MG TABLET without consulting your doctor to avoid worsening of seizures. Do not take ZEN 200MG TABLET if you are pregnant or planning for pregnancy unless prescribed by the doctor as it could lead to serious congenital disabilities. It is safe to take ZEN 200MG TABLET while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. ZEN 200MG TABLET causes drowsiness and dizziness, so drive only if you are alert. ZEN 200MG TABLET should not be given to children unless prescribed. Avoid consuming alcohol along with ZEN 200MG TABLET as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of ZEN 200MG TABLET

Treatment of Epilepsy/seizures, Trigeminal neuralgia.

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew or crush the tablet/capsule.Syrup/Suspension/Drops: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Medicinal Benefits

ZEN 200MG TABLET belongs to a group of medicines called anti-convulsants or anti-epileptics used to treat epilepsy and trigeminal neuralgia (face nerve pain). ZEN 200MG TABLET works by reducing the electrical impulses and subsequent firing of the nerve impulses that cause fits. ZEN 200MG TABLET decreases the excessive and abnormal nerve activity in the brain, thereby helping in controlling seizures. ZEN 200MG TABLET is also used to relieve nerve pain associated with trigeminal neuralgia. People with glossopharyngeal neuralgia may also experience benefit with ZEN 200MG TABLET. ZEN 200MG TABLET is not associated with any psychological or physical dependence, and there is no potential for abuse.

How ZEN 200MG TABLET Works

ZEN 200MG TABLET contains miconazole. ZEN 200MG TABLET can inhibit fungal growth and reduce infection.

Storage

Store in a cool and dry place away from sunlight
Side effects of Zen 200 Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
  • Talk to your doctor about medicines to manage neutropenia based on the underlying cause.
  • Avoid contact with people who are sick.
  • Wash your hands regularly with soap and water.
  • Avoid unpasteurized dairy products.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

What if I have taken an overdose of ZEN 200MG TABLET

Do not take more than the prescribed dose of ZEN 200MG TABLET as it may cause overdose. The symptoms of overdose include dizziness, sleepiness, difficulty talking, nausea or vomiting, stomach pain, blurred vision, confusion or normal behaviour changes. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Do not take ZEN 200MG TABLET if you are allergic to 'Carbamezapine' or any of its contents, have serious heart problems, blood illnesses, bone marrow problems, hypothyroidism, glaucoma, urinary retention, osteoporosis or taking anti-depressants called monoamine oxidase inhibitors (MAO's) within the last 14 days or taking herbal preparations containing St. John's wort as an antidepressant. Inform the doctor if you have low sodium levels in the blood or take medicines that could lower the blood's sodium levels, or using hormonal contraceptives. Do not stop taking ZEN 200MG TABLET without consulting your doctor to avoid worsening of seizures episodes. Do not take ZEN 200MG TABLET if you are pregnant unless prescribed by the doctor as ZEN 200MG TABLET might cause serious congenital disabilities. It is safe to take ZEN 200MG TABLET while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. ZEN 200MG TABLET causes drowsiness and dizziness, so drive only if you are alert. ZEN 200MG TABLET should not be given to people less than 18 years of age until and unless prescribed by the doctor. Avoid consuming alcohol along with ZEN 200MG TABLET as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies or mood swings. 

Drug-Drug Interactions

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CarbamazepineRasagiline
Critical
CarbamazepineRegorafenib
Critical

Drug-Drug Interactions

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CarbamazepineRasagiline
Critical
How does the drug interact with Zen 200 Tablet:
Taking Rasagiline with Zen 200 Tablet can increase the risk of serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Rasagiline with Zen 200 Tablet is not recommended, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineRegorafenib
Critical
How does the drug interact with Zen 200 Tablet:
When Regorafenib is taken with Zen 200 Tablet, it may decrease the blood levels of Regorafenib, which may make Regorafenib less effective in treating your condition.

How to manage the interaction:
Taking Regorafenib with Zen 200 Tablet is generally not advised, but it can be taken if prescribed by the doctor. Without consulting a doctor, never stop taking any drugs.
CarbamazepinePirfenidone
Critical
How does the drug interact with Zen 200 Tablet:
Taking Pirfenidone with Zen 200 Tablet it reduces the levels and effects of Pirfenidone.

How to manage the interaction:
Taking Pirfenidone with Zen 200 Tablet is not recommended but can be taken if prescribed by the doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
CarbamazepineIsocarboxazid
Critical
How does the drug interact with Zen 200 Tablet:
Taking Zen 200 Tablet with Isocarboxazid can cause serotonin syndrome(a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Using Zen 200 Tablet with Isocarboxazid is not recommended, it can be taken if prescribed by your doctor. However, if you experience symptoms such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineProcarbazine
Critical
How does the drug interact with Zen 200 Tablet:
Taking Zen 200 Tablet with Procarbazine may cause serotonin syndrome(a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Taking Zen 200 Tablet with Procarbazine is generally not advised, it can be taken if prescribed by your doctor. However, if you experience symptoms such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineVoriconazole
Critical
How does the drug interact with Zen 200 Tablet:
Using Voriconazole together with Zen 200 Tablet may significantly reduce the blood levels of voriconazole.

How to manage the interaction:
Taking Zen 200 Tablet with Voriconazole is not recommended, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
CarbamazepineLinezolid
Critical
How does the drug interact with Zen 200 Tablet:
Using Zen 200 Tablet with Linezolid can cause serotonin syndrome(a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Taking Zen 200 Tablet and Linezolid together is not recommended, but it can be taken if prescribed by a doctor. However, if you experience symptoms such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineTranylcypromine
Critical
How does the drug interact with Zen 200 Tablet:
Using Zen 200 Tablet with tranylcypromine can increase the risk of serotonin syndrome( a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Zen 200 Tablet with Tranylcypromine is not recommended, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience hallucination(seeing and hearing things which do not exist), seizure(fits),increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting a doctor.
CarbamazepineNefazodone
Critical
How does the drug interact with Zen 200 Tablet:
When Nefazodone is taken with Zen 200 Tablet, it can effect both the medications. It increases the levels of Zen 200 Tablet leading to side effects. At the same time, it may decrease the blood levels of Nefazodone, which may make Nefazodone less effective in treating your condition.

How to manage the interaction:
Taking Nefazodone with Zen 200 Tablet is not recommended, but it can be taken if prescribed by the doctor. However, if you experience headache, nausea, vomiting, dizziness, confusion, slurred speech, visual disturbances, shaking, consult the doctor.
CarbamazepinePraziquantel
Critical
How does the drug interact with Zen 200 Tablet:
When Praziquantel is taken with Zen 200 Tablet, it may decrease the blood levels of Praziquantel, which may make Praziquantel less effective in treating your condition.

How to manage the interaction:
Taking Zen 200 Tablet with Praziquantel is not recommended, but it can be taken if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without a doctor's advice.

Drug-Food Interactions

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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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Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps in utilizing fat instead of glucose for the generation of energy.

  • Atkins diet (high fat and controlled carbohydrates) is recommended for adolescents and adults.

  • Rest well, get plenty of sleep.

  • Avoid smoking and alcohol consumption.

  • Exercise, meditation and yoga can help lower the stress, decrease pain sensitivity and improves coping skills.

  • Prepare your living area; small changes may reduce the risk of physical injury during a seizure.

  • Install an alarm or emergency device to get assistance during a seizure attack.

Habit Forming

No

Therapeutic Class

ANTICONVULSANT

ZEN 200MG TABLET Substitute

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Alcohol

Unsafe

Avoid consumption of alcohol while taking ZEN 200MG TABLET as it may increase dizziness and sleepiness.

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Pregnancy

Caution

Avoid taking ZEN 200MG TABLET if you are pregnant unless prescribed by a doctor as it could lead to serious birth defects. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Safe if prescribed

It is safe to take ZEN 200MG TABLET while breastfeeding. However, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes.

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Driving

Unsafe

ZEN 200MG TABLET causes drowsiness, sleepiness and tiredness. 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.

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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.

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Children

Safe if prescribed

ZEN 200MG TABLET can be given to children above 6years if prescribed by the doctor. The dose will be adjusted by the doctor depending upon the child's body weight.

FAQs

ZEN 200MG TABLET is used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves).

ZEN 200MG TABLET decreases the brain's excessive and abnormal nerve activity by blocking sodium currents in your brain and body. This reduces abnormal electrical activity between your nerve cells.

Do not discontinue ZEN 200MG TABLET without consulting your doctor. To treat your condition effectually continue taking ZEN 200MG TABLET for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking ZEN 200MG TABLET; your doctor will reduce the dose gradually to avoid worsening of seizures.

ZEN 200MG TABLET may affect the way hormone contraceptives work in your body. This may cause spotting or breakthrough bleeding. ZEN 200MG TABLET may increase the risk of pregnancy as it makes the contraceptive less effective. Talk to your doctor, he/she will discuss the most suitable type of contraception while taking ZEN 200MG TABLET to avoid pregnancy.

ZEN 200MG TABLET may cause weight gain due to an increase in appetite. Maintain a healthy weight by following a healthy diet and exercising regularly.

Use an effective contraception method during the treatment with ZEN 200MG TABLET and 2 weeks after the last dose. Avoid getting pregnant while taking ZEN 200MG TABLET as it could lead to serious congenital disabilities. Do not stop taking ZEN 200MG TABLET without consulting your doctor.

ZEN 200MG TABLET may cause hyponatremia (low sodium levels in the blood). This could lead to confusion, reduced concentration, vision problems, nausea, vomiting or worsening of seizures. Regular monitoring of sodium levels is advised while taking ZEN 200MG TABLET. Consult your doctor if you experience these symptoms.

Dry mouth could be a side-effect of ZEN 200MG 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.

You may notice some benefits after a few days. The effect will gradually grow throughout the first one to two weeks. At your typical dose, the full effects of carbamazepine will take several weeks.

No, it is not an analgesic medication. It is an anticonvulsant or anti-epileptic used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves).

Before using ZEN 200MG TABLET, you should inform your doctor about your medical history, including any ongoing medicines, to avoid potential interactions and minimize side effects.

Long-term usage of ZEN 200MG TABLET may result in osteoporosis and osteopenia. Your doctor may perform specific tests to assess your bone strength. A healthy diet and regular exercise can also help your bones stay strong.

Consumption of alcohol and drinking grapefruit juice or eating grapefruit should be avoided. The risk of sleepiness and dizziness may be increased if you drink alcohol while taking carbamazepine. Grapefruit may increase the effects of ZEN 200MG TABLET by increasing its levels in the body.

Do not stop taking ZEN 200MG TABLET unless your doctor tells you to. If you take carbamazepine for epilepsy, you may get seizures after you stop using it. To avoid withdrawal seizures, gradually reduce your carbamazepine dose as suggested by your doctor. Suppose you are taking it for bipolar disorder or nerve pain. In that case, your condition may worsen temporarily after you stop using it.

Watch for early warning signs of suicidal thoughts and actions, such as changes in mood or withdrawal from others. Increased anxiety or irritability, changes in sleep or self-care habits, and giving away belongings or talking about death can also be indicators. Be alert to self-harm or reckless behavior and feelings of hopelessness or being trapped. If you observe these signs, express empathy and care by asking open-ended inquiries and attentively listening. Take all suicide warnings seriously and seek help, as early intervention can make a big difference.

Weight gain is one of the more typical adverse effects of ZEN 200MG TABLET. However, this is not happening for everyone, and it is not indicated for use in weight gain. Follow a nutritious diet and exercise regularly to maintain a healthy weight.

Several common seizure medicines, including ZEN 200MG TABLET, have been shown to affect hormone levels. In men, ZEN 200MG TABLET may reduce the level of free testosterone (the primary male hormone). Low levels of testosterone are linked to decreased sexual desire.

If you have nerve pain, once the pain has gone, you will need to take ZEN 200MG TABLET for several months to stop it coming back.

The common side effects of ZEN 200MG TABLET are usually mild and disappear. If they do not go away, there are things you can do to help cope with the specific lifestyle changes. For example, if you're feeling or being sick, try having small, frequent sips of water or squash to avoid dehydration. Stick to simple meals and do not eat rich or spicy food. To manage headaches, make sure you rest and drink plenty of fluids. Try not to drink too much alcohol. To control Dry mouth, try chewing sugar-free gum or sucking sugar-free sweets.

The tests are recommended when a person develops complications or experiences troublesome side effects. Or when a patient's condition does not appear to respond to therapy. It varies from person to person. Your doctor may refer based on the medical condition and response to the treatment.

ZEN 200MG TABLET usually takes 1 to 2 weeks to work. Sometimes, it may take more time to show effective results. Use ZEN 200MG TABLET as advised and inform your doctor if your symptoms do not improve or worsen.

If you want to switch medicines, it is very important to follow your doctor's advice. Switching from carbamazepine to a different medicine will be different for each person. Do not switch medications on your own unless recommended by the doctor.

Consuming alcohol while taking ZEN 200MG TABLET may cause you to feel sleepy or tired. It is advised to avoid alcohol while using this medication.

You can take ZEN 200MG TABLET as usual before and after surgery. However, because it may reduce the effects of some muscle relaxants, these may need to be increased. Tell your doctor you are on carbamazepine if you need surgery.

When you first start taking ZEN 200MG TABLET, you may feel sleepy, tired, or dizzy. This may also happen if your dose has increased. If you're affected, do not drive, ride a bike, or operate machinery until you feel better.

Epilepsy is a common neurological disorder that produces recurrent seizures. Seizures are bursts of electrical activity in the brain that briefly impair its function.

Living with seizures requires some adjustments, but it's possible to manage and cope. Begin by learning about your disease, available treatment choices, and associated triggers. Take your medication exactly as directed, and try to avoid frequent triggers including stress, lack of sleep, and excessive alcohol intake. Maintaining a seizure diary might also help you discover patterns and be prepared. Additionally, take simple safety precautions like showering instead of bathing and wearing a helmet when biking. Build a support network of friends, family, and healthcare professionals, and don't hesitate to reach out when you need help. Finally, prioritize self-care by managing stress, staying active, and getting enough rest. With the right mindset and strategies, you can lead an entire and active life despite living with seizures.

Country of origin

India

Manufacturer/Marketer address

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - ZEN0007

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