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Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin

Uses of Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin

  • Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin is primarily used to manage different types of neuropathic pain and belongs to the group of anticonvulsant, antidepressant, and vitamin supplement medicines.

  • Additionally, it has shown benefits in conditions like painful diabetic neuropathy, post-herpetic neuralgia (pain after shingles), neuropathic pain associated with spinal cord injury, and fibromyalgia.

Side effects of Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin

  • Dizziness

  • Drowsiness

  • Dry mouth

  • Blurred vision

  • Trouble concentrating

How Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin works

  • Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin is a combination medicine for managing neuropathic pain.

  • Cyanocobalamin, also known as Vitamin B12, is vital for healthy nerve function. It aids in the maintenance and regeneration of damaged nerves.

  • Nortriptyline is a tricyclic antidepressant. It increases the levels of certain neurotransmitters in your brain that help dampen pain signals.

  • Pregabalin is an anticonvulsant and pain medication. It works by reducing the number of pain signals coming from damaged nerves.

Certified content

Written By

docImg
Ashmita BorgohainMedical Content Writer & Editor|

MSc (Applied Genetics)

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 Years

BMS, FMC, MD Resident

Expert Advice

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.

Frequently asked questions

No, Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin is not a steroid. It is a combination medicine used to manage neuropathic pain, with each component serving different functions.

Both Nortriptyline and Pregabalin in this combination have been associated with changes in mood. Some patients may experience mood swings, anxiety, or even depression. If you experience any such symptoms, consult your doctor immediately.

One of the potential side effects of this medication is weight gain. However, not everyone who takes this medicine will experience this side effect. If you are concerned about weight gain while taking this medication, consult your doctor.

Yes, like any other medicine, this combination can cause allergic reactions in some individuals. Symptoms may include rash, itching, swelling, severe dizziness, or trouble breathing. If you notice any signs of an allergic reaction, seek immediate medical attention.

The time taken for this medicine to work can vary from person to person. It primarily depends on the severity of the condition and how your body responds to the medication.

You should not stop taking this medication without your doctor's advice, even if your symptoms improve. Stopping the medicine abruptly could cause your symptoms to return or worsen.

Follow your doctor’s instructions regarding dosage and timing.

Terms & Conditions


Cyanocobalamin / Vitamin B12 + Nortriptyline + Pregabalin in other salts

BIOTIN + CALCIUM PANTOTHENATE + COPPER SULPHATE + COPPER SULPHATE PENTAHYDRATE + CYANOCOBALAMIN / VITAMIN B12 + FERROUS SULPHATE + MAGNESIUM OXIDE + MAGNESIUM SULPHATE MONOHYDRATE + NICOTINAMIDE + PYRIDOXINE HYDROCHLORIDE + RIBOFLAVIN / VITAMIN B2 + SODIUM BORATE + SODIUM MOLYBDATE DIHYDRATE + THIAMINE MONONITRATE + TOCOPHERYL ACETATE + TOTAL PHOSPHOROUS + TRIBASIC CALCIUM PHOSPHATE + VITAMIN A / RETINOL + VITAMIN C / ASCORBIC ACID + VITAMIN D3 (CHOLECALCIFEROL) + ZINC SULPHATEBIOTIN + CYANOCOBALAMIN / VITAMIN B12 + ELEMENTAL CHROMIUM + ELEMENTAL COPPER + ELEMENTAL MANGANESE + FOLIC ACID + GRAPE SEED EXTRACT + IODINE + MAGNESIUM + RIBOFLAVIN / VITAMIN B2 + SELENIUM + THIAMINE / VITAMIN B1 + VITAMIN A / RETINOL + VITAMIN B3 / NIACIN + VITAMIN B5 / PANTOTHENIC ACID + VITAMIN B6 / PYRIDOXINE + VITAMIN C / ASCORBIC ACID + VITAMIN D3 (CHOLECALCIFEROL) + VITAMIN E + ZINCCALCIUM PHOSPHATE + COPPER SULPHATE PENTAHYDRATE + CYANOCOBALAMIN / VITAMIN B12 + D-PANTHENOL + FOLIC ACID + LIGHT MAGNESIUM OXIDE + NICOTINAMIDE + POTASSIUM IODIDE + VITAMIN A + VITAMIN B1 + VITAMIN B2 + VITAMIN D3 (CHOLECALCIFEROL) + ZINC SULPHATE MONOHYDRATEMETHYLCOBALAMIN + PREGABALINPREGABALINGABAPENTIN + NORTRIPTYLINEPREGABALIN + NORTRIPTYLINEPREGABALIN + NORTRIPTYLINE + METHYLCOBALAMINCYANOCOBALAMIN / VITAMIN B12 + ELEMENTAL IRON + ELEMENTAL ZINC + FOLIC ACIDCYANOCOBALAMIN / VITAMIN B12 + PREGABALINALPHA LIPOIC ACID + FOLIC ACID + METHYLCOBALAMIN + PREGABALIN + VITAMIN B6 (PYRIDOXINE)CYANOCOBALAMIN / VITAMIN B12 + ELEMENTAL IRON + FOLIC ACID + VITAMIN C / ASCORBIC ACIDBENFOTIAMINE + FOLIC ACID + METHYLCOBALAMIN + PREGABALIN + VITAMIN B6 (PYRIDOXINE)AMITRIPTYLINE + PREGABALINCYANOCOBALAMIN / VITAMIN B12 + FOLIC ACID + NICOTINAMIDECYANOCOBALAMIN / VITAMIN B12 + FERRIC AMMONIUM CITRATE + FOLIC ACIDCAPSAICIN + DICLOFENAC DIETHYLAMINE + MENTHOL + METHYL SALICYLATE + PREGABALINCYANOCOBALAMIN / VITAMIN B12 + D-PANTHENOL + NIACINAMIDE + RIBOFLAVIN / VITAMIN B2 + THIAMINE / VITAMIN B1 + VITAMIN B6 / PYRIDOXINECALCIUM + CYANOCOBALAMIN / VITAMIN B12 + VITAMIN D3 (CHOLECALCIFEROL)ACECLOFENAC + PREGABALINNORTRIPTYLINEETORICOXIB + PREGABALIN
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