Gabapentin

An anticonvulsant medication primarily used to treat seizures and nerve pain.

Methylcobalamin

A form of vitamin b12, essential for nerve function, red blood cell production, and dna synthesis.

Nortriptyline

A tricyclic antidepressant used to treat depression and nerve pain.

Treatment of neuropathic pain (nerve pain) associated with conditions such as diabetic neuropathy, postherpetic neuralgia, and spinal cord injury.

Management of seizures in patients with epilepsy.

Treatment of depression, particularly in cases where other antidepressants have not been effective.

0 Gabapentin: The exact mechanism is unknown, but it's believed to modulate the release of neurotransmitters, including GABA, in the central nervous system, thereby reducing nerve excitability and pain.1 Methylcobalamin: Essential for the synthesis of myelin, a protective sheath around nerve fibers, which aids in nerve function.2 Nortriptyline: It works by increasing the levels of serotonin and norepinephrine, neurotransmitters that regulate mood and pain perception.

Store the medication at room temperature, protected from light and moisture. Keep it out of reach of children and pets. Dispose of unused medication safely.

The dosage of each medication will vary depending on the individual's condition and response to treatment. It is essential to follow your doctor's instructions carefully.

Gabapentin is typically taken two to three times per day with or without food.

Methylcobalamin is often administered as an injection or taken as a tablet.

Nortriptyline is typically taken once or twice daily, usually at bedtime to minimize daytime drowsiness.

Increased risk of falls in elderly patients

Drowsiness

Dizziness

Headache

Nausea

Weight gain

Dry mouth

Constipation

Blurred vision

Fatigue

Mood changes or worsening depression

Alcohol Consumption

Avoid alcohol consumption while taking these medications as it can increase the risk of side effects.



While Driving or Operating Machinery

Be cautious when driving or operating machinery as these medications can cause drowsiness and dizziness. Avoid activities requiring alertness until you know how the medications affect you.



Pregnant & Breastfeeding Women

Discuss the risks and benefits of taking these medications with your doctor if you are pregnant or breastfeeding.



Children

These medications are not recommended for children unless specifically prescribed by a doctor.



Kidney

Kidney disease can affect how these medications are processed. Your doctor may need to adjust your dosage.



Liver

Liver disease can also affect how these medications are processed. Your doctor may need to monitor your liver function regularly.

National Institutes of Health: https://www.ncbi.nlm.nih.gov/

Food and Drug Administration: https://www.fda.gov/

DrugBank: https://www.drugbank.ca/