GABACO NT Tablet 10’s

INTRODUCTION

GABACO NT TABLET is a combination of Gabapentin and Nortriptyline which belongs to the group of medicines called Anticonvulsant and Antidepressants respectively. GABACO NT TABLET is used to treat neuropathic pain in adults.

Neuropathic pain is caused due to damage to the sensory nerves usually due to chronic progressive nerve disease, infection, or injury. The pain could be occasional or continuous, which is thought of as a prickling, stabbing, tingling, or burning sensation.

Avoid consumption of alcohol while taking GABACO NT TABLET as it may lead to more dizziness. If you have self-harming thoughts, contact your physician or go to the hospital straight away.

GABACO NT TABLET is not recommended to use if you had a recent heart attack or heartbeat disorder, heart block, or coronary artery disease. Consult your doctor before taking.

GABACO NT TABLET should not be used among women who are pregnant or breastfeeding mothers. GABACO NT TABLET is not recommended for use in children and adolescents (below 18 years of age).

It should be used with caution in elderly patients (above 65 years of age). The most common side effects of GABACO NT TABLET are viral infection, feeling drowsy, dizziness, lack of coordination, feeling tired, constipation, nausea, headache, tremor, and fever. Consult your doctor for advice if your symptoms get worsen over time.

USES OF GABACO NT TABLET
Used to treat neuropathic pain (in adults)
HOW GABACO NT TABLET WORKS

GABACO NT TABLET is a combination of Gabapentin and Nortriptyline. Gabapentin works by binding to the specific site on voltage-gated calcium channels, which in turn helps in relieving nerve pain. Nortriptyline works by increasing the levels of chemical messengers (serotonin and noradrenaline) that stop the movement of signals of pain in the brain. Together Gabapentin and Nortriptyline relieve neuropathic pain (pain from damaged nerves).

DIRECTIONS FOR USE

Take GABACO NT TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending on your age, body weight, and disease condition.

SIDE EFFECTS OF GABACO NT TABLET
COMMON
Dry mouth
Excessive sweating
Constipation
Nausea
Headache
Tremor
Blocked nose
Accommodation disorder of the eyes
Irregular or heavy heartbeat
Weight gain
Aggression
Strange body movements
Flushing
Weakness, fatigue
Dizziness
Confusion
Problem in the heart called ‘prolonged QT interval
Changes in taste
Blurred vision
Decreases in libido and erectile dysfunction
Agitation
Tingling in arms and legs
Problems urinating (increased or decreased)
Feeling thirsty
Low sodium concentration in the blood
Viral infection
High blood pressure, dilation of blood vessels
Difficulty breathing, sore throat, cough, bronchitis, dry nose
Vomiting (being sick), problems with teeth, inflamed gums, diarrhea, stomach pain, indigestion, or throat, flatulence
Facial swelling, bruises, rash, itch, acne
Pain in the joints, muscles, and back, and twitching
Swelling in the legs and arms, difficulty in walking, feeling unwell, weakness, pain, flu-like symptoms
Decrease in the number of white blood cells, increase in weight
Accidental injury, abrasion, fracture
UNCOMMON
Swelling that may involve the limbs, face, and trunk
Abnormal blood test results (problems with the liver)
Mental impairment
Increase in blood glucose levels
Difficulty swallowing
Changes in sleep patterns (including nightmares)
Increased production or outflow of breast milk without breastfeeding
RARE
Respiratory depression (trouble breathing, shallow breaths)
Confusional states (delirium)
Hallucinations
Hair loss
Enlargement of male breast tissue

Stop taking GABACO NT TABLET and contact your physician immediately if you experience any of the following side effects:

Muscle pain and/or weakness or tenderness
Signs such as persistent stomach pain, feeling sick, and being sick (acute pancreatitis) (inflamed pancreas)
Swelling of the lips, tongue, and face, skin rash and redness, and/or hair loss, hives, fever, swollen glands that do not go away
Yellowing of the skin or of the whites of the eyes, unusual bruising or bleeding, severe fatigue or weakness, and unexpected muscle pain
Breathing problems
HOW TO MANAGE SIDE EFFECTS

Nausea or Vomiting:

Try to take GABACO NT TABLET with, or just after, a meal or snack and stick to simple meals, and do not eat oil-rich or spicy food. Consult your physician if your symptom does not improve.

Flatulence:

Eat smaller and frequent meals. Eat and drink slowly, and exercise regularly. Consult your physician if your symptom does not improve.

Constipation:

Eat more foods that are fiber-rich such as fresh fruits, vegetables, and cereals, and drink plenty of water. Exercise more regularly.

Diarrhoea:

Drink more fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own for diarrhea without consulting your physician.

Stomach pain:

Try to rest and relax. Eat and drink slowly or try to have lesser and more frequent meals. Keep a heating pad on your stomach. Consult your physician if your symptom does not improve.

Headache:

Rest and relax. Drink plenty of fluids such as water and electrolytes. Apply a pain-relieving balm on the head if required. Do not consume alcohol. Contact your doctor if your headache did not improve.

Dizziness:

Lie down until dizziness goes away and then move slowly and carefully. Take more rest and drink more fluids. Consult your physician if your symptom worsens.

WARNING & PRECAUTIONS
PREGNANCY

GABACO NT TABLET is not recommended to use in pregnant women unless considered clearly necessary. Consult your doctor before taking the medicine.

BREASTFEEDING

GABACO NT TABLET is contraindicated for breastfeeding women. Consult your doctor before taking GABACO NT TABLET.

DRIVING AND USING MACHINES

Do not drive or operate any machines or do anything that needs alertness or clear vision after taking GABACO NT TABLET.

ALCOHOL

Avoid consumption of alcohol while taking GABACO NT TABLET as it may lead to more dizziness. Consult your doctor before taking GABACO NT TABLET.

KIDNEY

GABACO NT TABLET should be taken with caution in patients with kidney problems including haemodialysis. Consult your doctor before taking.

LIVER

GABACO NT TABLET is not recommended for patients with severe liver diseases. Consult your doctor before taking.

ALLERGY

Do not take GABACO NT TABLET if you are allergic to Gabapentin, Nortriptyline or any other tricyclic antidepressants (Ex. amitriptyline) or to any other ingredients of this medicine.

HEART DISEASE

GABACO NT TABLET is not recommended for patients who had recent myocardial infarction, any degree of heart block or other cardiac arrhythmias. It should be used with patients with mild to moderate heart disease. Consult your doctor before taking.

OTHERS

GABACO NT TABLET is not recommended if you:

Suffer from mania (abnormally raised mood)

Before taking GABACO NT TABLET, inform your doctor if you have:

Nervous system disorders
Respiratory disorders
Suicidal thoughts or aggressive behaviour
Schizophrenia, bipolar disorder
Thyroid conditions
A history of epilepsy
High pressure in the eyes (glaucoma)
An enlarged prostate
Diabetes
Difficulty in passing urine
Paralytic ileus (blocked intestine) and pylorus stenosis (narrowing of the gastric outlet)
Excessive fever (hyperpyrexia) 
Undergo electroconvulsive therapy

Use in pediatrics:

GABACO NT TABLET is generally not recommended for use in children and adolescents (under 18 years of age). Consult your doctor before taking.

Use in geriatrics:

GABACO NT TABLET should be used with caution in elderly patients (above 65 years of age). Consult your doctor before taking GABACO NT TABLET.

INTERACTIONS

A. Drug-Drug interactions:

Before taking GABACO NT TABLET, inform your doctor if you are taking any of the following medicine:

Medicines used as monoamine oxidase inhibitors (Ex. phenelzine, moclobemide, iproniazid, isocarboxazid, nialamide or tranylcypromine (used to treat depression) or selegiline (used to treat Parkinson’s disease)
Medicines used to treat opioid dependence (Ex. buprenorphine)
Medicines used in cough or cold medicine, and in some anesthetics (Ex. adrenaline, isoprenaline, ephedrine, noradrenaline, phenylephrine, and phenylpropanolamine)
Medicine used to treat high blood pressure (Ex. diltiazem and verapamil) (Ex. guanethidine, bethanidine, debrisoquine, clonidine reserpine, and methyldopa)
Medicines used to treat Parkinson’s disease and gastrointestinal disorders (Ex. atropine, hyoscyamine)
Medicine used to treat schizophrenia (Ex. thioridazine)
Medicine used as a painkiller (Ex. tramadol)
Medicines to treat fungal infections (Ex. fluconazole, terbinafine, ketoconazole, and itraconazole)
Medicine used as sedatives (Ex. barbiturates)
Medicine used as antidepressants (Ex. fluoxetine, paroxetine, fluvoxamine), and bupropion)
Medicines used to treat certain heart conditions (Ex. beta-blockers and antiarrhythmics)
Medicine used to treat stomach ulcers (Ex. cimetidine)
Medicine used to treat ADHD (Ex. methylphenidate)
Oral contraceptives
Medicine used to treat infections (Ex. rifampicin)
Medicine used to treat epilepsy (Ex. phenytoin and carbamazepine)
An herbal remedy used for depression (Ex. St. John’s Wort)
Medicine used for thyroid problems
 Medicines used to treat heart rhythm (Ex. amiodarone, cisapride, dofetilide, pimozide, procainamide, quinidine, sotalol)

Overdosage:

If you or anyone else accidentally takes too much of GABACO NT TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose may include blurred vision, fast or irregular heartbeats, difficulties passing water, dry mouth and tongue, intestinal blockage, fits, fever, agitation, confusion, hallucinations, uncontrolled movements, low blood pressure, weak pulse, pallor, difficulty breathing, blue discoloration of the skin, decreased heart rate.

SYNOPSIS
Drug :  

Gabapentin, Nortriptyline

Pharmacological Category :  

Anticonvulsants and Antidepressants

Therapeutic Indication :  

Neuropathic pain

Dosage Forms :  

Tablet

MORE INFORMATION
Keep GABACO NT TABLET out of reach to children
Store at a temperature, not more than 30°C
FAQs ABOUT GABACO NT TABLET

What for GABACO NT TABLET is used?

GABACO NT TABLET is used to treat neuropathic pain. Neuropathic pain is caused due to damage to the sensory nerves usually due to chronic progressive nerve disease, infection, or injury. Consult your doctor before taking it.

Is GABACO NT TABLET safe to use in pregnancy?

GABACO NT TABLET is generally not recommended to use in pregnant women unless considered clearly necessary. Consult your doctor before taking GABACO NT TABLET.

Can GABACO NT TABLET be used in patients with heart problems?

GABACO NT TABLET should not be used in patients with heart problems like a recent heart attack or heartbeat disorder, heart block, or coronary artery disease. Consult your doctor before taking GABACO NT TABLET.

Can I drink alcohol along with GABACO NT TABLET?

Avoid consumption of alcohol while taking GABACO NT TABLET as it may lead to more dizziness. Consult your doctor before taking GABACO NT TABLET.

Is GABACO NT TABLET can be used in children?

GABACO NT TABLET is generally not recommended for use in children and adolescents (under 18 years of age). Consult your doctor before taking.

REFERENCES

1. Misty D. Smith, Cameron S. Metcalf, and Karen S. Wilcox. Pharmacotherapy of the Epilepsies. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 13th Edition. New York McGraw Hill Medical 2018. Page – 303-326.

2. James M. O’Donnell, Robert R. Bies, and Richard C. Shelton. Drug Therapy of Depression and Anxiety Disorders. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 13th Edition. New York McGraw Hill Medical 2018. Page – 267-277.

3. KD. Tripathi. Antiepileptic Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 411- 424.

4. KD. Tripathi. Drugs Used in Mental Illness: Antidepressant and Antianxiety Drug. Essentials of medical pharmacology. Seventh edition. 2013. Page – 454- 468.

5. Ian Gilron 1, Joan M Bailey, Dongsheng Tu, Ronald R Holden, Alan C Jackson, Robyn L Houlden. Nortriptyline and gabapentin, alone and in combination for neuropathic pain: a double-blind, randomised controlled crossover trial. The Lancets. September 2009 [Accessed on 28th June 2022] https://pubmed.ncbi.nlm.nih.gov/19796802/

6. Gabapentin and Nortriptyline. www.leogenic.com. [Accessed on 28th June 2022] https://www.leogenic.com/gabdew-nt-gabapentin-and-nortriptyline-tablet

7. Gabapentin and Nortriptyline. www.larenon.com. [Accessed on 28th June 2022] https://www.larenon.com/wp-content/uploads/2016/06/LAregab-NT.pd

8. Gabapentin and Nortriptyline. www.leleon.in. [Accessed on 28th June 2022] https://www.leleon.in/Gabapentin.html

9. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed 28th June 2022] https://www.medicines.org.uk/emc/files/pil.7410.pdf

10. Mylan Ltd. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed 28th June 2022] https://www.medicines.org.uk/emc/files/pil.11267.pdf

Country Of Origin
India