Neurokem D 50/20mg Strip Of 10 Capsules

Neurokem D capsule is a combination medicine used to treat pain and tenderness throughout the body. It is also used for the treatment of nerve pain in the extremities of the body caused by nerve damage. It contains two active ingredients, namely Pregabalin and Duloxetine.

This medicine protects nerve fibers and helps rejuvenate damaged nerve cells. It also elevates serotonin levels in the body's nervous system. It should be taken as directed by the doctor, in the prescribed doses and duration.

Before using the Neurokem D capsule, please inform your doctor if you are pregnant, planning a pregnancy, or breastfeeding, as well as sharing your comprehensive medical history. Common side effects may include headache, dizziness, drowsiness, trouble sleeping, fatigue, nausea, diarrhea, dry mouth, blurred vision, loss of appetite, and potential suicidal thoughts. If these side effects trouble you or persist, consult your doctor.

Dosage

Overdose

Symptoms of an overdose are similar to common side effects like sleepiness, restlessness, irritation, nausea, vomiting, increased heart rate, seizures, fainting, low blood pressure and coma. If you think you have taken too much of the Neurokem D capsule contact your doctor immediately or visit the nearest hospital.

Missed a Dose

Do not take a double dose of the Neurokem D capsule, if you have missed a dose, take the next dose as soon as you remember. If it is already time for your next dose, skip the missed dose and follow your normal dosing schedule. Talk to your doctor if you have any confusion about the dosage. Do not take both of them together or within a few hours as it can cause an overdose.

Mode of Action

How Does It Work?

Neurokem D capsule is a medicine that increases the levels of certain feel-good chemical messengers (serotonin and norepinephrine) in the brain. It prevents calcium from entering the blood vessel cells.

Directions for Use

Neurokem D capsule should be taken as directed by your doctor. Swallow it whole with a glass of water; do not cut, break, or chew the medicine. It can be taken with or without food. For optimal results, it is best to take it at a fixed time and not to exceed the dosage prescribed by your doctor. Do not suddenly stop taking the medicine, as this may lead to side effects.

Precautions and Warnings

Pregnancy

Can I take the Neurokem D capsule during pregnancy?

There is limited safety information available about the use of this medicine during pregnancy. Your doctor will carefully consider the benefits and risks before prescribing it to you. Please talk to your doctor first.

Breast Feeding

Can I take the Neurokem D capsule while breastfeeding?

Neurokem D capsule passes into breastmilk, but its effect on the breastfed baby is unknown. Your doctor will decide whether to discontinue breastfeeding or to discontinue the treatment with Neurokem D capsule depending upon the benefits of the medicine for a nursing mother.

Driving

Can I drive if I have consumed the Neurokem D capsule?

No, it is not safe to drive after taking the Neurokem D capsule. It causes side effects like sleepiness, drowsiness, and double or blurred vision. It is also not safe to operate heavy machinery after taking this medication.

Alcohol

Can I consume alcohol with the Neurokem D capsule?

The Neurokem D capsule increases the effects of alcohol. It causes nausea, vomiting, sleepiness, dizziness, and blurred vision. It is not recommended to take this medicine with alcohol.

Other General Warnings

Talk to your doctor if

• You have a heart condition, diabetes, or kidney function issues.
• You are an elderly patient over the age of 65, as the risk of side effects is high.
• You have fluctuating blood pressure. If you are experiencing any mood changes or self-harming thoughts, seek medical help immediately.
• You have a history of seizures.
• You may experience a slight drop in blood glucose levels.
• Do not stop this medication abruptly; your doctor will decrease the dose gradually.
• The Neurokem D capsule is not recommended for patients under 18 years of age.

Contraindications

• If you are allergic to pregabalin or duloxetine, or any other ingredients of this medicine.
• If you are already using different antidepressants, it can cause severe adverse effects.
• If you have narrow-angle glaucoma, an eye condition is associated with increased fluid pressure inside the eye and worsens the condition.
• If you have severe skin conditions.
• If you have any self-harm or suicidal thoughts.
• If you have uncontrolled hypertension.
• If you have severe renal impairment.
• If you’re pregnant or trying for a pregnancy.
• If you are lactating or breastfeeding.
• If you have any bleeding disorders.

Side effects

• Headache
• Dizziness, Drowsiness
• Difficulty in sleeping
• Fatigue
• Nausea
• Diarrhea
• Dry mouth
• Blurred vision
• Loss of appetite
• Suicidal thoughts

Interactions

Interactions with other medicines

• Sometimes the Neurokem D capsule may affect the way other medicines work and other medicines may affect how the Neurokem D capsule works if taken at the same time.
• Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interactions.
• Especially, if you are taking medicines for brain-related disorders or calmness of the brain, as it can cause sleepiness or dizziness.
• Medicines like oxycodone used for serious painful conditions if taken along can lead to a loss of memory and the ability to perform normal physical movements.
• If you are on blood thinners like aspirin, warfarin, etc., taking them with the Neurokem D capsule can increase the risk of abnormal bleeding.
• Do not mix antibiotics like ciprofloxacin with these medicines; it increases the levels of Duloxetine in blood and can cause serious effects.
• Inform your doctor if you use other medicines like sertraline, lithium and dextromethorphan. They can cause severe side effects.

Interactions with food items

• Some brain-stimulating things like coffee, energy drinks, etc., interfere with the effects of this medicine.
• Avoid grapefruit and its juice, as it can interfere with this medicine.

Storage and disposal

Store Neurokem D capsule in dry conditions at room temperature. Keep it away from wet surfaces, direct sunlight, and humid conditions. Keep the capsule away from children and pets.

Frequently Asked Questions (FAQs)

Can I stop taking the Neurokem D capsule on my own?

No, you should not stop taking the Neurokem D capsule on your own even if you feel better. Your doctor will decide when to stop this or reduce the dose. Also, your doctor will gradually decrease the dose before stopping it.

At what time of the day should you take the Neurokem D capsule?

It is recommended that you take the capsule at the same time each day. If you feel that you may be drowsy throughout the day because of it, then you can take it in the evening. The capsules should be taken with a glass of water and swallowed whole.

Can people below 18 years of age use Neurokem D capsule?

The Neurokem D capsule is not recommended in patients below 18 years of age.