Neugaba Er 75 Tablet

NEUGABA ER 75 TABLET

Name

• Common Name: Pregabalin
• Brand Name: NEUGABA ER 75 TABLET

Composition

Each extended-release (ER) tablet contains Pregabalin 75 mg.

Uses

NEUGABA ER 75 TABLET is an anticonvulsant primarily used for:

• Neuropathic Pain: Relief from chronic nerve pain caused by conditions like diabetes, shingles (herpes zoster infection), spinal cord injury, or other nerve damage.
• Epilepsy: As an adjunctive therapy for certain types of seizures (fits) in adults.
• Fibromyalgia: Management of widespread musculoskeletal pain, stiffness, and tenderness associated with this condition.
• Generalized Anxiety Disorder: May be prescribed to treat symptoms of anxiety disorder if other medicines are not suitable.

Dosage and Administration

NEUGABA ER 75 TABLET should be taken orally as advised by your doctor. It can be taken with or without food, preferably at the same time each day to ensure consistent effectiveness. Swallow the tablet whole; do not crush, chew, break, or open it. Your doctor will determine the appropriate dose and duration of treatment, often starting with a low dose and gradually increasing it based on your medical condition and response.

Side Effects

Common side effects include:

• Dizziness
• Somnolence (sleepiness or drowsiness)
• Dry mouth
• Oedema (fluid build-up with swelling), particularly in limbs
• Blurred vision or other vision changes
• Weight gain
• Abnormal thinking or difficulty with concentration
• Fatigue
• Headache

More serious side effects can include suicidal thoughts or behavior, and severe allergic reactions (e.g., difficulty breathing, swelling of face, lips, eyelids, tongue).

Precautions

• Allergies: Inform your doctor if you are allergic to Pregabalin or any of its ingredients.
• Pregnancy and Breastfeeding: Not recommended during pregnancy or breastfeeding unless specifically advised by a doctor, as Pregabalin passes into breast milk and may be unsafe.
• Children: Safety and effectiveness have not been established in children under 18 years of age.
• Alcohol: Avoid alcohol consumption, as it may intensify side effects like dizziness and drowsiness.
• Driving/Operating Machinery: NEUGABA ER 75 TABLET can cause decreased concentration, drowsiness, dizziness, and blurred vision; avoid activities requiring mental alertness until you know how it affects you.
• Medical Conditions: Inform your doctor about any history of alcohol or drug addiction, mood disorders, bleeding disorders, chronic obstructive pulmonary disease (COPD), diabetes, or kidney, liver, or heart disease.
• Discontinuation: Do not stop taking this medication abruptly without consulting your doctor, as sudden cessation can lead to withdrawal symptoms or worsening of your condition, including seizures.
• Addiction Potential: This medication has the potential for dependency, particularly with high doses or prolonged use, and should be used with caution in individuals with a history of substance abuse.

Storage

Store NEUGABA ER 75 TABLET in a cool and dry place, away from direct sunlight and moisture, typically below 30°C or between 10ºC to 25ºC. Keep out of sight and reach of children.

NEUGABA ER 75 TABLET is a medication primarily used to manage various types of pain and certain neurological conditions. Its active ingredient is Pregabalin.

Here are some frequently asked questions about NEUGABA ER 75 TABLET:

What is NEUGABA ER 75 TABLET used for?

NEUGABA ER 75 TABLET is used to treat neuropathic pain (nerve pain) caused by conditions such as diabetes, shingles, or spinal cord injury. It is also prescribed for epilepsy (seizures/fits) as an add-on therapy, and for fibromyalgia, a condition characterized by widespread musculoskeletal pain, fatigue, and tenderness. In some cases, it may also be used to treat generalized anxiety disorder.

How does NEUGABA ER 75 TABLET work?

The active ingredient, Pregabalin, works by calming damaged or overactive nerves in the body. It binds to a specific part of voltage-gated calcium channels in nerve cells, which helps reduce the release of excitatory neurotransmitters that transmit pain signals. This action helps to dampen neuronal excitability, thereby alleviating pain and reducing the frequency of seizures. It also influences chemicals involved in mood, sleep, and anxiety regulation.

What is the usual dosage for NEUGABA ER 75 TABLET?

The dosage and duration of treatment are determined by your doctor based on your specific medical condition and how you respond to the medication. It is crucial to take the tablet exactly as prescribed, typically with a consistent schedule, and it can be taken with or without food. Swallow the tablet whole with a glass of water; do not crush, chew, break, or open it. Your doctor may start you on a low dose and gradually increase it.

What are the possible side effects of NEUGABA ER 75 TABLET?

Common side effects include dizziness, drowsiness (somnolence), dry mouth, blurred vision, weight gain, fluid retention (oedema), fatigue, headache, and difficulty with concentration or attention. More serious but less common side effects can include difficulty breathing, chest tightness, swelling of the face, lips, eyelids, tongue, hands, and feet, or suicidal thoughts. If you experience any severe or persistent side effects, or any signs of an allergic reaction, contact your doctor immediately.

Is NEUGABA ER 75 TABLET safe during pregnancy or breastfeeding?

Pregnancy: NEUGABA ER 75 TABLET is generally not recommended during pregnancy unless specifically advised by your doctor, as its safety and effects on an unborn baby are not fully established. Pregabalin can cross the placenta. If you are pregnant or planning to conceive, inform your doctor, who will weigh the potential benefits and risks. For women taking gabapentin (a related medication) for epilepsy, a high dose of folic acid (5mg/day) is often recommended before and during early pregnancy. Breastfeeding: This medicine is generally not recommended during breastfeeding because pregabalin passes into breast milk, and its effects on the nursing infant are unknown. Your doctor will assess the benefits and risks before prescribing it if you are breastfeeding. Infants should be monitored for drowsiness, adequate weight gain, and developmental milestones if exposure occurs.

Can NEUGABA ER 75 TABLET be taken with other medications?

It is important to inform your doctor about all prescription, over-the-counter medications, supplements, vitamins, and herbal products you are currently taking to avoid potential interactions. NEUGABA ER 75 TABLET may interact with certain antidepressants, opioids (like oxycodone or morphine), sedatives (like lorazepam or diazepam), and some diabetes medications, potentially increasing side effects such as excessive drowsiness or affecting blood sugar levels. Taking pregabalin with gabapentin is not recommended due to increased side effects.

What precautions should be taken while using NEUGABA ER 75 TABLET?

Avoid consuming alcohol while taking this medicine, as it can worsen side effects such as dizziness and drowsiness. Do not drive or operate heavy machinery if you experience dizziness, drowsiness, or blurred vision. Do not stop taking the medication abruptly without consulting your doctor, as this can lead to withdrawal symptoms like anxiety, sleep difficulties, nausea, and pain. Inform your doctor if you have a history of alcohol or drug addiction, mood disorders, diabetes, or kidney, liver, or heart disease.

What happens if a dose of NEUGABA ER 75 TABLET is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

How should NEUGABA ER 75 TABLET be stored?

Store NEUGABA ER 75 TABLET in a cool, dry place, away from direct sunlight and moisture. Keep it out of sight and reach of children. The typical storage temperature is between 10ºC and 25ºC, or below 30ºC.