Gabtan-AT Tablet is a combination medicine used for the treatment of neuropathic pain. It works by increasing the level of chemical messengers in the brain. This helps in regulating the mood and stopping the movement of pain signals from nerves to the brain. Gabtan-AT Tablet is taken by mouth with or without food, preferably at bedtime. It is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of the treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor as it may increase the seizure frequency and can be life-threatening in some cases. Avoid taking antacids with this medicine as antacids make it harder for your body to absorb this medicine. Some common side effects of this medicine are constipation, difficulty in urination, weight gain, and dryness in mouth. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight gain and to control it, you should exercise regularly and take a balanced diet. Before taking this medicine let your doctor know if you suffer from kidney or liver disease. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

• Difficulty in urination
• Weight gain
• Sleepiness
• Dizziness
• Tiredness
• Uncoordinated body movements
• Increased heart rate
• Orthostatic hypotension (sudden lowering of blood pressure on standing)
• Blurred vision
• Dryness in mouth

If you miss a dose of Gabtan-AT Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. What is Gabtan-AT Tablet??
  Ans: Gabtan-AT Tablet is a combination of two medicines: Gabapentin and Amitriptyline. This medicine is useful in the treatment of nerve pain (neuropathic pain). This medicine calms the damaged or overactive nerves by acting on the brain, thereby decreasing the pain sensation.
• Q. Q. Can I stop taking Gabtan-AT Tablet when my pain is relieved??
  Ans: No, you should not stop taking Gabtan-AT Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you stop taking Gabtan-AT Tablet suddenly, you may experience withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain and sweating. You may need to gradually taper the dose before you stop the medication completely.
• Q. Q. How to manage weight gain associated with the use of Gabtan-AT Tablet??
  Ans: The use of Gabtan-AT Tablet can make you feel hungry which might make you eat more, thereby increasing your chances of putting on weight. However, preventing weight gain is easier than losing increased weight. Try to eat a healthy balanced diet without increasing your portion sizes (per-meal intake). Do not eat foods that contain a lot of calories, such as soft drinks, oily food, chips, cakes, biscuits and sweets. If you feel hungry between meals, avoid eating junk food and eat fruits, vegetables and low-calorie foods. Regular exercise will also help prevent weight gain. If you keep good eating habits and exercise regularly, you might not gain any weight.
• Q. Q. Can the use of Gabtan-AT Tablet cause sleepiness or drowsiness??
  Ans: Yes, Gabtan-AT Tablet may make you feel drowsy or you may suddenly fall asleep during your daily activities. Sometimes, you might not even feel drowsy or have any other warning signs before you suddenly fall asleep. Avoid driving a car, operating machinery, working at heights or participating in potentially dangerous activities until you know how the medicine affects you. Inform your doctor if you experience such episodes while taking this medicine.
• Q. Q. Can the use of Gabtan-AT Tablet affect my sex life??
  Ans: The use of Gabtan-AT Tablet can affect the sexual life of both men and women. Different sexual problems can occur due to Gabtan-AT Tablet like decreased sexual desire, erectile dysfunction (inability to develop or maintain an erection during the sexual activity) and inability to reach orgasm. It can also cause a decrease in satisfaction and cause discomfort during intercourse. If you experience these problems, discuss with your doctor. Do not stop taking Gabtan-AT Tablet.
• Q. Q. Can the use of Gabtan-AT Tablet change the color of urine??
  Ans: Yes, Gabtan-AT Tablet can the change the color of the urine to blue or green color. This change in color is expected while using Gabtan-AT Tablet, and it is not harmful. Your urine color becomes normal once you stop taking Gabtan-AT Tablet.
• Q. Q. Are there any serious side effects associated with the use of Gabtan-AT Tablet??
  Ans: Serious side effects with Gabtan-AT Tablet are uncommon and rare. Tell your doctor as soon as possible if you notice changes in body temperature, difficulty in breathing, increased heartbeat (palpitations), weakness, unsteadiness when walking, reduced coordination or slowed reactions, unusual changes in mood or behavior such as restlessness, nervousness or excitement, signs of depression, seeing or hearing things that are not there, irrational thinking, blurred or double vision, uncontrollable jerky eye movements, difficulty seeing, signs of frequent infections such as fever, severe chills, sore throat or mouth ulcers. These side effects are uncommon but may be serious and may need urgent medical attention.
• Q. Q. How long will Gabtan-AT Tablet take to act??
  Ans: An initial benefit of Gabtan-AT Tablet may be seen after 2 weeks of treatment. However, it may take around 2-3 months to see the full benefit. It may even take longer in some patients.
• Q. Q. What if I forget to take Gabtan-AT Tablet??
  Ans: If you forget to take the scheduled dose of Gabtan-AT Tablet and it is almost time for your next dose, skip the dose you missed and take your next dose at the scheduled time. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose you missed because this may increase the risk of unwanted side effect. If you are not sure what to do, ask your doctor about taking Gabtan-AT Tablet.
• Q. Q. What if I take too much of Gabtan-AT Tablet by mistake??
  Ans: In a situation like this, contact your doctor immediately or seek emergency help at the nearest hospital. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. Symptoms of an overdose may include drowsiness, weakness, unsteady when walking, having double visions, slurred speech or diarrhea, confusion, blurred vision, dizziness, body temperature changes (low and high), difficulty in breathing and increased heart beat.
• Q. Q. Will a higher than the recommended dose of Gabtan-AT Tablet be more effective??
  Ans: No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms, that are not relieved by the recommended doses, please consult your doctor for re-evaluation.
• Q. Q. Is there anything I need to avoid while taking Gabtan-AT Tablet??
  Ans: Gabtan-AT Tablet may impair your thinking or reactions. Be careful while driving or doing an activity that requires you to be alert. Do not drink alcohol while taking Gabtan-AT Tablet. It can increase the effects of alcohol, which could be dangerous. Grapefruit and grapefruit juice may also interact with this medicine and cause unwanted side effects. Avoid exposure to sunlight or tanning beds. Use of Gabtan-AT Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.
• Q. Q. How often should I see the doctor??
  Ans: You may need to see your doctor regularly if you have started to take Gabtan-AT Tablet. However, if the recommended dosage does not improve your symptoms or you experience some unwanted side effect that affects your routine activities, consult your doctor.
• Q. Q. What are the instructions for the storage and disposal of Gabtan-AT Tablet??
  Ans: Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

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