Metgab-N Tablet is a combination medicine used to treat neuropathic pain. It works by decreasing pain by controlling calcium channel activity of the nerve cells. It also increases the level of chemical messengers in the brain that help in regulating the mood and protect nerve fibers. Metgab-N Tablet can be taken with or without food. However, 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 the 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 not to stop taking this medicine suddenly as it may worsen your symptoms. Some common side effects of this medicine include constipation, weight gain, increased heart rate, and dryness in mouth. It may 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 have a balanced diet and exercise regularly. You must inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts. 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.

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

If you miss a dose of Metgab-N 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 Metgab-N Tablet??
  Ans: Metgab-N Tablet is a combination of three medicines: Gabapentin, Nortriptyline and Methylcobalamin. This medicine is useful in the treatment of nerve pain (neuropathic pain). This medicine calms the damaged or overactive nerves by acting on brain, thereby decreasing the pain sensation. It also helps in the regeneration of damaged nerves in the body.
• Q. Q. Can I stop taking Metgab-N Tablet when my pain is relieved??
  Ans: No, you should not stop taking Metgab-N Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Metgab-N Tablet, 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 Metgab-N Tablet??
  Ans: Metgab-N 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 the increased weight. Try to eat a healthy balanced diet without increasing your portion sizes (per-meal intake). Do not eat food items 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 help prevent weight gain. If you maintain good eating habits and exercise regularly, you might not gain any weight.
• Q. Q. Can the use of Metgab-N Tablet cause sleepiness or drowsiness??
  Ans: Yes, Metgab-N 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 at the beginning of your treatment until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.
• Q. Q. Can the use of Metgab-N Tablet affect my sexual life??
  Ans: The use of Metgab-N Tablet can affect the sexual life of both men and women. Most commonly observed problems are decreased sexual desire, erectile dysfunction (inability to develop or maintain erection during the sexual activity) and inability to reach orgasm. It can also cause a decrease in satisfaction and cause discomfort while intercourse. If you experience these problems, discuss them with your doctor but do not stop taking Metgab-N Tablet.
• Q. Q. Are there any serious side effects associated with the use of Metgab-N Tablet??
  Ans: Serious side effects because of Metgab-N Tablet are uncommon and rare. Consult your doctor if you notice any of the following: 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 need urgent medical attention.
• Q. Q. How long will Metgab-N Tablet take to act??
  Ans: An initial benefit with Metgab-N Tablet may be seen after 2 weeks of the treatment. However, it may take around 2-3 months or more to see full benefits and even.
• Q. Q. What if I forget to take Metgab-N Tablet??
  Ans: If you forget to take the scheduled dose of Metgab-N 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, consult your about how to manage a situation like this.
• Q. Q. What if I take too much of this drug 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, unsteadiness while walking, having double visions, slurred speech or diarrhea, confusion, blurred vision, dizziness, body temperature changes (low and high), difficulty in breathing and increased heartbeat.
• Q. Q. Will a higher than the recommended dose of Metgab-N 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 Metgab-N Tablet??
  Ans: Metgab-N 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 you are taking Metgab-N 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 Metgab-N 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 Metgab-N Tablet. However, you must consult your doctor if the advised dosage of Metgab-N Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.
• Q. Q. Are there any special instructions regarding storage and disposal of this medicine??
  Ans: Keep your tablets in the pack until it is time to take them. Store them in a cool dry place. Store them out of sight and reach of children. Unused medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them.
• Q. Q. Does Metgab-N Tablet expire??
  Ans: Yes, Metgab-N Tablet does expire. Please check the expiry date written on the pack of this medicine. Do not use Metgab-N Tablet after the expiry date.

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