Shinogab NT 400mg/10mg Tablet
Manufacturer
Shine Pharmaceuticals Ltd
Salt Composition
Gabapentin (400mg) + Nortriptyline (10mg)
Key Information
Short Description
Shinogab NT 400mg/10mg Tablet is a combination medicine used for the treatment of neuropathic pain by stopping the movement of pain signals to the brain.
Dosage Form
Tablet
Introduction
Shinogab NT 400mg/10mg Tablet is a combination medicine used for the treatment of neuropathic pain. It works by stopping the movement of pain signals to the brain. The medicine combines Gabapentin, an alpha 2 delta ligand, and Nortriptyline, a tricyclic antidepressant. Gabapentin decreases pain by modulating calcium channel activity of the nerve cells, while Nortriptyline increases the levels of chemical messengers (serotonin and noradrenaline) that stop the movement of pain signals in the brain. Together, they relieve neuropathic pain. Side effects are not commonly listed, but it is important to consult a doctor for personalized advice. Pregnant and breastfeeding women should use this medicine with caution and under medical supervision.
Directions for Use
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush, or break it. Shinogab NT 400mg/10mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How it works
Shinogab NT 400mg/10mg Tablet is a combination of two medicines: Gabapentin and Nortriptyline. Gabapentin is an alpha 2 delta ligand which decreases the pain by modulating calcium channel activity of the nerve cells. Nortriptyline is a tricyclic antidepressant which increases the levels of chemical messengers (serotonin and noradrenaline) that stop the movement of pain signals in the brain. Together, they relieve neuropathic pain (pain from damaged nerves).
Quick Tips
Shinogab NT 400mg/10mg Tablet is used to treat certain types of long-lasting pain caused by damage to nerves. Inform your doctor if you are taking any other pain-relieving medicines. Along with taking this medicine, your doctor might advise you to undergo physiotherapy to get relief from pain. Avoid taking antacids 2 hours before or after taking Shinogab NT 400mg/10mg Tablet as they make it harder for your body to absorb the medicine.
Related Medicines
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Gabaneuron NT 400 Tablet
Gabapin NT Tablet
Gabastar NT 400mg/10mg Tablet
Pentanerv-NT 400/10 Tablet
Gabator NT 400mg/10mg Tablet
Gabamin Nor 400mg/10mg Tablet
Gabadevak NT 400mg/10mg Tablet
Reganor-NT Tablet
Frequently asked questions
What is Shinogab NT 400mg/10mg Tablet?
Shinogab NT 400mg/10mg Tablet is a combination of two medicines: Gabapentin and Nortriptyline. This medication is used to treat nerve pain (Neuropathic pain) by calming damaged or overactive nerves and decreasing the pain sensation.
Can I stop taking Shinogab NT 400mg/10mg Tablet when my pain is relieved?
No, you should not stop taking Shinogab NT 400mg/10mg Tablet even if your pain is relieved. Continue to take it as advised by your doctor. Stopping the medication suddenly may lead to withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain, and sweating. You may need to gradually taper the dose before stopping the medication completely.
How to manage weight gain associated with the use of Shinogab NT 400mg/10mg Tablet?
Shinogab NT 400mg/10mg Tablet can cause weight gain due to increased appetite. To manage this, eat a healthy balanced diet without increasing portion sizes. Avoid consuming high-calorie foods like soft drinks, oily food, chips, cakes, biscuits, and sweets. Regular exercise can also help prevent weight gain. Maintaining good eating habits and regular exercise may help you avoid weight gain.
Can the use of Shinogab NT 400mg/10mg Tablet affect my sexual life?
Yes, Shinogab NT 400mg/10mg Tablet can affect sexual life in both men and women. Commonly reported problems include decreased sexual desire, erectile dysfunction, and difficulty reaching orgasm. It may also cause decreased satisfaction and discomfort during sexual intercourse. If you experience these issues, discuss them with your doctor, but do not stop taking the medication.
Are there any serious side effects associated with the use of Shinogab NT 400mg/10mg Tablet?
Serious side effects due to Shinogab NT 400mg/10mg Tablet are rare. However, if you notice any of the following symptoms, consult your doctor immediately: changes in body temperature, difficulty breathing, increased heartbeat, weakness, unsteadiness when walking, reduced coordination, unusual changes in mood or behavior, signs of depression, seeing or hearing things that are not there, irrational thinking, blurred or double vision, uncontrollable jerky eye movements, difficulty seeing, or signs of frequent infections.
How long will the Shinogab NT 400mg/10mg Tablet take to act?
An initial benefit with Shinogab NT 400mg/10mg Tablet may be seen after 2 weeks of treatment. However, it may take around 2-3 months to see the full benefit. In some cases, it may take even longer.
What if I forget to take Shinogab NT 400mg/10mg Tablet?
If you forget to take the scheduled dose of Shinogab NT 400mg/10mg Tablet and it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. If you remember later, take it as soon as you remember and then go back to taking your medicine as usual. Do not take a double dose to make up for the missed dose, as this may increase the risk of unwanted side effects.
What if I take too much of this drug by mistake?
In case of an overdose, contact your doctor immediately or seek emergency help at the nearest hospital. Even if there are no signs of discomfort or poisoning, seek medical attention. Overdose of this medication may cause drowsiness, weakness, unsteadiness when walking, double vision, slurred speech, diarrhea, confusion, blurred vision, dizziness, body temperature changes, difficulty breathing, and increased heartbeat.
Is there anything I need to avoid while taking Shinogab NT 400mg/10mg Tablet?
Shinogab NT 400mg/10mg Tablet may impair your thinking or reactions. Be cautious while driving or performing any activity that requires alertness. Avoid drinking alcohol while taking this medication, as it can increase the effects of alcohol, which may be dangerous. Grapefruit and grapefruit juice may also interact with this medication and cause unwanted side effects. Avoid exposure to sunlight or tanning beds, as the medication can make you more prone to sunburns. Wear protective clothing and use sunscreen when outdoors during the day.
How often should I see the doctor?
You may need to see your doctor regularly if you have started taking Shinogab NT 400mg/10mg Tablet. However, you must consult your doctor if the recommended dosage does not improve your symptoms or you continue experiencing unwanted side effects that affect your daily routine.
Can the use of Shinogab NT 400mg/10mg Tablet cause sleepiness or drowsiness?
Yes, Shinogab NT 400mg/10mg Tablet may cause drowsiness or sudden sleepiness during daily activities. You may not feel drowsy or have any warning signs before falling asleep. Avoid driving, operating machinery, working at heights, or participating in potentially dangerous activities at the beginning of your treatment until you know how the medication affects you. Inform your doctor if you experience such episodes while taking this medication.
Will Shinogab NT 400mg/10mg Tablet be more effective if taken more than recommended dose?
No, taking a higher dose than recommended may not be more effective, but it may increase the risk of serious side effects and toxicity. If you experience increased severity of symptoms that are not relieved by the recommended doses, consult your doctor for re-evaluation.
What are the storage conditions for Shinogab NT 400mg/10mg Tablet?
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 out of reach of children. Dispose of unused medications in a special way to ensure that pets, children, and other people cannot consume them.
