Neurokem Plus Capsule 10'S
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Introduction About NEUROKEM PLUS CAPSULE
NEUROKEM PLUS CAPSULE is a combination of Alpha lipoic acid, Methylcobalamin, Folic acid, Pregabalin, and Pyridoxine, which belong to the group of medicines called Antioxidants, Cyclic GABA analogues, and Vitamin B complexes, respectively. It is used in adults to manage painful diabetic neuropathy (nerve damage occurring over time because of high sugar and fat levels in the blood due to diabetes).
The symptoms depend on the type of neuropathy, such as pain and numbness in your feet or problems with organ functions like those of your heart and bladder. Avoid consuming alcohol during management with GBNKEYWORD.
NEUROKEM PLUS CAPSULE is not recommended for use in children and adolescents (younger than 18 years), so consult your doctor before taking it. Before taking NEUROKEM PLUS CAPSULE, inform your doctor if you have any kidney, liver, heart, respiratory, or nervous system problems; diabetes; or a history of alcoholism or any drug abuse or dependence.
NEUROKEM PLUS CAPSULE should not be used in pregnant or breastfeeding women unless necessary. The most common side effects of taking NEUROKEM PLUS CAPSULE are dizziness, drowsiness, headache, increased appetite, blurred vision, weight gain, etc. Contact your doctor if any of the symptoms get worse.
Uses Of NEUROKEM PLUS CAPSULE
- Manage painful diabetic neuropathy in adults.
How NEUROKEM PLUS CAPSULE Works
NEUROKEM PLUS CAPSULE relieves nerve pain where alpha-lipoic acid reduces oxidative stress, which is considered a main pathophysiology of diabetic neuropathy development; folic acid (Vitamin B9) is found to improve the functional recovery of nerves, speed of nerve conduction, and cell multiplication; and methylcobalamin takes part in the production of myelin (a compound that covers and protects nerve fibers), thus restoring the damaged nerve cell. Pregabalin binds with high affinity to certain sites in the tissues of the central nervous system and acts as a growth factor for nerve cells, helping to regenerate the damaged nerve tissue, and pyridoxine acts as a coenzyme in a wide range of metabolic functions affecting protein, carbohydrate, and lipid utilization, like the breakdown of glycogen to glucose-1-phosphate and the synthesis of gamma-aminobutyric acid (GABA).
How to use NEUROKEM PLUS CAPSULE
Take NEUROKEM PLUS CAPSULE as advised by your physician. Swallow it with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of NEUROKEM PLUS CAPSULE for you based on your age, body weight, and disease condition. Do not stop taking NEUROKEM PLUS CAPSULE unless your doctor advises you to stop.
Side Effects Of NEUROKEM PLUS CAPSULE
Common
- Dizziness, drowsiness, headache
- Feeling elated, confused, or disorientated
- Decreased sexual interest, irritability
- Disturbed attention, clumsiness, memory impairment or loss, shaking, trouble speaking, tingling feeling, numbness, sedation, lethargy, lack of sleep, fatigue, feeling weird
- Double vision
- Spinning sensation, problems with balance, fall
- Increased appetite, dry mouth, constipation, vomiting, gas, diarrhea, nausea, and a swollen abdomen
- Difficulties with erections
- Swollen body, including extremities
- Feeling drunk, abnormal walking style
- Weight gain
- Muscle cramp, joint, back, or limb pain
- Sore throat
Uncommon
- Loss of appetite and weight
- Low or high blood sugar
- Change in self-perception, agitation, mood swings, restlessness, depression, difficulty finding words
- Seeing things that are not there, unusual dreams, panic attacks, lack of interest, aggression, and elevated mood
- Mental impairment, trouble thinking, increased sexual interest, sexual problems including the inability to achieve a sexual climax, delayed ejaculation
- Changes in eyesight, unusual eye movement, tunnel vision, flashes of light
- Jerky movements, reduced reflexes, increased activity, dizziness while standing, and skin sensitivity
- Taste loss, burning sensation, shaking on movement, low or loss of consciousness, increased noise sensitivity, feeling unwell
- Eye swelling, pain, weakness, watering, irritation, or dryness
- Heart rhythm changes, increased heart rate, low or high blood pressure, changes in heartbeat, heart failure
- Flushing and hot flushes
- Nasal dryness or congestion
- Increased salivation, heartburn, and numbness around the mouth
- Sweating, rash, chills, and fever
- Muscle twitching, swollen joints, stiff muscles, or neck pain
- Breast pain
- Troubled or painful urination, incontinence
- Weakness, thirst, and chest tightness
- Changes in blood and liver test results (high blood creatinine phosphokinase, alanine aminotransferase, aspartate aminotransferase, blood creatinine, low platelet count, neutrophils, and blood potassium)
- Hypersensitivity, swollen face, itchiness, hives, cough, snoring, runny nose, nosebleed
- Painful menstrual periods
- Cold hands and feet
Rare
- Abnormal sense of smell, swinging vision, changed perception of depth, visual brightness, vision loss
- Dilated pupils, cross eyes
- Cold sweat, throat tightness
- Pancreatic inflammation
- Trouble swallowing
- Slow or decreased body movement
- Trouble writing properly
- Increased abdominal fluid
- Fluid in the lungs
- Muscle damage
- Breast discharge, unusual breast growth, and breast enlargement in men
- Interrupted menstrual periods
- Decreased white blood cell count
- Inappropriate behaviour
- Allergic reactions (trouble breathing, eye inflammation, a serious skin reaction characterized by rash, blisters, peeling skin, and pain)
- Jaundice (yellow skin and eyes)
Stop taking NEUROKEM PLUS CAPSULE and contact your doctor immediately if you experience any of the following side effects:
- Swollen face
- Skin turning red and starting to blister or peel
- Allergic reaction (swelling of the face, lips, tongue, and throat; diffuse skin rash)
- Blurring, loss of eyesight, or other changes in vision
- Kidney failure, reduced urine volume
- Thoughts of harming or killing oneself
- Constipation
- Fits
- Trouble breathing or shallow breaths
How To Manage Side Effects
Bloating
Eat smaller and more frequent meals. Eat and drink slowly, and exercise regularly. If flatulence does not improve, contact your doctor.
Constipation
Eat plenty of fiber-rich foods like fresh fruits, vegetables, and cereals, and drink plenty of water. Exercise more regularly. If you still feel constipated, contact your doctor.
Diarrhea
Drink lots of fluids, like water or fruit juice, to keep yourself hydrated. Ask your doctor before taking any medicine for diarrhea. If diarrhea does not improve, contact your doctor.
Dizziness Or Drowsiness
Lie down until the dizziness is resolved, then get up slowly. Do not hurry, and move slowly and carefully. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol, and drugs. If dizziness does not improve, consult your doctor.
Headache
Drink plenty of water and get adequate rest. Try to be relaxed and stress-free. Check with your doctor before taking any medicine for a headache. If your headache does not improve, consult your doctor.
Nausea And Vomiting
Take NEUROKEM PLUS CAPSULE with or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. If you still feel nauseous, contact your doctor. Get adequate rest. Drink lots of fluids, especially water. Have small sips if you feel sick. Eat when you feel like eating; you don't have to eat or avoid any specific foods. If vomiting does not improve, contact your doctor.
Warning & Precautions
Pregnancy
Monitoring requiredNEUROKEM PLUS CAPSULE is not recommended for use by pregnant women unless considered necessary. Females of childbearing capability must use effective contraception. Consult your doctor before taking it.
Breastfeeding
Monitoring requiredNEUROKEM PLUS CAPSULE is not recommended for use by breastfeeding women unless considered necessary. Consult your doctor before taking it.
Driving and Using Machines
ContraindicatedDo not drive or operate any machines if you experience dizziness, sleepiness, or decreased concentration after taking NEUROKEM PLUS CAPSULE.
Alcohol
ContraindicatedAvoid consumption of alcohol while taking NEUROKEM PLUS CAPSULE. Let your doctor know if you have a history of alcoholism.
Kidney
Use with CautionNEUROKEM PLUS CAPSULE should be taken with caution in patients with kidney disease or impairment. Consult your doctor before taking it.
Liver
Use with CautionNEUROKEM PLUS CAPSULE should be taken with caution in patients with liver disease. Consult your doctor before taking it.
Allergy
ContraindicatedDo not take NEUROKEM PLUS CAPSULE if you are allergic to alpha-lipoic acid, methylcobalamin, folic acid, pregabalin, pyridoxine, or any of the other ingredients of NEUROKEM PLUS CAPSULE.
Lungs
Use with CautionNEUROKEM PLUS CAPSULE should be taken with caution in patients with respiratory disorders. Consult your doctor before taking it.
Heart Disease
Use with CautionNEUROKEM PLUS CAPSULE should be taken with caution in patients with a history of heart disease or who received a coronary stent (a tube inserted in the artery that leads to the heart, to manage blockages). Consult your doctor before taking it.
Use In Pediatrics
ContraindicatedNEUROKEM PLUS CAPSULE is not recommended for use in children and adolescents (under 18 years of age). Consult your doctor before taking it.
Use In Geriatrics
Use with CautionNEUROKEM PLUS CAPSULE should be used with caution in elderly patients (aged above 75 years) with kidney problems and the elderly in general, as it causes dizziness and sleepiness, which could increase the occurrence of accidental injury (fall) in them. Consult your doctor before taking it.
Others
Before taking NEUROKEM PLUS CAPSULE, inform your doctor if you:
- Have diabetes (high blood sugar)
- Are prone to constipation
- Have a history of any drug abuse or dependence
- Have nervous system disorders
- Have a folate-dependent tumour
Interactions
A. Drug-Drug interactions:
Before taking NEUROKEM PLUS CAPSULE, inform your doctor if you are taking any of the following medicines:
- Oxycodone (used to manage severe pain)
- Lorazepam (used to manage anxiety)
- Medicines containing alcohol
Overdosage:
If you or anyone else accidentally took too much of NEUROKEM PLUS CAPSULE, contact your doctor immediately. Symptoms of NEUROKEM PLUS CAPSULE overdose are sleepiness, confusion, agitation, restlessness, or fits.
Synopsis
| Drug | : | Alpha Lipoic Acid, Methylcobalamin, Folic Acid, Pyridoxine, and Pregabalin |
| Pharmacological Category | : | Antioxidants, Vitamins, and Cyclic GABA Analogues |
| Therapeutic Indication | : | Painful diabetic neuropathy |
| Dosage Forms | : | Tablet, Capsule |
More Information
Storage
- Keep NEUROKEM PLUS CAPSULE out of reach of children
- Store NEUROKEM PLUS CAPSULE below 25°C
FAQs About NEUROKEM PLUS CAPSULE
Q: Can I take NEUROKEM PLUS CAPSULE if I have diabetes?
A: Before taking NEUROKEM PLUS CAPSULE, inform your doctor if you have diabetes and about the medicines you are taking for it, as according to current clinical practice, some diabetic patients who gain weight on NEUROKEM PLUS CAPSULE management may need to adjust the doses of their anti-diabetic medicines.
Q: Can NEUROKEM PLUS CAPSULE make me feel suicidal?
A: Thoughts of harming or killing oneself are seen in a small number of patients being managed with NEUROKEM PLUS CAPSULE. If at any time you have such thoughts, immediately contact your doctor or go to the nearest hospital.
Q: Can NEUROKEM PLUS CAPSULE be taken during pregnancy?
A: NEUROKEM PLUS CAPSULE should not be used in pregnant women unless necessary. Females who are of childbearing age must use effective contraception. If you are pregnant, think you may be pregnant, or are planning to get pregnant, consult your doctor before taking NEUROKEM PLUS CAPSULE. Inform your doctor immediately if you become pregnant during management with NEUROKEM PLUS CAPSULE.
Q: Can NEUROKEM PLUS CAPSULE cause constipation?
A: NEUROKEM PLUS CAPSULE may cause constipation and other gastrointestinal problems like blocked or paralyzed intestines when taken with other medicines (like some types of pain medicines). In such cases, eat plenty of fiber-rich foods, such as fresh fruits, vegetables, and cereals, and drink plenty of water. Inform your doctor if you feel constipated, especially if you are prone to this problem.
Q: Can I drink alcohol during management with NEUROKEM PLUS CAPSULE?
A: Avoid drinking alcohol during management with NEUROKEM PLUS CAPSULE and inform your doctor if you have a history of alcoholism.
Q: Can NEUROKEM PLUS CAPSULE be given to children?
A: No. NEUROKEM PLUS CAPSULE is used for adults and not recommended for children and adolescents below 18 years of age, as the safety and efficacy of NEUROKEM PLUS CAPSULE in this age group have not been established. Your doctor will select a suitable alternative management plan for your child.
Q: Can I take NEUROKEM PLUS CAPSULE on an empty stomach?
A: Take NEUROKEM PLUS CAPSULE as advised by your physician. You take it with or without food. However, if you feel nauseous, take NEUROKEM PLUS CAPSULE with meals or just after meals.
Q: What if I forget to take a dose of NEUROKEM PLUS CAPSULE?
A: If you forget to take a dose of NEUROKEM PLUS CAPSULE, take it as soon as you remember. However, omit the missed dose if it is almost time for the next one. Do not take NEUROKEM PLUS CAPSULE twice to make up for the missed dose.
Q: Can I stop taking NEUROKEM PLUS CAPSULE on my own?
A: Continue taking NEUROKEM PLUS CAPSULE until your doctor tells you to stop, unless you experience any unwanted effects, a worsening of your condition, or any new symptoms. In such a case, contact your doctor. Your doctor will advise you to stop taking NEUROKEM PLUS CAPSULE gradually over a period of at least one week.
Q: Can NEUROKEM PLUS CAPSULE discontinuation cause withdrawal symptoms?
A: After stopping NEUROKEM PLUS CAPSULE management, you may experience certain side effects like trouble sleeping, headache, nausea, anxiety, diarrhea, flu-like symptoms, fits, nervousness, depression, pain, sweating, and dizziness. There are more chances of getting these symptoms if you have been taking this medicine for a longer period of time. If you have any further doubts regarding the use of NEUROKEM PLUS CAPSULE, ask your doctor.
Q: How should NEUROKEM PLUS CAPSULE be taken? Can it be crushed?
A: No. Do not break, crush, or chew NEUROKEM PLUS CAPSULE. Take it as advised by your physician. Swallow it with a glass of water. Your doctor will determine the correct dose and duration for you based on your age, body weight, and disease condition.
References
1. KD Tripathi. Antiepileptic Drugs. Drugs Affecting Blood and Blood Formation. Essentials of Medical Pharmacology. Seventh Edition. 2013. Page – 420, 608.
2. Serhiyenko V., Serhiyenko L., Suslik G., et al., Alpha-lipoic acid: mechanisms of action and beneficial effects in the prevention and treatment of diabetic complications. MOJ Public Health. MedCrave. July 2018. [Accessed on 8th July 2024] https://medcraveonline.com/MOJPH/alpha-lipoic-acid-mechanisms-of-action-and-beneficial-effects-in-the-prevention-and-treatment-of-diabetic-complications.html
3. Kang WB, Chen YJ, Lu DY, and Yan JZ. Folic acid contributes to peripheral nerve injury repair by promoting Schwann cell proliferation, migration, and the secretion of nerve growth factor. NIH National Library of Medicine, National Center for Biotechnology Information. PubMed Central. January 2019. [Accessed on 8th July 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263007/
4. Vasudevan D, Naik MM, and Mukaddam QI. Efficacy and safety of methylcobalamin, alpha-lipoic acid, and pregabalin combination versus pregabalin monotherapy in improving pain and nerve conduction velocity in type 2 diabetes-associated impaired peripheral neuropathic condition. [MAINTAIN]: Results of a pilot study. NIH National Library of Medicine, National Center for Biotechnology Information. PubMed Central. January 2014. [Accessed on 8th July 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992764/
5. Innova Captab Ltd. Alpha-lipoic acid, methylcobalamin, folic acid, pregabalin, and pyridoxine. [Revised in May 2021] [Accessed on 8th July 2024] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2732.pdf
6. Micro Labs Ltd. Alpha Lipoic Acid, Methylcobalamin, Folic Acid, Pregabalin, and Pyridoxine. [Accessed on 8th July 2024] https://www.microlabsltd.com/elibrary/node/1891
Useful Diagnostic Tests
- Nerve conduction testing
- Electromyography
- Complete Blood Count (CBC)/ Hemogram
- Advanced Vitamins Profile
- Vitamin Basic Package
- Complete Vitamins Profile
- Healthy Midlife Checkup
- Men Health Checkup - Advanced
- Complete Women Checkup
Author Details
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.
