Treatment of Neuropathic pain

In Treatment of Neuropathic pain Dibicar-NT Tablet is a combination of medicines used to treat long-lasting (chronic) pain caused by nerve damage due to diabetes shingles or spinal cord injury. It reduces pain and its associated symptoms such as mood changes sleep problems and tiredness. It is thought to work by interfering with pain signals that travel through the damaged nerves and the brain. \u003cbr>Taking Dibicar-NT Tablet regularly will improve your physical and social functioning and overall quality of life. It takes a few weeks to work so you need to take it regularly even if you feel it is not doing any good. Once your symptoms have gone you should still keep taking the medicine until your doctor advises you to stop.

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. Dibicar-NT Tablet may be taken with or without food but it is better to take it at a fixed time.

Dibicar-NT Tablet is a combination medicine used for the treatment of neuropathic pain. This medicine decreases the pain by stopping the movement of pain signals to the brain.Dibicar-NT Tablet is taken by mouth with or without food and 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 blood. Take this medicine in the dose and duration advised by your doctor as this is a habit-forming medicine. If you miss a dose of this medicine take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important not to stop this medication suddenly without talking to the doctor.Some common side effects of this medicine include constipation difficulty in urination weight gain tiredness 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. It is important to 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.

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. Dibicar-NT Tablet may be taken with or without food but it is better to take it at a fixed time.

- Alcohol : UNSAFE <p> Dibicar-NT Tablet may cause excessive drowsiness with alcohol. | - Pregnancy : CONSULT YOUR DOCTOR <p> Dibicar-NT Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor. | - Breast feeding : CONSULT YOUR DOCTOR <p> Dibicar-NT Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. | - Driving : UNSAFE <p> Dibicar-NT Tablet may cause side effects which could affect your ability to drive.As Dibicar-NT Tablet may affect your alertness which may affect your ability to drive. | - Kidney : CAUTION <p> Dibicar-NT Tablet should be used with caution in patients with kidney disease. Dose adjustment of Dibicar-NT Tablet may be needed. Please consult your doctor. | - Liver : SAFE IF PRESCRIBED <p> Dibicar-NT Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Dibicar-NT Tablet may not be needed in these patients. Please consult your doctor.

If you miss a dose of Dibicar-NT 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.

Habit Forming :: No|Therapeutic Class :: NEURO CNS

Treatment of Neuropathic pain

Dryness in mouth | Increased heart rate | Sleepiness | Dizziness | Tiredness | Weight gain | Blurred vision | Orthostatic hypotension (sudden lowering of blood pressure on standing) | Uncoordinated body movements | Increased appetite | Increased libido | Paresthesia (tingling or pricking sensation) | Vertigo | Vomiting | Nausea | Erectile dysfunction | Joint pain | Constipation | Difficulty in urination

UNSAFE

CONSULT YOUR DOCTOR

CONSULT YOUR DOCTOR

UNSAFE

CAUTION

SAFE IF PRESCRIBED

Q. What is Dibicar-NT Tablet?::: Dibicar-NT Tablet is a combination of two medicines: Pregabalin and Nortriptyline. This medicine is useful in the treatment of nerve pain (neuropathic pain). It calms the damaged or overactive nerves by acting on the brain. Thereby decreasing the pain sensation.| Q. Can I stop taking Dibicar-NT Tablet when my pain is relieved?::: No you should not stop taking Dibicar-NT Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Dibicar-NT 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. How to manage weight gain associated with the use of Dibicar-NT Tablet?::: Dibicar-NT 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 prevent weight gain. If you maintain good eating habits and exercise regularly you might not gain any weight.| Q. Can the use of Dibicar-NT Tablet cause sleepiness or drowsiness?::: Yes Dibicar-NT 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 taking this medicine.| Q. Can the use of Dibicar-NT Tablet affect my sexual life?::: The use of Dibicar-NT Tablet can affect the sexual life of both men and women. Most commonly caused 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 Dibicar-NT Tablet.| Q. Are there any serious side effects associated with the use of Dibicar-NT Tablet?::: Serious side effects because of Dibicar-NT 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. How long will the Dibicar-NT Tablet take to act?::: An initial benefit with Dibicar-NT Tablet may be seen after 2 weeks of treatment. However it may take around 2-3 months to see full benefit. It may even take longer in some patients.| Q. What if I forget to take Dibicar-NT Tablet?::: If you forget to take the scheduled dose of Dibicar-NT 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 effects due to overdosage. If you are not sure what to do consult your doctor about how to manage a situation like this.| Q. What if I take too much of this drug by mistake?::: 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. Will Dibicar-NT Tablet be more effective if a higher than the recommended dosage is taken?::: 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. Is there anything I need to avoid while taking Dibicar-NT Tablet?::: Dibicar-NT 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 Dibicar-NT 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 Dibicar-NT Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.| Q. How often should I see the doctor ?::: You may need to see your doctor regularly if you have started to take Dibicar-NT Tablet. However you must consult your doctor if the advised dosage of Dibicar-NT Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.| Q. Are there any special instructions regarding the storage and disposal of this medicine?::: Keep your tablets in the pack until it is time to take them. Store them in a cool and dry place. Store them out of sight and reach of the children. Unused medications should be disposed of in special ways to ensure that pets children and other people cannot consume them.| Q. What is Dibicar-NT Tablet?::: Dibicar-NT Tablet is a combination of two medicines: Pregabalin and Nortriptyline. This medicine is useful in the treatment of nerve pain (neuropathic pain). It calms the damaged or overactive nerves by acting on the brain. Thereby decreasing the pain sensation.| Q. Can I stop taking Dibicar-NT Tablet when my pain is relieved?::: No you should not stop taking Dibicar-NT Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Dibicar-NT 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. How to manage weight gain associated with the use of Dibicar-NT Tablet?::: Dibicar-NT 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 prevent weight gain. If you maintain good eating habits and exercise regularly you might not gain any weight.| Q. Can the use of Dibicar-NT Tablet cause sleepiness or drowsiness?::: Yes Dibicar-NT 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 taking this medicine.| Q. Can the use of Dibicar-NT Tablet affect my sexual life?::: The use of Dibicar-NT Tablet can affect the sexual life of both men and women. Most commonly caused 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 Dibicar-NT Tablet.| Q. Are there any serious side effects associated with the use of Dibicar-NT Tablet?::: Serious side effects because of Dibicar-NT 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. How long will the Dibicar-NT Tablet take to act?::: An initial benefit with Dibicar-NT Tablet may be seen after 2 weeks of treatment. However it may take around 2-3 months to see full benefit. It may even take longer in some patients.| Q. What if I forget to take Dibicar-NT Tablet?::: If you forget to take the scheduled dose of Dibicar-NT 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 effects due to overdosage. If you are not sure what to do consult your doctor about how to manage a situation like this.| Q. What if I take too much of this drug by mistake?::: 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. Will Dibicar-NT Tablet be more effective if a higher than the recommended dosage is taken?::: 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. Is there anything I need to avoid while taking Dibicar-NT Tablet?::: Dibicar-NT 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 Dibicar-NT 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 Dibicar-NT Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.| Q. How often should I see the doctor ?::: You may need to see your doctor regularly if you have started to take Dibicar-NT Tablet. However you must consult your doctor if the advised dosage of Dibicar-NT Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.| Q. Are there any special instructions regarding the storage and disposal of this medicine?::: Keep your tablets in the pack until it is time to take them. Store them in a cool and dry place. Store them out of sight and reach of the children. Unused medications should be disposed of in special ways to ensure that pets children and other people cannot consume them.| Q. What is Dibicar-NT Tablet?::: Dibicar-NT Tablet is a combination of two medicines: Pregabalin and Nortriptyline. This medicine is useful in the treatment of nerve pain (neuropathic pain). It calms the damaged or overactive nerves by acting on the brain. Thereby decreasing the pain sensation.| Q. Can I stop taking Dibicar-NT Tablet when my pain is relieved?::: No you should not stop taking Dibicar-NT Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Dibicar-NT 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. How to manage weight gain associated with the use of Dibicar-NT Tablet?::: Dibicar-NT 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 prevent weight gain. If you maintain good eating habits and exercise regularly you might not gain any weight.| Q. Can the use of Dibicar-NT Tablet cause sleepiness or drowsiness?::: Yes Dibicar-NT 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 taking this medicine.| Q. Can the use of Dibicar-NT Tablet affect my sexual life?::: The use of Dibicar-NT Tablet can affect the sexual life of both men and women. Most commonly caused 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 Dibicar-NT Tablet.| Q. Are there any serious side effects associated with the use of Dibicar-NT Tablet?::: Serious side effects because of Dibicar-NT 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. How long will the Dibicar-NT Tablet take to act?::: An initial benefit with Dibicar-NT Tablet may be seen after 2 weeks of treatment. However it may take around 2-3 months to see full benefit. It may even take longer in some patients.| Q. What if I forget to take Dibicar-NT Tablet?::: If you forget to take the scheduled dose of Dibicar-NT 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 effects due to overdosage. If you are not sure what to do consult your doctor about how to manage a situation like this.| Q. What if I take too much of this drug by mistake?::: 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. Will Dibicar-NT Tablet be more effective if a higher than the recommended dosage is taken?::: 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. Is there anything I need to avoid while taking Dibicar-NT Tablet?::: Dibicar-NT 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 Dibicar-NT 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 Dibicar-NT Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.| Q. How often should I see the doctor ?::: You may need to see your doctor regularly if you have started to take Dibicar-NT Tablet. However you must consult your doctor if the advised dosage of Dibicar-NT Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.| Q. Are there any special instructions regarding the storage and disposal of this medicine?::: Keep your tablets in the pack until it is time to take them. Store them in a cool and dry place. Store them out of sight and reach of the children. Unused medications should be disposed of in special ways to ensure that pets children and other people cannot consume them.