Cobalmax-NT Plus 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.

Cobalmax-NT Plus Tablet is a combination of three medicines: Cobalmax-NT Plus Tablet1, Cobalmax-NT Plus Tablet2, and Cobalmax-NT Plus Tablet3.

Uses of Cobalmax-NT Plus Tablet

Treatment of Neuropathic pain

Benefits of Cobalmax-NT Plus Tablet

In Treatment of Neuropathic pain

Cobalmax-NT Plus 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. It also contains nutritional supplements that are essential for improving nerve conduction.
Taking Cobalmax-NT Plus 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.

Side effects of Cobalmax-NT Plus Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Cobalmax-NT Plus

Constipation
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

How to use Cobalmax-NT Plus Tablet

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

Safety advice

Alcohol

UNSAFE

Cobalmax-NT Plus Tablet may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Cobalmax-NT Plus 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

Cobalmax-NT Plus 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

Cobalmax-NT Plus Tablet may cause side effects which could affect your ability to drive.
As Cobalmax-NT Plus Tablet may affect your alertness which may affect your ability to drive.

Kidney

CAUTION

Cobalmax-NT Plus Tablet should be used with caution in patients with kidney disease. Dose adjustment of Cobalmax-NT Plus Tablet may be needed. Please consult your doctor.

Liver

SAFE IF PRESCRIBED

Cobalmax-NT Plus Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Cobalmax-NT Plus Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Cobalmax-NT Plus Tablet?

If you miss a dose of Cobalmax-NT Plus 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.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Cobalmax-NT Plus Tablet

₹23.0/Tablet

Dubinor Tablet

Integrace Pvt Ltd

₹22.6/tablet

2% cheaper

Nervijen-NP Tablet

Jenburkt Pharmaceuticals Ltd

₹17.65/tablet

23% cheaper

GB 29 Total Tablet

Corona Remedies Pvt Ltd

₹23.6/tablet

3% costlier

Nervite Plus Tablet

Macleods Pharmaceuticals Pvt Ltd

₹25.5/tablet

11% costlier

Adnurve SR Tablet

Adonis Laboratories Pvt Ltd

₹22/tablet

4% cheaper

View all substitutes

Quick tips

Cobalmax-NT Plus Tablet

Cobalmax-NT Plus 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.
Inform your doctor if you have a history of seizures.
Immediately seek medical help if you experience hallucinations, fever, sweating, shivering, fast heart rate, muscle twitching, or loss of coordination.
Along with taking Cobalmax-NT Plus Tablet, your doctor might advise you to undergo physiotherapy to get relief rom pain.

Fact Box

Habit Forming

Therapeutic Class

NEURO CNS

Patient concerns

I had a pain in my left thigh and was said to have meralgia parasthetica". What drug could releive this?"

Dr. Vikas Sharma

Neurology

gabapin - NT one at nite

Suggest me some ain killers for sciatic nerve pain.

Dr. Vikas Sharma

Neurology

Tab Gabapin NT 400 one at nite

I have radiating pain on the top right area of my head. I have been having this pain since the last 4 days.i am unable to touch that area of my head due to the pain. The pain is only on the area where I have hair growth. I also have the radiating pain on the back of my neck -right part. I have been diagnosed with cervical spondylosis previously. Last 2 weeks back I recovered from dengue fever.

Dr. Vikas Sharma

Neurology

MRI brain needed; tab pentanerv NT one at nite'

FAQs

Cobalmax-NT Plus Tablet

What is Cobalmax-NT Plus Tablet?

Cobalmax-NT Plus 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.

Can I stop taking Cobalmax-NT Plus Tablet when my pain is relieved?

No, you should not stop taking Cobalmax-NT Plus Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Cobalmax-NT Plus 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.

How to manage weight gain associated with the use of Cobalmax-NT Plus Tablet?

Cobalmax-NT Plus 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.

Can the use of Cobalmax-NT Plus Tablet cause sleepiness or drowsiness?

Yes, Cobalmax-NT Plus 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.

Can the use of Cobalmax-NT Plus Tablet affect my sexual life?

The use of Cobalmax-NT Plus 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 Cobalmax-NT Plus Tablet.

Are there any serious side effects associated with the use of Cobalmax-NT Plus Tablet?

Serious side effects because of Cobalmax-NT Plus 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.

How long will Cobalmax-NT Plus Tablet take to act?

An initial benefit with Cobalmax-NT Plus 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.

What if I forget to take Cobalmax-NT Plus Tablet?

If you forget to take the scheduled dose of Cobalmax-NT Plus 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.

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.

Will a higher than the recommended dose of Cobalmax-NT Plus Tablet be more effective?

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.

Is there anything I need to avoid while taking Cobalmax-NT Plus Tablet?

Cobalmax-NT Plus 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 Cobalmax-NT Plus 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 Cobalmax-NT Plus Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.

How often should I see the doctor?

You may need to see your doctor regularly if you have started to take Cobalmax-NT Plus Tablet. However, you must consult your doctor if the advised dosage of Cobalmax-NT Plus Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.

Are there any special instructions regarding storage and disposal of this medicine?

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.

Does Cobalmax-NT Plus Tablet expire?

Yes, Cobalmax-NT Plus Tablet does expire. Please check the expiry date written on the pack of this medicine. Do not use Cobalmax-NT Plus Tablet after the expiry date.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Pregabalin. Sandwich, Kent: Pfizer Limited; 2009 [revised July 2018]. [Accessed 24 Apr. 2019] (online) Available from:
Drugs.com. Nortriptyline Pregnancy and Breastfeeding Warnings. [Accessed 24 Apr. 2019] (online) Available from:
Drugs.com. Cyanocobalamin Pregnancy and Breastfeeding Warnings. [Accessed 24 Apr. 2019] (online) Available from:

Marketer details

Name: Daxin Pharmaceutical Pvt Ltd

Address: T-1,T-2,3rd floor,Plot, No.7,Manish Plaza 1, Sector-10,Dwarka,New Delhi-110075

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.