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. Alnacob Forte Tablet is to be taken on an empty stomach.

- Alcohol : UNSAFE

Do not drink alcohol while you are taking this medicine. Alnacob Forte Tablet may cause excessive drowsiness when taken with alcohol. | - Pregnancy : CONSULT YOUR DOCTOR

The safety of Alnacob Forte Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing. | - Breast feeding : CONSULT YOUR DOCTOR

Alnacob Forte Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. | - Driving : UNSAFE

Alnacob Forte Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur. | - Kidney : CAUTION

Alnacob Forte Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed. | - Liver : CAUTION

Alnacob Forte Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

If you miss a dose of Alnacob Forte 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.

What is Alnacob Forte Tablet?::: Alnacob Forte Tablet is a combination of five medicines: Pregabalin, Methylcobalamin, Folic acid, Alpha lipoic acid, and Vitamin B6. This medicine is useful in the treatment of nerve pain (neuropathic pain). This medicine calms the damaged or overactive nerves by acting on the brain, thereby decreasing the pain sensation. It also helps in the regeneration of damaged nerves in the body.| Can I stop taking Alnacob Forte Tablet when my pain is relieved?::: No, you should not stop taking Alnacob Forte Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Alnacob Forte Tablet, you may experience withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain and sweating. You may need to gradually taper the use of Alnacob Forte Tablet before you stop the medication completely.| How to manage weight gain associated with the use of Alnacob Forte Tablet?::: Alnacob Forte 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 Alnacob Forte Tablet cause sleepiness or drowsiness?::: Yes, Alnacob Forte 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 until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.| Are there any serious side effects associated with the use of Alnacob Forte Tablet?::: Serious side effects because of Alnacob Forte Tablet are uncommon and rare. However, it may cause serious side effects like an allergic reaction, suicidal thoughts or swelling of limbs (hands, legs or feet). Stop taking Alnacob Forte Tablet and contact your health care provider if you have any signs of these serious side effects. Signs of allergic reaction include swelling of your face, mouth, lips, gums, tongue and neck, trouble in breathing, skin rash, hives (raised bumps) or blisters. Pay attention to sudden changes in mood, behaviors, thoughts, or feelings as these may be a symptom of suicidal thoughts.| How long will Alnacob Forte Tablet take to act?::: An initial benefit with Alnacob Forte Tablet may be seen after 2 weeks of treatment. However, it may take around 2-3 months to see the full benefit. It may take longer in some patients.| What if I forget to take Alnacob Forte Tablet?::: If you forget to take the scheduled dose of Alnacob Forte 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. If you are not sure what to do, consult your doctor 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 Alnacob Forte 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.| Can I drink alcohol while taking Alnacob Forte Tablet?::: No, do not drink alcohol while you are taking Alnacob Forte Tablet. Drinking alcohol can increase the severity of drowsiness or sleepiness caused by Alnacob Forte Tablet.| How often should I see the doctor?::: You may need to see your doctor regularly if you have started to take Alnacob Forte Tablet. However, consult your doctor if the recommended dosage does not improve your symptoms or you continue experiencing some unwanted side effect that affect your routine activities.| What are the instructions for the storage and disposal of Alnacob Forte Tablet?::: Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Alnacob Forte Tablet is a combination of five medicines: Alpha Lipoic Acid, Folic Acid, Methylcobalamin, Pregabalin and Vitamin B6 (Pyridoxine). Alpha Lipoic Acid is a naturally occurring fatty acid which has a protective effect on the brain and nerve tissues. Folic Acid provides essential nutrients to the nerves. Methylcobalamin and Vitamin B6 (Pyridoxine) are forms of vitamin B which help in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Pregabalin is an alpha 2 delta ligand which decreases pain by modulating calcium channel activity of the nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).

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