Grin-O Tablet SR
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Introduction To Grin-O Tablet SR
Grin-O Tablet SR 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.
Grin-O Tablet SR can be taken with or without food. However, it is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by the doctor. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of the treatment even if you feel better. It is important not to stop taking this medicine suddenly as it may worsen your symptoms.
Some common side effects of this medicine include constipation, weight gain, increased heart rate, and dryness in mouth. It may 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 have a balanced diet and exercise regularly. You must 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.
Uses of Grin-O Tablet SR
- Treatment of Neuropathic pain
Benefits of Grin-O Tablet SR
Treatment of Neuropathic pain
Grin-O Tablet SR 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 Grin-O Tablet SR 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 Grin-O Tablet SR
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 Nervpack NT
- 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 Grin-O Tablet SR
Take this medicine in the dose and duration as advised by your doctor. Grin-O Tablet SR may be taken with or without food, but it is better to take it at a fixed time.
How Grin-O Tablet SR works
Grin-O Tablet SR is a combination of three medicines: Pregabalin, Nortriptyline and Methylcobalamin. Pregabalin is an alpha 2 delta ligand which decreases 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. Methylcobalamin is a form of vitamin B which helps in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).
Quick tips
- Grin-O Tablet SR 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 Grin-O Tablet SR, your doctor might advise you to undergo physiotherapy to get relief rom pain.
Safety Advice
PregnancyCONSULT YOUR DOCTOR
Can I take Grin-O Tablet SR if I’m pregnant?
Grin-O Tablet SR 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.
BreastfeedingCONSULT YOUR DOCTOR
Can I take Grin-O Tablet SR if I’m breastfeeding?
Grin-O Tablet SR is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
AlcoholUNSAFE
Is drinking alcohol while taking Grin-O Tablet SR safe?
Grin-O Tablet SR may cause excessive drowsiness with alcohol.
DrivingUNSAFE
Can I drive after taking Grin-O Tablet SR?
Grin-O Tablet SR may cause side effects which could affect your ability to drive. As Grin-O Tablet SR may affect your alertness which may affect your ability to drive.
KidneyCAUTION
Can I take Grin-O Tablet SR if I have/had kidney diseases?
Grin-O Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Grin-O Tablet SR may be needed. Please consult your doctor.
LiverSAFE IF PRESCRIBED
Can I take Grin-O Tablet SR if I have/had liver diseases?
Grin-O Tablet SR is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Grin-O Tablet SR may not be needed in these patients. Please consult your doctor.
Frequently Asked Questions
Q. What is Grin-O Tablet SR?
Grin-O Tablet SR 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.
Q. Can I stop taking Grin-O Tablet SR when my pain is relieved?
No, you should not stop taking Grin-O Tablet SR even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Grin-O Tablet SR, 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 Grin-O Tablet SR?
Grin-O Tablet SR 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.
Q. Can the use of Grin-O Tablet SR cause sleepiness or drowsiness?
Yes, Grin-O Tablet SR 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.
Q. Can the use of Grin-O Tablet SR affect my sexual life?
The use of Grin-O Tablet SR 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 Grin-O Tablet SR.
Q. Are there any serious side effects associated with the use of Grin-O Tablet SR?
Serious side effects because of Grin-O Tablet SR 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 Grin-O Tablet SR take to act?
An initial benefit with Grin-O Tablet SR 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.
Q. What if I forget to take Grin-O Tablet SR?
If you forget to take the scheduled dose of Grin-O Tablet SR 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.
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 a higher than the recommended dose of Grin-O Tablet SR 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.
Q. Is there anything I need to avoid while taking Grin-O Tablet SR?
Grin-O Tablet SR 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 Grin-O Tablet SR. 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 Grin-O Tablet SR 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 Grin-O Tablet SR. However, you must consult your doctor if the advised dosage of Grin-O Tablet SR 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 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.
Q. Does Grin-O Tablet SR expire?
Yes, Grin-O Tablet SR does expire. Please check the expiry date written on the pack of this medicine. Do not use Grin-O Tablet SR after the expiry date.
References
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Written By:
Dr Advikka Ridhy
MBBS
RMO, Aster MIMS
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