• Methylcobalamin/Mecobalamin is a form of vitamin B12 that restores its level in the body thereby helping in treating certain anaemias and nerve problems.
• It is required for the integrity of myelin, neuronal function, proper red blood cell formation and DNA synthesis

• It is used to treat Vitamin B12 deficiency in people with Pernicious Anemia.
• It is a beneficial drug to most of the common disorders like cardiovascular disorders, diabetes, anaemia, hyperhomocysteinemia and degenerative disorders.
• Methylcobalamin helps in the synthesis of neuronal lipids, regeneration of axonal nerves and has neuroprotective activity, which promotes neurons to function properly and thus improves Alzheimer disease, Parkinsonism, Dementia and neuropathic syndromes.
• It is an approved treatment for peripheral neuropathy.
• It also helps in balancing the levels of homocysteine, which is produced in excess can cause inflammation of blood vessels.

• Nausea and vomiting
• Diarrhoea
• Decreased appetite
• Dizziness
• Headache
• Skin rash
• Chest pain and discomfort

• Methylcobalamin can show some serious side effects in patients who might suffer from other conditions.
• Everyone needs to consume this medicine only after clinical consultation. The serious side effects of Methylcobalamin can include the formation of clots in limbs, depleted levels of potassium in the blood, a buildup of fluid in the lungs, heart failure and in some cases, anaphylactic reactions such as swollen tongue and throat, and hives.
• Consuming Methylcobalamin is not advisable for patients suffering from optic atrophy, which is a nerve condition that affects the eye.
• People who are suffering from infections or patients who have a low iron level in their body should be careful before taking Methylcobalamin and should only do so after the consultation of the doctor.
• It is not advised for mothers to consume Methylcobalamin if they are breastfeeding. Mother’s milk is a rich source of Vitamin B12 and consuming additional supplements while breastfeeding can have adverse effects on the baby.

Nortriptyline oral capsule is used to treat depression.

Nortriptyline is a tricyclic antidepressant. It increases the levels of chemical messengers in the brain that help in regulating the mood and treat depression.

Major & minor side effects for Nortriptyline

• Dizziness
• Blurred vision
• Decreased urine output
• Weakness in arms, hands, legs or feet
• Agitation
• Decreased interest in sexual intercourse
• Black tongue
• Breast enlargement
• Dry mouth
• Skin rash

This medicine should be used by pregnant and breastfeeding women only when the benefits outweigh the risks. 

Use of this medicine may cause moderate to severe sedation and impairment of physical abilities. 

Use of this medicine is reported to provoke suicidal thoughts and increased suicidal tendencies, especially in young patients.

The use of this medicine should not be discontinued abruptly since you may experience withdrawal symptoms, especially if you have been using a high dose for a long duration.

Use of this medicine is not recommended if you are planning to undergo a surgery in the near future.

This medicine is not recommended for use in patients with bipolar disorder since the symptoms of mania and depression may worsen upon usage of this medicine.

This medicine should be used with caution if you are suffering from any liver disease or if you have any history of liver disease. 

Used to treat neuropathic pain, seizures, anxiety disorder.

Decrease sexual interest, dizziness, flatulence, tingling, dry mouth, loss of memory, weight gain, double vision.

Not for minors. Patients having diseases like hypertension, kidney problem, bleeding problems should not take. Avoid if patients are allergic to Pregabalin. Pregnant & lactating women. Consult with the doctor before taking this.