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Cymenka Plus Tablet is a combination of two medicines used to treat neuropathic pain. It works by protecting the nerve fibres against damage, repairing the damaged nerves. This way it effectively relieves the pain sensation and also elevates the mood.

Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 25 Nov 2025 | 03:07 PM (IST)
₹107 MRP ₹121.7812% off 
Gurgaon
 
 
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General Information

Contains

Duloxetine (20mg)+ Methylcobalamin (750mcg)

Marketer

Efpia Medicine Private Limited

Storage

Store below 30°C
The content is shown in English
Cymenka Plus Tablet image
Cymenka Plus Tablet image

Product introduction

Cymenka Plus Tablet may 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 your 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.

Some common side effects of this medicine include nausea, constipation, headache, insomnia (difficulty in sleeping), ejaculation disorder, erectile dysfunction, and low sexual desire. However, these are temporary and usually resolve on their own. Please consult your doctor if these do not subside or bother you.

You should avoid alcohol while taking Cymenka Plus Tablet, as it may worsen certain side effects. This medicine can also lead to weight gain, eat a healthy balanced diet, avoid snacking with high-calorie food, and exercise regularly. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.

Uses of Cymenka Tablet

Benefits of Cymenka Tablet

Neuropathic pain
Cymenka 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.
Cymenka 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 Cymenka 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 Cymenka
  • Nausea
  • Constipation
  • Headache
  • Insomnia (difficulty in sleeping)
  • Ejaculation disorder
  • Erectile dysfunction
  • Low sexual desire

How to use Cymenka 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. Cymenka Plus Tablet may be taken with or without food.

How Cymenka Tablet works

Cymenka Plus Tablet is a combination of two medicines:.

All substitutes for Cymenka Plus Tablet

For information purposes only. Consult a doctor before taking any medicine.

Sogeval M 20mg/750mcg Tablet

by Druto Laboratories
₹16.2/tablet
51% costlier
<h3 class=bodySemiBold>Sogeval M 20mg/750mcg Tablet</h3>

Quick tips

  • Cymenka Plus Tablet is used to treat certain types of long-lasting pain caused by damage to nerves.
  • It may ease the pain within a few days but it may take 2-3 weeks before you see maximum benefit.
  • Inform your doctor if you are taking any other pain-relieving medicines.
  • Along with taking this medicine, your doctor might advise you to undergo physiotherapy to get relief from pain.
  • You might experience low sexual desire after taking Cymenka Plus Tablet, talk to your doctor if it troubles you.

Safety advice

Alcohol

Alcohol

UNSAFE
It is unsafe to consume alcohol with Cymenka Plus Tablet
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Cymenka Plus 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

Breast feeding

CONSULT YOUR DOCTOR
Cymenka Plus 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

Driving

UNSAFE
Cymenka Plus Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney

Kidney

CAUTION
Cymenka Plus Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Dose adjustment is not recommended in patients with mild and moderate kidney disease.
Liver

Liver

UNSAFE
Cymenka Plus Tablet is unsafe to use in patients with liver disease and should be avoided.

Frequently asked questions

Cymenka Plus Tablet is mainly prescribed for treating neuropathic pain (nerve pain), such as that seen in diabetic neuropathy, or other nerve-related issues. Duloxetine in Cymenka Plus Tablet is an antidepressant that reduces nerve pain, while methylcobalamin (active vitamin B12) in Cymenka Plus Tablet helps restore and protect nerve function.
Before taking Cymenka Plus Tablet, tell your doctor if you have a history of liver or kidney disease, glaucoma, mania, or seizures, bleeding disorders, bipolar disorder, or if you drink large amounts of alcohol. Also, mention to your doctor if you are pregnant, breastfeeding, or using other medications.
Individuals should not use Cymenka Plus Tablet if they are allergic to duloxetine, methylcobalamin, or any other ingredients present in it. Cymenka Plus Tablet must not be taken with medications called monoamine oxidase inhibitors (MAOIs), and it is not recommended for people with severe liver or kidney impairment, or uncontrolled glaucoma (narrow angle).
Serious side effects of Cymenka Plus Tablet include allergic reactions (swelling, rash, trouble breathing), severe skin reactions, liver problems (yellowing of eyes, or skin, dark urine), abnormal mood, or behavior changes (thoughts of self-harm), easy bruising, or signs of serotonin syndrome (agitation, fast heartbeat, hallucinations, muscle stiffness, or vomiting). Seek immediate medical help if you experience any of these symptoms.
No, Cymenka Plus Tablet is not habit-forming or addictive when used as prescribed by your doctor.
The exact time Cymenka Plus Tablet takes to show benefits is not known. However, relief from nerve pain may begin within a few weeks, but the full effect can take 2 to 4 weeks of regular use. Do not stop taking this medicine suddenly, and always follow your doctor’s advice for starting or stopping Cymenka Plus Tablet.

Fact Box

Habit Forming

No

Therapeutic Class

NEURO CNS

References

  1. Duloxetine hydrochloride. Basingstoke, Hampshire: Eli Lilly and Company Limited; 2004 [revised 09 Nov. 2018]. [Accessed 23 Apr. 2019] (online) Available from:
  2. MedlinePlus. Vitamin B-12. [Accessed 23 Apr. 2019] (online) Available from:
  3. Gupta JK, Sana QS. Potential Benefits of Methylcobalamin: A Review. Austin J Pharmacol Ther. 2015;3(3):1076. [Accessed 23 Apr. 2019] (online) Available from:
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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.

Marketer details

Name: Efpia Medicine Private Limited
Address: Floor, Plot No 404, Panchkula Industrial Area, Phase 1, Panchkula-134113, Haryana, India

Vendor Details

Country of origin: India

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