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food interaction for EPALRICA MP

alcohol interaction for EPALRICA MP

pregnancy interaction for EPALRICA MP

lactation interaction for EPALRICA MP

There is no data available. Please consult doctor before consuming the drug.
Epalrica mp tablet may cause excessive drowsiness and calmness with alcohol.
Epalrica mp tablet may be unsafe to use during pregnancy.
Either animal studies have shown adverse effect on fetus and there are no human studies or studies in human and animals are not available. It should be given only if potential benefits justifies risk to the fetus. Please consult your doctor.
Unknown. Human and animal studies are not available. Please consult your doctor.


Epalrestat(75 mg)


Epalrestat is used to delay the progression and to treat early onset diabetic neuropathy (type of nerve damage that occurs in patients with uncontrolled diabetes of long duration).

How it works

Epalrestat belongs to a class of drugs called aldose reductase inhibitors. It reduces the accumulation of sorbitol (excess sugar present in blood and tissues of diabetic patients) in nerves, and relieves numbness/pain of the hands and feet and leg cramp in patients with diabetes neuropathy.

Common side effects

Liver enzyme increased, Back pain, Burning sensation, Itching, Headache, Nausea, Vomiting
Methylcobalamin(750 mcg)


Methylcobalamin is an active form of vitamin B12, which is used to treat anemia as well as nerve damage with numbness, tingling, pain in various neurological disorders.

How it works

Methylcobalamin plays a key role in recovery process of damaged nerve cells and also it maintainins proper function of nerve cells.

Common side effects

Gastrointestinal disturbance, Allergic skin rash
Pregabalin(75 mg)


Pregabalin is used to treat fits (seizures), pain caused by damage to the nerves, and generalized anxiety disorders in adults.

How it works

Pregabalin belongs to group of medications called antiepileptics. It acts by modifying the release of certain substances released by the nerves in the brain (neurotransmitters) to restrict the transfer of pain signals between nerves, thereby reducing pain caused by damage to the nerves, as well as symptoms of fits (seizures).

Common side effects

Vomiting, Nausea, Abdominal bloating, Altered speech, Anxiety, Memory impairment, Confusion, Constipation, Coordination disorder, Dizziness, Weakness, Dry mouth, Fatigue, Flatulence, Headache, Impaired concentration, Balance disorder (loss of balance), Coordination impaired, Muscle twitching, Uncoordinated body movements, Unsteadiness


No substitutes found

Expert advice for EPALRICA MP

  • Always take epalrestat before each meal.
  • Tell your doctor if you are suffering from liver disease or renal impairment or long-standing diabetic neuropathy. 
  • Tell your doctor if you are pregnant or breastfeeding or planning to become pregnant. 
  • Do not consume this drug if you are allergic to epalrestat or any of its ingredients.
  • Do not consume this drug if you have neuropathy due to causes other than diabetes, have severe liver or kidney disorders.
  • Patients with compromised blood flow to calf and feet should not consume this drug.

Frequently asked questions for EPALRICA MP




Q. What is methylcobalamin/ mecobalamin/Neurokind/ Nurokind OD?
Methylcobalamin (mecobalamin/Neurokind/ Nurokind OD) is an active form of vitamin B12. It is water soluble and orally absorbed. It  is found in animal-based foods and in supplement form.

Q. Is methylcobalamin the same as cyanocobalamin?
No.Cyanocobalamin is different form of vitamin B12.

Q. What is Nurokind G, Nurokind plus, Nurokind Next, Nurokind LC, Nurokind Gold?
Nurokind G contains methylcobalmine and gabapentin. Nurokind plus contains methylcobalamin, folic acid, vitamin B1, vitamin B6 and alfa lipoic Acid. Nurokind Next contains methlcobalamin, alphalipoic acid, benfotiamine, pyridoxine hydrochloride, biotin, folic acid, chromium. NurokindL C contains L-carnitine, L-tartrate, methylcobalamin, folic acid. Nurokind Gold contains ginseng extract, mixed carotene 10%, niacinamide, vitamin B6, methylcobalamin, vitamin D3, refined wheat germ oil, folic acid, elemental calcium, elemental phosphorus, ferrous fumarate, zinc sulfate mono hydrate, elemental magnesium, elemental manganese, elemental copper, elemental iodine, elemental potassium.


Q. Is pregabalin a painkiller/antipsychotic/ SSRI/ NSAID/ benzo?
No. Pregabalin is ant-epileptic and specifically used to treat fits (seizures), pain caused by damage to the nerves, and generalized anxiety disorders in adults. Patients should follow the advice of the doctor regarding its use.
Q. Is pregabalin/ Lyrica addictive?
No. Always follow the instructions of doctor regarding the dosage and duration.
Q. Is pregabalin/ Lyrica a steroid/ opiate/ narcotic?
No. Pregabalin is used to relieve neuropathic pain (pain from damaged nerves) that can occur in your arms, hands, fingers, legs, feet, or toes and also used to treat fits (seizure).
Q. Is pregabalin/ Lyrica safe?
Pregabalin/ Lyrica is safe at the prescribed dose by the doctor. Patients should follow the advice of the doctor regarding its use.
Q. Is Lyrica available in India?
Yes, it is available in India. Patients should follow the advice of the doctor regarding its use.
Q. Is Lyrica and gabapentin the same?
Lyrica contains the drug pregabalin which is different from gabapentin. However, both come under category of antiepileptics.
Q. Is pregabalin controlled?
Yes, it is controlled drug.
Q. What is Pregeb M 75/ Pregeb M OD 75?
These are the brand names of drug pregabalin.
Q. How long can I take pregabalin for?
Pregabalin should be taken at prescribed doses for the prescribed duration as advised by your doctor.
Q. What can I take for Lyrica withdrawal?
In order to speed up the withdrawal process, it is recommended to engage in healthy activities such as: getting light exercise, socializing, and staying productive. Additionally it is recommended to eat a healthy diet, get plenty of rest, and consider taking supplements that promote healing. Patients should follow the advice of the doctor regarding this.
Q. Can I take pregabalin with paracetamol/ tramadol/ ibuprofen/ Co-codamol/ codeine/ diazepam / naproxen/ sertraline/ gabapentin/ amitryptiline/ Cymbalta/ Prozac/ Tylenol/ Soma/ Xanax/ Suboxone/ methadone/ zopiclone?
Taking other medicines may alter the effects of pregabalin. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required.
Q. Does pregabalin make you high/ tired?
No. Patients should follow the advice of the doctor regarding its use.
Q. Does pregabalin cause headaches/ constipation/ nausea/ weight gain / hair loss/ high blood pressure/ changes in body weight loss?
Pregabalin causing these side effects are rare or uncommon. However, consult your doctor if you experience any of these side effects.
Q. Does pregabalin help with OCD?
Pregabalin is being tried in anxiety and OCD and it is being found effective. Patients should follow the advice of the doctor regarding its use.
Q. Can I take Lyrica for back pain, Sciatica, toothache, headache, arthritis, depression?
Lyrica is used to treat fits (seizures), pain caused by damage to the nerves, and generalized anxiety disorders in adults. Patients should follow the advice of the doctor regarding its use.
Q. Does Lyrica work for fibromyalgia?
Yes. Your doctor may prescribe Lyrica for fibromyalgia.


Content on this page was last updated on 28 September, 2016, by Dr. Varun Gupta (MD Pharmacology)