adnurve sr tablet - Pregabalin (75mg) + Nortriptyline (10mg) medicine

adnurve sr tablet

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🏭 Adonis Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

What is adnurve sr tablet used for?

This medicine contains Pregabalin (75mg) + Nortriptyline (10mg) and is used to treat NEURO CNS. Pregabalin binds to alpha-2-delta subunit of voltage-gated calcium channels, reducing calcium influx. Always consult your doctor before use.

  • Generic Name: Pregabalin + Nortriptyline
  • Manufacturer: Adonis Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Category A
  • Prescription Required: Yes
💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 adnurve sr tablet Uses & Benefits

Neuropathic pain, fibromyalgia, generalized anxiety disorder, depression.

Off-label uses: Chronic pain, migraine prophylaxis, social anxiety disorder.

📋 Drug Information

Generic Name(s)Pregabalin + Nortriptyline
Brand NameAxogurd NT Tablet SR
ManufacturerAdonis Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassGabapentinoid + Tricyclic Antidepressant
Route of AdministrationOral
StorageStore at 20-25°C, protect from light and moisture.
Shelf LifeAs per manufacturer

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionPregabalin: Well absorbed orally; Nortriptyline: Well absorbed orally.
DistributionPregabalin: Vd ~0.5 L/kg; Nortriptyline: Vd ~15-20 L/kg, crosses placenta and blood-brain barrier.
Protein BindingPregabalin: <1%; Nortriptyline: ~90% bound to plasma proteins.
MetabolismPregabalin: Negligible metabolism; Nortriptyline: Hepatic via CYP2D6, CYP3A4, and CYP1A2.
Half-LifePregabalin: ~6.3 hours; Nortriptyline: ~18-28 hours.
ExcretionPregabalin: Renal (90% unchanged); Nortriptyline: Renal (metabolites and unchanged drug).
BioavailabilityPregabalin: >90%; Nortriptyline: ~46-70% (first-pass metabolism).
Onset of ActionPregabalin: 1-2 hours; Nortriptyline: 2-4 weeks for antidepressant effect.
Peak Plasma TimePregabalin: ~1 hour; Nortriptyline: 2-6 hours.
Duration of ActionPregabalin: 6-12 hours; Nortriptyline: 24 hours.

How It Works

Pregabalin binds to alpha-2-delta subunit of voltage-gated calcium channels, reducing calcium influx and neurotransmitter release. Nortriptyline inhibits reuptake of norepinephrine and serotonin, increasing their synaptic concentrations.

Mechanism Steps

1Pregabalin binds to alpha-2-delta subunit of voltage-gated calcium channels in CNS.
2Reduces calcium influx into presynaptic neurons.
3Decreases release of excitatory neurotransmitters (glutamate, norepinephrine, substance P).
4Nortriptyline blocks norepinephrine and serotonin reuptake transporters.
5Increases synaptic concentrations of norepinephrine and serotonin.
6Enhances descending inhibitory pain pathways and mood regulation.

💡 How to Take adnurve sr tablet

Follow your doctor's prescription exactly.

⚠️ Side Effects of adnurve sr tablet

✅ Common Side Effects

Dizziness
Somnolence
Dry mouth
Constipation
Blurred vision
Weight gain
Peripheral edema

🚨 Serious Side Effects

Suicidal thoughts
Serotonin syndrome
Cardiac arrhythmias
Seizures
Angle-closure glaucoma

⚠️ Rare Side Effects

Hepatotoxicity
Agranulocytosis
Stevens-Johnson syndrome
Rhabdomyolysis

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major Hypertensive crisis, serotonin syndrome
CYP2D6 inhibitors Major Increased nortriptyline levels, toxicity
CNS depressants Major Additive sedation, respiratory depression
Anticholinergics Moderate Increased anticholinergic side effects
Antihypertensives Moderate Enhanced hypotensive effect
Grapefruit juice Moderate Increased nortriptyline levels

🚨 Major Interactions

  • MAOIs
  • CYP2D6 inhibitors (e.g., paroxetine, fluoxetine)
  • CYP3A4 inhibitors (e.g., ketoconazole)
  • Other CNS depressants (e.g., benzodiazepines, opioids)

⚡ Moderate Interactions

  • Anticholinergics
  • Antihypertensives
  • Sympathomimetics
  • Cimetidine
  • Quinidine

🍷 Alcohol Interaction

Avoid alcohol; increased CNS depression and risk of seizures.

🛡️ Safety & Warnings

🚫 Contraindications

Hypersensitivity, recent MI, concurrent MAOI use, severe hepatic impairment, narrow-angle glaucoma, urinary retention.

🤱 Lactation Safety

Not recommended; both drugs excreted in breast milk.

💊 Overdose Management

Supportive care, activated charcoal, ECG monitoring, benzodiazepines for seizures, sodium bicarbonate for cardiac toxicity.

⏰ Missed Dose

Take as soon as remembered unless near next dose; skip if close to next dose.

🔄 Substitutes for adnurve sr tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

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