alfagaba nt 300 mg/10 mg tablet - Gabapentin (300mg) + Nortriptyline (10mg) medicine

alfagaba nt 300 mg/10 mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Med Manor Organics Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 29, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 29, 2026

What is alfagaba nt 300 mg/10 mg tablet used for?

Acegaba NT 400mg/10mg Tablet (Gabapentin + Nortriptyline) is used to treat NEURO CNS. It contains Gabapentin (300mg) + Nortriptyline (10mg), which Gabapentin: Binds to ฮฑ2ฮด subunit of voltage-gated calcium channels, reducing c. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Gabapentin + Nortriptyline
  • Manufacturer: Med Manor Organics Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š alfagaba nt 300 mg/10 mg tablet Uses & Benefits

Neuropathic pain, fibromyalgia, diabetic neuropathy, postherpetic neuralgia, depression with neuropathic pain.

Off-label uses: Migraine prophylaxis, restless legs syndrome, bipolar disorder, anxiety disorders.

๐Ÿ“‹ Drug Information

Generic Name(s)Gabapentin + Nortriptyline
Brand NameAcegaba NT 400mg/10mg Tablet
ManufacturerMed Manor Organics Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassGabapentinoid + Tricyclic Antidepressant
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionGabapentin: Absorbed via L-amino acid transporter; Nortriptyline: Well absorbed orally.
DistributionGabapentin: Crosses blood-brain barrier; Nortriptyline: Extensive distribution, crosses placenta.
Protein BindingGabapentin: <3%; Nortriptyline: 93-95%
MetabolismGabapentin: Not significantly metabolized; Nortriptyline: Hepatic (CYP2D6, CYP3A4, CYP1A2)
Half-LifeGabapentin: 5-7 hours; Nortriptyline: 18-44 hours
ExcretionGabapentin: Renal (unchanged); Nortriptyline: Renal (metabolites)
BioavailabilityGabapentin: 60% (dose-dependent); Nortriptyline: 46-70%
Onset of ActionGabapentin: 1-2 weeks; Nortriptyline: 2-4 weeks
Peak Plasma TimeGabapentin: 2-3 hours; Nortriptyline: 7-8 hours
Duration of ActionGabapentin: 6-8 hours; Nortriptyline: 24 hours

How It Works

Gabapentin: Binds to ฮฑ2ฮด subunit of voltage-gated calcium channels, reducing calcium influx and neurotransmitter release. Nortriptyline: Inhibits reuptake of norepinephrine and serotonin, potentiating their effects.

Mechanism Steps

1Gabapentin binds to ฮฑ2ฮด subunit of voltage-gated calcium channels in the CNS.
2Reduces calcium influx into presynaptic neurons.
3Decreases release of excitatory neurotransmitters (e.g., glutamate, substance P).

๐Ÿ’ก How to Take alfagaba nt 300 mg/10 mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of alfagaba nt 300 mg/10 mg tablet

โœ… Common Side Effects

  • Dizziness
  • Somnolence
  • Dry mouth
  • Constipation
  • Blurred vision
  • Weight gain
  • Peripheral edema

๐Ÿšจ Serious Side Effects

  • Suicidal thoughts
  • Seizures
  • QTc prolongation
  • Arrhythmias
  • Serotonin syndrome
  • Stevens-Johnson syndrome

โš ๏ธ Rare Side Effects

  • Hepatotoxicity
  • Agranulocytosis
  • Pancreatitis
  • Rhabdomyolysis
  • Angle-closure glaucoma

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Hypertensive crisis, serotonin syndrome
CNS depressants Major Enhanced sedation and respiratory depression
Alcohol Major Increased CNS depression
Anticholinergics Major Additive anticholinergic effects
CYP2D6 inhibitors Moderate Increased nortriptyline levels
CYP3A4 inducers Moderate Decreased nortriptyline levels
Antihypertensives Moderate Additive hypotensive effect
QTc-prolonging drugs Moderate Increased risk of arrhythmias
Antacids Minor Reduced gabapentin absorption
Cimetidine Minor Increased nortriptyline levels
Oral contraceptives Minor Possible reduced contraceptive efficacy

๐Ÿšจ Major Interactions

  • MAOIs
  • CNS depressants
  • Alcohol
  • Anticholinergics

โšก Moderate Interactions

  • CYP2D6 inhibitors
  • CYP3A4 inducers
  • Antihypertensives
  • QTc-prolonging drugs

โ„น๏ธ Minor Interactions

  • Antacids
  • Cimetidine
  • Oral contraceptives

๐Ÿฝ๏ธ Food Interactions

High-fat meals may reduce gabapentin absorption; avoid grapefruit juice with nortriptyline.

๐Ÿท Alcohol Interaction

Increased CNS depression and sedation; avoid concurrent use.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, recent MI, concurrent MAOI use, severe renal impairment (CrCl <30 mL/min), narrow-angle glaucoma, urinary retention.

๐Ÿ“Š Monitoring Parameters

Renal function, liver function, ECG (QTc), serum drug levels (nortriptyline), blood pressure, mental status.

๐Ÿคฑ Lactation Safety

Not recommended; both drugs excreted in breast milk.

๐Ÿ’Š Overdose Management

Supportive care; activated charcoal, gastric lavage; for nortriptyline, monitor ECG and treat arrhythmias; gabapentin overdose may require hemodialysis.

โฐ Missed Dose

Take as soon as remembered unless near next dose; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 29, 2026

๐Ÿ”— View Profile

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