alrega-nt tablet - Pregabalin (75mg) + Nortriptyline (10mg) medicine

Alrega NT Tablet - Uses, Price, Side Effects, Dosage

4.6 (12 reviews)
๐Ÿญ Cista Medicorp ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 23, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 23, 2026

What is alrega-nt tablet used for?

Alrega NT Tablet is a combination of Pregabalin (75mg) and Nortriptyline (10mg) used to treat neuropathic pain. Pregabalin calms overactive nerves, while Nortriptyline enhances pain relief by affecting brain chemicals. It is typically taken twice daily.

  • Generic Name: Pregabalin + Nortriptyline
  • Manufacturer: Cista Medicorp
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š alrega-nt tablet Uses & Benefits

Neuropathic pain, fibromyalgia, generalized anxiety disorder, depression.

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

๐Ÿ“‹ Drug Information

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

๐Ÿ”ฌ Pharmacology (PK/PD)

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).

๐Ÿ’ก How to Take alrega-nt tablet

Follow your doctor's prescription exactly.

Dosage Timeline

๐ŸŒ… Morning โœ… โ˜€๏ธ Afternoon โŒ ๐ŸŒ† Evening โœ… ๐ŸŒ™ Night โŒ

โš ๏ธ Side Effects of alrega-nt tablet

โœ… Common Side Effects

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

๐Ÿšจ Serious Side Effects

  • Suicidal thoughts
  • Serotonin syndrome
  • Cardiac arrhythmias
  • Seizures
  • Angle-closure glaucoma

โš ๏ธ Rare Side Effects

  • Hepatotoxicity
  • Agranulocytosis
  • Stevens-Johnson syndrome
  • Rhabdomyolysis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Alcohol Major Increased dizziness and drowsiness
MAOIs Major Risk of serotonin syndrome
CNS Depressants Moderate Additive sedative effects

๐Ÿšจ Major Interactions

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

โšก Moderate Interactions

  • Anticholinergics
  • Antihypertensives
  • Sympathomimetics
  • Cimetidine
  • Quinidine

โ„น๏ธ Minor Interactions

  • Oral contraceptives
  • Smoking (induces CYP1A2)

๐Ÿฝ๏ธ Food Interactions

Pregabalin: No significant effect; Nortriptyline: Avoid grapefruit juice (CYP3A4 inhibition).

๐Ÿท Alcohol Interaction

Avoid alcohol; increased CNS depression and risk of seizures.

๐Ÿ›ก๏ธ Safety & Warnings

Liver
Moderate
Kidney
Moderate
Heart
Low
Pregnancy
Category A

๐Ÿšซ Contraindications

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

๐Ÿ“Š Monitoring Parameters

ECG, blood pressure, liver function, renal function, serum drug levels (nortriptyline), suicidal ideation.

๐Ÿคฑ Lactation Safety

Not recommended; both drugs excreted in breast milk.

๐Ÿ’Š Overdose Management

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

โฐ Missed Dose

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

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 23, 2026

๐Ÿ”— View Profile

โญ User Reviews

Happy Patient Jul 10, 2026

Found this to be a helpful product. Good results.

Certified Buyer Jul 10, 2026

Found this to be a helpful product. Good results.

Happy Patient Jul 10, 2026

Found this to be a helpful product. Good results.

Certified Buyer Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Happy Patient Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

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