Amnurite P 10mg/75mg Tablet: Complete Guide to Uses, Dosage, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Thoughts of harming yourself or others
- Severe drowsiness, confusion, or difficulty staying awake
- Fast, irregular, or pounding heartbeat
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Seizure or loss of consciousness
- Severe muscle pain, weakness, or dark urine
- Unusual bruising or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is amnurite p 10mg/75mg tablet used for?
This medicine is a prescription combination of Amitriptyline 10 mg and Pregabalin 75 mg used to treat nerve pain such as diabetic neuropathy and post-herpetic neuralgia. It is taken once daily in the evening, must not be stopped suddenly, and should be avoided with alcohol.
- Generic Name: Amitriptyline + Pregabalin
- Manufacturer: Health N U Therapeutics Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 amnurite p 10mg/75mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा अमिट्रिप्टिलीन 10 मिलीग्राम और प्रीगाबालिन 75 मिलीग्राम का संयोजन है, जिसका उपयोग मुख्य रूप से नसों से जुड़े दर्द जैसे डायबिटिक न्यूरोपैथी और दाद के बाद बचे दर्द के इलाज के लिए किया जाता है। यह दवा दर्द के साथ-साथ नींद और मूड को भी बेहतर बनाने में मदद करती है। इसे आमतौर पर रात में एक बार लिया जाता है। यह दवा डॉक्टर की सलाह के बिना शुरू या बंद नहीं करनी चाहिए, क्योंकि अचानक बंद करने से परेशानी हो सकती है।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, कब्ज, वजन बढ़ना और पैरों में सूजन शामिल हैं। कुछ लोगों को धुंधली दृष्टि, थकान और एकाग्रता में कमी भी महसूस हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको तेज़ दिल की धड़कन, बेहोशी, त्वचा पर फैलता दाने, या मन में खुद को नुकसान पहुँचाने के विचार आएँ, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर रात में एक बार। शराब बिल्कुल न लें, क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएँ और मशीनरी न चलाएँ। इस दवा को अचानक बंद न करें, क्योंकि इससे घबराहट, पसीना और नींद में परेशानी हो सकती है। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। दवा को ठंडी, सूखी जगह पर, बच्चों की पहुँच से दूर रखें।
💊 amnurite p 10mg/75mg tablet Uses & Benefits
[{"condition":"Painful diabetic peripheral neuropathy","description":"This medicine is used to reduce burning, stabbing, and tingling nerve pain in adults with diabetes when a single agent has not provided adequate relief.","evidence":"Well-established for the combination in clinical practice, though robust head-to-head trials are limited."},{"condition":"Post-herpetic neuralgia","description":"It helps relieve persistent nerve pain that remains after a shingles rash has healed, improving sleep and daily function.","evidence":"Moderate evidence, based on the established effects of the individual ingredients."},{"condition":"Chronic musculoskeletal pain with a neuropathic component","description":"Sometimes prescribed for long-standing back or neck pain when nerve irritation is suspected, especially if standard painkillers are not enough.","evidence":"Limited, because combination trials are scarce."},{"condition":"Fibromyalgia-associated pain","description":"May be used to reduce widespread pain and improve sleep quality in some patients with fibromyalgia.","evidence":"Limited for the combination; Pregabalin alone has moderate evidence."}]
Off-label uses: [{"condition":"Chronic tension-type headache with anxiety","description":"Occasionally prescribed off-label when headaches are accompanied by anxiety and sleep disturbance.","evidence":"Limited"},{"condition":"Neuropathic cancer pain","description":"Sometimes added to other pain medicines for cancer-related nerve pain, under specialist supervision.","evidence":"Limited"}]
Primary treatment for: Painful diabetic peripheral neuropathy
Also treats: Post-herpetic neuralgia, Fibromyalgia, Chronic musculoskeletal pain with neuropathic features, Neuropathic cancer pain
📋 Drug Information
| Generic Name(s) | Amitriptyline + Pregabalin |
| Brand Name | Amnurite P 10mg/75mg Tablet |
| Manufacturer | Health N U Therapeutics Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Tricyclic antidepressant + Gabapentinoid |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place. Keep the tablets in their original container, away from direct sunlight, moisture, and heat. Do not refrigerate unless your pharmacist advises otherwise. Keep out of reach of children and pets. |
| Shelf Life | Typically 24 months from the date of manufacture, but always check the expiry date printed on the pack. Do not use the tablets after the expiry date. |
| WHO Guideline | Not established from the available information. The World Health Organization does not have a specific guideline for this fixed-dose combination. Treatment should follow national and local guidelines for neuropathic pain. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research has not published a specific recommendation for this combination. Clinicians should refer to standard Indian pain management guidelines. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Amitriptyline blocks the reuptake of serotonin and norepinephrine in the brain and spinal cord, which strengthens descending pain-inhibitory pathways and also produces sedative and mood-lifting effects. Pregabalin binds to the alpha-2-delta subunit of voltage-gated calcium channels in nerve cells, reducing the release of excitatory neurotransmitters such as glutamate and substance P. The result is a calmer, less excitable pain signalling system. Because the two ingredients act at different points, the combination can relieve nerve pain more effectively than either alone in some patients, while also improving sleep and reducing anxiety.
Mechanism Steps
💡 How to Take amnurite p 10mg/75mg tablet
Strength: Each tablet contains Amitriptyline 10 mg and Pregabalin 75 mg in an immediate-release oral dosage form.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is one tablet taken once daily in the evening, but the exact dose depends on your condition, age, kidney function, liver function, and response to treatment. Some patients may need a lower starting dose, especially older adults or those with kidney problems. Your doctor may slowly increase the dose over several weeks. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Never adjust the dose yourself, and never stop the medicine suddenly without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults are more sensitive to the sedative, anticholinergic, and cardiac effects of this medicine. A lower starting dose is usually recommended, and kidney function should be checked before and during treatment. The dose should be increased slowly, and falls, confusion, and urinary retention should be monitored closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Pregabalin is cleared by the kidneys, so the dose of this medicine must be reduced in people with reduced kidney function. In moderate kidney impairment, a lower dose or less frequent dosing may be needed. This medicine is generally not recommended in severe kidney disease or in patients on dialysis. Kidney function should be checked before starting and monitored during treatment. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | Amitriptyline is metabolised by the liver, so people with liver disease may need a lower dose and careful monitoring. This medicine is not recommended in severe liver disease. Liver function should be assessed before and during treatment. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum daily dose of this specific strength is generally one tablet per day, but the exact maximum depends on your condition and kidney function. Do not exceed the dose prescribed by your doctor. Higher doses may be used only under specialist supervision with careful monitoring. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of amnurite p 10mg/75mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Opioids | Major | |
| SSRIs/SNRIs | Major | |
| Benzodiazepines | Major | |
| CYP2D6 inhibitors | Moderate | |
| Anticholinergics | Moderate | |
| Diuretics | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Opioid painkillers such as tramadol, morphine, or codeine
- Other antidepressants such as SSRIs, SNRIs, or tricyclics
- CNS depressants including benzodiazepines, sleeping pills, and alcohol
⚡ Moderate Interactions
- CYP2D6 inhibitors such as fluoxetine, paroxetine, and bupropion
- Anticholinergic medicines such as oxybutynin and benztropine
- Diuretics and ACE inhibitors
- Thiazolidinediones and other antidiabetic medicines
🍷 Alcohol Interaction
Alcohol must be avoided completely while taking this medicine. It increases drowsiness, dizziness, and the risk of slowed breathing, and it can worsen the sedative effects of both Amitriptyline and Pregabalin. Alcohol may also increase the risk of serotonin syndrome and impair your ability to drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to Amitriptyline, Pregabalin, or any ingredient in this medicine","Use of monoamine oxidase inhibitors (MAOIs) within the past 14 days","Uncontrolled narrow-angle glaucoma","Acute recovery phase after a heart attack","Severe liver disease","Severe kidney disease requiring dialysis","History of substance misuse or dependence","Pregnancy and breastfeeding, unless specifically approved by a doctor"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness and dizziness. Do not drive or operate machinery until you know how it affects you.","Do not stop this medicine suddenly, because withdrawal symptoms such as anxiety, sweating, and trouble sleeping can occur.","Tell your doctor if you have a history of depression, suicidal thoughts, or mood disorders, as this medicine may worsen these conditions.","Use with caution if you have an enlarged prostate, difficulty urinating, or chronic constipation.","Avoid alcohol completely while taking this medicine.","Inform your doctor if you have kidney or liver disease, as dose adjustments may be needed.","This medicine may increase the risk of falls in older adults.","Do not share this medicine with anyone else, even if they have similar symptoms."]
🤱 Lactation Safety
Amitriptyline and Pregabalin both pass into breast milk in small amounts. Because the combination may cause drowsiness, poor feeding, or slow weight gain in a breastfed infant, this medicine is generally not recommended during breastfeeding unless a doctor decides it is essential. If it is used, the infant should be monitored for excessive sleepiness and feeding difficulties.
💊 Overdose Management
Overdose of this medicine can be dangerous and may cause severe drowsiness, confusion, fast or irregular heartbeat, low blood pressure, seizures, and difficulty breathing. If you suspect an overdose, seek emergency medical care immediately. Do not try to induce vomiting. Treatment is supportive and may include activated charcoal, intravenous fluids, and monitoring of heart rhythm. Carry information about this medicine with you so that emergency staff can treat you appropriately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. If it is almost time, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed, usually once daily in the evening, with or without food. Do not crush, chew, or break the tablet unless your doctor or pharmacist says it is safe to do so. Avoid alcohol completely, because it increases drowsiness and can dangerously affect your breathing and alertness. Do not drive, operate heavy machinery, or do activities requiring full attention until you know how this medicine affects you. Keep all follow-up appointments so your doctor can monitor your pain relief, mood, kidney function, and blood sugar if you have diabetes. Do not stop this medicine suddenly on your own, because doing so can cause anxiety, sweating, trouble sleeping, nausea, and headache. If you become pregnant, plan to become pregnant, or are breastfeeding, contact your doctor before continuing this medicine. Store the tablets in their original container at room temperature, away from moisture, heat, and direct light, and keep them out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more sensitive to the sedative, anticholinergic, and cardiac effects of this medicine. A lower starting dose is recommended, and kidney function should be checked before and during treatment. Monitor for falls, confusion, urinary retention, and fluid retention. Dose must be individualized by a qualified clinician.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor before continuing this medicine. Both Amitriptyline and Pregabalin may affect the developing baby, and Pregabalin has been associated with an increased risk of birth defects in some studies. Your doctor may switch you to a safer alternative or adjust the dose. Do not stop the medicine suddenly without medical advice.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you are taking this medicine before any surgery. It may interact with anaesthetic agents and increase sedation. Your doctor may advise you to stop it temporarily before surgery, but never do so without medical guidance. After surgery, follow your doctor's instructions on when to restart.
🦷 Dental Procedures
Tell your dentist that you are taking this medicine before any dental procedure. It can cause dry mouth, which may increase the risk of dental problems. It may also interact with sedatives or anaesthetics used during dental work. Your dentist may recommend frequent sips of water or saliva substitutes to manage dry mouth.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, so avoid exercises that require balance or quick reactions until you know how it affects you. Start with gentle activities and gradually increase intensity. If you feel dizzy, stop and sit down. Consult your doctor before starting any new exercise programme, especially if you have heart or kidney problems.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, dizziness, and difficulty concentrating, which can affect your ability to drive, operate machinery, or perform tasks that require alertness. Avoid these activities until you know how the medicine affects you. Inform your employer if your job involves safety-sensitive tasks. With dose adjustment and time, many people can return to their normal activities, but always follow your doctor's advice.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor will decide when and how to stop it, usually by tapering the dose slowly over weeks to avoid withdrawal symptoms. If you experience severe side effects such as mood changes, suicidal thoughts, irregular heartbeat, or allergic reactions, contact your doctor immediately. Stopping suddenly can cause anxiety, sweating, trouble sleeping, nausea, and headache.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to weight gain, persistent dry mouth, constipation, and fluid retention. Pregabalin can cause dependence, and Amitriptyline may affect heart rhythm and liver function over time. Regular monitoring of kidney function, liver function, weight, and mood is recommended. Do not stop the medicine suddenly after long-term use; your doctor will plan a gradual taper.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help improve strength, flexibility, and function in chronic pain conditions.
Evidence: Well-establishedHelps patients cope with chronic pain and reduce distress.
Evidence: Well-establishedMay provide additional pain relief in some patients with neuropathic pain.
Evidence: ModerateSome patients report benefit for chronic pain, but evidence is mixed.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for any vaccination, inform your healthcare provider that you are taking this medicine. Live vaccines should be avoided if you are on other immunosuppressive medicines, but this medicine is not known to suppress the immune system.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless your pharmacist advises otherwise
✅ DO
Keep in the original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children and pets
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage, not in checked baggage, and store it at room temperature away from direct sunlight. If you are travelling across time zones, ask your doctor how to adjust the timing of your dose. Carry enough supply for the entire trip and a few extra days in case of delays. Check local customs rules for controlled medicines, as Pregabalin may be regulated in some countries.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some sleep benefit may appear within a few days, but pain relief usually takes 1 to 2 weeks and may continue to improve over 4 to 6 weeks.
A: No. Stopping suddenly can cause withdrawal symptoms such as anxiety, sweating, trouble sleeping, nausea, and headache. Your doctor will guide you on a gradual taper.
A: Do not drive or operate machinery until you know how this medicine affects you. It can cause drowsiness and dizziness, especially in the first few weeks.
A: No. Alcohol increases sedation, dizziness, and the risk of serious breathing problems. It must be avoided completely.
A: If you remember within half the dosing interval, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for amnurite p 10mg/75mg tablet
View AllAlternative brands with exact same active ingredient:
-
stayhappi amitriptyline+pregabalin 10mg/75mg tabletSarvagunaushdhi Pvt Ltd ₹92.81 61.2% CHEAPER
-
neugalin a 10mg/75mg tabletShasun Pharmaceuticals Ltd ₹137.81 42.4% CHEAPER
-
jesgab-t tabletJes Pharmacia Private Limited ₹165.94 30.6% CHEAPER
-
gabrica at capsuleSparsh Remedies Pvt Ltd ₹177.10 26% CHEAPER
-
amicobal pg 10mg/75mg tabletErgos Life Sciences ₹194.06 18.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a simple painkiller for any type of pain.
Fact: This medicine is specifically for nerve-related pain and is not effective for ordinary headaches, fever, or sudden injury pain. - Myth: You can stop this medicine as soon as you feel better.
Fact: Stopping suddenly can cause withdrawal symptoms. Always taper under your doctor's guidance. - Myth: This medicine is safe to take with alcohol.
Fact: Alcohol increases sedation, dizziness, and the risk of serious breathing problems. It must be avoided. - Myth: This medicine works immediately.
Fact: It may take 1 to 2 weeks for pain relief to begin and up to 6 to 8 weeks for full benefit.
🔄 Alternative Options
Generic Alternatives
- Amitriptyline 10 mg + Pregabalin 75 mg tablet (generic versions may be available from different manufacturers)
Brand Alternatives
- Amnurite P 10mg/75mg Tablet