Bagnor Tablet: Comprehensive Guide To Uses, Side Effects, 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
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Irregular heartbeat or palpitations
- Thoughts of self-harm
If experiencing severe symptoms, call emergency services immediately.
What is bagnor tablet used for?
This medicine is a combination of gabapentin and nortriptyline used to treat chronic neuropathic pain. It works by calming overactive nerves and enhancing pain-relieving pathways in the brain.
- Generic Name: Gabapentin (200mg) + Nortriptyline (5mg)
- Manufacturer: AAR ESS Remedies Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bagnor tablet के बारे में (Hindi Summary)
उपयोग: यह दवा गैबापेंटिन और नॉर्ट्रिप्टिलाइन का संयोजन है, जिसका उपयोग तंत्रिका दर्द (न्यूरोपैथिक दर्द) के इलाज के लिए किया जाता है। यह मधुमेह से होने वाले तंत्रिका दर्द, दाद के बाद होने वाले दर्द, और अन्य पुराने तंत्रिका दर्द में राहत देती है। यह दवा दर्द के संकेतों को कम करके और मस्तिष्क में दर्द निवारक मार्गों को बढ़ाकर काम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, धुंधली दृष्टि और वजन बढ़ना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, अनियमित दिल की धड़कन, या आत्महत्या के विचार हो सकते हैं। इन्हें तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अचानक बंद न करें। गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है। शराब न पिएं। अन्य दवाओं के बारे में डॉक्टर को बताएं। गर्भावस्था के दौरान सावधानी बरतें।
💊 bagnor tablet Uses & Benefits
[{"condition":"Diabetic peripheral neuropathy","description":"Reduces burning, tingling, and shooting pain in the feet and hands caused by diabetes-related nerve damage.","evidence":"Well-established"},{"condition":"Postherpetic neuralgia","description":"Alleviates persistent nerve pain following a shingles infection.","evidence":"Well-established"},{"condition":"Chronic neuropathic pain","description":"Provides relief from various types of nerve pain not responding to standard analgesics.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, though evidence is limited.","evidence":"Limited"},{"condition":"Fibromyalgia","description":"May be used off-label for widespread musculoskeletal pain, but results vary.","evidence":"Limited"}]
Primary treatment for: Neuropathic pain
Also treats: Diabetic neuropathy, Postherpetic neuralgia, Chronic musculoskeletal pain
📋 Drug Information
| Generic Name(s) | Gabapentin (200mg) + Nortriptyline (5mg) |
| Brand Name | bagnor tablet |
| Manufacturer | AAR ESS Remedies Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two active ingredients with complementary mechanisms. Gabapentin binds to the alpha-2-delta subunit of voltage-gated calcium channels in the central nervous system, reducing the release of excitatory neurotransmitters and dampening abnormal nerve firing. Nortriptyline inhibits the reuptake of serotonin and norepinephrine in the brain and spinal cord, enhancing descending inhibitory pain pathways. Together, they reduce neuropathic pain transmission and perception.
Mechanism Steps
💡 How to Take bagnor tablet
Strength: Each tablet contains Gabapentin 200 mg and Nortriptyline 5 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once or twice daily, or as directed by your physician. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to side effects. Start with a lower dose and titrate slowly. Monitor renal function regularly. |
| Renal Impairment | Dose adjustment is required in renal impairment. Gabapentin dose should be reduced according to creatinine clearance. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Nortriptyline dose may need reduction in hepatic impairment. Monitor liver function. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed the limit prescribed by your doctor. Typically, gabapentin up to 3600 mg/day and nortriptyline up to 150 mg/day, but this combination is not intended for high-dose nortriptyline. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bagnor tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAO inhibitors | Major | |
| Opioids | Major | |
| CNS depressants | Major | |
| Anticholinergics | Moderate | |
| CYP2D6 inhibitors | Moderate | |
| Antihypertensives | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- MAO inhibitors (e.g., phenelzine, tranylcypromine)
- Opioids (e.g., morphine, codeine)
- CNS depressants (e.g., benzodiazepines, alcohol)
⚡ Moderate Interactions
- Anticholinergics (e.g., oxybutynin, benztropine)
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
- Antihypertensives
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase sedation, dizziness, and the risk of respiratory depression. It may also worsen the side effects of nortriptyline.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to gabapentin or nortriptyline","Use of MAO inhibitors within 14 days","Uncontrolled narrow-angle glaucoma","Recent myocardial infarction","Severe liver disease"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery.","Do not stop abruptly; taper gradually to avoid withdrawal.","May increase suicidal thoughts; monitor mood closely.","Use with caution in elderly and debilitated patients.","May cause anticholinergic effects; caution in patients with BPH or urinary retention."]
🤱 Lactation Safety
Gabapentin and nortriptyline are excreted in breast milk. Consult your doctor before breastfeeding. Monitor infant for drowsiness or poor feeding.
💊 Overdose Management
Overdose can cause severe drowsiness, confusion, irregular heartbeat, and respiratory depression. Seek emergency medical help immediately. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not stop abruptly, as this can cause withdrawal symptoms. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not consume alcohol while taking this medicine. Inform your doctor about all other medications you are taking, especially MAO inhibitors, opioids, and antihypertensives. Use effective contraception if you are of childbearing age, as this medicine may harm an unborn baby. Regular monitoring of kidney and liver function may be required during long-term therapy.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to side effects like drowsiness, dizziness, and confusion. Start with a lower dose and monitor closely. Renal function should be checked regularly.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor. This medicine may not be safe during pregnancy. Effective contraception is advised while taking this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may interact with anesthetic agents and increase sedation. Your doctor may advise temporary discontinuation.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may cause dry mouth and increase the risk of dental problems. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise initially as drowsiness and dizziness may occur. Start with gentle activities and gradually increase as tolerated. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness and dizziness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. Inform your employer if your job involves such tasks.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or no improvement, your doctor may adjust or discontinue. Always taper gradually.
📅 Long-Term Use Effects
Long-term use may require periodic monitoring of kidney and liver function, especially with gabapentin and nortriptyline. Dependence and tolerance can develop. Regular follow-up is essential to adjust doses and assess continued need.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve mobility.
Evidence: Well-establishedHelps manage chronic pain and improve coping skills.
Evidence: ModerateMay provide pain relief for some patients.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are established. However, consult your doctor before any vaccination while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, adjust dosing times gradually under medical advice. Check customs regulations for controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Pain relief may begin within 1-2 weeks, but full effect can take 4-6 weeks. Be patient and consistent.
A: No, do not stop without consulting your doctor. Abrupt withdrawal can cause symptoms. Your doctor will taper the dose gradually.
A: Consult your doctor before combining with other pain medicines, as interactions may occur.
🤔 Common Patient Concerns
🔄 Substitutes for bagnor tablet
View AllAlternative brands with exact same active ingredient:
-
vesopro nt 200mg/5mg tabletGlobus Remedies Ltd ₹159.38 14.1% COSTLIER
-
myolin nt 200mg/5mg tabletSolarium Pharmaceuticals ₹182.80 30.9% COSTLIER
-
clarinerve tabletClarisse Pharmaceuticus ₹190.00 36% COSTLIER
-
vscover-nt tabletZunison Healthcare ₹220.10 57.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: It is not a sleeping pill; it is used for nerve pain. Drowsiness is a side effect, not the main purpose. - Myth: It can be stopped abruptly without any issues.
Fact: Stopping suddenly can cause withdrawal symptoms. Always taper under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Gabapentin 200 mg + Nortriptyline 5 mg tablet