clarinerve tablet - Gabapentin (200mg) + Nortriptyline (5mg) medicine

Clarinerve Tablet

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🏭 Clarisse Pharmaceuticus 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 29, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Reviewed by
SaathiMed Expert Panel | Oct 29, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

What is clarinerve tablet used for?

This medicine contains Gabapentin (200mg) + Nortriptyline (5mg) and is used to treat NEURO CNS. Gabapentin: Binds to α2δ subunit of voltage-gated calcium channels, reducing calcium influx and ne. Always consult your doctor before use.

  • Generic Name: Gabapentin + Nortriptyline
  • Manufacturer: Clarisse Pharmaceuticus
  • Form: Allopathy
  • Pregnancy Category: Category A
  • Prescription Required: Yes
💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 clarinerve 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.

📋 Drug Information

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

🔬 How This Medicine Works (Pharmacology)

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 α2δ 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 α2δ 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).
4Nortriptyline inhibits reuptake of norepinephrine and serotonin at presynaptic terminals.
5Increases synaptic concentrations of norepinephrine and serotonin.
6Enhances descending inhibitory pain pathways and mood regulation.

💡 How to Take clarinerve tablet

Follow your doctor's prescription exactly.

⚠️ Side Effects of clarinerve tablet

✅ Common Side Effects

Dizziness
Somnolence
Dry mouth
Constipation
Blurred vision
Weight gain
Peripheral edema

🚨 Serious Side Effects

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

⚠️ Rare Side Effects

Hepatotoxicity
Agranulocytosis
Pancreatitis
Rhabdomyolysis
Angle-closure glaucoma

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
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

🚨 Major Interactions

  • MAOIs
  • CNS depressants
  • Alcohol
  • Anticholinergics

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Increased CNS depression and sedation; avoid concurrent use.

🛡️ Safety & Warnings

🚫 Contraindications

Hypersensitivity, recent MI, concurrent MAOI use, severe renal impairment (CrCl

🤱 Lactation Safety

Not recommended; both drugs excreted in breast milk.

💊 Overdose Management

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

⏰ Missed Dose

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

🔄 Substitutes for clarinerve tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

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