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Last updated
05 Dec 2023 | 06:15 PM (IST)

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Norfirm-PGM Tablet


Introduction of Norfirm-PGM Tablet

Norfirm-PGM Tablet is a combination medicine used to treat neuropathic pain. It works by decreasing pain by controlling calcium channel activity of the nerve cells. It also increases the level of chemical messengers in the brain that help in regulating the mood and protect nerve fibers.

Norfirm-PGM Tablet is a combination of three medicines: Norfirm-PGM Tablet1, Norfirm-PGM Tablet2, and Norfirm-PGM Tablet3.

Uses of Norfirm-PGM Tablet

Benefits of Norfirm-PGM Tablet

In Treatment of Neuropathic pain

Norfirm-PGM Tablet is a combination of medicines used to treat long-lasting (chronic) pain caused by nerve damage due to diabetes, shingles, or spinal cord injury. It reduces pain and its associated symptoms such as mood changes, sleep problems, and tiredness. It is thought to work by interfering with pain signals that travel through the damaged nerves and the brain. It also contains nutritional supplements that are essential for improving nerve conduction.
Taking Norfirm-PGM Tablet regularly will improve your physical and social functioning and overall quality of life. It takes a few weeks to work so you need to take it regularly even if you feel it is not doing any good. Once your symptoms have gone you should still keep taking the medicine until your doctor advises you to stop.

Side effects of Norfirm-PGM Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Norfirm-PGM

  • Constipation
  • Weight gain
  • Orthostatic hypotension (sudden lowering of blood pressure on standing)
  • Increased heart rate
  • Dizziness
  • Sleepiness
  • Tiredness
  • Blurred vision
  • Dryness in mouth
  • Difficulty in urination
  • Uncoordinated body movements

How to use Norfirm-PGM Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Norfirm-PGM Tablet may be taken with or without food, but it is better to take it at a fixed time.

Safety advice

Alcohol
UNSAFE
Norfirm-PGM Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Norfirm-PGM Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Norfirm-PGM Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Norfirm-PGM Tablet may cause side effects which could affect your ability to drive.
As Norfirm-PGM Tablet may affect your alertness which may affect your ability to drive.
Kidney
CAUTION
Norfirm-PGM Tablet should be used with caution in patients with kidney disease. Dose adjustment of Norfirm-PGM Tablet may be needed. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Norfirm-PGM Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Norfirm-PGM Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Norfirm-PGM Tablet?

If you miss a dose of Norfirm-PGM Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Norfirm-PGM Tablet
₹17.0/Tablet
Dubinor Tablet
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₹20.6/tablet
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Nervijen-NP Tablet
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₹17.65/tablet
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GB 29 Total Tablet
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Nervite Plus Tablet
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Adnurve SR Tablet
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₹22.1/tablet
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Quick tips

Norfirm-PGM Tablet

  • Norfirm-PGM Tablet is used to treat certain types of long-lasting pain caused by damage to nerves.
  • Inform your doctor if you are taking any other pain-relieving medicines.
  • Inform your doctor if you have a history of seizures.
  • Immediately seek medical help if you experience hallucinations, fever, sweating, shivering, fast heart rate, muscle twitching, or loss of coordination.
  • Along with taking Norfirm-PGM Tablet, your doctor might advise you to undergo physiotherapy to get relief rom pain.

Fact Box

Habit Forming
No
Therapeutic Class
NEURO CNS

Patient concerns

Patient concerns

arrow
Most of the times when I get excited or have orgasm I feel pain in my testis and around it .
Dr. Pranay Gandhi
Sexology
hi PATIENT neuropathic pain mostly. take tablet emanzen d 1 bd
Sir Plz suggest me effective pain killer with minimum side effects for back pain and arthritis, which can be taken on regular basis as and when required.
Dr. Vikas Sharma
Neurology
dpeneds on the type of pain - muscular or neuropathic; show tro nearby neuro
arrow

FAQs

Norfirm-PGM Tablet

Q. What is Norfirm-PGM Tablet?

Norfirm-PGM Tablet is a combination of three medicines: Gabapentin, Nortriptyline and Methylcobalamin. This medicine is useful in the treatment of nerve pain (neuropathic pain). This medicine calms the damaged or overactive nerves by acting on brain, thereby decreasing the pain sensation. It also helps in the regeneration of damaged nerves in the body.

Q. Can I stop taking Norfirm-PGM Tablet when my pain is relieved?

No, you should not stop taking Norfirm-PGM Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Norfirm-PGM Tablet, you may experience withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain and sweating. You may need to gradually taper the dose before you stop the medication completely.

Q. How to manage weight gain associated with the use of Norfirm-PGM Tablet?

Norfirm-PGM Tablet can make you feel hungry which might make you eat more, thereby increasing your chances of putting on weight. However, preventing weight gain is easier than losing the increased weight. Try to eat a healthy balanced diet without increasing your portion sizes (per-meal intake). Do not eat food items that contain a lot of calories, such as soft drinks, oily food, chips, cakes, biscuits and sweets. If you feel hungry between meals, avoid eating junk food and eat fruits, vegetables and low-calorie foods. Regular exercise will help prevent weight gain. If you maintain good eating habits and exercise regularly, you might not gain any weight.

Q. Can the use of Norfirm-PGM Tablet cause sleepiness or drowsiness?

Yes, Norfirm-PGM Tablet may make you feel drowsy or you may suddenly fall asleep during your daily activities. Sometimes, you might not even feel drowsy or have any other warning signs before you suddenly fall asleep. Avoid driving a car, operating machinery, working at heights, or participating in potentially dangerous activities at the beginning of your treatment until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.

Q. Can the use of Norfirm-PGM Tablet affect my sexual life?

The use of Norfirm-PGM Tablet can affect the sexual life of both men and women. Most commonly observed problems are decreased sexual desire, erectile dysfunction (inability to develop or maintain erection during the sexual activity) and inability to reach orgasm. It can also cause a decrease in satisfaction and cause discomfort while intercourse. If you experience these problems, discuss them with your doctor but do not stop taking Norfirm-PGM Tablet.

Q. Are there any serious side effects associated with the use of Norfirm-PGM Tablet?

Serious side effects because of Norfirm-PGM Tablet are uncommon and rare. Consult your doctor if you notice any of the following: changes in body temperature, difficulty in breathing, increased heartbeat (palpitations), weakness, unsteadiness when walking, reduced coordination or slowed reactions, unusual changes in mood or behavior (such as restlessness, nervousness or excitement), signs of depression, seeing or hearing things that are not there, irrational thinking, blurred or double vision, uncontrollable jerky eye movements, difficulty seeing, signs of frequent infections such as fever, severe chills, sore throat or mouth ulcers. These side effects are uncommon but may be serious and need urgent medical attention.

Q. How long will Norfirm-PGM Tablet take to act?

An initial benefit with Norfirm-PGM Tablet may be seen after 2 weeks of the treatment. However, it may take around 2-3 months or more to see full benefits and even.

Q. What if I forget to take Norfirm-PGM Tablet?

If you forget to take the scheduled dose of Norfirm-PGM Tablet and it is almost time for your next dose, skip the dose you missed and take your next dose at the scheduled time. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose you missed because this may increase the risk of unwanted side effect. If you are not sure what to do, consult your about how to manage a situation like this.

Q. What if I take too much of this drug by mistake?

In a situation like this, contact your doctor immediately or seek emergency help at the nearest hospital. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. Symptoms of an overdose may include drowsiness, weakness, unsteadiness while walking, having double visions, slurred speech or diarrhea, confusion, blurred vision, dizziness, body temperature changes (low and high), difficulty in breathing and increased heartbeat.

Q. Will a higher than the recommended dose of Norfirm-PGM Tablet be more effective?

No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms, that are not relieved by the recommended doses, please consult your doctor for re-evaluation.

Q. Is there anything I need to avoid while taking Norfirm-PGM Tablet?

Norfirm-PGM Tablet may impair your thinking or reactions. Be careful while driving or doing an activity that requires you to be alert. Do not drink alcohol while you are taking Norfirm-PGM Tablet. It can increase the effects of alcohol, which could be dangerous. Grapefruit and grapefruit juice may also interact with this medicine and cause unwanted side effects. Avoid exposure to sunlight or tanning beds. Use of Norfirm-PGM Tablet can make you more prone to sunburns. Wear protective clothing and use sunscreen when you are outdoors during daytime.

Q. How often should I see the doctor?

You may need to see your doctor regularly if you have started to take Norfirm-PGM Tablet. However, you must consult your doctor if the advised dosage of Norfirm-PGM Tablet does not improve your symptoms or you continue experiencing some unwanted side effects that affect your routine activities.

Q. Are there any special instructions regarding storage and disposal of this medicine?

Keep your tablets in the pack until it is time to take them. Store them in a cool dry place. Store them out of sight and reach of children. Unused medications should be disposed of in special ways to ensure that pets, children and other people cannot consume them.

Q. Does Norfirm-PGM Tablet expire?

Yes, Norfirm-PGM Tablet does expire. Please check the expiry date written on the pack of this medicine. Do not use Norfirm-PGM Tablet after the expiry date.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Pregabalin. Sandwich, Kent: Pfizer Limited; 2009 [revised July 2018]. [Accessed 24 Apr. 2019] (online) Available from:External Link
  2. Drugs.com. Nortriptyline Pregnancy and Breastfeeding Warnings. [Accessed 24 Apr. 2019] (online) Available from:External Link
  3. Drugs.com. Cyanocobalamin Pregnancy and Breastfeeding Warnings. [Accessed 24 Apr. 2019] (online) Available from:External Link

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