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Prescription requiredAkumentis Healthcare LtdNeuropathic pain agent and Antidepressant

Fine Nerve Gel

Pregabalin (75mg) + Nortriptyline (10mg)

Available at our pharmacy counter

This medicine is dispensed in person against a valid prescription and is not sold online. Ask our pharmacist about availability, or speak to a registered doctor.

In-store reference price ₹171

Fine Nerve Gel is used for fine Nerve NTP Tablet is used in the treatment of neuropathic pain.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated October 2026

Licensed pharmacyPharmacist-verified order

Key details

Salt: Pregabalin (75mg) + Nortriptyline (10mg)
Available variants: gel 75mg + 10mg 30GM
Best price: ₹171 (₹5.70 per g)
MRP: ₹180
Prescription: Required
Manufacturer: AKUMENTIS HEALTHCARE LTD

Ordering notes

This medicine is dispensed in person at a licensed pharmacy counter and is not delivered.
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Fine Nerve Gel

Fine Nerve Gel contains Pregabalin (75mg) + Nortriptyline (10mg). It belongs to the Gabapentinoid and Antidepressant class of medicines.

Uses of Fine Nerve Gel

Fine Nerve NTP Tablet is used in the treatment of neuropathic pain.

Benefits of Fine Nerve Gel

In Nerve pain
Fine Nerve calms over-active nerves so the burning, shooting and electric-shock pains of nerve damage ease. Relief builds over one to two weeks.
In Diabetic neuropathy
Fine Nerve eases the burning, tingling and numbness in the feet and hands caused by diabetic nerve damage, improving sleep and comfort.
In Pain after shingles
Fine Nerve relieves the persistent, sensitive pain that can linger in the skin after a shingles rash has healed.
In Fibromyalgia
Fine Nerve reduces the widespread pain and improves the sleep disturbance of fibromyalgia.
In Epilepsy
Fine Nerve steadies the electrical activity in the brain, reducing how often seizures occur when taken alongside other anti-epileptic medicines.
In Depression
Fine Nerve restores the balance of the brain's chemical messengers, gradually lifting mood, energy, sleep and appetite. The benefit builds over several weeks, which is why it is important to keep taking it.
In Anxiety
Fine Nerve calms persistent worry and the physical tension that goes with it, so that everyday situations feel manageable again.
In Obsessive compulsive disorder
Fine Nerve reduces the intrusive thoughts and the urge to repeat rituals, usually alongside talking therapy.
In Migraine prevention
Fine Nerve, taken every day, reduces how often migraines come and how severe they are. It does not treat an attack once it has started.

How Fine Nerve Gel works

Fine Nerve NTP Tablet is a combination of two medicines: Pregabalin and Nortriptyline. Pregabalin is an alpha 2 delta ligand which decreases the pain by modulating calcium channel activity of the nerve cells. Nortriptyline is a tricyclic antidepressant which increases the levels of chemical messengers (serotonin and noradrenaline) that stop the movement of pain signals in the brain. Together, they relieve neuropathic pain (pain from damaged nerves).

How to take Fine Nerve Gel

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. Fine Nerve NTP Tablet may be taken with or without food, but it is better to take it at a fixed time.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.

If you take too much

An overdose of this medicine can cause deep drowsiness, confusion, unsteadiness and slowed breathing, especially with an opioid or alcohol. It can cause fits, dangerous heart rhythm disturbance and coma, and is particularly dangerous with the older tricyclic medicines. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Fine Nerve Gel

Most side effects of Fine Nerve are mild and settle as the body gets used to the medicine. The ones reported most often are:

  • Drowsiness
  • Dizziness
  • Swelling of the ankles and feet
  • Weight gain
  • Blurred vision
  • Unsteadiness
  • Nausea
  • Dry mouth
  • Drowsiness or difficulty sleeping
  • Headache
  • Weight change
  • Reduced sexual desire
  • Constipation

Stop the medicine and get help at once for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Fine Nerve Gel

Alcohol
Fine Nerve NTP Tablet may cause excessive drowsiness with alcohol.
PregnancyUNSAFE
Fine Nerve NTP 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 feedingUNSAFE
Fine Nerve NTP Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
DrivingUNSAFE
Do not drive or operate machinery while taking this medicine.
KidneyCAUTION
Fine Nerve NTP Tablet should be used with caution in patients with kidney disease. Dose adjustment of Fine Nerve NTP Tablet may be needed. Please consult your doctor.
LiverCONSULT YOUR DOCTOR
Fine Nerve NTP Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Fine Nerve NTP Tablet may not be needed in these patients. Please consult your doctor.
Habit formingYES
This medicine can cause dependence with prolonged use. Take it only under medical supervision and do not stop it abruptly.

Warnings and precautions

This medicine causes drowsiness and unsteadiness, particularly when you start it or the dose goes up. Do not drive or operate machinery until you know how it affects you. Never stop it suddenly. Stopping abruptly can cause anxiety, sleeplessness, sweating and, in people taking it for epilepsy, fits. Your doctor will taper it. Tell your doctor about any change in mood or any thoughts of harming yourself. The dose is usually built up slowly from a low starting point — follow the schedule your doctor gave you rather than jumping to the full dose. Pregabalin comes under Schedule H1 from 16 November 2026 and will then need a prescription and a pharmacy register entry. These medicines take two to four weeks to begin working, and longer for the full effect. Stopping at two weeks because nothing has changed is the commonest mistake. Never stop suddenly. Abrupt withdrawal causes dizziness, electric-shock sensations, irritability and flu-like symptoms — your doctor will reduce the dose gradually. Tell your doctor or go to hospital immediately if thoughts of harming yourself appear or worsen, particularly in the first weeks or after a dose change, and especially in anyone under twenty-five. Seek urgent care for agitation with fever, shivering, a racing heart, muscle twitching or confusion, particularly if more than one medicine affecting serotonin is being taken. Side effects are usually worst in the first fortnight and then settle.

Do not take Fine Nerve if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Must not be combined with a monoamine oxidase inhibitor, or started within the gap your doctor specifies after one.

Interactions with other medicines

Opioid painkillers, alcohol, sleeping tablets and antihistamines all add to the drowsiness, and the combination with opioids can dangerously slow breathing. Antacids reduce the absorption of gabapentin — separate them by a couple of hours. Tramadol, triptans for migraine, linezolid, St John's wort and other antidepressants can together raise serotonin dangerously. Anti-inflammatory painkillers and blood thinners increase the bleeding risk when combined with this group.

How to store Fine Nerve Gel

Store below 30°C, away from direct sunlight. Close the cap tightly after each use. Keep out of the reach of children.

Quick tips for Fine Nerve Gel

  • Take the larger part of the dose at night if drowsiness is a problem.
  • Rise slowly from sitting or lying, especially in the first weeks.
  • Keep your review appointment so the dose can be adjusted to the lowest that controls your pain.
  • Give it a fair trial of several weeks, and keep your review appointments.
  • Take it at the same time each day.
  • At night if it makes you drowsy, in the morning if it disturbs sleep.
  • Talking therapy alongside medicine works better than either alone for most people.

Manufacturer and class

Manufacturer:
AKUMENTIS HEALTHCARE LTD
Therapeutic class:
Neuropathic pain agent and Antidepressant
Drug class:
Gabapentinoid and Antidepressant

Substitutes for Fine Nerve Gel

Medicines with the same active ingredient (Pregabalin (75mg) + Nortriptyline (10mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Fine Nerve Gel
Maxgalin Nt 50 mg TabletSUN PHARMAtablet · 10`S₹13720% cheaper
Pregabanyl-Nt TabletCOMMON PRODUCTStablet · 10`S₹13819% cheaper
Pregader Nt Tablet10'S₹1626% cheaper
Pregaleo Nt TabletFUSION HEALTH CAREtablet · 10`S₹1672% cheaper
Neuroprime-Nt TabletPRIMUS PHARMAtablet · 10`S₹1869% more
Mahagaba-Nt 75 TabletMANKIND (PHARMA)tablet · 10`S₹19514% more
Senseit -Nt TabletPHARMANOVAtablet · 10`S₹19917% more
Algineuron TabletREGENIX DRUGS LIMITEDtablet · 10`S₹20520% more
Neurica NtMICRO LABS10`S₹21727% more
Pregalin SR 75Torrent Pharmaceuticals Ltd10`S₹23135% more
Pregeb Nt TabletTorrent Pharmaceuticals Ltdtablet · 10`S₹24443% more
Pregaloy NtLLOYD HEALTHCARE10`S₹24543% more
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Fine Nerve Gel FAQs

What is Fine Nerve Gel used for?
Fine Nerve Gel is commonly used for Fine Nerve NTP Tablet is used in the treatment of neuropathic pain. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What are the benefits of Fine Nerve Gel?
Nerve pain: Fine Nerve calms over-active nerves so the burning, shooting and electric-shock pains of nerve damage ease. Relief builds over one to two weeks. It is also used for diabetic neuropathy, pain after shingles, fibromyalgia.
What is the salt in Fine Nerve Gel?
Fine Nerve Gel contains Pregabalin (75mg) + Nortriptyline (10mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Fine Nerve Gel?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Fine Nerve Gel work?
Fine Nerve NTP Tablet is a combination of two medicines: Pregabalin and Nortriptyline.
Is Fine Nerve Gel a prescription medicine?
Yes. Fine Nerve Gel is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Fine Nerve Gel?
The side effects reported most often with Fine Nerve are Drowsiness, Dizziness, Swelling of the ankles and feet, Weight gain, Blurred vision. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Fine Nerve Gel be taken during pregnancy?
Fine Nerve Gel is not recommended in pregnancy. Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Fine Nerve.
Can I drink alcohol while taking Fine Nerve Gel?
Ask your doctor before drinking alcohol while on Fine Nerve Gel.
What if I miss a dose of Fine Nerve Gel?
Apply it as soon as you remember.
Is Fine Nerve Gel habit forming?
Yes. Fine Nerve Gel can cause dependence with prolonged use. Take Fine Nerve only as directed and for the duration your doctor advises.
Is there a cheaper substitute for Fine Nerve Gel?
Maxgalin Nt 50 mg Tablet has the same active ingredient and strength and is listed from ₹137 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Fine Nerve Gel cost on PingMeDoc Pharmacy?
Fine Nerve Gel starts at ₹171 (MRP ₹180) on PingMeDoc Pharmacy. Available in gel 75mg + 10mg 30GM. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Fine Nerve Gel?
Fine Nerve Gel is manufactured by AKUMENTIS HEALTHCARE LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Fine Nerve Gel delivered?
Fine Nerve Gel is a regulated medicine and is not delivered. It is dispensed in person at a licensed pharmacy counter against a valid prescription. Ask our pharmacist on WhatsApp about availability.

Fine Nerve Gel, Quick facts

Salt
Pregabalin (75mg) + Nortriptyline (10mg)
Form
gel
Best price
₹171 (₹5.70 per g)
MRP
₹180
Prescription
Required (Rx)
Schedule
Schedule H
Brand
AKUMENTIS HEALTHCARE LTD
Manufacturer
AKUMENTIS HEALTHCARE LTD
Therapeutic class
Neuropathic pain agent and Antidepressant
Drug class
Gabapentinoid and Antidepressant
Habit forming
Yes
Variants
gel 75mg + 10mg 30GM
Delivery
Standard across India

References

Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered pharmacist. It does not replace your own doctor's advice.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Fine Nerve Gel.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.