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Prescription requiredVitamin supplement and Neuropathic pain agent

Hexagab SR Tablet

Methylcobalamin (1500mcg) + Pregabalin (75mg)

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 ₹116

Hexagab SR Tablet is used for hexagab Plus Tablet PR is used in the treatment of neuropathic pain.

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

Licensed pharmacyPharmacist-verified order

Key details

Salt: Methylcobalamin (1500mcg) + Pregabalin (75mg)
Available variants: tablet 1500mcg + 75mg 10`S
Best price: ₹116 (₹11.58 per tablet)
MRP: ₹122
Prescription: Required
Manufacturer: D

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 Hexagab SR Tablet

Hexagab SR Tablet contains Methylcobalamin (1500mcg) + Pregabalin (75mg). It belongs to the B-complex vitamin and Gabapentinoid class of medicines.

Uses of Hexagab SR Tablet

Hexagab Plus Tablet PR is used in the treatment of neuropathic pain.

Key benefits

  • Corrects a deficiency that causes tiredness and nerve symptoms
  • Supports the formation of healthy red blood cells
  • Generally well tolerated
  • Works on nerve pain that ordinary painkillers do not touch
  • Also used to control fits

How Hexagab SR Tablet works

Hexagab Plus Tablet PR is a combination of three medicines: Pregabalin, Nortriptyline and Methylcobalamin/Mecobalamin. Pregabalin is an alpha 2 delta ligand which decreases 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. Methylcobalamin/Mecobalamin is a form of vitamin B which helps in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).

How to take Hexagab SR Tablet

Use it as advised by your doctor or check the label for directions before use. Hexagab Plus Tablet PR 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

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine is unlikely to cause serious harm, because the body passes surplus B vitamins out in the urine. It can cause deep drowsiness, confusion, unsteadiness and slowed breathing, especially with an opioid or alcohol. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Hexagab SR Tablet

Most side effects of Hexagab SR are mild and settle as the body adjusts. Reported side effects include:

  • 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

Stop the medicine and seek help immediately 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 Hexagab SR Tablet

PregnancyHexagab Plus Tablet PR may be unsafe to use during pregnancy.<br/>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
BreastfeedingHexagab Plus Tablet PR is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
AlcoholHexagab Plus Tablet PR may cause excessive drowsiness and calmness with alcohol.
DrivingDo not drive or operate machinery while taking this medicine.
KidneyHexagab Plus Tablet PR should be used with caution in patients with kidney disease. Dose adjustment of Hexagab Plus Tablet PR may be needed. Please consult your doctor.
LiverHexagab Plus Tablet PR is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Hexagab Plus Tablet PR may not be needed in these patients. Please consult your doctor.
Habit formingYes

Warnings and precautions

Tingling, numbness or burning in the hands and feet should be assessed by a doctor rather than self-treated — a supplement does not address the cause. Folic acid can mask a vitamin B12 deficiency while nerve damage continues, so B12 should be checked before taking folic acid long term. Bright yellow urine after a B-complex dose is expected and harmless. 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.

Do not take Hexagab SR if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack.

Interactions with other medicines

Long-term metformin, acid-reducing medicines and some anti-epileptics lower B12 or folate levels. Tell your doctor if you take levodopa, as vitamin B6 can reduce its effect. 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.

How to store Hexagab SR Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Hexagab SR Tablet

<div class="style__desktop-container___1hcBT"><div class="style__desktop-video___2GTR9"><div class="styles__video-img___1rCzR"><div class=""/><div class=""/></div></div><div><div><div><div><div class="ExpertAdviceItem__content___1Djk2"><ul><li>You have been prescribed Hexagab Plus Tablet PR for treating and preventing nerve pain.</li> <li>Its side effects are usually mild and temporary.</li> <li>It may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.</li> <li>To lower the chances of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.</li> <li>Avoid consuming alcohol when taking Hexagab Plus Tablet PR , as it may cause excessive sleepiness.</li> <li>Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression or suicidal thoughts or behavior.</li> <li>Do not stop taking the medication suddenly without talking to your doctor.</li></ul></div></div></div></div></div></div>

Manufacturer and class

Manufacturer:
D
Therapeutic class:
Vitamin supplement and Neuropathic pain agent
Drug class:
B-complex vitamin and Gabapentinoid

Substitutes for Hexagab SR Tablet

Medicines with the same active ingredient (Methylcobalamin (1500mcg) + Pregabalin (75mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Hexagab SR Tablet
Diamyelin 50 CapsuleVENREDD PHARMAcapsule · 10`S₹9320% cheaper
Axon Pg TabletNOUVELLE PHARMACEUTICALStablet · 10`S₹116same price
Pregamerge M SR 75 mg TabletD EARTH PHARMACEUTICALStablet · 10`S₹13315% more
Medineuron Pg SRMMC HEALTHCARE LTD10`S₹14323% more
Preganerve M SREAST WEST PHARMA10`S₹14323% more
Meconerv P SR TabletMICRO LABStablet · 10S₹14828% more
Pregabrit TabletElbrit LIfe Sciencestablet · 10`S₹16644% more
Renerve P CapsuleERIS LIFE SCIENCES PVT LTDcapsule · 10`S₹19064% more
Pregadoc-M 75LUPIN LAB10`S₹20173% more
Pregadoc M SR 75 mg TabletLUPIN LABtablet · 10`S₹20375% more
Axogurd SRALEMBIC PHARMA10`S₹21686% more
Rejunuron Dn TabletFourrts India Laboratories Pvt Ltdtablet · 10`S₹22393% more
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Hexagab SR Tablet FAQs

What is Hexagab SR Tablet used for?
Hexagab SR Tablet is commonly used for Hexagab Plus Tablet PR 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 is the salt in Hexagab SR Tablet?
Hexagab SR Tablet contains Methylcobalamin (1500mcg) + Pregabalin (75mg). 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 Hexagab SR Tablet?
Use it as advised by your doctor or check the label for directions before use. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Hexagab SR Tablet work?
Hexagab Plus Tablet PR is a combination of three medicines: Pregabalin, Nortriptyline and Methylcobalamin/Mecobalamin.
Is Hexagab SR Tablet a prescription medicine?
Yes. Hexagab SR Tablet 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 Hexagab SR Tablet?
The side effects reported most often with Hexagab SR are 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. 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 Hexagab SR Tablet be taken during pregnancy?
Hexagab Plus Tablet PR may be unsafe to use during pregnancy.<br/>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Hexagab SR.
Can I drink alcohol while taking Hexagab SR Tablet?
Hexagab Plus Tablet PR may cause excessive drowsiness and calmness with alcohol.
What if I miss a dose of Hexagab SR Tablet?
Take it as soon as you remember.
Is Hexagab SR Tablet habit forming?
Yes Take Hexagab SR only as directed and for the duration your doctor advises.
Is there a cheaper substitute for Hexagab SR Tablet?
Diamyelin 50 Capsule has the same active ingredient and strength and is listed from ₹93 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 Hexagab SR Tablet cost on PingMeDoc Pharmacy?
Hexagab SR Tablet starts at ₹116 (MRP ₹122) on PingMeDoc Pharmacy. Available in tablet 1500mcg + 75mg 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Hexagab SR Tablet?
Hexagab SR Tablet is manufactured by D. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Hexagab SR Tablet delivered?
Hexagab SR Tablet 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.

Hexagab SR Tablet, Quick facts

Salt
Methylcobalamin (1500mcg) + Pregabalin (75mg)
Form
tablet
Best price
₹116 (₹11.58 per tablet)
MRP
₹122
Prescription
Required (Rx)
Schedule
Schedule H
Manufacturer
D
Therapeutic class
Vitamin supplement and Neuropathic pain agent
Drug class
B-complex vitamin and Gabapentinoid
Habit forming
Yes
Variants
tablet 1500mcg + 75mg 10`S
Delivery
Standard across India

References

Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. 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 Hexagab SR Tablet.
  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.