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Prescription requiredSystopic LabNeuropathic pain agent and Antidepressant

Nervotop 10 mg Tablet

Pregabalin + Nortriptyline

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 ₹109

Nervotop 10 mg Tablet is used for this medicine is used in the treatment of nerve pain, diabetic neuropathy, pain after shingles, fibromyalgia, epilepsy, depression, anxiety, obsessive compulsive disorder and migraine prevention.

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

Licensed pharmacyPharmacist-verified order

Key details

Salt: Pregabalin + Nortriptyline
Available variants: tablet 10 mg 10`S
Best price: ₹109 (₹10.93 per tablet)
MRP: ₹115
Prescription: Required
Manufacturer: SYSTOPIC LAB

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 Nervotop 10 mg Tablet

Nervotop 10 mg Tablet contains Pregabalin + Nortriptyline. It belongs to the Gabapentinoid and Antidepressant class of medicines.

Uses of Nervotop 10 mg Tablet

  • This medicine is used in the treatment of nerve pain
  • diabetic neuropathy
  • pain after shingles
  • fibromyalgia
  • epilepsy
  • depression
  • anxiety
  • obsessive compulsive disorder and migraine prevention.

Key benefits

  • Works on nerve pain that ordinary painkillers do not touch
  • Also used to control fits
  • Effective for depression and anxiety disorders
  • Also relieves nerve pain and prevents migraine
  • Usually taken once a day

How Nervotop 10 mg Tablet works

This medicine combines 2 active ingredients: Pregabalin and Nortriptyline. Pregabalin calms the over-active nerve signals that cause burning, shooting and tingling pain. Nortriptyline restores the balance of the chemical messengers in the brain that regulate mood, sleep and the way pain is felt.

How to take Nervotop 10 mg Tablet

Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Take it with or without food. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.

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 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 Nervotop 10 mg Tablet

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

  • 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 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 Nervotop 10 mg Tablet

PregnancyNot recommended in pregnancy — it may harm the developing baby. Tell your doctor at once if you are or might be pregnant.
BreastfeedingConsult your doctor before using this while breastfeeding.
AlcoholDo not drink alcohol while taking this medicine.
DrivingDo not drive or operate machinery while taking this medicine.
KidneyConsult your doctor if you have kidney disease.
LiverConsult your doctor if you have liver disease.
Habit formingYes

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 Nervotop 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 Nervotop 10 mg 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 Nervotop 10 mg Tablet

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:
SYSTOPIC LAB
Therapeutic class:
Neuropathic pain agent and Antidepressant
Drug class:
Gabapentinoid and Antidepressant

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Nervotop 10 mg Tablet FAQs

What is Nervotop 10 mg Tablet used for?
Nervotop 10 mg Tablet is commonly used for This medicine is used in the treatment of nerve pain, diabetic neuropathy, pain after shingles, fibromyalgia, epilepsy, depression, anxiety, obsessive compulsive disorder and migraine prevention. 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 Nervotop 10 mg Tablet?
Nervotop 10 mg Tablet contains Pregabalin + Nortriptyline. 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 Nervotop 10 mg Tablet?
Swallow the tablet whole with a glass of water. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Nervotop 10 mg Tablet work?
This medicine combines 2 active ingredients: Pregabalin and Nortriptyline.
Is Nervotop 10 mg Tablet a prescription medicine?
Yes. Nervotop 10 mg 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 Nervotop 10 mg Tablet?
The side effects reported most often with Nervotop 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 Nervotop 10 mg Tablet be taken during pregnancy?
Not recommended in pregnancy — it may harm the developing baby. Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Nervotop.
Can I drink alcohol while taking Nervotop 10 mg Tablet?
Do not drink alcohol while taking this medicine.
What if I miss a dose of Nervotop 10 mg Tablet?
Take it as soon as you remember.
Is Nervotop 10 mg Tablet habit forming?
Yes Take Nervotop only as directed and for the duration your doctor advises.
How much does Nervotop 10 mg Tablet cost on PingMeDoc Pharmacy?
Nervotop 10 mg Tablet starts at ₹109 (MRP ₹115) on PingMeDoc Pharmacy. Available in tablet 10 mg 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Nervotop 10 mg Tablet?
Nervotop 10 mg Tablet is manufactured by SYSTOPIC LAB. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Nervotop 10 mg Tablet delivered?
Nervotop 10 mg 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.

Nervotop 10 mg Tablet, Quick facts

Salt
Pregabalin + Nortriptyline
Form
tablet
Best price
₹109 (₹10.93 per tablet)
MRP
₹115
Prescription
Required (Rx)
Brand
SYSTOPIC LAB
Manufacturer
SYSTOPIC LAB
Therapeutic class
Neuropathic pain agent and Antidepressant
Drug class
Gabapentinoid and Antidepressant
Habit forming
Yes
Variants
tablet 10 mg 10`S
Delivery
Standard across India

References

The information on Nervotop 10 mg Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  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 Nervotop 10 mg 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.