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Prescription requiredAlkem LabAntidepressant and Neuropathic pain agent

Neurokem Nt Tablet

Nortriptyline (10mg) + Pregabalin (50mg)

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 ₹358

Neurokem Nt Tablet is used for neurokem NT 50mg Tablet 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: Nortriptyline (10mg) + Pregabalin (50mg)
Available variants: tablet 10mg + 50mg 15
Best price: ₹358
MRP: ₹377
Prescription: Required
Manufacturer: ALKEM 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 Neurokem Nt Tablet

Neurokem Nt Tablet contains Nortriptyline (10mg) + Pregabalin (50mg). It belongs to the Antidepressant and Gabapentinoid class of medicines.

Uses of Neurokem Nt Tablet

Neurokem NT 50mg Tablet is used in the treatment of neuropathic pain.

Key benefits

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

How Neurokem Nt Tablet works

Neurokem NT 50mg 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 Neurokem Nt 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. Neurokem NT 50mg 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

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 fits, dangerous heart rhythm disturbance and coma, and is particularly dangerous with the older tricyclic medicines. 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 Neurokem Nt Tablet

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

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

PregnancyNeurokem NT 50mg Tablet 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.
BreastfeedingNeurokem NT 50mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
AlcoholNeurokem NT 50mg Tablet may cause excessive drowsiness and calmness with alcohol.
DrivingDo not drive or operate machinery while taking this medicine.
KidneyNeurokem NT 50mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Neurokem NT 50mg Tablet may be needed. Please consult your doctor.
LiverNeurokem NT 50mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Neurokem NT 50mg Tablet may not be needed in these patients. Please consult your doctor.
Habit formingYes

Warnings and precautions

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. 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 Neurokem Nt 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

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. 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 Neurokem Nt 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 Neurokem Nt Tablet

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. 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.

Manufacturer and class

Manufacturer:
ALKEM LAB
Therapeutic class:
Antidepressant and Neuropathic pain agent
Drug class:
Antidepressant and Gabapentinoid

Substitutes for Neurokem Nt Tablet

Medicines with the same active ingredient (Nortriptyline (10mg) + Pregabalin (50mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Neurokem Nt Tablet
Gabamax Nt 50 mg TabletARISTO PHARMACEUTICALS PVT LTDtablet · 10`S₹12565% cheaper
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Neurokem Nt Tablet FAQs

What is Neurokem Nt Tablet used for?
Neurokem Nt Tablet is commonly used for Neurokem NT 50mg 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 is the salt in Neurokem Nt Tablet?
Neurokem Nt Tablet contains Nortriptyline (10mg) + Pregabalin (50mg). 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 Neurokem Nt Tablet?
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 Neurokem Nt Tablet work?
Neurokem NT 50mg Tablet is a combination of two medicines: Pregabalin and Nortriptyline.
Is Neurokem Nt Tablet a prescription medicine?
Yes. Neurokem Nt 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 Neurokem Nt Tablet?
The side effects reported most often with Neurokem Nt are Constipation Difficulty in urination Weight gain Sleepiness Dizziness Tiredness Blurred vision Dryness in mouth Increased heart rate Orthostatic hypotension (sudden lowering of blood pressure on standing) 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 Neurokem Nt Tablet be taken during pregnancy?
Neurokem NT 50mg Tablet 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 Neurokem Nt.
Can I drink alcohol while taking Neurokem Nt Tablet?
Neurokem NT 50mg Tablet may cause excessive drowsiness and calmness with alcohol.
What if I miss a dose of Neurokem Nt Tablet?
Take it as soon as you remember.
Is Neurokem Nt Tablet habit forming?
Yes Take Neurokem Nt only as directed and for the duration your doctor advises.
Is there a cheaper substitute for Neurokem Nt Tablet?
Gabamax Nt 50 mg Tablet has the same active ingredient and strength and is listed from ₹125 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 Neurokem Nt Tablet cost on PingMeDoc Pharmacy?
Neurokem Nt Tablet starts at ₹358 (MRP ₹377) on PingMeDoc Pharmacy. Available in tablet 10mg + 50mg 15. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Neurokem Nt Tablet?
Neurokem Nt Tablet is manufactured by ALKEM LAB. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Neurokem Nt Tablet delivered?
Neurokem Nt 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.

Neurokem Nt Tablet, Quick facts

Salt
Nortriptyline (10mg) + Pregabalin (50mg)
Form
tablet
Best price
₹358
MRP
₹377
Prescription
Required (Rx)
Schedule
Schedule H
Brand
ALKEM LAB
Manufacturer
ALKEM LAB
Therapeutic class
Antidepressant and Neuropathic pain agent
Drug class
Antidepressant and Gabapentinoid
Habit forming
Yes
Variants
tablet 10mg + 50mg 15
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 Neurokem Nt 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.