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Alkem Lab - Tablet - 15 S
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Alpha Lipoic Acid (100mg) + Folic Acid (1.5mg) + Methylcobalamin (750mcg) + Pregabalin (75mg) + Vitamin B6 (Pyridoxine) (1.5mg)
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
Trinerve Forte Capsule is used for neuropathic pain.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Trinerve Forte Capsule contains Alpha Lipoic Acid (100mg) + Folic Acid (1.5mg) + Methylcobalamin (750mcg) + Pregabalin (75mg) + Vitamin B6 (Pyridoxine) (1.5mg). It belongs to the Antioxidant / trace element supplement, B-complex vitamin and Gabapentinoid class of medicines.
Neuropathic pain
Trinerve Forte Capsule is a combination of five medicines: Alpha Lipoic Acid, Folic Acid, Methylcobalamin, Pregabalin and Vitamin B6 (Pyridoxine). Alpha Lipoic Acid is a naturally occurring fatty acid which has a protective effect on the brain and nerve tissues. Folic Acid provides essential nutrients to the nerves. Methylcobalamin and Vitamin B6 (Pyridoxine) are forms of vitamin B which help in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Pregabalin is an alpha 2 delta ligand which decreases pain by modulating calcium channel activity of the nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).
Take this medicine in the dose and duration as advised by your doctor. Trinerve Forte Capsule is to be taken on an empty stomach.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of Trinerve Forte Capsule, 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.
An overdose of this medicine can cause vomiting, stomach pain and, with some minerals, damage over the longer term. It 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.
Most side effects of Trinerve Forte are mild and settle as the body adjusts. Reported side effects include:
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.
| Pregnancy | Pregnancy CONSULT YOUR DOCTOR |
|---|---|
| Breastfeeding | Breast feeding CONSULT YOUR DOCTOR |
| Alcohol | Alcohol UNSAFE |
| Driving | Driving UNSAFE |
| Kidney | Kidney CAUTION |
| Liver | Liver CAUTION |
| Habit forming | No |
A supplement supports a normal diet; it does not prevent or treat infection. Zinc on an empty stomach commonly causes nausea — take it with food. Very high doses of vitamin A over a long period can be harmful, particularly in pregnancy. Do not take several products containing the same nutrient at once; the totals add up. 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.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack.
Zinc and other minerals reduce the absorption of some antibiotics — separate them by a few hours. Tell your doctor if you take a blood thinner, as high-dose vitamin E can add to its effect. 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.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
Trinerve Forte Capsule helps treat nerve pain caused by diabetes, shingles or an injury. Its side effects are usually mild and go away by themselves. It may cause sleepiness. Don't drive or do anything requiring concentration until you know how it affects you. Avoid consuming alcohol when taking this medicine, as it may cause excessive sleepiness or drowsiness. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior. Do not stop taking the medication suddenly without talking to your doctor.
Medicines with the same active ingredient (Alpha Lipoic Acid (100mg) + Folic Acid (1.5mg) + Methylcobalamin (750mcg) + Pregabalin (75mg) + Vitamin B6 (Pyridoxine) (1.5mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Trinerve Forte Capsule |
|---|---|---|---|
| Pevesca Plus 75 SRUSV Ltd | 10`S | ₹180 | 5% more |

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The information on Trinerve Forte Capsule 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.