Aqua E 400MG Cap
Troikaa Pharmaceuticals - Capsule - 400 mg - 10 S
₹79.40
Prescription requiredTroikaa Pharmaceuticals`NEURO CNS
Troycobal NT
Methylcobalamin (1500mcg) + Nortriptyline (10mg) + 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 ₹197
Troycobal NT is used for this medicine is used in the treatment of vitamin b deficiency, nerve pain and tingling, anaemia, tiredness due to deficiency, depression, anxiety, obsessive compulsive disorder, nerve pain, migraine prevention, diabetic neuropathy, pain after shingles, fibromyalgia and epilepsy.
Licensed pharmacyPharmacist-verified order
Key details
Salt: Methylcobalamin (1500mcg) + Nortriptyline (10mg) + Pregabalin (75mg)
Available variants: NA 10`S
Best price: ₹197
Prescription: Required
Manufacturer: TROIKAA PHARMACEUTICALS`
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 Troycobal NT
Troycobal NT contains Methylcobalamin (1500mcg) + Nortriptyline (10mg) + Pregabalin (75mg). It belongs to the B-complex vitamin, Antidepressant and Gabapentinoid class of medicines.
Uses of Troycobal NT
- Vitamin b deficiency
- Nerve pain
- Tingling
- Anaemia
- Tiredness due to deficiency
- Depression
- Anxiety
- Obsessive compulsive disorder
- Migraine prevention
- Diabetic neuropathy
- Pain after shingles
- Fibromyalgia
- Epilepsy
Benefits of Troycobal NT
- In Vitamin B deficiency
- Troycobal NT restores the B vitamins your body needs to turn food into energy and to keep nerves and blood cells healthy, correcting the deficiency behind symptoms such as tiredness, sore tongue and pins and needles.
- In Nerve pain and tingling
- Troycobal NT supplies the vitamins nerves need to repair their protective covering, which over weeks can ease the burning, tingling and numbness of nerve damage.
- In Anaemia
- Troycobal NT gives the bone marrow the B12 and folate it needs to make healthy red blood cells, correcting the anaemia and the tiredness and breathlessness that come with it.
- In Tiredness due to deficiency
- Troycobal NT corrects a lack of B vitamins, which is a common and easily missed reason for feeling drained. Energy returns as the stores are rebuilt.
- In Depression
- Troycobal NT 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
- Troycobal NT calms persistent worry and the physical tension that goes with it, so that everyday situations feel manageable again.
- In Obsessive compulsive disorder
- Troycobal NT reduces the intrusive thoughts and the urge to repeat rituals, usually alongside talking therapy.
- In Nerve pain
- Troycobal NT dampens the pain signals from damaged nerves, easing burning, shooting or tingling pain that ordinary painkillers do not touch.
- In Migraine prevention
- Troycobal NT, taken every day, reduces how often migraines come and how severe they are. It does not treat an attack once it has started.
- In Diabetic neuropathy
- Troycobal NT eases the burning, tingling and numbness in the feet and hands caused by diabetic nerve damage, improving sleep and comfort.
- In Pain after shingles
- Troycobal NT relieves the persistent, sensitive pain that can linger in the skin after a shingles rash has healed.
- In Fibromyalgia
- Troycobal NT reduces the widespread pain and improves the sleep disturbance of fibromyalgia.
- In Epilepsy
- Troycobal NT steadies the electrical activity in the brain, reducing how often seizures occur when taken alongside other anti-epileptic medicines.
How Troycobal NT works
This medicine combines 3 active ingredients: Methylcobalamin, Nortriptyline and Pregabalin. Methylcobalamin replaces a B vitamin your body needs to make red blood cells, to keep nerves healthy and to release energy from food. Nortriptyline restores the balance of the chemical messengers in the brain that regulate mood, sleep and the way pain is felt. Pregabalin calms the over-active nerve signals that cause burning, shooting and tingling pain.
How to take Troycobal NT
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.
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 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 Troycobal NT
Most side effects of Troycobal NT are mild and settle as the body gets used to the medicine. The ones reported most often are:
- Nausea
- Stomach upset
- Harmless bright yellow urine
- Loose motions
- Dry mouth
- Drowsiness or difficulty sleeping
- Headache
- Weight change
- Reduced sexual desire
- Constipation
- Drowsiness
- Dizziness
- Swelling of the ankles and feet
- Weight gain
- Blurred vision
- Unsteadiness
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 Troycobal NT
- AlcoholUNSAFE
- Do not drink alcohol while taking this medicine.
- PregnancyUNSAFE
- Not recommended in pregnancy. It may harm the developing baby, so tell your doctor at once if you are or might be pregnant.
- Breast feedingCONSULT YOUR DOCTOR
- Consult your doctor before using this while breastfeeding.
- DrivingUNSAFE
- Do not drive or operate machinery while taking this medicine.
- KidneyCONSULT YOUR DOCTOR
- Consult your doctor if you have kidney disease.
- LiverCONSULT YOUR DOCTOR
- Consult your doctor if you have liver disease.
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. 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 Troycobal 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
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. 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 Troycobal NT
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
Quick tips for Troycobal NT
- A supplement corrects a deficiency; it is not a general energy tonic.
- If you are on it for nerve symptoms, keep your review appointment so the underlying cause is looked for.
- 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.
Related lab tests
People taking Troycobal NT are often asked to check these from time to time. Your doctor decides which and how often.
Manufacturer and class
- Manufacturer:
- TROIKAA PHARMACEUTICALS`
- Therapeutic class:
- NEURO CNS
- Drug class:
- B-complex vitamin, Antidepressant and Gabapentinoid
Substitutes for Troycobal NT
Medicines with the same active ingredient (Methylcobalamin (1500mcg) + Nortriptyline (10mg) + Pregabalin (75mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Troycobal NT |
|---|---|---|---|
| Meconerv TabletMICRO LABS | tablet · 10`S | ₹131 | 33% cheaper |
| Mecapreg-N TabletSTALLION LABORATORIES PVT LTD | tablet · 10`S | ₹141 | 29% cheaper |
| Nervesmile Np TabletSMILECARE LIFE SCIENCES | tablet · 10`S | ₹165 | 16% cheaper |
| Pregader -Ntm | 10 | ₹198 | 1% more |
| Meganeuron Nt+ 75 mg TabletARISTO PHARMACEUTICALS PVT LTD | tablet · 10`S | ₹215 | 9% more |
| Balanerve TabletMEGHMANI | tablet · 10`S | ₹232 | 18% more |
| Rejunuron Nt TabletFourrts India Laboratories Pvt Ltd | tablet · 10`S | ₹234 | 19% more |
| Neurotrat SR TabletZYDUS HEALTHCARE PHARMA | tablet · 10`S | ₹234 | 19% more |
| Axogurd Plus TabletALEMBIC PHARMA | tablet · 10`S | ₹247 | 26% more |
| Nervite PlusMacleods Pharmaceuticals Pvt Ltd | 10`S | ₹289 | 47% more |
| Pregabid Mnt TabletIntas Pharmaceuticals Ltd | tablet · 10`S | ₹290 | 47% more |
| Nervijen-Np TabletJENBURKT PHARMACEUTICALS | tablet · 15`S | ₹300 | 53% more |
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Troycobal NT FAQs
What is Troycobal NT used for?
Troycobal NT is commonly used for vitamin b deficiency, nerve pain and tingling, anaemia, tiredness due to deficiency, depression, anxiety, obsessive compulsive disorder, nerve pain, migraine prevention, diabetic neuropathy, pain after shingles, fibromyalgia and epilepsy. 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 Troycobal NT?
Vitamin B deficiency: Troycobal NT restores the B vitamins your body needs to turn food into energy and to keep nerves and blood cells healthy, correcting the deficiency behind symptoms such as tiredness, sore tongue and pins and needles. It is also used for nerve pain and tingling, anaemia, tiredness due to deficiency.
What is the salt in Troycobal NT?
Troycobal NT contains Methylcobalamin (1500mcg) + Nortriptyline (10mg) + 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 Troycobal NT?
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 Troycobal NT work?
This medicine combines 3 active ingredients: Methylcobalamin, Nortriptyline and Pregabalin.
Is Troycobal NT a prescription medicine?
Yes. Troycobal NT 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 Troycobal NT?
The side effects reported most often with Troycobal NT are Nausea, Stomach upset, Harmless bright yellow urine, Loose motions, Dry mouth. 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 Troycobal NT be taken during pregnancy?
Troycobal NT is not recommended in pregnancy. Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Troycobal NT.
Can I drink alcohol while taking Troycobal NT?
No. Do not drink alcohol while taking Troycobal NT.
What if I miss a dose of Troycobal NT?
Take it as soon as you remember.
Is Troycobal NT habit forming?
No. Troycobal NT is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Troycobal NT?
Meconerv Tablet has the same active ingredient and strength and is listed from ₹131 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 Troycobal NT cost on PingMeDoc Pharmacy?
Troycobal NT starts at ₹197 on PingMeDoc Pharmacy. Available in NA 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Troycobal NT?
Troycobal NT is manufactured by TROIKAA PHARMACEUTICALS`. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Troycobal NT delivered?
Troycobal NT 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.
Troycobal NT, Quick facts
- Salt
- Methylcobalamin (1500mcg) + Nortriptyline (10mg) + Pregabalin (75mg)
- Best price
- ₹197
- Prescription
- Required (Rx)
- Schedule
- Schedule H
- Brand
- TROIKAA PHARMACEUTICALS`
- Manufacturer
- TROIKAA PHARMACEUTICALS`
- Therapeutic class
- NEURO CNS
- Drug class
- B-complex vitamin, Antidepressant and Gabapentinoid
- Habit forming
- No
- Variants
- NA 10`S
- 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.
- PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
- CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
- Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
- National List of Essential Medicines (NLEM) 2022, Government of India.
- Manufacturer's package insert / prescribing information for Troycobal NT.
- 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.