Birlacal D 500MG Tab
Risemarker Pharmaceuticals - Tablet - 500 mg - 10 S
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Methylcobalamin (500mcg) + Gabapentin (300mg)
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 ₹133
Trustnerve Capsule is used for nutritional supplement for nerve health; used as adjuvant in peripheral neuropathy (e.g., diabetic neuropathy), numbness/tingling, neuropathic pain and vitamin deficiency states (as prescribed).
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Trustnerve Capsule contains Methylcobalamin (500mcg) + Gabapentin (300mg). It belongs to the Neurotropic vitamins/antioxidant supplement class of medicines.
Nerve health supplements typically provide neurotropic vitamins/antioxidants that help in myelin formation, neuronal metabolism and repair, and reduce oxidative stress. This may help improve nerve function and relieve neuropathy symptoms over time.
Capsule: take as directed by physician, usually after food. Swallow whole with water; do not crush or chew. Duration depends on indication and response.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
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.
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.
Most side effects of Trustnerve 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 | Consult doctor |
|---|---|
| Breastfeeding | Trustnerve G Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.Baby should be monitored for excessive sleepiness and weight gain. |
| Alcohol | Use with caution |
| Driving | Do not drive or operate machinery while taking this medicine. |
| Kidney | Trustnerve G Tablet should be used with caution in patients with kidney disease. Dose adjustment of Trustnerve G Tablet may be needed. Please consult your doctor. |
| Liver | There is limited information available on the use of Trustnerve G Tablet in patients with liver disease. Please consult your doctor. |
| Habit forming | No |
Not a substitute for a balanced diet. Use with caution in liver disease, kidney disease, or history of allergy to any component. If you have severe neuropathy, diabetes, are pregnant/breastfeeding, or are on long-term medicines, consult a doctor before use. Stop and seek medical help if signs of allergy occur.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack.
May interact with levodopa (if pyridoxine/Vit B6 present without carbidopa), anticoagulants/antiplatelets (if omega-3 or high-dose vitamin E present), antidiabetic medicines (some antioxidants may affect glucose control), alcohol (may worsen neuropathy and reduce vitamin absorption).
Store below 25°C in a cool, dry place away from direct light and moisture. Keep out of reach of children.
<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 Trustnerve G Tablet 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 Trustnerve G Tablet , 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>
Medicines with the same active ingredient (Methylcobalamin (500mcg) + Gabapentin (300mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Trustnerve Capsule |
|---|---|---|---|
| Gabaprex-M Tablet | 1X10 | ₹91 | 31% cheaper |
| Trustnerve-G TabletRISEMARKER PHARMACEUTICALS | tablet · 10`S | ₹133 | same price |
| Meganerv G Tablet | 1X10 | ₹176 | 32% more |
| Nurokind G TabletMANKIND (PHARMA) | tablet · 10 Tablet | ₹178 | 34% more |
| Nurokind-GMANKIND (PHARMA) | 10`S | ₹184 | 38% more |
| Progaba AmICON PHARMA | 10`S | ₹209 | 58% more |
| Pentanerv 300 mg TabletALKEM LAB | tablet · 10`S | ₹272 | 105% more |
| Gabaneuron 300 TabletARISTO PHARMACEUTICALS PVT LTD | tablet · 15`S | ₹312 | 135% more |
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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.