Description

Gabapentin & Nortriptyline Film-Coated Tablets (400 mg / 10 mg)

Healthy Inc is a specialized global supplier and exporter of advanced neurology, pain management, and complex multi-API FDC therapeutics. We provide ultra-high-purity, kinetically synchronized Gabapentin & Nortriptyline Hydrochloride Film-Coated Tablets (400 mg / 10 mg), manufactured in WHO–GMP certified, high-precision oral solid dosage facilities. This “Dual-Pathway Neuropathic Pain FDC” is a massive-volume, highly lucrative export to neurology centers, diabetic care networks, pain management clinics, and government health ministries in LATAM, the CIS, Africa, and Southeast Asia, serving as the globally mandated, synergistic intervention for refractory diabetic neuropathy, severe sciatica, and postherpetic neuralgia.

Product Overview

This highly advanced formulation operates as a coordinated, dual-front biochemical assault against chronic nerve pain. It simultaneously chokes off the hyperactive pain signals firing from damaged nerves, while chemically reinforcing the brain’s natural ability to suppress pain signals traveling up the spinal cord.

The “Calcium Channel Blocker & Monoamine Reuptake” Specialist:

• Mechanism 1 (The Ascending Pain Blockade – Gabapentin): When nerves are destroyed by diabetes or viruses, they misfire, sending continuous, agonizing pain signals to the brain. Gabapentin violently binds to the alpha-2-delta subunit of voltage-gated calcium channels on these damaged nerves. By blocking calcium influx, it physically stops the nerve from releasing excitatory neurotransmitters (like glutamate and substance P), instantly choking off the ascending pain signals.
• Mechanism 2 (The Descending Pain Inhibitor – Nortriptyline): Nortriptyline is a highly potent secondary amine Tricyclic Antidepressant (TCA). In the spinal cord, the body has a natural “descending inhibitory pathway” that acts as a volume dial for pain. Nortriptyline heavily inhibits the reuptake of Norepinephrine and Serotonin in the synaptic cleft. Flooding the synapses with these neurotransmitters artificially turns the “pain volume” down to zero, reinforcing the Gabapentin blockade.
• The Synergistic “Sleep-Architecture” Advantage: Chronic nerve pain frequently causes severe insomnia. Both Gabapentin and Nortriptyline possess mild sedative properties. By combining them in a single, nighttime dose, neurologists can simultaneously eradicate the patient’s shooting pain and restore deep, restorative sleep architecture without resorting to highly addictive opioid painkillers.

Product Composition & Strength

We supply this product as a Precision-Blended, High-Density Macrodose FDC Tablet, packed exclusively in highly secure, moisture-resistant Alu-Alu blister strips to ensure the absolute chemical stability of both active pharmaceutical ingredients.

*Pack Sizes: 10×10 Alu-Alu Blisters (Optimized specifically for strict 30-day chronic neurology dispensing regimens).

Technical & Logistics Specifications

Critical data for Pharmaceutical Importers, Neurology Distributors, and Hospital Procurement Boards.

Manufacturing Authority

Marketed and Distributed by Healthy Inc from WHO-GMP & ISO 9001:2015 certified units.

• Macro/Micro Content Uniformity (CRITICAL COMPLIANCE): The engineering challenge of this FDC cannot be overstated. Standard generic manufacturers struggle to blend a potent 10 mg active ingredient evenly into a massive 400 mg base. If Content Uniformity fails, a patient could ingest an overdose of Nortriptyline, triggering fatal cardiac arrhythmias. Our neurology suites utilize elite dry-blending and high-shear wet granulation, validated by intensive HPLC batch-testing, to guarantee 100% uniformity. This proves to major hospital boards that our dosing is clinically flawless and safe for geriatric populations.

Therapeutic Indications (Human Use)

Indicated for the targeted, highly specialized management of severe, refractory neurological pain:

• Diabetic Peripheral Neuropathy: Aggressive management of burning, shooting pain in the extremities of patients with long-standing diabetes.
• Postherpetic Neuralgia: Management of severe, lingering nerve pain following a Herpes Zoster (Shingles) infection.
• Sciatica & Radiculopathy: Co-management of radiating nerve pain caused by spinal compression or injury.

Dosage & Administration

Recommended Dosage (Strictly as per Neurologist Guidelines):

• Standard Adult Dosing: Typically initiated as one tablet taken at bedtime, due to the highly sedative properties of the combination. The dose can be cautiously titrated up under medical supervision.
• Administration: Can be taken with or without food. Tablets should be swallowed whole.
• Renal Clearance Rule (CRITICAL): Because Gabapentin is excreted 100% unchanged by the kidneys, patients with severe renal impairment (low eGFR) must have their dose drastically reduced to prevent toxic neurological depression.

Safety Warnings (CRITICAL Regulatory & Clinical Data):

• BLACK BOX WARNING (Suicidal Ideation – Nortriptyline): Like all antidepressants, Nortriptyline increases the risk of suicidal thinking and behavior in children, adolescents, and young adults. Psychiatric monitoring is mandatory during the first few months of therapy.
• Cardiac Arrhythmias & QT Prolongation: Nortriptyline can cause severe, fatal cardiac arrhythmias, especially in overdose or in patients with preexisting cardiovascular disease. Baseline ECGs are highly recommended for elderly patients.
• Fatal Respiratory Depression (FDA Warning): Co-administration with CNS depressants (specifically Opioids) or use in patients with severe COPD can trigger profound, fatal respiratory depression.
• Severe Anticholinergic Effects: The TCA component will cause significant dry mouth, blurred vision, constipation, and urinary retention, which can be particularly dangerous for elderly men with benign prostatic hyperplasia (BPH).
• Withdrawal Seizures (The Tapering Mandate): Abruptly stopping this FDC can trigger continuous, life-threatening seizures (due to Gabapentin withdrawal) and severe cholinergic rebound (due to Nortriptyline withdrawal). The drug must be tapered slowly.

Global Export & Contract Manufacturing Services

Healthy Inc stands as a premier Pharmaceutical Exporter in India, dedicated to serving international Pharma Traders, Wholesalers, and Neurology Networks. As a verified Medicine Supplier in Mumbai, we offer flexible Third Party Manufacturing (Contract Manufacturing) services for Advanced Neuropathic FDCs, Anticonvulsants, and Macro/Micro Tableting Formulations. Whether you are looking for a reliable Government Tender Supplier for diabetic clinics in Africa or a B2B Pharma Marketplace partner for Latin America, our highly regulated logistics network ensures timely, secure delivery of WHO-GMP certified products.