Cugaba 400mg Capsule is a medicine used to relieve the pain caused by nerve damage (neuropathic pain) due to various conditions like diabetes, shingles (herpes zoster infection), spinal cord injury, etc. It is also used to treat certain types of seizures (fits) in combination with other medicines.

Cugaba 400mg Capsule belongs to the anti-epileptic group of medicines. You may take it with or without food, but it is important to take this medicine at the same time each day to get the most benefit. The exact dose and duration of treatment will depend on your condition and how you respond to it. Your doctor will probably start this medicine at a low dose and increase it gradually. It may take a few weeks for the medicine to work properly. Follow your doctor’s instructions and continue taking it regularly until your doctor advises you to stop. Do not miss any dose, otherwise, your condition may worsen.

Most people taking Cugaba 400mg Capsule do not experience any side effects. The most common ones are feeling sleepy, dizzy, or tired (fatigue). These are usually mild and go away by themselves as your body gets used to the medicine. Most side effects are not serious and do not need medical attention. Talk to your doctor if any of the side effects persist or worry you.

You should avoid drinking alcohol along with this medicine as it may lead to excessive sleepiness and dizziness. Let your doctor know right away if you develop any unusual mood changes like anxiety, agitation, depression, or thoughts about harming yourself.

Before taking Cugaba 400mg Capsule, you should tell your doctor if you have any kidney-related problems or if you are more than 65 years old. Your doctor may prescribe a different dose in such people. Women who are pregnant, breastfeeding, or planning to become pregnant should also consult their doctor before using this medicine.

Uses of Cugaba Capsule

Side effects of Cugaba Capsule

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Cugaba

Impaired coordination
Viral infection
Sleepiness
Dizziness
Fatigue
Fever

How to use Cugaba Capsule

Take this medicine in the dose and duration as advised by your doctor. Cugaba 400mg Capsule may be taken with or without food, but it is better to take it at a fixed time.

How Cugaba Capsule works

Cugaba 400mg Capsule is an antiepileptic medication. When given for epilepsy, it is believed to work by reducing the abnormal electrical activity in the brain, thus preventing seizures. It is also used to treat nerve pain where it blocks pain by interfering with pain signals traveling through the damaged nerves and the brain.

Safety advice

Alcohol

UNSAFE

Cugaba 400mg Capsule may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Cugaba 400mg Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Cugaba 400mg Capsule 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.

Driving

UNSAFE

Cugaba 400mg Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Cugaba 400mg Capsule should be used with caution in patients with kidney disease. Dose adjustment of Cugaba 400mg Capsule may be needed. Please consult your doctor.

Liver

CONSULT YOUR DOCTOR

There is limited information available on the use of Cugaba 400mg Capsule in patients with liver disease. Please consult your doctor.

What if you forget to take Cugaba Capsule?

If you miss a dose of Cugaba 400mg 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.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Cugaba 400mg Capsule

₹13.7/Capsule

Gabantin 400 Capsule

Sun Pharmaceutical Industries Ltd

₹29.2/capsule

113% costlier

Acegaba 400 Capsule

Emcure Pharmaceuticals Ltd

₹27.9/capsule

104% costlier

Gabapin 400 Capsule

Intas Pharmaceuticals Ltd

₹31.9/capsule

133% costlier

Gabalent 400 Capsule

Talent India

₹11.8/capsule

14% cheaper

Neuronti 400mg Capsule

Pfizer Ltd

₹40/capsule

192% costlier

View all substitutes

Quick tips

Take it at the same time every day, preferably at bedtime, to avoid any dizziness or drowsiness during the day.
Avoid taking antacids 2 hours before or after taking Cugaba 400mg Capsule as they make it harder for your body to absorb the medicine.
It may cause sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
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 Cugaba 400mg Capsule suddenly without talking to your doctor as it may increase the frequency of seizure.

Fact Box

Chemical Class

Gamma Amino Acids Derivatives

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Alpha-2 Delta Ligands- Antiepileptic Drugs (AEDs)

Interaction with drugs

Taking Cugaba with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Orlistat (Oral Route) Moderate

Orlistat may reduce efficacy of Gabapentin. Watch out for symptoms such as tremors. seizures or impaired coordination and consult your doctor if you experience them. Your doctor m... More

Sevelamer (Oral Route) Moderate

Sevelamer may reduce the absorption of Gabapentin. To take Gabapentin, ensure a gap of at least 1 hour before or 3 hours after taking Sevelamer. Your doctor may monitor your treat... More

Fosphenytoin (Injection Route) Moderate

Concurrent use may cause a toxic rise in Fosphenytoin levels in the blood. Talk to your doctor if you notice any unusual symptoms.

Tramadol (Oral Route) Moderate

Gabapentin may increase the pain-relieving effects of Tramadol. Concurrent use may increase the risk of slow breathing. If concurrent use is essential, watch out for symptoms such... More

Tramadol (Oral Route) Moderate

Gabapentin may increase the pain-relieving effects of Tramadol. Concurrent use may increase the risk of slow breathing. If concurrent use is essential, watch out for symptoms such... More

View all drug interactions

Patient concerns

anxiety high blood pressure sleep problems seizures

Dr. Jyoti Kapoor Madan

Psychiatry

Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. Siezures are due to electrophysiological disturbance in brain and anti convulsants are the treatment of choice. If the condition is persisting for a long time, it's better to see a psychiatrist.

She has problem of epilepsy from last two years

Dr. Rahul Yadav

Paediatrics

Hello, epilepsy and seizures cannot be treated online without physically examining the child and detailed history.

I m taking 1.5gm sodium valporate,1.5 levectram, 1gm clobezam then also seizure r their at period of weekly is there alternate treatment in Ayurveda as every time at multiplying the doses at every visit As MRI eeg every tests r normal

Dr. M. K. Ansari

Neurology

not aware of any ayurvedic medications for epilepsy is not my specialization. However you seems to have difficult to control (intractable) seizures plz follow doctors advice deligently for ur own welfare

Hi I am suffering from epilepsy from the past 1.5 years but before that I have no issues with my health the symptoms are I will get vomiting sensation from evening & heavy body pains & fits will comes only in early morning from 4 & 5 am i will get un concious for about 20 or 30 minutes & I will bite my tongue & after that I will have heavy nerve pains for a day or two from 5 days I am taking encorte 500 tablets between day & night before that I used to take homeopathy treatment

Dr. Jyoti Kapoor Madan

Psychiatry

Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of consciousness. Medicines for epilepsy are initially recommended for at least 3 years of seizure free interval but may continue longer depending on recurrence. Epileptic patient needs to carry a warning card or a medical emergency bracelet with identification details, his/ her epilepsy status and what people can do if fit occurs in public place.

FAQs

I have been prescribed Cugaba 400mg Capsule for pain. When will I start feeling better?

It varies from person to person. Some people take about a week or two before noticing relief in pain. Whereas, some people may see an improvement straight away. It is recommended that you take Cugaba 400mg Capsule only for nerve pain and as advised by your doctor.

I think I have gained weight since I started taking Cugaba 400mg Capsule. Can this be because of Cugaba 400mg Capsule?

Yes, Cugaba 400mg Capsule may cause weight gain because it increases your hunger. Regular physical exercise and a balanced diet with low calorie food may help you maintain a stable weight. Consult a dietitian if you have any further concerns to keep your weight stable.

For how long do I need to take Cugaba 400mg Capsule?

Your doctor will decide the duration of the treatment based on your condition and your response to the treatment. For instance, if you have been prescribed Cugaba 400mg Capsule for epilepsy, you may have to take it for a long time, maybe years even if your seizures are controlled. Whereas, if you are taking it for nerve pain and it has relieved your pain, you may have to take it for several months only.

What are the serious side effects that may occur while taking Cugaba 400mg Capsule?

Taking Cugaba 400mg Capsule may cause yellowing of the skin or eyes (warning signs of jaundice), trouble in breathing or talking and tightness in chest or throat (suggestive of serious allergic skin reactions). It may provoke suicidal thoughts and cause unusual bruises or bleeding which may be due to blood disorder. Other serious side effects may include muscle weakness and pain, fever which could lead to kidney failure, long-lasting stomach pain, nausea and vomiting (suggestive of pancreatitis and rash).

Is Cugaba 400mg Capsule habit forming?

No, it will not be addictive if you take it as per your doctor’s recommendations. However, physical dependence has been reported in people who had taken more than the recommended dose of Cugaba 400mg Capsule or had used Cugaba 400mg Capsule for illnesses it is not approved for.

I am taking Cugaba 400mg Capsule for nerve pain. Can I take it off and on?

No, Cugaba 400mg Capsule is not a simple pain reliever. It is important that you follow your doctor’s advice strictly. Taking it off and on may not give you the desired results and may worsen your pain.

What if somebody takes more than the recommended dose of Cugaba 400mg Capsule?

A higher than the recommended dose of Cugaba 400mg Capsule may cause faintness, dizziness, double vision, unclear speech, drowsiness, tiredness and mild diarrhea. The person requires immediate medical attention by a doctor or in a nearby hospital.

What should I tell my doctor before taking this medicine?

Inform your doctor if you are taking any other medicines including medicines for epilepsy or seizures, medicines used to thin your blood (e.g., warfarin), birth control pills, medicines to control bacterial infection (e.g., chloramphenicol, metronidazole, and doxycycline), medicines to control viral infection (e.g., nelfinavir), asthma medicines (e.g., theophylline and montelukast), etc. Also, inform your doctor if you are planning to become pregnant or are breastfeeding. Further, you should tell the doctor if you have ever had liver problems, kidney problems, lung problems, or porphyria (a rare blood pigment disorder).

What should I avoid while taking Cugaba 400mg Capsule?

If Cugaba 400mg Capsule makes you feel sleepy, avoid driving or operating heavy machinery. Alcohol consumption should be avoided since taking both together may cause excessive sleepiness.

Does Cugaba 400mg Capsule reduce the efficiency of oral birth control pills?

No, Cugaba 400mg Capsule does not have any effect on oral birth control pills.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Stahl SM, editor. Gabapentin. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 275-77.
McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 599.
Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 410.
Gabapentin. Menlo Park: Depomed; 1993 [revised date]. [Accessed 25 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Gabapentin. [Updated 2018 Oct 31]. [Accessed 20 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:
Texas Vendor Drug Program. Drug Use Criteria: Gabapentin. [Accessed 28 June 2023]. (online) Available from:
National Health Service. Pregnancy, breastfeeding and fertility while taking gabapentin. [Last Revised: 18 Jan. 2022]. [Accessed 28 June 2023]. (online) Available from:

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