Espinha-GA Capsule is a combination medicine used for the treatment of neuropathic pain. This medicine decreases pain by modulating calcium channel activity of the nerve cells.

Espinha-GA Capsule is taken by mouth with or without food, preferably at bedtime. It is advised to take medicine at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to the doctor.

Some common side effects of this medicine are nausea, peripheral edema, ataxia, blurred vision, fever and nystagmus (involuntary eye movement). It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. It is important to inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts.

Before taking the medicine you should tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. It can usually be mixed safely with other medicines but some drugs (including antacids and alcohol) do affect the way it works and can increase the chance of side effects.

Uses of Espinha-GA Capsule

Treatment of Neuropathic pain

Benefits of Espinha-GA Capsule

In Treatment of Neuropathic pain

Espinha-GA Capsule is a combination of medicines used to treat long-lasting (chronic) pain caused by nerve damage due to diabetes, shingles or spinal cord injury. It reduces pain and its associated symptoms such as mood changes, sleep problems, and tiredness. It is thought to work by interfering with pain signals that travel through the damaged nerves and the brain. Using this medicine regularly will improve your physical and social functioning and overall quality of life. It takes a few weeks to work so you need to use it regularly even if you feel it is not doing any good. Once your symptoms have gone you should still keep using the medicine until your doctor advises you to stop.

Side effects of Espinha-GA 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 Espinha-GA

Dizziness
Sleepiness
Tiredness

How to use Espinha-GA Capsule

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

How Espinha-GA Capsule works

Espinha-GA Capsule is a combination of two medicines: Gabapentin and Methylcobalamin. Gabapentin is an alpha 2 delta ligand which decreases pain by modulating calcium channel activity of the nerve cells. Methylcobalamin is a form of vitamin B which helps in the production of myelin, a substance that protects nerve fibers and rejuvenates damaged nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).

Safety advice

Alcohol

UNSAFE

Espinha-GA Capsule may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Espinha-GA 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

CONSULT YOUR DOCTOR

Espinha-GA Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Espinha-GA Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Espinha-GA Capsule should be used with caution in patients with kidney disease. Dose adjustment of Espinha-GA Capsule may be needed. Please consult your doctor.

Liver

CONSULT YOUR DOCTOR

There is limited information available on the use of Espinha-GA Capsule in patients with liver disease. Please consult your doctor.

What if you forget to take Espinha-GA Capsule?

If you miss a dose of Espinha-GA 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.

All substitutes

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

Espinha-GA Capsule

₹12.3/Capsule

Renerve-G Capsule

Strides shasun Ltd

₹25.14/capsule

104% costlier

Indcobal 300mg/500mcg Capsule

Ind Biosciences

₹14.3/capsule

16% costlier

Capin G 300mg/500mcg Capsule

Kamakshi Drugs & Pharmaceuticals

₹12.4/capsule

1% costlier

Metgab-G Capsule

Mediva Lifecare

₹12.4/capsule

1% costlier

Nurolla GB 300mg/500mcg Capsule

Vexilla Healthcare

₹12.2/capsule

1% cheaper

View all substitutes

Quick tips

You have been prescribed Espinha-GA Capsule for treating and preventing nerve pain.
Its side effects are usually mild and temporary.
It may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
To lower the chances of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Avoid consuming alcohol when taking Espinha-GA Capsule, as it may cause excessive sleepiness.
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.

Fact Box

Habit Forming

Therapeutic Class

NEURO CNS

Patient concerns

From last two months I am suffering from impacted wisdom teeth. Undergone OPG and found four teeth. I have epilepsy and on multiple anti-epileptics drugs. Presently I developed severe pain and stiffness in jaw with fever. I have suggested to take Augmentin 625 TDS which eventually not worked and Dr. Changed it to Taxim O 200 and then to Cifran 750 BD along with Ketanov 10mg BD. Though my pain and jaw stiffness are not subsided. Shall I have to undergo a tooth extraction with GENERAL ANASTHASIA as I have epilepsy and no doctor is willing to do by Local. What shall I do?

Dr. Rohan Bhatt

Dental Surgery

Yes go for extraction in GANo dentist will do it in normal

Right shoulder is blocked. Lots of pain n movement restricted What step should be taken Upward movement is totally blocked

Dr. Akshat Goel

Orthopaedics

Try physiotherapy for 15-20 days If no improvement Then consult an orthopaedic surgeon for Manipulation under GA""

I am suffering from Burning feet since 7-8 yrs and the Nerve Conduction test in 2015 revealed mild peripheral neuropathy. Blood tests revealed very low B12(190) & D3 levels (15) I have Vitiligo since last 25 years and hence I was told that absorbtin of B12 orally will be very low. Hence I took B12 weekly injections for 4 months and then continuing once a month 1500mg, For D3, T took the sachets 60k every week for 6 months. I was prescribed Gabapin NT 1 Tab each night. Currently, my burning feet have reduced by 70% and Vit 12 shots seems to be helping. However I seem to have gained weight. Earlier I used to be 72-74kgs and now I am 81- 82Kgs. Kindly advise : 1. Which B complex injection is recommended for burning feet, considering my B12 levels are around 400 now. 2. I seem to be maintaining higher weight, could it be due to Gabapin NT ? Can I stop it ? or is there a better medicine for the burning feet which is evident towards the evening time. 3. Since my Uric acid levels are around 9, I take Zyloric 100mg 2 times a day and now Uric acid level is around 6. Can I reduce to 1 tab/day ? Pls reply for all 3 points. Thank you, Dr.Balaji PATIENT

Dr. Vikas Sharma

Neurology

no b copl inj needed now; gabapin nt does not cause weight ga=in; for uric acid talk to physician

Good evening sir iam degree student iam suffering from memory loss konchem gurthu untundi avarin adina chepte ventane marchipotha simple ga cheppalante mathimarupu baga undi sir any matter deep ga alochista sir alochanalu vastune untai sir plzz give your suggestions

Dr. Jyoti Kapoor Madan

Psychiatry

I can only respond to the message in English- Memory/ cognitive disturbances in younger age especially inability to recall recent events like where you kept something are more often caused by stress and preoccupation rather than a neurological problem. Nervousness and anxiety makes one not concentrate adequately leading to forgetfulness. Students often complain of not being able able to remember what they read. This is often the result of too much stress/ tension. Identify your stressors and learn to relax. Take time off. When not able to recall something, don't get all frantic about it, leave the effort for a while and relax. It will cure the memory issues. If you are unable to do that, seek professional help.

FAQs

What is Espinha-GA Capsule?

Espinha-GA Capsule is a combination of two medicines: Gabapentin and Methylcobalamin. This medication is useful in the treatment of pain due to nerve damage (peripheral neuropathy). This medication works by regenerating damaged nerves in the body and decreasing the pain sensation.

What is peripheral neuropathy?

The nerves in the periphery of your body, such as the nerves in your toes and fingertip are called peripheral nerves and any damage to one or more of these nerves is called peripheral neuropathy. These nerves carry messages to/from the brain and spinal cord from/to the rest of the body. A damage caused to these nerves stops them from functioning properly and the messages traveling between your central and peripheral nervous system get disrupted.

Can I stop taking Espinha-GA Capsule when my pain is relieved?

No, take Espinha-GA Capsule for the full prescribed length of time. Your symptoms may improve before the nerves are completely regenerated and healed.

Can the use of Espinha-GA Capsule cause sleepiness?

Yes, the most common side effect of Espinha-GA Capsule is sleepiness. Do not drive, operate heavy machinery or engage in other activities that need your full attention. Do not drink alcohol while taking Espinha-GA Capsule as it can lead to severe sleepiness , causing falls or accidents.

Can I take a higher than the recommended dose of this medicine?

No, taking a higher than the recommended dose of Espinha-GA Capsule can lead to increased chances of side effects and toxicity. If you are experiencing increased severity of your symptoms that are not relieved by the recommended doses, please consult your doctor for re-evaluation.

What is the recommended storage condition for the Espinha-GA Capsule?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

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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.
Combs Jr. GF, McClung JP. The Vitamins: Fundamental Aspects in Nutrition and Health. 5th ed. Westborough, MA: Academic Press; 2017.
PubChem. Methylcobalamin hydrate. [Accessed 22 Apr. 2019] (online) Available from:
Arlak Biotech. Methylcobalamin+gabapentin [Product Information]. [Accessed 14 Aug. 2024] (online) Available from:

Marketer details

Name: Veasley Pharmaceuticals Private Limited

Address: UNIT A9 GROUND FLOOR, INDUSTRIAL PLOT NO. 362 PHASE-1, PANCHKULA PANCHKULA Panchkula HR 134113 IN

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.