Premylin-M 75 Tablet is a prescription medicine used for the treatment of neuropathic pain. It decreases pain by modulating the calcium channel activity of the nerve cells. This medicine also protects nerve fibers and heals damaged nerve cells.
Premylin-M 75 Tablet may be taken with or without food, preferably at bedtime. It is advised to take it 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. This medication must not be stopped suddenly without talking to the doctor.
Some common side effects of this medicine include nausea, vomiting, diarrhea, constipation, blurred vision, dizziness, and sleepiness. Do not drive or do anything that requires mental focus until you know how this medicine affects you. The side effects are mild and usually improve with time. It may also cause weight gain in some people. Exercise regularly and have a balanced diet to keep your weight in check. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts.
Your doctor should also know about all other medicines you are taking, as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding to make sure it is safe for you and the developing baby.
Premylin-M 75 Tablet helps treat long-lasting (chronic) pain caused by nerve damage due to diabetes, shingles, or spinal cord injury. It reduces pain and associated symptoms, such as mood changes, sleep problems, and tiredness. It also contains nutritional supplements that improve nerve conduction.
Side effects of Premylin-M Tablet
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 Premylin-M
Decreased appetite
Nausea
Vomiting
Diarrhea
Headache
Blurred vision
Constipation
Dizziness
Drowsiness
Fatigue
Weight gain
How to use Premylin-M Tablet
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. Premylin-M 75 Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Premylin-M Tablet works
Premylin-M 75 Tablet is a combination of two medicines: Methylcobalamin and Pregabalin. 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. Pregabalin is an alpha-2 delta ligand that decreases pain by modulating the calcium channel activity of the nerve cells. Together, they relieve neuropathic pain (pain from damaged nerves).
Safety advice
Alcohol
UNSAFE
Premylin-M 75 Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Premylin-M 75 Tablet 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
Premylin-M 75 Tablet 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
Premylin-M 75 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Premylin-M 75 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Premylin-M 75 Tablet may be needed. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Premylin-M 75 Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Premylin-M 75 Tablet may not be needed in these patients. Please consult your doctor.
What if you forget to take Premylin-M Tablet?
If you miss a dose of Premylin-M 75 Tablet, 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.
Burning sensation in sole ,penile region regularly No spot at penile area but constant burning sensation at sole and penile area No relief from amoxicillin,ceprofloxin doxycyclene Period :last 14 days
Dr. Pranay Gandhi
Sexology
that may be a neuropathic pain. do u have high bp or diabetes. take tablet pregama m 1 od for 15 days
I had problem of herpes zooster(Jneu) below armpit and at back 3 months earlier and i had treatment for the same from skin specialist the swelling recovered but pain is still so the doctor recommended now Gabamin (Gabapentin, and Methylcobalamin) from 5 days but got bit relief from heat burn and pain is still. Please suggest medicine to get immediate relief from pain. A pic of back is attached of now for reference
Hello doctor from last few days there is burning sensation in my feet.bottom of legs. Which part touch floor.My doctor made a diabetic test and reports are normal. So what's reason.plese refer a medicine
Dr. Sanjay Bhatt
Physician
First reduce your weight to 75 kgCheck routine test like TSH URIC ACID AND LFTTry tab pregastar M od
What is Premylin-M 75 Tablet, and what is it used for?
Premylin-M 75 Tablet is a combination of two medicines: pregabalin and methylcobalamin. It is used for the treatment of nerve pain (neuropathic pain). It calms the damaged or overactive nerves by acting on the brain, thereby decreasing the pain sensation. It also helps in the regeneration of damaged nerves in the body.
Can I stop taking Premylin-M 75 Tablet when my pain is relieved?
No, you should not stop taking Premylin-M 75 Tablet even if your pain is relieved. Continue to take it as advised by your doctor. If you suddenly stop taking Premylin-M 75 Tablet, you may experience withdrawal symptoms such as anxiety, sleeping difficulties, nausea, pain, and sweating. You may need to gradually taper the use of Premylin-M 75 Tablet before you stop the medication completely.
How do you manage the weight gain associated with the use of Premylin-M 75 Tablet?
Premylin-M 75 Tablet can make you feel hungry, which might make you eat more, thereby increasing your chances of putting on weight. However, preventing weight gain is easier than losing the increased weight. Try to eat a healthy balanced diet without increasing your portion sizes (per-meal intake). Do not eat food items that contain a lot of calories, such as soft drinks, oily food, chips, cakes, biscuits, and sweets. If you feel hungry between meals, avoid eating junk food and eat fruits, vegetables, and low-calorie foods. Regular exercise will help prevent weight gain. If you maintain good eating habits and exercise regularly, you might not gain any weight.
Can the use of Premylin-M 75 Tablet cause sleepiness or drowsiness?
Yes, Premylin-M 75 Tablet may make you feel drowsy, or you may suddenly fall asleep during your daily activities. Sometimes, you might not even feel drowsy or have any other warning signs before you suddenly fall asleep. Avoid driving a car, operating machinery, working at heights, or participating in potentially dangerous activities at the beginning of your treatment until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.
What if I forget to take Premylin-M 75 Tablet?
If you forget to take the scheduled dose of Premylin-M 75 Tablet, and it is almost time for your next dose, skip the dose you missed and take your next dose at the scheduled time. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose you missed because this may increase the risk of unwanted side effects. If you are not sure what to do, consult your doctor about how to manage a situation like this.
Will a higher than the recommended dose of Premylin-M 75 Tablet be more effective?
No, taking a higher-than-recommended dose may not be more effective; rather, it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms that are not relieved by the recommended doses, please consult your doctor for re-evaluation.
Can I drink alcohol while taking Premylin-M 75 Tablet?
No, do not drink alcohol while taking Premylin-M 75 Tablet. Drinking alcohol can increase the severity of drowsiness or sleepiness caused by Premylin-M 75 Tablet.
How often should I see the doctor?
You may need to see your doctor regularly if you have started to take Premylin-M 75 Tablet. However, you must consult your doctor if the advised dosage of Premylin-M 75 Tablet does not improve your symptoms or if you continue experiencing some unwanted side effects that affect your routine activities.
Are there any special instructions regarding storage and disposal of this medicine?
Keep your tablets in the pack until it is time to take them. Store them in a cool, dry place. Store them out of sight and reach of children. Unused medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
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References
Pregabalin [Prescribing Information]. Vega Baja, Puerto Rico: Pfizer Pharmaceuticals LLC; 2009. [Accessed 22 Apr. 2019] (online) Available from:
Pregabalin [Prescribing Information]. New York, NY: Pfizer; 2004 [revised Jun 2011]. [Accessed 22 Apr. 2019] (online) Available from:
Methylcobalamin and pregabalin [Patient Information]. Pune, Maharashtra: Epion Pharmaceuticals Pvt. Ltd.; [Accessed 14 Apr. 2025] (online) Available from:
Methylcobalamin and pregabalin [Patient Information]. Ahmedabad, Gujarat: West Coast Pharmaceutical Works Ltd.; [Accessed 14 Apr. 2025] (online) Available from: