Dulane M 20 Capsule 10's is a combination medicine used for the management of neuropathic pain. Neuropathic pain is a chronic progressive nerve disease that causes nerve pain due to nerve damage or a malfunctioning nervous system. The pain could be intermittent or continuous, which is felt as a prickling, stabbing, tingling, or burning sensation.

Dulane M 20 Capsule 10's is a combination of two medicines: Duloxetine (mood stabilizer), and Mecobalamin (vitamin B12). Duloxetine is a serotonin-noradrenaline reuptake inhibitor (SNRI). It works by enhancing the amount of mood-enhancing chemicals serotonin and noradrenaline in the brain. This Dulane M 20 Capsule 10's action balances out negative emotions and improves mood, sleep, and makes a person live a better life. Mecobalamin is a Vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a myelin substance. Together, Dulane M 20 Capsule 10's helps provide relief from neuropathic pain caused due to nerve damage and other neurological disorders.

Take Dulane M 20 Capsule 10's as prescribed. You are advised to take Dulane M 20 Capsule 10's for as long as your doctor has prescribed it for you depending on your medical conditions. You may experience nausea, constipation, headache, drowsiness, dry mouth, insomnia (difficulty in sleeping), erectile dysfunction, and low sexual desire. Most of these side effects of Dulane M 20 Capsule 10's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

To treat your condition effectually, continue taking Dulane M 20 Capsule 10's for as long as your doctor has prescribed. Please do not stop taking Dulane M 20 Capsule 10's without consulting your doctor as it could cause withdrawal symptoms. Keep your doctor informed about your health condition and medicines to rule out any side effects. Dulane M 20 Capsule 10's should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with Dulane M 20 Capsule 10's as it could lead to increased dizziness and sleepiness. Do not take Dulane M 20 Capsule 10's if you are pregnant or breastfeeding unless prescribed by the doctor. Inform your doctor immediately, if you experience suicidal thoughts after taking Dulane M 20 Capsule 10's. Also, seek medical help immediately if you have serotonin syndrome symptoms, such as agitation, hallucinations, fever, shivering, muscle stiffness, twitching, nausea, vomiting, or diarrhoea.

Dulane M 20 Capsule 10's is used to treat neuropathic pain in adults. Dulane M 20 Capsule 10's is a combination of two medicines: Duloxetine (mood stabilizer), Mecobalamin (vitamin B12). Gabapentin treats seizures by balancing a chemical messenger in the brain called a neurotransmitter, thereby decreasing its abnormal excitement in the brain. Mecobalamin is a Vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a myelin substance. Together, Dulane M 20 Capsule 10's helps provide relief from neuropathic pain caused due to nerve damage and other neurological disorders.

• Nausea
• Constipation
• Headache
• Insomnia (difficulty in sleeping)
• Erectile dysfunction
• Low sexual desire
• Dry mouth
• Drowsiness

Do not take Dulane M 20 Capsule 10's if you are allergic to any of its contents. Inform your doctor before taking Dulane M 20 Capsule 10's if you have liver or kidney disease, slow digestion, bleeding problems, narrow-angle glaucoma, bipolar disorder. Avoid taking Dulane M 20 Capsule 10's within 5 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, methylene blue injection, linezolid, phenelzine, selegiline, or tranylcypromine. Please do not stop taking Dulane M 20 Capsule 10's without consulting your doctor as it could cause withdrawal symptoms. Dulane M 20 Capsule 10's causes drowsiness and dizziness, so drive only if you are alert. Dulane M 20 Capsule 10's should not be given to children as safety and effectiveness have not been established. Consult your doctor immediately if you experience suicidal tendencies. Do not take Dulane M 20 Capsule 10's if you are pregnant or breastfeeding unless prescribed by the doctor. Do not get up too fast from a sitting or lying position. Please do not drink alcohol as it may increase your risk of liver damage.

Drug-Drug Interactions: Dulane M 20 Capsule 10's may have interaction aspirin, ibuprofen, naproxen, celecoxib, diclofenac, indomethacin, meloxicam.

Drug-Food Interactions: Avoid alcohol consumption while taking Dulane M 20 Capsule 10's as it might cause increased dizziness and sleepiness or may increase your risk of liver damage.

Drug-Disease Interactions: Dulane M 20 Capsule 10's may interact with disease conditions such as liver or kidney disease, seizures, bipolar disorder (manic depression), drug addiction or suicidal thoughts, narrow-angle glaucoma.

• IBUPROFEN
• NAPROXEN
• CELECOXIB
• DICLOFENAC
• INDOMETHACIN
• MELOXICAM

• Include food rich in vitamins B and D in your diet to improve nerve health and prevent nerve pain.
• Include cayenne pepper in your diet as it can help in lowering neuropathic pain.
• Exercising regularly helps in improving overall health and combating pain.
• Rest well, and get plenty of sleep.
• Try taking a warm bath as it can be soothing. It helps in increasing blood circulation, thereby decreasing numbness and pain.
• Avoid smoking and alcohol consumption.
• Meditation and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.
• Physical relaxation and massages can help provide symptomatic relief.
• Learn about techniques for sitting, stretching, moving, and standing from a physical or occupational therapist. These can help prevent pain.
• Acupuncture can be helpful by stimulating pressure points.
• Using essential oils for massages can help increase circulation and boosts healing.

• Close monitoring for suicidal thoughts/behavior is required for people using Dulane M 20 Capsule 10's.
• Using Dulane M 20 Capsule 10's in children can cause emotional changes, aggressive behavior, concentration problems, restlessness, school performance changes, and hyperactivity.

Neuropathic pain: It is a nervous system disorder caused due to damage to sensory nerves. It is caused by chronic progressive nerve disease or due to infection or injury. The pain could be intermittent or continuous, which is felt as a prickling, stabbing, tingling, or burning sensation. A feeling of numbness and loss of sensations is also common with neuropathic pain. Usually, the body sends the pain signals when there is an injury, but with neuropathic pain, the pain is not triggered by an injury, the body unpromptedly sends the pain signals. Symptoms include spontaneous, untriggered pain, unpleasant feeling, shooting, burning or stabbing pain, difficulty resting or sleeping, and evoked pain (pain caused by events that are usually not painful).