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Written By Urvashi Bharti , MBBS
Reviewed By Sunny S , MBBS
Non returnable*
COD available

Online payment accepted

rxMedicinePrescription drug

Whats That

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Manufacturer/Marketer

Zydus Cadila

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Prealdonil Tablet

Prealdonil Tablet belongs to a group of medications called 'anti-convulsants' primarily used in the prevention of neuropathic pain.  It is also widely used to treat diabetic neuropathy (nerve damage due to diabetes). 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.

Prealdonil Tablet is a combination of two drugs: Pregabalin (anti-convulsant) and Epalrestat (carboxylic acid derivative). Pregabalin works by changing the way in which nerves send messages to your brain. Epalrestat is an aldose reductase inhibitor.  It blocks the accumulation of sorbitol in the nerve, which causes diabetic nerve disease by inhibiting aldose reductase. It relieves the symptoms of neuropathic pain include numbness and pain in the hands, feet, leg cramps, etc. Together, Prealdonil Tablet helps to treat neuropathic pain (pain due to nerve damage) especially treat nerve damage due to diabetes mellitus.

You are advised to take Prealdonil Tablet for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side effects such as weight gain, somnolence (sleepiness/drowsiness), dry mouth, blurred vision, weight gain, urine discoloration, and thinking abnormal (primarily difficulty with concentration/attention). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Please do not stop taking Prealdonil Tablet without consulting your doctor as it could cause withdrawal symptoms. Do not take Prealdonil Tablet if you are pregnant or breastfeeding unless prescribed by the doctor. Prealdonil Tablet should not be given to children as safety and effectiveness have not been established. Prealdonil Tablet causes drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol along with Prealdonil Tablet as it could lead to increased dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Prealdonil Tablet

Neuropathic pain, Diabetic Neuropathy

Directions for Use

Take Prealdonil Tablet with or without food as advised by the doctor. Swallow it as a whole with a glass of water, do not chew or break it.

Medicinal Benefits

Prealdonil Tablet is a combination of two drugs, namely; Pregabalin (anti-convulsant) and Epalrestat (carboxylic acid derivative). Pregabalin works by calming the damaged or overactive nerves in your body that may cause pain, thereby decreasing the number of pain signals sent out by damaged nerves in the body. Overall it reduces the pain from damaged or irritated nerves due to chronic conditions like, diabetes, trauma or epilepsy. Epalrestat works by inhibiting the aldose reductase enzyme which catalyzes the conversion of glucose to sorbitol and reduces the accumulation of sorbitol in the nerve. In diabetes (hyperglycemia) the accumulation of sorbitol in the nerve occurs and causes various diabetic complications like diabetic peripheral neuropathy, diabetic retinopathy (damage to the blood vessels of the eye due to diabetes), and diabetic nephropathy (diabetic kidney disease). Together, Prealdonil Tablet helps to treat neuropathic pain (pain due to nerve damage) and diabetic neuropathy (nerve damage) which is a common chronic complication in patients with diabetes.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Prealdonil Tablet

  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness
  • Somnolence (sleepiness/drowsiness)
  • Blurred vision
  • Uncoordinated body movements
  • Increased liver enzymes
  • Urine discoloration

Drug Warnings

Do not take Prealdonil Tablet if you are known to be allergic to Prealdonil Tablet . Inform your doctor before taking Prealdonil Tablet if you have or had heart problems, bipolar syndrome, severe liver disease or porphyria and kidney impairments. Please do not stop taking Prealdonil Tablet without consulting your doctor as it could cause withdrawal symptoms. Do not take Prealdonil Tablet if you are pregnant or breastfeeding unless prescribed by the doctor. Prealdonil Tablet should not be given to children as safety and effectiveness have not been established. Taking Prealdonil Tablet with opioids analgesics or painkillers can cause respiratory failure, coma and even leading to death, so avoid its intake together. If you have taken MAO inhibitors in the last 14 days, please do not take Prealdonil Tablet as intake of Prealdonil Tablet and MAO inhibitor together can cause life-threatening drug interaction. Prealdonil Tablet causes drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol along with Prealdonil Tablet as it could lead to increased drowsiness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies such as killing or harming yourself.  Keep your doctor informed about your health condition and medicines to rule out any side effects. 

Drug-Drug Interactions

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PregabalinNalbuphine
Severe
PregabalinBuprenorphine
Severe

Drug-Drug Interactions

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PregabalinNalbuphine
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Nalbuphine causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate and loss of consciousness).

How to manage the interaction:
Although taking Nalbuphine and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinBuprenorphine
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Buprenorphine causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Although taking Buprenorphine and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience dizziness, drowsiness, difficulty concentrating, and impairment in- judgment, reaction speed and motor coordination, consult the doctor immediately. Avoid driving or operating dangerous machinery. Do not exceed the doses, frequency, or duration of usage advised by the doctor. Do not discontinue any medications without consulting a doctor.
PregabalinSodium oxybate
Severe
How does the drug interact with Prealdonil Tablet:
Using Sodium oxybate together with Prealdonil Tablet may increase the risk of side effects.

How to manage the interaction:
Although taking Prealdonil Tablet with Sodium oxybate together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience drowsiness, dizziness, lightheadedness, confusion, slow or shallow breathing, and impairment in thinking, judgment, and motor coordination, consult the doctor. For at least six hours after taking sodium oxybate, avoid operating machinery or engaging in potentially dangerous activities. Also, be careful when getting up from a sitting or lying down posture. Do not stop using any medications without talking to a doctor.
PregabalinKetamine
Severe
How does the drug interact with Prealdonil Tablet:
Taking Ketamine with Prealdonil Tablet may increase the risk of side effects.

How to manage the interaction:
Although taking Prealdonil Tablet and ketamine together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience symptoms such as dizziness, drowsiness, confusion, difficulty concentrating, breathing difficulty, consult the doctor. Do not exceed the doses, frequency, or duration of usage advised by a doctor. You should avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinMethadone
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Methadone causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Although taking methadone and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinRemifentanil
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Remifentanil causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate and loss of consciousness).

How to manage the interaction:
Although taking remifentanil and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinSufentanil
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Sufentanil causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate and loss of consciousness).

How to manage the interaction:
Although taking sufentanil and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinTapentadol
Severe
How does the drug interact with Prealdonil Tablet:
Using Tapentadol together with Prealdonil Tablet may cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Taking Prealdonil Tablet with Tapentadol can result in an interaction, it can be taken if a doctor has advised it. Contact a doctor immediately if you experience signs such as drowsiness, lightheadedness, palpitations, confusion, severe weakness, or difficulty breathing. Do not exceed the doses or frequency and duration of use advised by the doctor. Do not discontinue any medications without consulting a doctor.
PregabalinCodeine
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Codeine may cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Although taking Codeine and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.
PregabalinOxycodone
Severe
How does the drug interact with Prealdonil Tablet:
Using Prealdonil Tablet together with Oxycodone causes central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate and loss of consciousness).

How to manage the interaction:
Although taking oxycodone and Prealdonil Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience impaired judgment, reaction time, and motor coordination, dizziness, sleepiness, and difficulty concentrating, consult the doctor immediately. Do not exceed the doses, frequency, or duration of usage advised by a doctor. Avoid driving or operating dangerous machinery. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include food rich in vitamins B and D in your diet.
  • 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.
  • Avoid smoking and alcohol consumption.
  • Meditation and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.
  • Acupuncture can be helpful by stimulating pressure points.
  • Using essential oils for massages can help increase circulation.

Habit Forming

No

Therapeutic Class

ANTICONVULSANT

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • MORPHINE
  • FENTANYL
  • OXYCODONE
  • TRAMADOL
  • CODEINE
  • LORAZEPAM
  • CLONAZEPAM
  • DIAZEPAM

Special Advise

  • People taking Prealdonil Tablet should be closely monitored for suicidal thoughts or behaviour. Speak with your doctor immediately if you experience suicidal tendencies such as killing or harming yourself.
  • Using of Prealdonil Tablet may cause sleepiness or drowsiness, try to prevent driving, operating heavy machinery, and any work that requires concentration and attention.
  • Your doctor may advise you to maintain a healthy diet as Prealdonil Tablet may cause weight gain.
  • To prevent nerve damage due to diabetes mellitus, wear proper footwear and examine your feet every day to detect lesions early. 
  • Epalrestat in Prealdonil Tablet cause yellow-brown or red urine discolorations. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Prealdonil Tablet .
  • Regular monitoring of blood sugar levels is recommended.

Disease/Condition Glossary

Neuropathic pain: Neuropathic pain is 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 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 usually not painful). Diabetic neuropathy is a condition in which nerve damage occurs due to high blood glucose levels. Symptoms include numbness and pain in the legs and feet.

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