Merzenda Plus Tablet is a combination medication used in the treatment of neuropathic pain. Neuropathic pain is a chronic progressive nerve disease that causes nerve pain due to damage of sensory nerves. 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). Merzenda Plus Tablet may be used in the treatment of diabetic neuropathy, drug-induced neuropathy, alcoholic neuropathy, and trigeminal neuralgia.

Merzenda Plus Tablet is a combination of four drugs: Alpha-lipoic acid (anti-oxidant), folic acid (vitamin), methylcobalamin and pyridoxine hydrochloride (vitamin B6). Methylcobalamin and Pyridoxine hydrochloride help in the rejuvenation and protection of damaged nerve cells by producing a substance called myelin. Alpha-lipoic acid helps in providing a protective effect on the nerve tissues and brain. Folic acid helps in providing essential nutrients to the nerves. Together, Merzenda Plus Tablet helps in providing relief from neuropathic pain.

You are advised to take Merzenda Plus Tablet for as long as your physician has suggested it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as nausea, headache, vomiting and heartburn. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your physician if you experience these side effects persistently.

Consult your physician before starting Merzenda Plus Tablet if you are pregnant or breastfeeding. Merzenda Plus Tablet is not recommended for children as safety and efficacy have not been established. Avoid consuming alcohol along with Merzenda Plus Tablet as it could lead to unpleasant side effects. If you are due to undergo any surgery, inform your doctor that you are taking Merzenda Plus Tablet . Exercise caution while using Merzenda Plus Tablet with anti-tumour drugs, antibiotics, chemotherapy, anti-diabetic drugs, thyroid hormone and blood thinners.

Merzenda Plus Tablet is a combination of four drugs: Alpha-lipoic acid, folic acid, methylcobalamin and pyridoxine hydrochloride. Merzenda Plus Tablet is used to treat neuropathic pain in conditions such as diabetic neuropathy, drug-induced neuropathy, alcoholic neuropathy, and trigeminal neuralgia. Alpha-lipoic acid is an antioxidant that helps in providing a protective effect on the nerve tissues and brain. Folic acid is a vitamin that helps in providing essential nutrients to nerves. Methylcobalamin helps in the rejuvenation and protection of damaged nerve cells by producing a substance called myelin. Pyridoxine hydrochloride is necessary for facilitating myelin and neurotransmitter synthesis. Together, Merzenda Plus Tablet helps in providing relief from neuropathic pain. Additionally, Merzenda Plus Tablet may also be used to treat fibromyalgia and post-herpetic neuralgia.

• Headache
• Nausea
• Vomiting
• Heartburn

Consult your physician before starting Merzenda Plus Tablet if you are pregnant or breastfeeding or if you are due to undergo any surgery. Merzenda Plus Tablet is not recommended for children as safety and efficacy have not been established. Avoid consuming alcohol along with Merzenda Plus Tablet as it could lead to unpleasant side effects. Exercise caution while using Merzenda Plus Tablet with anti-tumour drugs, antibiotics, chemotherapy, anti-diabetic drugs, thyroid hormone, and blood thinners.

Drug-Drug Interactions: Merzenda Plus Tablet may have an interaction with antitumour antibiotics (daunorubicin, doxorubicin, epirubicin, idarubicin, mitoxantrone, bleomycin, adriamycin, mithramycin), anti-diabetic (insulin, metformin, glibenclamide, glyburide, tolbutamide, chlorpropamide), anti-cancer (altretamine),  alkylating agents used for cancer (cyclophosphamide, melphalan, chlorambucil) and blood thinners (warfarin, acenocoumarol, apixaban).

Drug-Food Interactions: Avoid alcohol consumption while taking Merzenda Plus Tablet .

Drug-Disease Interactions: Inform your physician if you have angioedema, creatine kinase elevations, peripheral oedema, malabsorption and anaemia.

• DOXORUBICIN
• BLEOMYCIN
• CYCLOPHOSPHAMIDE
• INSULIN
• METFORMIN
• GLYBURIDE
• GLIBENCLAMIDE
• CHLORPROPAMIDE
• TOLBUTAMIDE
• ALTRETAMINE
• WARFARIN
• ACENOCOUMAROL
• APIXABAN

• Include food rich in vitamin B and D in your diet.
• Load up on oily fish, egg yolks, spinach, broccoli, salmon and orange juice as these are natural sources of minerals and vitamins. 
• 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, 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 improve coping skills.
• Acupuncture can be helpful by stimulating pressure points.
• Using essential oils for massages can help increase circulation.

• In case you miss a dose of Merzenda Plus Tablet , skip it and resume when it is time for the second dose only. Do not ever take a double dose.
• It is very difficult to overdose on Merzenda Plus Tablet however, if you accidentally take extra doses of Merzenda Plus Tablet , please inform your physician or go to a hospital immediately. Some of the common symptoms of an overdose can be nausea, constipation, feeling sick, dizziness, mood changes, loss of appetite and headache.

Neuropathic Pain: Neuropathic pain is caused due to damage 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 that are usually not painful).