Tablets
Gabasram NT 100 Tablet
Gabapentin 100 mg and nortriptyline 10 mg film-coated tablets
Gabasram NT 100 is a registered product of Ramnova Healthcare Private Limited.
Gabasram NT 100 Tablet composition
Each film-coated tablet contains
| Ingredient | Strength |
|---|---|
| Gabapentin | 100 mg |
| Nortriptylineas nortriptyline hydrochloride | 10 mg |
About Gabasram NT 100 Tablet
GABASRAM NT 100 tablets combine gabapentin 100 mg with nortriptyline 10 mg. Both medicines calm overactive nerve signals, and together they are used to treat long-term nerve pain (neuropathic pain), such as pain from diabetic nerve damage, shingles or spinal problems, which often causes burning, tingling, shooting pain or numbness.
Take it as your doctor prescribes, usually once a day at bedtime, because it can make you drowsy. It may take a few weeks to work fully. Do not stop it suddenly, avoid alcohol, and tell your doctor straight away about any low mood or thoughts of self-harm.
Therapy category: Neuropathic pain.
Uses of Gabasram NT 100 Tablet
- Neuropathic (nerve) pain
- Painful diabetic neuropathy
- Nerve pain after shingles (post-herpetic neuralgia)
Benefits of Gabasram NT 100 Tablet
Neuropathic (nerve) pain
Damaged nerves can send pain signals even without injury, causing burning, shooting or stabbing pain, tingling and numbness. Gabapentin, which is licensed for nerve pain, reduces these overactive signals. Low-dose nortriptyline is widely used by doctors for nerve pain because it strengthens the body's own pain-blocking pathways. Together they can relieve pain and improve sleep.
Painful diabetic neuropathy
Long-term high blood sugar can damage the nerves in the feet and legs. This combination eases the burning and tingling, alongside good blood sugar control and foot care.
Nerve pain after shingles
Pain can continue for months after a shingles rash has healed. Gabapentin is used to reduce this lingering nerve pain, and low-dose nortriptyline is often added by doctors.
Side effects of Gabasram NT 100 Tablet
Most side effects are mild and settle as your body adjusts. Tell your doctor if they continue or worry you.
- Drowsiness or dizziness
- Dry mouth
- Constipation
- Weight gain or swelling of the ankles
- Blurred vision
- Difficulty passing urine
- Fast heartbeat or palpitations
How to take Gabasram NT 100 Tablet
Take this medicine in the dose and for the length of time your doctor advises, usually once a day at bedtime. Swallow the tablet whole with water, with or without food. Do not stop taking it suddenly; your doctor will reduce the dose gradually when it is time to stop.
How Gabasram NT 100 Tablet works
Gabapentin attaches to calcium channels on nerve cells and reduces the release of chemicals that carry pain signals, calming overactive nerves. Nortriptyline is a tricyclic medicine that increases noradrenaline and serotonin levels in the spinal cord, strengthening the nervous system's natural pain-blocking pathways. At this low dose it is used for pain rather than depression, although in the UK it is licensed only for depression.
Safety advice for Gabasram NT 100 Tablet
- Unsafe
Alcohol
Avoid alcohol. It can cause severe drowsiness and, with gabapentin, slowed breathing.
- Consult your doctor
Pregnancy
Use only if your doctor considers that the benefits outweigh the risks. Babies may have withdrawal symptoms after birth.
- Consult your doctor
Breastfeeding
Small amounts pass into breast milk. Ask your doctor; your baby may need to be watched for drowsiness.
- Use with caution
Driving
It commonly causes drowsiness, dizziness and blurred vision. Do not drive or use machines until you know how it affects you.
- Use with caution
Kidney
Gabapentin is removed by the kidneys, so the dose must be reduced in kidney disease.
- Use with caution
Liver
Tell your doctor if you have liver disease, as nortriptyline may need a lower dose.
Quick tips
- Take it at bedtime to reduce daytime drowsiness.
- It can take 2 to 3 weeks or longer to feel the full effect, so keep taking it as prescribed.
- Do not stop suddenly, as this can cause withdrawal symptoms such as anxiety, poor sleep, nausea and sweating.
- Take antacids at least 2 hours before this tablet.
- Avoid alcohol and other medicines that make you sleepy unless your doctor agrees.
- Use sunscreen and avoid strong sunlight, as nortriptyline can make your skin more sensitive.
- Tell your doctor straight away about any low mood, unusual behaviour or thoughts of self-harm.
Warnings and interactions
Safety details must be checked against the current pack insert and advice from a qualified healthcare professional.
Warnings
- Both medicines have been linked with suicidal thoughts. Family members or carers should also watch for changes in mood or behaviour.
- Gabapentin can cause serious breathing problems when taken with opioid painkillers, sleeping tablets or other sedatives, especially in older people or those with lung disease.
- Gabapentin can be misused and cause dependence, especially in people with a history of substance misuse.
- Nortriptyline can affect heart rhythm. Tell your doctor if you have heart disease, and get urgent help for chest pain, a racing or irregular heartbeat, or fainting.
- Use with caution in epilepsy, glaucoma, difficulty passing urine, an enlarged prostate, an overactive thyroid or diabetes.
- Rarely, serious allergic or skin reactions can occur. Stop taking it and seek help for a widespread rash, fever, swollen glands or swelling of the face.
- It is not for use in people under 18 years.
Contraindications
- A recent heart attack, heart block, an irregular heart rhythm or reduced blood supply to the heart
- Taking, or having taken within the last 14 days, a monoamine oxidase inhibitor (MAOI) antidepressant
- Allergy to gabapentin, nortriptyline or any other ingredient
Important interactions
- Opioid painkillers, sleeping tablets, anti-anxiety medicines and alcohol increase drowsiness and the risk of slowed breathing.
- Antacids containing aluminium or magnesium reduce gabapentin absorption; take gabapentin at least 2 hours after them.
- Other antidepressants such as SSRIs, and tramadol, can cause serotonin syndrome (agitation, fever, sweating, shaking).
- Fluoxetine, paroxetine, bupropion, cimetidine, diltiazem and verapamil can raise nortriptyline levels.
- Medicines that affect heart rhythm, adrenaline-type decongestants and anticholinergic medicines should be used with caution.
Frequently asked questions about Gabasram NT 100 Tablet
- Gabasram NT 100 Tablet is used for: neuropathic (nerve) pain; painful diabetic neuropathy; and nerve pain after shingles (post-herpetic neuralgia).
- Common side effects of Gabasram NT 100 Tablet include: drowsiness or dizziness; dry mouth; constipation; weight gain or swelling of the ankles; blurred vision; difficulty passing urine; and fast heartbeat or palpitations. Tell your doctor if they continue or worry you.
- Take this medicine in the dose and for the length of time your doctor advises, usually once a day at bedtime. Swallow the tablet whole with water, with or without food. Do not stop taking it suddenly; your doctor will reduce the dose gradually when it is time to stop.
- Do not take Gabasram NT 100 Tablet in the following cases: a recent heart attack, heart block, an irregular heart rhythm or reduced blood supply to the heart; taking, or having taken within the last 14 days, a monoamine oxidase inhibitor (MAOI) antidepressant; and allergy to gabapentin, nortriptyline or any other ingredient.
- Avoid alcohol. It can cause severe drowsiness and, with gabapentin, slowed breathing.
- Use only if your doctor considers that the benefits outweigh the risks. Babies may have withdrawal symptoms after birth.
- It commonly causes drowsiness, dizziness and blurred vision. Do not drive or use machines until you know how it affects you.
- Gabasram NT 100 is a registered product of Ramnova Healthcare Private Limited, Silvassa, India, and is marketed by Ramnova Healthcare.
- Gabasram NT 100 Tablet contains gabapentin 100 mg and nortriptyline 10 mg (as nortriptyline hydrochloride) in each film-coated tablet.
What is Gabasram NT 100 Tablet used for?
What are the side effects of Gabasram NT 100 Tablet?
How should I take Gabasram NT 100 Tablet?
Who should not take Gabasram NT 100 Tablet?
Can I drink alcohol with Gabasram NT 100 Tablet?
Is Gabasram NT 100 Tablet safe in pregnancy?
Can I drive after taking Gabasram NT 100 Tablet?
Who markets Gabasram NT 100 Tablet?
What is the composition of Gabasram NT 100 Tablet?
More information
Marketed by Ramnova Healthcare Private Limited, Silvassa, India.
For dosage, pack sizes or prescribing information, refer to the current pack insert or contact Ramnova Healthcare. Catalogue information updated 2026-10-01.
- electronic medicines compendium (emc): Gabapentin 100 mg capsules: Summary of Product Characteristics (United Kingdom, accessed 2026-10-01)
- electronic medicines compendium (emc): Nortriptyline 10 mg film-coated tablets: Summary of Product Characteristics (United Kingdom, accessed 2026-10-01)
