Side Effects:

Common Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.

Common Gastrointestinal disturbance, Allergic skin rash.

Expert advice for Powergesic Plus Tablet
It should be taken with food or milk to avoid getting an upset stomach. It can cause serious complications like stomach bleeding and kidney problems if taken for a long time. Powergesic plus can raise a risk of blood clots, heart attack, or a stroke. Inform your doctor if you are pregnant or planning to conceive or breastfeeding. Inform your doctor if you have ever been diagnosed with kidney or liver problems.

Expert advice for Methylcobalamin
Do not take methylcobalmin if you are allergic (hypersensitive) to methylcobalamin, or any of the other ingredients of this medicine.Tell your doctor if your occupation required you to handle mercury or its compound.Do not use methylcobalamin over a period of months, if there is a lack of satisfactory clinical response.

Frequently Asked Questions

Q. Can Powergesic plus be used along with warfarin?
No. Using Powergesic plus together with warfarin can increase the risk of serious bleeding from the stomach (Higher than users of either drug alone). Inform your doctor before starting these medications.

Q. Is Powergesic plus a painkiller?
Yes. Powergesic plus is a pain killer. In fact, it belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis.

Q. Is Powergesic plus a narcotic?
No, Powergesic plus is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.

Q. Can I use Powergesic plus along with vitamins?
Yes, Powergesic plus can be taken with vitamins. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can Powergesic plus be used for the treatment of hepatitis?
No, Powergesic plus is not approved for the treatment of hepatitis. Hepatitis is a condition where the liver is inflamed. Powergesic plus can, in fact, cause harm to the liver as a side effect.

Q. Can Powergesic plus be used after C-section?
Yes, Powergesic plus is a pain killer. C-section is the short name for Cesarean Section which is an operative procedure to deliver the baby through the mother's abdomen and uterus. Powergesic plus can be used to treat the pain that may occur after the operation.

Q. Can I take Powergesic plus along with misoprostol?
Yes. It can be taken together. Misoprostol protects the stomach from irritating gastric effects of Powergesic plus. The combination of medication is used to treat arthritis in patients at high risk of getting stomach/intestinal ulcers and complications from the ulcers (such as bleeding).

Q. Can I take Powergesic plus while I am on thyroxine?
Yes, Powergesic plus can be taken with thyroxine. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Why Powergesic plus should be stopped before surgery?
Since Powergesic plus has been shown to have blood thinning effects, it can increase the risk of bleeding. Therefore, it is stopped before surgery to prevent excessive loss of blood.

Q. What are the contraindications for Powergesic plus?
Powergesic plus should not be used if there is an allergic reaction (hypersensitivity) to it, or other pain killers, active ulcer in the stomach, bleeding from the stomach, history of severe heart failure, liver failure, kidney failure and or heart attack.

Q. Can Powergesic plus affect the chance of conceiving?
Yes. Powergesic plus can sometime cause reversible infertility. Powergesic plus by its mechanism of action, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.

Q. Why does Powergesic plus cause an ulcer?
Powergesic plus can cause damage to the lining cells of the stomach by several mechanisms, including the irritant effect on the cells, breaking of the protective barrier properties of lining cells, suppression of prostaglandin production of the stomach, reduction of stomach mucosal blood flow and interference with the repair of superficial injury of the stomach lining.

Q. Why is Powergesic plus contraindicated in asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory drugs (NSAID) like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.

Q. Is Powergesic plus good for back pain?
Yes, Powergesic plus has been found to be effective to reduce back pain. Powergesic plus is a pain killer that belongs to the NSAIDs (Non-Steroidal Anti-Inflammatory) class. Other NSAIDs have also been found to be useful in back pain eg. Ibuprofen and Naproxen.

Q. Can I use Powergesic plus during my fever treatment?
Yes, Powergesic plus can reduce fever. However, commonly used to reduce the pain, particularly that which is seen with Osteoarthritis, Rheumatoid Arthritis and Ankylosing spondylitis.

Q. Can I use Powergesic plus to treat a sore throat?
Sore throat is mostly caused by bacteria so antibiotics are given to treat a sore throat whereas Powergesic plus is a pain killer so it can be given in cases of throat pain associated with it but only under the prescription of a doctor.

Q. Can I use Powergesic plus to treat urinary tract infections (UTI)?
Powergesic plus can be used to treat the pain associated with urinary tract infection (UTI) but for complete treatment, a course of antibiotics will be required.

Q. Can Powergesic plus cause sedation?
Powergesic plus is not known to cause sedation. There have been rare, an isolated case report of sedation with the drug.

Q. Can I take Powergesic plus for kidney stones?
Yes,Powergesic plus can be used to relieve the pain due to kidney stones. However, there is also a risk of kidney damage with Powergesic plus as its side effect. It is advised not to take Powergesic plus for a prolonged time for this condition without adequate monitoring.

Q. Can I use Powergesic plus for the treatment of arthritis?
Yes, Powergesic plus is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis, and spondylitis.It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). .

Q. Can I use Powergesic plus with diuretics?
No, Powergesic plus should not be used with diuretics. Powergesic plus reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.

Q. Can I use Powergesic plus with mifepristone?
These drugs should not be used together as the effect of mifepristone may be lowered by Powergesic plus. Mifepristone is used for medical abortion.

Q. Can I use Powergesic plus with lithium?
No.These drugs should not be used together as Powergesic plus increases the blood levels of lithium which may further increase the side effects.

Q. What is methylcobalamin/ mecobalamin/Neurokind/ Nurokind OD?
Methylcobalamin (mecobalamin/Neurokind/ Nurokind OD) is an active form of vitamin B12. It is water soluble and orally absorbed. It is found in animal-based foods and in supplement form

Q. Is methylcobalamin the same as cyanocobalamin?
No.Cyanocobalamin is different form of vitamin B12

Q. What is Nurokind G, Nurokind plus, Nurokind Next, Nurokind LC, Nurokind Gold?
Nurokind G contains methylcobalmine and gabapentin. Nurokind plus contains methylcobalamin, folic acid, vitamin B1, vitamin B6 and alfa lipoic Acid. Nurokind Next contains methlcobalamin, alphalipoic acid, benfotiamine, pyridoxine hydrochloride, biotin, folic acid, chromium. NurokindL C contains L-carnitine, L-tartrate, methylcobalamin, folic acid. Nurokind Gold contains ginseng extract, mixed carotene 10%, niacinamide, vitamin B6, methylcobalamin, vitamin D3, refined wheat germ oil, folic acid, elemental calcium, elemental phosphorus, ferrous fumarate, zinc sulfate mono hydrate, elemental magnesium, elemental manganese, elemental copper, elemental iodine, elemental potassium.