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This combination contains pregabalin and nortriptyline which are used to treat neuropathic pain associated with different activities. tricyclic antidepressants do not inhibit uptake of other neurotransmitters such as dopamine and monoamine oxidase enzymes. Nortriptyline also exhibit the antimuscarinic actions by binding with the acetylcholine receptors. pregabalin is not very lipophilic and its absorption is decreased by food intake, pregabalin does not modulate the activity of serotonin, dopamine etc.
Pregabalin has similar structure to the inhibitory neurotransmitter i.e. Gaba (Gama amino butyric acid) and is commonly used in the treatment of neuropathic pain.
Nortriptyline belongs to the category of tricyclic antidepressants drugs. It helps to mainly treats depression but it is also used to treat chronic pain, irritatable bowel syndrome.