Amigaba Tablet 10'S

Talk to your doctor before taking this medicine, if you: Are allergic to Amitriptyline and Gabapentin or any of the other ingredients of this medicine Have had a heart attack (myocardial infarction) Have heart problems such as disturbances in heart rhythm which are seen on an electrocardiogram (ECG), heart block or coronary artery disease Have taken moclobemide the day before Have slow heart rate, heart failure Have a low level of potassium or magnesium, or a high level of potassium in your blood Have an over active thyroid gland Have thoughts of suicide and worsening of your depression, mania, bipolar disorder schizophrenia Have thoughts about killing or harming yourself Have narrow angle glaucoma (loss of vision due to abnormally high pressure in the eye) Have epilepsy, a history of convulsions or fits Have difficulty in passing urine Have enlarged prostate Have severe liver disease Have diabetes Have pylorus stenosis (narrowing of the gastric outlet) and paralytic ileus (blocked intestine)

Always take this medicine exactly as your doctor has told you AMIGABA can be taken with or without food Swallow the tablets with a drink of water Do not chew or crush them If you take more AMIGABA If you take more AMIGABA, talk to your doctor immediately and you may need Medical attention Symptoms of overdose includes dilated pupils, fast or irregular heartbeats, difficulties passing water, dry mouth and tongue, intestinal blockage, fits, fever, agitation, confusion, hallucinations, uncontrolled movements, low blood pressure, weak pulse, pallor, difficulty breathing, blue discoloration of the skin, decreased heart rate, drowsiness, loss of consciousness, coma, heart block, heart failure, hypotension, cardiogenic shock, metabolic acidosis, hypokalemia If you forget to take AMIGABA If you forget to take a dose, take it as soon as you remember, unless it is time for your next dose Do not take a double dose to make up for a forgotten dose If you stop taking AMIGABA Do not stop taking AMIGABA without talking to your doctor Symptoms that might occur if it is stopped abruptly (e.g. headache, feeling unwell, sleeplessness and irritability)

Like all medicines, AMIGABA can cause side effects, although not everybody gets them. Gabapentin Suicidal thoughts Depression or anxiety Feeling agitated or restless Panic attacks Trouble sleeping (insomnia) New or worse irritability Acting aggressive, being angry or violent Acting on dangerous impulses An extreme increase in activity and talking (mania) Other unusual changes in behavior or mood

Tell your doctor about any other medicine you are taking such as: Phenelzine, iproniazid, isocarboxazid, selegiline, tranylcypromine (used to treat depression) Adrenaline, ephedrine, isoprenaline, noradrenaline, phenylephrine and phenylpropanolamine (these may be present in cough or cold medicine and in some anaesthetics) Diltiazem and verapamil, guanethidine used to treat high blood pressure Anticholinergic drugs such as certain medicines to treat parkinson’s disease and gastrointestinal disorders (e.g. atropine, hyoscyamine) Thioridazine (used to treat schizophrenia) Tramadol (painkiller) Fluconazole, terbinafine, ketoconazole and itraconazole used to treat fungal infections Sedatives (e.g. barbiturates) Medicines for certain heart conditions (e.g. beta blockers and antiarrhythmics) Methylphenidate (used to treat ADHD) Ritonavir (used to treat HIV) Oral contraceptives Rifampicin (to treat infections) Phenytoin and carbamazepine (used to treat epilepsy) Thyroid medication Medicines to treat irregular heartbeats (e.g. quinidine and sotalol) Astemizole and terfenadine (used to treat allergies and hay fever) Cisapride (used to treat certain types of indigestion) Diuretics (furosemide) Any medicines containing opioids (such as morphine)

Storage Keep out of reach of children Store at room temperature (15-25°C) Do not use this medicine after the expiry date