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Alrista Forte Tablet is used to treat diabetic neuropathy. It works by rejuvenating and protecting damaged nerve cells, lowering pain sensation and reducing sorbitol levels, which causes nerve damage. In some cases, this medicine may cause side effects such as nausea, vomiting, dizziness, drowsiness, headache, diarrhoea, and dry mouth. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

EPALRESTAT-150MG+METHYLCOBALAMIN-1500MCG+PREGABALIN-150MG

Manufacturer/Marketer :

Macleods Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Alrista Forte Tablet

Alrista Forte Tablet is a prescription combination medication designed to manage diabetic neuropathy, a type of chronic nerve damage that commonly occurs in people living with diabetes. Its primary medical purpose is to protect nerve fibres from further damage while reducing the persistent pain, burning, and tingling sensations associated with this condition.

For this medication to work effectively, it must be taken consistently every day, preferably at the same time. You can take this medicine with or without food, as directed by your doctor. Incorporating healthy daily habits, such as keeping your blood sugar levels steady and performing regular checks on your feet, can significantly improve your treatment outcomes.

While taking Alrista Forte Tablet , you may experience mild and temporary side effects like dizziness or sleepiness. However, if you experience serious symptoms such as severe swelling in your feet or face, a sudden rash, or unexpected changes in your mood, you must consult your doctor right away.

Do not take this if you have a known allergy to any of its active components. Before starting this medication, it is vital to talk to your doctor if you have a history of severe kidney disease, heart failure, or depression, as your treatment plan may need careful adjustment.

This medicine can interact with alcohol, which can worsen drowsiness, as well as certain other drugs that slow down brain activity. If you are pregnant, planning a pregnancy, breastfeeding, or are an elderly individual, consult your healthcare provider to discuss the risks and benefits before starting treatment.

Uses of Alrista Forte Tablet

Alrista Forte Tablet is used to treat diabetic neuropathy, a type of chronic nerve damage that commonly occurs in people living with diabetes. The detailed uses of Alrista Forte Tablet are as follows:

  • Diabetic Neuropathy: Relieves persistent nerve pain, burning, numbness, and tingling sensations in the hands and feet caused by nerve damage from high blood sugar.
  • Nerve Protection: Supports the biological processes that repair damaged nerve tissues and prevent further nerve deterioration.

Key Benefits

Alrista Forte Tablet provides reliable, daily support to help you manage your health and avoid pain. This medicine brings several key health benefits:

  • Effective Pain Relief: By calming overactive nerve pathways, Alrista Forte Tablet helps soothe the sharp, burning, or shooting pain in your limbs, allowing you to go about your day with minimal discomfort.
  • Improved Physical Mobility: Easing chronic nerve pain makes walking and moving much easier, helping you regain your physical independence and perform daily activities comfortably.
  • Better Sleep Quality: Nerve pain often flares up at night, disrupting your sleep cycle. Relief from these symptoms allows you to enjoy deeper, more restful sleep.
  • Support for Nerve Recovery: This medication works internally to supply essential nutrients to your nerves, encouraging structural repair and protecting nerve coatings from breaking down.
Side effects of Alrista Forte Tablet
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • Wear compression garments like stockings, sleeves, or gloves to apply pressure and help stop fluid from building up, especially after the swelling goes down.
  • Move around and do exercises to help the fluid circulate, especially in swollen limbs. Ask your doctor for specific exercises.
  • Raise the swollen area above your heart level several times a day, even while sleeping, to help reduce swelling.
  • Gently massage the swollen area with firm but not painful pressure.
  • Keep the swollen area clean and moisturized to prevent injury and infection.
  • Reduce salt intake to help prevent fluid from building up and worsening the swelling, as advised by a doctor.
  • If the swelling does not get better after a few days of home treatment or worsens, consult your doctor right away.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Directions for Use

  • Alrista Forte Tablet can be taken with or without food as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow it as a whole with a glass of water.
  • Do not chew, crush or break it.

How Alrista Forte Tablet Works

Alrista Forte Tablet combines three distinct active ingredients that work in harmony to address both the symptoms and underlying causes of nerve damage: Epalrestat is an enzyme blocker. In people with high blood sugar, an enzyme converts excess glucose into sorbitol, which accumulates in the nerves and damages them. Epalrestat stops this enzyme, reducing sorbitol buildup and protecting nerve cells. Methylcobalamin is an active form of Vitamin B12. It helps in the production of myelin, which is the protective outer sheath surrounding your nerves. Rebuilding this sheath is essential for restoring proper nerve signal transmission and repairing structural damage. Pregabalin is a nerve pain modulator. It binds to specific areas in the central nervous system to reduce the release of chemical messengers that transmit pain signals to the brain, effectively calming hyperactive nerves.
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Alcohol

Unsafe

Consumption of alcohol may worsen the condition by increasing the risk of side-effects.

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Pregnancy

Unsafe

Alrista Forte Tablet is a category C medicine. It is not recommended for use in pregnant women as it may cause harmful effects to the unborn baby.

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Breast Feeding

Caution

Alrista Forte Tablet should be used with caution in breastfeeding mothers. The doctor prescribes this medicine if he/she thinks the benefits outweigh the risks.

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Driving

Unsafe

Alrista Forte Tablet may cause dizziness, drowsiness, and blurred vision. So, avoid driving or operating heavy machinery if you are not fully alert.

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Liver

Caution

Alrista Forte Tablet should not be used in patients with severe liver disease. In mild to moderate conditions, the dose may have to be adjusted by the doctor as required.

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Kidney

Caution

Alrista Forte Tablet should be used with caution in patients with kidney diseases. The dose may have to be adjusted by the doctor as required.

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Children

Unsafe

Alrista Forte Tablet is not recommended for anyone below the age of 18 years.

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Heart

Caution

Alrista Forte Tablet should be taken with caution in patients with heart problems. Inform your doctor about any heart-related conditions before taking Alrista Forte Tablet .

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Geriatrics

Caution

Alrista Forte Tablet should be used in elderly patients only when prescribed by a doctor. If you have any concerns about using Alrista Forte Tablet for geriatrics, please consult a doctor.

What if I have taken an overdose of Alrista Forte Tablet

In case of an accidental overdose, seek immediate medical attention or visit the nearest emergency room. Symptoms of an overdose may include extreme drowsiness, confusion, or agitation.

Diet & Lifestyle Advise

  • Manage Blood Sugar Levels: Keep your daily blood glucose within the range recommended by your doctor. Stable blood sugar is the single most effective way to halt the progression of nerve damage.
  • Conduct Daily Foot Inspections: Because nerve damage can reduce pain sensation in your feet, inspect them daily for cuts, blisters, sores, or redness to prevent infections.
  • Incorporate B-Complex Vitamins: Eat foods rich in B-vitamins, such as fish, lean poultry, eggs, and fortified cereals, to support natural nerve regeneration.
  • Perform Low-Impact Exercise: Regular, gentle activities like walking, swimming, or stationary cycling can improve blood circulation to your limbs and help ease chronic neuropathic pain.
  • Avoid Alcohol and Tobacco: Stop smoking and avoid alcohol consumption. Nicotine narrows your blood vessels, restricting nutrient-rich blood flow to your nerves, while alcohol can worsen nerve damage and increase drug-related drowsiness.
health query

Have a query?

How Soon It Starts Working

The time required for Alrista Forte Tablet to start to work: The time required for Alrista Forte Tablet to show its action is unknown. The time for which the effects of Alrista Forte Tablet last: The duration of action for Alrista Forte Tablet is clinically unknown.

What if you forget to take Alrista Forte Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your routine. Do not take two doses at the same time to make up for a missed one.

Storage

•Store Alrista Forte Tablet at room temperature, ideally below 30°C, in a cool and dry place. •Keep the tablets in their original packaging to protect them from direct light and moisture.

Drug Warnings

  • Avoid heavy machinery: Do not drive, operate tools, or perform tasks requiring intense focus until you know how this medicine affects your coordination and alertness.
  • Do not stop therapy abruptly: Stopping this medicine suddenly can cause withdrawal symptoms like nausea, headaches, anxiety, or a severe return of nerve pain. Your doctor will help you by gradually decreasing the dose.
  • Monitor kidney health: Some active components of this medicine are processed by your kidneys. Ensure your doctor monitors your kidney function regularly.
  • Watch for mood alterations: Pay close attention to sudden changes in your mental state or emotional health, and report any signs of depression or unusual thoughts to your healthcare provider immediately.
  • Report muscle pain: Speak to your doctor promptly if you develop any unexplained muscle pain or weakness while taking this medication.

Drug-Drug Interactions

verifiedApollotooltip
  • Central Nervous System Depressants (such as opioids, sleeping pills, or anti-anxiety medicines): May significantly increase the risk of extreme drowsiness, dizziness, and slow breathing.
  • Certain Oral Diabetes Medicines (like pioglitazone or rosiglitazone): Combined use may increase the risk of fluid retention, swelling, and mild weight gain.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Can interact dangerously by worsening drowsiness, lightheadedness, and impaired coordination.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTIDIABETICS]

FAQs

Alrista Forte Tablet is used to treat diabetic neuropathy, a nerve disease that causes nerve pain in diabetic patients.
Alrista Forte Tablet contains Epalrestat, Methylcobalamin and Pregabalin. Epalrestat is an aldose reductase inhibitor. The inhibition of aldose reductase (an enzyme) can reduce levels of sorbitol, which causes nerve damage. It doesn’t show any effect on glucose levels. Methylcobalamin is vitamin B12 that helps rejuvenate and protect damaged nerve cells by producing a substance called myelin (protective layer of nerve cells). Pregabalin is an anticonvulsant that affects the chemicals in the brain that send pain signals across the nervous system. Together, Alrista Forte Tablet can effectively manage diabetic neuropathy.
Alrista Forte Tablet may cause weight gain in some patients. In such cases, your doctor may change your diabetic medicines to stop weight gain. However, it is essential to take some measures to control weight such as eating a balanced diet and exercising regularly while using this medicine.
The common side-effects of Alrista Forte Tablet are nausea, vomiting, dizziness, drowsiness, headache, diarrhoea, dry mouth, blurred vision, increased appetite, trouble concentrating, swelling in the hands and feet. These side-effects usually resolve without requiring any treatment. However, if any of these side-effects persist or get worse inform your doctor immediately.
Alrista Forte Tablet should not be stopped abruptly as it may cause withdrawal reactions such as trouble sleeping, headache, nausea, diarrhoea, nervousness, depression, sweating, and dizziness. In general, Alrista Forte Tablet should be stopped gradually over a minimum of 1 week by gradually reducing the dose.
It is not recommended to use Alrista Forte Tablet along with antacids such as omeprazole and ranitidine. So, inform your doctor about all the prescription and non-prescription medicines before taking this medicine.
The safety of Alrista Forte Tablet in pregnant women is not fully established. If you are planning a pregnancy or suspect you might be pregnant, talk to your doctor to explore safer alternative treatments.
No, Alrista Forte Tablet does not cure diabetic neuropathy, but it manages the pain highly effectively and promotes the repair of damaged nerve cells. Controlling your underlying blood sugar is also necessary. Talk to your doctor for long-term health planning.
Dizziness is a common side effect when starting this medication. Avoid standing up too quickly from a sitting or lying position, and do not drive. Talk to your doctor if the dizziness is severe or does not fade over time.
Because certain components of this medication are cleared by the kidneys, you must use it with caution. Your doctor may need to prescribe a lower dose or perform regular blood tests. Talk to your doctor about your kidney health before taking this medicine.
Yes, in rare cases, this medication can cause changes in mood, depression, or suicidal thoughts. If you or your family members notice any sudden changes in your emotional well-being, seek medical help immediately. Talk to your doctor to address any mental health concerns.
Yes, Alrista Forte Tablet is commonly taken alongside standard diabetes treatments. However, some oral diabetes medications can increase fluid retention when paired with this drug. Talk to your doctor to ensure all your medicines are compatible.

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Country of origin

India

Manufacturer/Marketer address

Atlanta Arcade, Marol Church Road, Andheri (East), Mumbai - 400059, INDIA.
Other Info - ALR0024

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