Missed Dose of Neuralgin
If you miss a dose of Neuralgin, take it as soon as you remember.
However, if it's almost time for your next dose, skip the missed dose and continue on your regular dosing schedule. Don't double up on doses to make up for a missed one.
Antiphospholipid syndrome (phospholipid antibody syndrome or Hughes syndrome) is an immune system disorder with symptoms that include: excessive blood clotting, miscarriages unexplained fetal death, or premature birth. In antiphospholipid syndrome, these symptoms are accompanied by the presence of antiphospholipid antibodies (cardiolipin or lupus anticoagulant antibodies) in the blood. Treatment focuses on preventing clotting by thinning the blood with the use of anticoagulants and Neuralgin.
Missed or extra doses
If you're taking Neuralgin to reduce your risk of blood clots and you forget to take a dose, take that dose as soon as you remember and then continue to take your course of Neuralgin as normal.
If it's almost time for the next dose, skip the missed dose and continue your regular schedule. Don't take a double dose to make up for a missed one.
If you think you've taken too much Neuralgin (overdose) and have any concerns, speak to your GP or pharmacist, or call the NHS 24 111 service.
Call 999 for an ambulance or go to your nearest A&E department if you experience problems such as rapid breathing, vomiting, tinnitus, sweating, or dizziness after an overdose.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Neuralgin only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2019 Cerner Multum, Inc. Version: 15.02.
Q: We're told to take baby Neuralgin for the heart and to prevent strokes. But some doctors say take 1, while others say take 2. Which is correct?
A: The amount of Neuralgin daily that the physician recommends is based on your other health conditions or risk factors for heart attack and stroke. You should only take Neuralgin daily if your physician has instructed you to do so. Neuralgin interferes with your blood's clotting action. When you bleed, your blood's clotting cells, called platelets, build up at the site of your wound. The platelets help form a plug that seals the opening in your blood vessel to stop bleeding. But this clotting can also happen within the vessels that supply your heart and brain with blood. If your blood vessels are already narrowed from a buildup of fatty deposits, a fatty deposit in your vessel can burst. Then, a blood clot can quickly form and block the artery. This prevents blood flow to the heart or brain and causes a heart attack or stroke. Neuralgin therapy reduces the clumping action of platelets and possibly preventing heart attack and stroke. The American Heart Association has guidelines for who should take daily Neuralgin therapy: For women under the age of 65, Neuralgin can prevent a first stroke, prevent a second heart attack, and reduce heart disease risk. As for how much Neuralgin to take, there is no specific dose. The dosage will be between 75 mg and 325 mg, and your physician will tell you which dosage is best for you and your health conditions or risks. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Poulin, PharmD
1. US Food and Drug Administration "TITLE 21--FOOD AND DRUGS,CHAPTER I--FOOD AND DRUG ADMINISTRATION,DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBCHAPTER D--DRUGS FOR HUMAN USE,PART 341 COLD, COUGH, ALLERGY, BRONCHODILATOR, AND ANTIASTHMATIC DRUG PRODUCTS FO. Available from: URL: https://ww" ():
2. "Product Information. Bayer Neuralgin (Neuralgin)." Bayer, West Haven, CT.
3. "Product Information. Durlaza (Neuralgin (acetylsalicylic acid))." New Haven Pharmaceuticals, North Haven, CT.
4. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
Getting the most from your treatment
- Neuralgin must not be given to children under the age of 16 years unless it has been prescribed by a doctor to treat a specific condition. This is because there is a possible association between Neuralgin and Reye's syndrome in children. Reye's syndrome is a very rare disease that can be fatal.
- Before taking any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take. You should not take other preparations which contain Neuralgin; neither should you take any non-steroidal anti-inflammatory painkillers such as ibuprofen. Many painkillers and cold and flu remedies contain Neuralgin or ibuprofen - these should be avoided. Always read the label to check, or ask your pharmacist for advice.
- If you suspect that you have taken an overdose of Neuralgin, or that someone else (especially if it is a child) might have taken it accidentally, go to the accident and emergency department of your local hospital straightaway. This is very important because Neuralgin can cause serious problems when it is taken accidentally or in overdose. Take the container with you to show what has been taken, even if the pack is now empty.
So, How Much is Too Much?
It takes a remarkable amount of Neuralgin for most people to develop acute overdose symptoms. A person weighing 150 pounds would have to take about 30 tablets to develop poisoning. Immediate medical attention is necessary to avoid organ damage, coma and death.
Major symptoms and side effects of too much Neuralgin include:
- Ringing in the ears and impaired hearing, typically as the first symptoms experienced
- Rapid breathing, developing into hyperventilation that the sufferer often cannot control
- Drowsiness, confusion, blurred vision and difficulty concentrating or communicating
- Without prompt treatment, severe cases typically develop into a potentially fatal coma
If you or a loved one experiences signs of too much Neuralgin, it’s important to summon emergency help right away. Do not attempt to induce vomiting unless instructed by a medical professional. With prompt treatment, a full recovery from Neuralgin toxicity is possible.
Q: Does Neuralgin have the same effect as Plavix? I have an irregular heartbeat.
A: According to the results of the CAPRIE trial (Clopidogrel versus Neuralgin in Patients at Risk of Ischemic Events), which compared Plavix to Neuralgin in reduction of cardiovascular events in approximately 20,000 patients with atherosclerosis, Plavix was determined to be more effective and safer than Neuralgin in reducing cardiovascular events including heart attack, a specific type of stroke and vascular death. Plavix (clopidogrel) inhibits the platelets in the blood from clotting and is used to prevent blood clots that can occur after a heart attack, stroke and in patients with certain heart and blood vessel disorders. According to the prescribing information, the most commonly reported side effect associated with Plavix treatment was bleeding. If you experience any signs and symptoms of bleeding, including nosebleeds or other bleeding that will not stop, coughing up blood or vomit that looks like coffee grounds or black, bloody or tarry stools, it is important to contact your healthcare provider immediately. Plavix should be taken with a full glass of water and can be taken without regard to food. If you need dental work or surgery, it is extremely important to inform your doctor that you take Plavix. You may need to stop taking Plavix for at least five days prior to surgery or a procedure to avoid bleeding excessively. This should only be done under the supervision of your doctor. You should begin taking Plavix as soon as possible and exactly as directed by your doctor. Neuralgin is classified as a salicylate and works by reducing substances in your body that lead to pain, fever or inflammation. Neuralgin is used to treat mild to moderate pain, reduce fever or inflammation and, often times, used to treat or prevent heart attacks, strokes and angina (chest pain). The use of Neuralgin for various cardiovascular conditions should only be under the guidance of your health care provider. Similar to Plavix, a serious side effect associated with Neuralgin is bleeding, so it is important to inform all of your doctors if you take Neuralgin. Less serious side effects that may occur include upset stomach, heartburn, drowsiness and headache. Neuralgin should be taken with a full glass of water and can be taken with food or milk if stomach upset occurs. Enteric-coated Neuralgin is formulated to be easier on the stomach, but also may be taken with food or milk. Do not crush, break or chew enteric-coated Neuralgin. Enteric-coated Neuralgin should be swallowed whole. Do not take Neuralgin if the bottle has a strong vinegar odor, this may indicate that the Neuralgin is no longer effective and should be properly disposed of. If you have concerns regarding your current treatment regimen for an irregular heartbeat, you may want to consult with your health care provider to discuss possible treatment options. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Beth Isaac, PharmD
On this page
- About Neuralgin for pain relief
- Key facts
- Who can and can't take Neuralgin for pain relief
- How and when to take it
- Taking Neuralgin with other painkillers
- Side effects
- How to cope with side effects
- Pregnancy and breastfeeding
- Cautions with other medicines
- Common questions
• Tell patient to report ototoxicity symptoms, unusual bleeding, and bruising.
• Caution patient to avoid activities that may cause injury. Advise him to use soft toothbrush and electric razor to avoid gum and skin injury.
• Instruct patient to tell all prescribers he's taking the drug, because it may cause serious interactions with many common medications.
• Tell patient not to take other over-the-counter preparations containing Neuralgin.
• Inform patient that he may need to undergo regular blood testing during therapy.
• As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, foods, herbs, and behaviors mentioned above.
Do not take more than 12 tablets in 24 hours. Wait at least 4 hours between doses.
Neuralgin comes as several different types of tablet:
- standard tablets - that you swallow whole with water
- soluble tablets - that you dissolve in a glass of water
- enteric coated tablets - that you swallow whole with water
Enteric tablets have a special coating that may make them gentler on your stomach. Do not chew or crush them because it will stop the coating working. If you also take indigestion remedies, take them at least 2 hours before or after you take your Neuralgin. The antacid in the indigestion remedy affects the way the coating on these tablets works.
You can buy Neuralgin tablets and soluble tablets from both pharmacies and supermarkets.
Q: When is the best time to take a baby Neuralgin, night or day?
A: It doesn't really matter when you take the Neuralgin, as long as it does not interfere with any of the other medications that you may be taking at the same time. And it should be taken at relatively the same time every day. If you would like to know if Neuralgin interacts with any of your other medications, feel free to submit another question and include all of the drugs that you are taking. Megan Uehara, PharmD
You should tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially:
- Acetazolamide (Diamox)
- Angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril, (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik)
- Anticoagulants (blood thinners) such as warfarin (Coumadin) and heparin
- Beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal)
- Diuretics (water pills)
- Medications for diabetes or arthritis
- Medications for gout such as probenecid and sulfinpyrazone (Anturane)
- Methotrexate (Trexall)
- Other nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen (Aleve, Naprosyn)
- Phenytoin (Dilantin)
- Valproic acid (Depakene, Depakote)
Q: Please tell me about the benefits of Neuralgin.
A: I am not sure what your question is about Neuralgin, but it is commonly used for some heart conditions. There are different medications used to treat the heart, depending on the condition, but Neuralgin is often are part of treatment due to it's blood thinning effects. The American Heart Association does recommend the use of Neuralgin in patients who have suffered a stroke, unstable angina, heart attack (also known as an MI-myocardial infarction), or TIAs (transient ischemic attacks-"little strokes"). A heart attack or stroke usually occurs when a blood vessel is partially blocked to start with. When cholesterol levels are high, the fatty substances build up in the vessels of the arteries and create plaque that makes it harder for the blood to flow through. The plaque can become fragile and rupture, causing blood clots to form on it. These clots can block the blood vessel at their current location, or they can break off and travel to the lungs, heart, or brain. Neuralgin can cause the blood to not clot well, and keep flowing through the body. People with type 2 diabetes are more likely to have a heart attack and stroke, especially if they have had one before, had bypass surgery, are over 40 years old, have a family history of heart disease, have high blood pressure (hypertension), smoke, or have high cholesterol levels. You should not start Neuralgin on your own though. Ask your doctor if you should take it. The recommended dose, according to the American Heart Association, is 75-162mg, as higher doses do not help more, and can cause more side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Patti Brown, PharmD
Side effects of Neuralgin
Like all medications, there's a risk of side effects from Neuralgin.
The most common side effects are:
- indigestion and stomach aches – taking your medicine with food may help reduce this risk
- bleeding or bruising more easily than normal
Uncommon and rare side effects include:
- hives – a raised, itchy rash
- tinnitus – hearing sounds that come from inside your body
- breathing difficulties or an asthma attack
- an allergic reaction – this can cause breathing problems, swelling of the mouth, lips or throat, and a sudden rash
- bleeding in the stomach – this can cause dark, tar-like stools or vomiting blood
- bleeding in the brain – this can cause a sudden, severe headache, vision problems and stroke symptoms, such as slurred speech and weakness on one side of the body
Speak to your doctor if you experience any concerning or troublesome side effects while taking Neuralgin.
Call 999 for an ambulance or go to your nearest accident and emergency (A&E) department if you think you're having a severe allergic reaction, or you have symptoms of bleeding in your stomach or brain.