nervigen np contains pregabalin, nortriptyline and methylcobalamin. This combination is usually given for diabetic neuropathy. From what you describe your pain started after you lifted a heavy weight. If the pain is in the shoulder region it may be a tear in the ligament. Nervigen np can be taken along with metformin and it will not interfere with the action of metformin. You may feel somewhat sleepy when you are on this medicine
In pt of pcod there is increased insulin resistance ,metformin being a insulin sensitizer drug decreases the insulin resistance, it also helps in reducing wt and in ovulation. Total dose is 1500 mg taken in 2 or 3 divided doses.
Lifestyle changes for wt reduction should also be adopted.
Good morning, Before getting advice you should give the details of F/Pp, HbA1c, Height and weight, duration of diabetes and any associated problems including other medications if take, that will be good for you. Thanks.