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**Zubinor** is an oral fixed-dose combination of methylcobalamin, nortriptyline, and pregabalin marketed by Elliott Labs for neuropathic pain. Pregabalin binds voltage-gated calcium-channel alpha-2/delta auxiliary subunits to reduce excitatory neurotransmitter release; nortriptyline inhibits norepinephrine and serotonin reuptake, augmenting descending pain-modulatory pathways; and methylcobalamin is an active vitamin B12 form that supports neuronal metabolism and myelin maintenance. The product is marketed as a sustained-release tablet formulation.
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