Maxgalin M ER 75 Tablet is a combination medication containing Methylcobalamin 1500 mcg and Pregabalin 75 mg, formulated for the management of neuropathic pain and associated neurological conditions. Methylcobalamin, an active form of vitamin B12, plays a crucial role in nerve regeneration and repair by promoting myelin sheath synthesis and enhancing neuronal function. Pregabalin, an anticonvulsant and analgesic agent, modulates calcium channel activity in the central nervous system, thereby reducing the release of neurotransmitters involved in pain transmission. This extended-release formulation ensures sustained plasma levels, providing prolonged therapeutic effects and improved patient compliance. Maxgalin M ER 75 is indicated for conditions such as diabetic peripheral neuropathy, postherpetic neuralgia, and other neuropathic pain syndromes. It may also be beneficial in managing certain types of epilepsy and generalized anxiety disorder, as prescribed by a healthcare professional. The combination therapy offers synergistic benefits by addressing both nerve repair and pain modulation. Patients should use this medication under medical supervision, with attention to potential side effects including dizziness, somnolence, and gastrointestinal disturbances. Dose adjustments may be necessary in renal impairment. Maxgalin M ER 75 should be stored in a cool, dry place away from direct sunlight.