Propranolol 20mg + Flunarizine 5mg

Propranolol 20mg + Flunarizine 5mg — Uses and Benefits

This combination medicine is mainly used to prevent frequent or severe migraine headaches in adults.

WHAT THIS MEDICINE IS USED FOR

• Prevention of recurrent migraine attacks
• Reducing the frequency and severity of migraine episodes
• Sometimes used for other conditions as decided by your doctor, such as tremors along with migraine prevention

HOW IT WORKS

• Propranolol blocks certain stress hormone effects on the heart and blood vessels, reducing triggers for migraine
• Flunarizine relaxes blood vessels in the brain and stabilises blood flow, helping prevent migraine onset
• Together they reduce the frequency, severity, and duration of migraine attacks over time

WHAT IT IS NOT USED FOR

• Not used to treat a migraine attack once it has started
• Not a painkiller and will not give immediate relief from headache pain
• Not used for general anxiety or routine blood pressure control unless specifically advised
• Not recommended for children unless prescribed by a specialist

How to Use Propranolol 20mg + Flunarizine 5mg

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually once daily
• Swallow the tablet with water, with or without food, at the same time each day
• Do not stop taking it suddenly, especially the propranolol component, as this can cause serious heart-related effects
• It may take several weeks of regular use before you notice a reduction in migraine attacks
• Do not increase or decrease the dose on your own

IF YOU MISS A DOSE

• Take it as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed one and continue as usual
• Do not take double doses to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Propranolol 20mg + Flunarizine 5mg — Side Effects

COMMON SIDE EFFECTS

• Tiredness or drowsiness
• Weight gain
• Dizziness
• Nausea
• Dry mouth

LESS COMMON SIDE EFFECTS

• Depression or mood changes
• Sleep disturbances
• Muscle stiffness or tremors
• Cold hands and feet
• Digestive upset such as constipation

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Very slow heartbeat or fainting
• Difficulty breathing or wheezing
• Swelling of face, lips, or throat
• Signs of severe depression or suicidal thoughts
• Uncontrolled movements or symptoms similar to Parkinson's disease

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Propranolol 20mg + Flunarizine 5mg — Safety Information and Precautions

This is a prescription-only medicine in India and should only be used under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a history of asthma or severe breathing problems
• Have a very slow heart rate or certain heart conditions like heart block
• Have a history of depression or Parkinson's disease
• Are allergic to propranolol, flunarizine, or similar medicines

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have diabetes, as it can mask low blood sugar symptoms
• Have liver or kidney problems
• Are pregnant, planning pregnancy, or breastfeeding
• Have low blood pressure or circulation problems
• Are elderly, as side effects may be more pronounced

MEDICINES THAT CAN INTERACT

• Other blood pressure or heart medicines
• Antidepressants or antipsychotic medicines
• Medicines for diabetes, as effects on blood sugar may change
• Sedatives or sleep medicines, which may increase drowsiness
• Other migraine medicines

FREQUENTLY ASKED QUESTIONS

Can I take this medicine only when I have a migraine attack?

No, this medicine is meant for daily prevention, not for treating an ongoing attack.

How long do I need to take this medicine?

Your doctor will decide the duration based on how well your migraines are controlled, often several months.

Can I stop taking it once my migraines improve?

• Do not stop suddenly without consulting your doctor, as gradual withdrawal is usually needed.
• Doctor ya pharmacist se salah lein.