Propranolol 40mg + Flunarizine 5mg

Propranolol 40mg + Flunarizine 5mg — Uses and Benefits

This combination is mainly prescribed for the prevention of frequent or severe migraine headaches.

WHAT THIS MEDICINE IS USED FOR

• Prevention of migraine attacks in people who have frequent headaches
• Reducing the frequency and severity of migraine episodes
• Sometimes used to control associated symptoms like anxiety linked to migraine

HOW IT WORKS

• Propranolol blocks certain nerve signals (beta receptors) that affect heart rate and blood vessel tone, reducing triggers for migraine
• Flunarizine blocks calcium channels in blood vessels and nerve cells, helping stabilise blood flow to the brain and prevent migraine triggers
• Together they help reduce the frequency and intensity of migraine attacks over time

WHAT IT IS NOT USED FOR

• It is not used to treat a migraine attack that has already started
• It is not a painkiller and will not give immediate relief from headache
• It is not used for general anxiety, depression, or unrelated headaches
• It is not a substitute for lifestyle changes like sleep, hydration, and avoiding triggers

How to Use Propranolol 40mg + Flunarizine 5mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Swallow the tablet with water, with or without food, as advised
• Take it at the same time each day to build a routine
• Do not stop suddenly without consulting your doctor, especially for propranolol
• It may take several weeks before you notice a reduction in migraine frequency

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for the next dose, skip the missed one
• Do not take a double dose to make up for a missed one
• If you miss doses often, set a reminder or speak to your doctor

STORAGE

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

Propranolol 40mg + Flunarizine 5mg — Side Effects

COMMON SIDE EFFECTS

• Tiredness or drowsiness
• Weight gain
• Dizziness
• Nausea
• Low mood

LESS COMMON SIDE EFFECTS

• Cold hands or feet
• Sleep disturbances
• Dry mouth
• Muscle stiffness or tremor
• Mild depression symptoms

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Very slow heartbeat or fainting
• Difficulty breathing or wheezing
• Signs of severe depression or suicidal thoughts
• Uncontrolled movements resembling Parkinson's disease
• Swelling of face, lips, or throat (allergic reaction)
• Severe low blood pressure with dizziness or blackout

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

Propranolol 40mg + Flunarizine 5mg — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to propranolol, flunarizine, or any ingredient in this medicine
• Have asthma or severe breathing problems
• Have a very slow heart rate or certain heart block conditions
• Have a history of depression, especially severe or with suicidal thoughts
• Have uncontrolled heart failure

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Are pregnant, planning pregnancy, or breastfeeding
• Have diabetes, as it may mask low blood sugar symptoms
• Have liver or kidney disease
• Have a history of Parkinson's disease or movement disorders
• Are elderly, as side effects like drowsiness may be more pronounced

MEDICINES THAT CAN INTERACT

• Other blood pressure lowering medicines
• Other medicines for depression or anxiety
• Calcium channel blockers used for heart conditions
• Sedatives or sleep-inducing medicines
• Medicines for diabetes

FREQUENTLY ASKED QUESTIONS

Can I take this medicine for a sudden migraine attack?

No, this is a preventive medicine and does not relieve an ongoing migraine attack.

How long do I need to take this medicine?

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

Can I stop this medicine once my migraines improve?

• Do not stop suddenly; your doctor will guide you on tapering the dose safely.
• Doctor ya pharmacist se salah lein.