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MD (Pharmacology), MBBS
Last updated on:
11 Jun 2019 | 06:05 PM (IST)
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Pronara 40mg/5mg Capsule


Overview

Introduction

Pronara 40mg/5mg Capsule is a combination of two medicines that helps in preventing migraine. This medicine is not used for treatment of acute migraine attack. It should be taken regularly at a fixed time preferably at night. This medicine should not be stopped without consulting your doctor. Lifestyle modifications like avoiding stress, smoking, and processed food items may help this medicine work better. It may cause sleepiness so try not to drive or do anything that requires mental focus after taking this medicine. Few common side effects of this medicine includes weight gain, slow heart rate, tiredness, depression, drowsiness, and cold extremities.

Uses of Pronara Capsule

Pronara Capsule side effects

Common
  • Weight gain
  • Slow heart rate
  • Tiredness
  • Depression
  • Drowsiness
  • Abnormal dreams
  • Cold extremities

How to use Pronara Capsule

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Pronara 40mg/5mg Capsule is to be taken empty stomach.

How Pronara Capsule works

Pronara 40mg/5mg Capsule is a combination of two medicines: Propranolol and Flunarizine, which prevents migraine. Propranolol is a beta blocker and Flunarizine is a calcium channel blocker. They work by stabilizing the reactive nerve cells and increasing the threshold to migraine activation. They also inhibit cortical spreading depression (CSD- electric waves that move across the brain and cause pain and inflammation).

Pronara Capsule related warnings

Alcohol
UNSAFE
It is unsafe to consume alcohol with Pronara 40mg/5mg Capsule Taking Propranolol with alcohol may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
Pregnancy
CONSULT YOUR DOCTOR
Pronara 40mg/5mg Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Lactation
CONSULT YOUR DOCTOR
Information regarding the use of Pronara 40mg/5mg Capsule during lactation is not available. Please consult your doctor.
Driving
UNSAFE
Pronara 40mg/5mg Capsule may cause side effects which could affect your ability to drive.
Pronara 40mg/5mg Capsule may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Pronara 40mg/5mg Capsule is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Pronara 40mg/5mg Capsule may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Pronara 40mg/5mg Capsule should be used with caution in patients with liver disease. Dose adjustment of Pronara 40mg/5mg Capsule may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Pronara 40mg/5mg Capsule
₹5.31/Capsule
Flury P 40mg/5mg Capsule
East West Pharma
₹7.1/Capsule
34% costlier

Expert Advice

  • You have been prescribed Pronara 40mg/5mg Capsule for prevention of migraine headaches.
  • Do not take it to treat an acute attack of migraine.
  • Some tips that may help avoid a migraine attack:
    • Have your meals at the same time everyday
    • Avoid bright lights and extreme temperatures
    • Avoid loud music and noisy places
    • Avoid chocolates,  cheese, processed food, alcohol and smoking
    • Get sufficient sleep and avoid stress
  • It should be taken at night-time before going to bed.
  • It may cause sleepiness. Don't drive or do anything that requires mental focus until you know how Pronara 40mg/5mg Capsule affects you.
  • keep taking it regularly every day, even if you don't have any symptoms.

Patient Concerns

Questions Related to Pronara

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I've migraine . i can't stay for even 15 minutes in sunlight can't even take cheese . i consulted many doctors i can't get rid of it. I've taken many medicines .
Dr. Ravindra Srivastava
Neurologist
TAB.CIPLAR LA 20MG TDS. TAB. RIZACT 5MG FOR ACUTE ATTACKS.
Migraine. Taking Symbol 20 since 2010. Sos Ritza 5mg 10 to 12 times in month. No improvement.
Dr. Vikas Sharma
Neurologist
Do Mri brain and Venogram
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Do you have any questions related to Pronara 40mg/5mg Capsule?

FAQs

Q. In which conditions is the use of Pronara contraindicated?

Use of Pronara is considered to be harmful for patients with allergy to any of the ingredients or excipients of this medicine. This medicine contains propranolol, so its use should be avoided in patients with asthma, slow heart rate, abnormal heart rhythms, or heart conditions like AV block or sick sinus syndrome. Since this medicine also contains flunarizine, the use of this medicine should be avoided in patients with the history of depression or Parkinson's disease.

Q. What are the instructions for the storage and disposal of Pronara?

Keep Pronara in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Q. Can I stop taking Pronara when my symptoms are improved?

Pronara is given as a prophylactic treatment for the prevention of migraine headaches. Do not stop taking this medicine until advised by your doctor as it may cause your migraine episodes to return. This medicine contains propranolol and a sudden withdrawal of propranolol may cause sweating, shaking, irregular or fast heartbeat, worsening of underlying angina or heart attack. You must take Pronara exactly as advised by your doctor.

Q. Can Pronara be used for the treatment of a migraine headache?

No, Pronara does not help in relieving a migraine headache that has already started. It can only be used for preventing any new episode of migraine headaches.
Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Propranolol. Barnstaple, Devon: Actavis; 2018. [Accessed 11 Apr. 2019] (online) Available from:External Link
  2. Drugs.com. Flunarizine. [Accessed 25 Mar. 2019] (online) Available from:External Link
  3. Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:External Link
  4. Flunarizine. High Wycombe, Buckinghamshire: Janssen Cilag Ltd.; 2009 [revised Feb. 2014]. [Accessed 11 Apr. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
463, 4 th Floor, RPG HOUSE, Dr. Annie Besant Road, Worli, Mumbai – 400 030. Maharashtra, INDIA
DISCONTINUED
We do not facilitate sale of this product at present

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