Pronara 40mg/5mg Capsule

Prescription Required

Overview

Uses of Pronara Capsule

Pronara 40mg/5mg Capsule is used for preventive treatment of migraine.

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
CAUTION
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
WEIGH RISKS VS BENEFITS
Pronara 40mg/5mg Capsule may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
No information is available on the use of Pronara 40mg/5mg Capsule during lactation. Please consult your doctor.
Driving
Do not drive unless you are feeling well.
Pronara 40mg/5mg Capsule may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
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.
No alternate brands found for this medicine

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.

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.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 1st Dec 2017.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
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