Provanol Plus 10 Tablet (Propranolol 40mg / Flunarizine 10mg)

Provanol Plus 10 Tablet

Provanol Plus 20 Mg/10 Mg Tablet is used for the management of high blood pressure (hypertension), angina pectoris, pheochromocytoma, essential tremor, tetralogy of Fallot cyanotic spells, and arrhythmias (such as atrial fibrillation and flutter, A-V nodal re-entrant tachycardias, and catecholamine-induced arrhythmias).

It is also used in the prevention of myocardial infarction, migraine headache. Provanol Plus 20 Mg/10 Mg Tablet is also helpful in treating the prevention of myocardial infarction, migraine headache.

This medication is a beta-blocking agent that attaches itself to the heart and inhibits the regular molecules from triggering the receptors. It blocks the beta-adrenergic receptors in the heart, thus slowing your heartbeat down and lowering the blood pressure. This lowers the stress placed on your heart, arteries, veins and blood vessels, decreasing the workload of the heart.

The medicine might not be suitable for everyone as it can have harmful effects on people with certain conditions. Before beginning a course of this medication, you need to notify your doctor if you are-

Pregnant or breastfeeding, or
Suffering from conditions such as:
Asthma,
Diabetes mellitus,
Psoriasis,
Liver or kidney problems,
Severe heart condition.
The medicine must be taken according to the doctor’s prescription. The doctor might recommend taking it two, three or even four times a day. You must complete the course of this medication otherwise it can cause you to develop withdrawal symptoms.

Symptoms of intoxication include cardiac disturbances, CNS toxicity, bronchospasm, hypoglycemia and hyperkalemia. The most common cardiac symptoms include hypotension and bradycardia; atrioventricular block, intraventricular conduction disturbances, cardiogenic shock, and asystole may occur with severe overdose, especially with membrane-depressant drugs (eg, propranolol); CNS effects include convulsions, coma, and respiratory arrest is commonly seen with propranolol and other membrane-depressant and lipid-soluble drugs.

Treatment includes symptomatic treatment of seizures, hypotension, hyperkalemia and hypoglycemia; bradycardia and hypotension resistant to atropine, isoproterenol or pacing may respond to glucagon; wide QRS defects caused by the membrane-depressant poisoning may respond to hypertonic sodium bicarbonate; repeat-dose charcoal, hemoperfusion, or hemodialysis may be helpful in removal of only those beta-blockers with a small Vd, long half-life or low intrinsic clearance (acebutolol, atenolol, nadolol, sotalol).

Take exactly as directed; do not increase, decrease, or discontinue without consulting prescriber. Take at the same time each day. Tablets may be crushed and taken with liquids. Do not alter dietary intake of protein or carbohydrates without consulting prescriber.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

Use

The medication can treat the below provided problems:

Hypertension

Angina Pectoris

Migraine

Anxiety

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Side Effects

A patient can suffer from the following side effects:

Chest Pain

Hypotension

Cardiogenic Shock

Light Headedness

Confusion

Dizziness

Insomnia

Fatigue

Lethargy

Cold Extremities

Vertigo

Syncope

Hallucination

Rash

Alopecia

Pruritus

Urticaria

Contact Dermatitis

Diarrhoea

Nausea

Vomiting

Stomach Discomfort

Anorexia

Impotence

Thrombocytopenia

Weakness

Wheezing

Bronchospasm

Pharyngitis

Dosage

Are there any missed dose instructions?

Take the missed dose as soon as you remember. The missed dose can be skipped if it is almost time for the next scheduled dose. Try not to miss any dose as the quantity and timings are very specific and non-adherence could cause some side effects.
Are there any overdose instructions?

Report any incidence of overdose to the doctor immediately as the symptoms can be fatal especially if it is consumed by a child or a person using it without prescription. Symptoms of overdose may include slow rate of breathing, decreased heartbeat rate, severe drowsiness, and fainting. Immediate medical attention may be required if the symptoms are severe.

Work

The exact mechanism of action of this medication for all the indications is not established. However, this medicine non-selectively blocks beta receptors sites in the heart, blood vessels, lungs, and other organs. Thus pressure is lowered and blood flow in the heart and other organs is improved.