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Nigrain Forte Tablet SR

Prescription Required

Product introduction

Nigrain Forte Tablet SR is a combination of two medicines that helps in preventing migraine. This medicine is not used for treatment of acute migraine attack.

Nigrain Forte Tablet SR should be taken on empty stomach, but try to have it same time regularly at a fixed time preferably at night. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. Lifestyle modifications like avoiding stress, smoking, and processed food items may help this medicine work better.

Few common side effects of this medicine include weight gain, slow heart rate, tiredness, depression, drowsiness and cold extremities. It may cause sleepiness so try not to drive or do anything that requires mental focus or rise slowly while from sitting position. The drug has the ability to hide the symptoms of the blood sugar level, hence monitor your blood sugar level regularly as well as blood pressure while taking this medicine.

Before taking this medicine, let your doctor know if you have liver or kidney, or depression disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.

Uses of Nigrain Forte Tablet SR

Benefits of Nigrain Forte Tablet SR

In Prevention of Migraine

Nigrain Forte Tablet SR helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.

Side effects of Nigrain Forte Tablet SR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nigrain Forte

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

How to use Nigrain Forte Tablet SR

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. Nigrain Forte Tablet SR is to be taken empty stomach.

How Nigrain Forte Tablet SR works

Nigrain Forte Tablet SR 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).

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Nigrain Forte Tablet SR.
Pregnancy
CONSULT YOUR DOCTOR
Nigrain Forte Tablet SR 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.
Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Nigrain Forte Tablet SR during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Nigrain Forte Tablet SR may cause side effects which could affect your ability to drive.
Nigrain Forte Tablet SR may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Nigrain Forte Tablet SR is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nigrain Forte Tablet SR may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Nigrain Forte Tablet SR should be used with caution in patients with liver disease. Dose adjustment of Nigrain Forte Tablet SR may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

What if you forget to take Nigrain Forte Tablet SR?

If you miss a dose of Nigrain Forte Tablet SR, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Nigrain Forte Tablet SR
₹11.4/Tablet SR
Zinepra 10 Tablet SR
La Renon Healthcare Pvt Ltd
₹13.9/tablet sr
22% costlier
Mibeta-Plus 10 Tablet SR
Tas Med India Pvt Ltd
₹9/tablet sr
21% cheaper
Cardimol-Plus 10 Tablet SR
Mankind Pharma Ltd
₹14.5/tablet sr
27% costlier
₹13.9/tablet sr
22% costlier
₹12.6/tablet sr
11% costlier

Quick tips

  • You have been prescribed Nigrain Forte Tablet SR 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 Nigrain Forte Tablet SR affects you.
  • keep taking it regularly every day, even if you don't have any symptoms.

Fact Box

Habit Forming
No
Therapeutic Class
CARDIAC

Patient concerns

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I am facing issue of headache from last 3-4 years.i have consulted allopathy and they have given me sibelum 10 for migrane and asked to take metopar(paracetamol) when ever pain is too much.i am nit taking sibelum now but i am taking metopar when ever required.so i want a homeopathy consultatation if it can be cured by homeopathy or the level of headache can be lowered. Currently i face headache once in a week and i had to take metopar. Kindly suggest. My weight 80 kg And i am taking some neuro medicines ( stalopam 10, amitone 10) I also have cholesterol and taking (atorec 20)
Dr. Faran Siddiqui
Homeopathy
Migraine and headache are two different things migraine is primarily headache of one side in symmetrically
Some time at a sudden Strong half headache pain in left side and also left eye tearing Please consult me
Dr. Pushkar Mani
Physician
it could be migraine
arrow

User feedback


FAQs

Q. In which conditions is the use of Nigrain Forte Tablet SR contraindicated?

Use of Nigrain Forte Tablet SR 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 Nigrain Forte Tablet SR?

Keep Nigrain Forte Tablet SR 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 Nigrain Forte Tablet SR when my symptoms are improved?

Nigrain Forte Tablet SR 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 Nigrain Forte Tablet SR exactly as advised by your doctor.

Q. Can Nigrain Forte Tablet SR be used for the treatment of a migraine headache?

No, Nigrain Forte Tablet SR 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.

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Disclaimer:

Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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. Drugs.com. Flunarizine. [Accessed 25 Mar. 2019] (online) Available from:External Link
  2. Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:External Link
  3. Flunarizine. High Wycombe, Buckinghamshire: Janssen Cilag Ltd.; 2009 [revised Feb. 2014]. [Accessed 11 Apr. 2019] (online) Available from:External Link

Marketer details

Name: Torrent Pharmaceuticals Ltd
Address: Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Country of origin: India

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