CIPLAR PLUS 10 Tablet 10's

Migraine Rx required

Best Price* ₹ 70.96 MRP ₹ 88.70
(Inclusive of all taxes) *10 Tablet(s) in a Strip * Mkt: Cipla Ltd * Country of Origin: India * Delivery charges if applicable will be applied at checkout

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INTRODUCTION

CIPLAR PLUS 10 is a combination of Flunarizine and Propranolol which belongs to the group of medicines called Calcium Channel Blockers and Beta-Blockers respectively. It is used as a prophylactic medication for migraine which is a recurring type of headache that causes throbbing or pulsating pain on one side of your head which can be of moderate to severe pain. It is generally characterized by symptoms such as nausea, weakness, sensitivity to light and sound.

CIPLAR PLUS 10 is not recommended for use in patients having depressive illness, parkinson’s disease (brain disorder), urinary tract obstruction, low blood pressure, diabetes mellitus, liver impairment, second-or third-degree heart block, bronchial asthma. Before taking CIPLAR PLUS 10 inform your doctor if you have signs of thyrotoxicosis (condition marked by increased production of thyroid hormone) such as experiencing unexplained weight loss, irregular heartbeat, feeling shacky and history of allergic reactions.

Along treatment with CIPLAR PLUS 10 your doctor might ask you to make some lifestyle changes such as taking adequate sleep, doing regular exercise and eating balanced diet. CIPLAR PLUS 10 is not recommended for use in pregnant and breast-feeding women, which is also not recommended for use in children and adolescents (below 18 years of age). The most common side effects of taking CIPLAR PLUS 10 are increase in body weight, increased appetite, blocked or runny nose, problems with sleeping, sleepiness, nausea, and constipation. Consult your doctor if any of the symptom worsens.

USES OF CIPLAR PLUS 10

  • Prevents migraine

HOW CIPLAR PLUS 10 WORKS

CIPLAR PLUS 10 contains flunarizine and propranolol which helps in preventing migraine, where flunarizine works by dilating the blood vessels in the brain and improving blood flow to the brain by preventing throbbing or pulsating pain on one side of your head and propranolol works by preventing the dilation of blood vessels and stabilizing serotonin levels and it effectively reduces the intensity and frequency of migraine attack.

DIRECTIONS FOR USE

Take CIPLAR PLUS 10 as advised by your doctor. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF CIPLAR PLUS 10

COMMON

  • increase in body weight
  • increased appetite
  • blocked or runny nose
  • problems with sleeping
  • sleepiness
  • nausea
  • constipation
  • stomach-ache or other digestive problems such as irritable bowel syndrome
  • muscle aches
  • breast pain
  • menstrual problems such as irregular periods
  • tiredness
  • drowsiness
  • headache
  • weakness
  • heartburn
  • dry mouth
  • diarrhoea
  • cold fingers and toes
  • slow heartbeat
  • signs of raynaud’s syndrome such as numbness and spasm in the fingers followed by warmth and pain sensation
  • nightmares

RARE

  • bruising more easily
  • mood changes, confusion, memory loss, psychosis or hallucinations
  • tingling sensation
  • disturbances of vision, dry eyes
  • breathlessness
  • swollen ankle
  • heart block which may cause an abnormal heartbeat, dizziness, tiredness or fainting
  • dizziness particularly on standing up
  • worsening of your blood circulation
  • worsening of breathing difficulties (if you have asthma)
  • hair loss, skin rash, including worsening of itchy skin, purple spots on the skin

HOW TO MANAGE SIDE EFFECTS

Nausea:

Take CIPLAR PLUS 10 with, or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. Consult your doctor if your symptom does not improve. 

Tiredness:

Drink plenty of fluids and eat balanced diet and frequent meals. Do regular minimal exercise and follow regular sleep schedule. Consult your doctor if your symptom does not improve. 

Constipation:

Take fiber rich foods in your diet such as fresh fruits, vegetables and whole grain cereals, and drink plenty of fluids. Exercise more regularly and stay active. Consult your doctor if the symptom does not improve.

Diarrhoea:

Drink lot of fluids, such as water or fruit juice to keep yourself hydrated. Do not take any medicine on your own for treating diarrhoea without consulting your doctor.

Dry mouth:

Try to drink plenty of cold water. Sip on cold unsweetened drinks and use lip balm if your lips are dry. Try to brush your teeth twice a day and use mouthwash. Consult your doctor if the symptom gets worse.

WARNING & PRECAUTIONS

PREGNANCY

CIPLAR PLUS 10 is not recommended for use in pregnant women. Consult your doctor before taking CIPLAR PLUS 10.

BREASTFEEDING

CIPLAR PLUS 10 is not recommended for use in breastfeeding women. Consult your doctor before taking CIPLAR PLUS 10.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel dizzy or tired after taking CIPLAR PLUS 10.

ALCOHOL

Avoid consumption of alcohol while taking CIPLAR PLUS 10 as it may cause drowsiness.

KIDNEY

CIPLAR PLUS 10 should be used with caution in patients with kidney disease such as phaeochromocytoma (a tumour near the kidney). Consult your doctor before taking CIPLAR PLUS 10.

LIVER

CIPLAR PLUS 10 is not recommended for use in patients with liver impairment. It should be used with caution in patients with liver disease such as cirrhosis of the liver. Consult your doctor before taking CIPLAR PLUS 10.

ALLERGY

Do not take CIPLAR PLUS 10 if you are allergic to Flunarizine or Propranolol.

LUNGS

CIPLAR PLUS 10 is not recommended for use in patients having lung diseases such as bronchial asthma, chronic obstructive pulmonary disease (COPD), or any other breathing difficulties. Consult your doctor before taking CIPLAR PLUS 10.

HEART DISEASE

CIPLAR PLUS 10 is not recommended for use in patients having heart diseases such as untreated/uncontrolled heart failure, cardiogenic shock, sinus bradycardia, sick sinus syndrome, second- and third-degree heart block, slow heart rate. It should be used with caution in patients having heart weakness, first degree heart block, hypertrophic cardiomyopathy (thickened heart muscle), prinzmetal’s angina (tight, painful feeling in the chest at the time of rest). Consult your doctor before taking CIPLAR PLUS 10.

OTHERS

CIPLAR PLUS 10 is not recommended for use if you have:

  • depressive illness or have a history of recurrent depression
  • parkinson’s disease (brain disorder) or a similar disease
  • signs of raynaud’s syndrome such as cold fingers or toes, color changes in your skin in response to cold or stress
  • severe peripheral arterial disease such as numbness, tingling, or weakness in the legs, burning or aching pain in the feet or toes while resting
  • signs of metabolic acidosis (high acid concentration in body fluids) such as confusion, fast heartbeat, heartbeat
  • urinary tract obstruction
  • signs of acute porphyria (rare enzymatic defect) such as severe abdominal pain, pain in your chest, legs or back, constipation or diarrhoea
  • low blood pressure
  • signs of severe blood circulation problems such as tingliness of fingers and toes
  • diabetes mellitus
  • a strict fasting diet

Before taking CIPLAR PLUS 10, inform your doctor if you have:

  • signs of thyrotoxicosis (condition marked by increased production of thyroid hormone) such as experiencing unexplained weight loss, irregular heartbeat, feeling shacky
  • history of allergic reactions

Use in paediatrics:

CIPLAR PLUS 10 is not recommended for use in children and adolescents (below 18 years of age). Consult child’s doctor for advice.

Use in geriatrics:

CIPLAR PLUS 10 should be used with caution in elderly patients (aged above 60 years) since it may induce depressive illness or parkinson’s disease (brain disorder). Consult your doctor before taking CIPLAR PLUS 10.

INTERACTIONS

A. Drug – Drug interactions:

Before taking CIPLAR PLUS 10, inform your doctor, if you are taking any of the following medicines:

  • medicines used to treat anxiety Ex. citalopram, escitalopram, fluvoxamine
  • medicines that help in getting sleep such as hypnotics, tranquilizer Ex. diazepam, chlordiazepoxide
  • oral contraceptives such as ethinyl estradiol (medicine used to prevent pregnancy)
  • medicine used to control high blood pressure Ex. enalapril, lisinopril, perindopril, hydralazine, clonidine, spironolactone, verapamil, diltiazem, nifedipine, nisoldipine, nicardipine, isradipine and lacidipine
  • insulin (used to treat diabetes)
  • ergotamine, dihydroergotamine, sumatriptan or rizatriptan (used to treat migraine)
  • amiodarone, adenosine, disopyramide, quinidine, amiodarone, propafenone (used to treat irregular heartbeat)
  • digitalis glycosides such as digoxin (used to treat heart failure)
  • adrenaline (used to treat anaphylactic shock)
  • lidocaine (used to treat irregular heartbeat or as a local anaesthetic to provide numbing effect before minor procedures)
  • cimetidine (used to treat stomach ulcers)
  • ibuprofen and indomethacin (used to treat pain and inflammation)
  • chlorpromazine and thioridazine (used for psychiatric illness)
  • warfarin (used to prevent and treat blood clots)
  • rifampicin (used to treat tuberculosis)
  • theophylline (used to treat asthma)

Overdosage:

If you or anyone else accidentally take too much of CIPLAR PLUS 10, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage are sedation, weakness, difficulty breathing, low blood pressure, drowsiness, fits, dilated pupils, an excessively slowed heartbeat with symptoms such as dizziness, sickness, confusion, hallucinations, body spasms, breathlessness on exertion, fainting, or coma.

SYNOPSIS

Drug :  

Flunarizine, Propranolol

Pharmacological Category :   Calcium Channel Blockers, Beta-Blockers
Therapeutic Indication :  

Prophylaxis of migraine

Dosage Forms :  

Tablet, Capsule

MORE INFORMATION

  • Keep CIPLAR PLUS 10 out of reach of children
  • Store at room temperature

FAQs ABOUT CIPLAR PLUS 10

What is CIPLAR PLUS 10 and why is it given?

CIPLAR PLUS 10 is a combination of flunarizine and propranolol which belongs to the group of medicines called calcium channel blockers and beta-blockers respectively, which is used as a prophylactic medication for migraine which is generally characterized by symptoms such as nausea, weakness, sensitivity to light and sound.

Who should avoid taking CIPLAR PLUS 10?

CIPLAR PLUS 10 is not recommended for use in patients having depressive illness, parkinson’s disease (brain disorder), urinary tract obstruction, low blood pressure, diabetes mellitus, hepatic impairment, second- or third-degree heart block, bronchial asthma, pregnant and breastfeeding women. Consult your doctor before taking CIPLAR PLUS 10.

What are the common side effects of CIPLAR PLUS 10?

The most common side-effects of using CIPLAR PLUS 10 are increase in body weight, increased appetite, blocked or runny nose, problems with sleeping, sleepiness, nausea, and constipation. Consult your doctor if any of these worsens or doesn’t improve.

Can CIPLAR PLUS 10 cause weight gain?

CIPLAR PLUS 10 can cause weight gain when used for longer period of time. Therefore, it is advised to maintain a healthy eating habit and have a balanced diet while taking CIPLAR PLUS 10.

Can CIPLAR PLUS 10 be given to children?

No, CIPLAR PLUS 10 is not recommended for use in children and adolescents (below 18 years of age). If CIPLAR PLUS 10 is accidentally ingested by a child or adolescent, go to the hospital immediately and consult the doctor for further management.

REFERENCES

1. KD. Tripathi. 5-Hydroxytryptamine, its Antagonists & Drug Therapy of Migraine and Antiarrhythmic Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 180, 532.

2. C J Shimell, V U Fritz, S L Levien. A comparative trial of flunarizine and propranolol in the prevention of migraine. NIH. National Library of Medicine. National center for biotechnology information. Pubmed.gov. January 1990. [Accessed on 6th June 2022] https://pubmed.ncbi.nlm.nih.gov/2404346/

3. Mahsa Shahrokhi, Vikas Gupta. Propranolol. NIH. National Library of Medicine. National center for biotechnology information. StatPearls. May 2022. [Accessed on 6th June 2022] https://www.ncbi.nlm.nih.gov/books/NBK557801/

4. H P Ludin. Flunarizine and propranolol in the treatment of migraine. NIH. National Library of Medicine. National center for biotechnology information. Pubmed.gov. April 1989. [Accessed on 6th June 2022] https://pubmed.ncbi.nlm.nih.gov/2654068/

5. Janssen-Cilag S.p.A. Health Products Regulatory Authority (HPRA). [Revised in March 2020]. [Accessed on 6th June 2022] https://www.hpra.ie/img/uploaded/swedocuments/bc725729-1dcc-48c0-b451-a3149ca2f886.pdf

6. Accord Healthcare. Electronic Medicines Compendium (EMC). [Revised in March 2021]. [Accessed on 6th June 2022] https://www.medicines.org.uk/emc/files/pil.5853.pdf

7. Cipla Ltd. Migarid Tablets (Flunarizine hydrochloride). Ciplamed. [Revised in August 2015]. [Accessed on 6th June 2022]    https://www.ciplamed.com/content/migarid-tablets

8. Tasmed India Pvt Ltd. Mibeta-Plus Tablet (Propranolol SR 40 mg + Flunarizine 5/10 mg). [Accessed on 6th June] https://tasmedlab.com/allproduct/mibeta-plus/#dosage

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    17.5 g
    Ingredient
    FLUNARIZINE 10 mg+PROPRANOLOL 40 mg
    Hsn Code
    30049079
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DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

CIPLAR PLUS 10 Tablet 10's

CIPLAR PLUS 10 Tablet 10's Mkt: Cipla Ltd

M.R.P.: Rs.88.70
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