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MIGREST TABLET 15'S

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MIGREST TABLET 15'S

By TIDAL LABORATORIES PRIVATE LIMITED

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101.02

₹85.87

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Product DetailsArrow

Content Reviewed By:

Dr. Sanjay Mehta

, (MBBS)

Written By:

Ms. Kavita Desai

, (B.Pharm)

About MIGREST TABLET 15'S

  • Migrest Tablet is a branded fixed-dose combination medicine that typically contains domperidone 10 mg and paracetamol (acetaminophen) 500 mg. It is generally used for the symptomatic treatment of headache and migraine attacks, especially when pain is associated with nausea, vomiting, or a feeling of gastric fullness. Paracetamol is an analgesic and antipyretic that helps relieve mild to moderate pain and reduce fever. Domperidone is a prokinetic and antiemetic agent that helps control nausea and vomiting and improves gastric emptying, which can enhance the absorption and onset of action of paracetamol. Migrest Tablet is commonly used for short-term relief of migraine headache, tension-type headache, and other painful conditions such as toothache, musculoskeletal pain, or dysmenorrhea, when accompanied by nausea or vomiting. By combining an analgesic with an antiemetic, the product aims to provide faster and more complete relief in patients who tend to vomit or feel queasy during pain episodes. It is not a preventive treatment for migraine; rather, it is intended to be taken at the onset of symptoms or as directed by a healthcare professional. The medicine should only be used under medical supervision, particularly because domperidone has specific safety considerations, including potential effects on heart rhythm (QT interval prolongation) and restrictions in certain age groups or in people with underlying cardiac disease. Paracetamol, while generally safe at recommended doses, can cause serious liver injury if taken in excessive amounts, used for prolonged periods, or combined with other paracetamol-containing products or significant alcohol intake. Patients should inform their doctor about any history of liver disease, kidney disease, heart rhythm disorders, electrolyte imbalances, gastrointestinal bleeding, or hormonal (pituitary) tumors before using Migrest Tablet. It is also important to discuss all other prescription medicines, over-the-counter drugs, and herbal supplements to avoid interactions, particularly with medicines that affect heart rhythm or are metabolized by the same liver enzymes. Migrest Tablet is intended for short-term, intermittent use; if headaches or migraine attacks become frequent, more severe, or change in pattern, a medical evaluation is necessary to rule out secondary causes and to consider preventive therapies. Self-medication with Migrest Tablet without medical advice is not recommended, especially in children, older adults, pregnant or breastfeeding women, or individuals with chronic medical conditions. Always follow the prescribing doctor’s instructions and the information provided in the package insert, and do not exceed the recommended duration of use. If symptoms do not improve, worsen, or are accompanied by warning signs such as high fever, stiff neck, confusion, chest pain, or neurological deficits, urgent medical attention is required.

Uses of MIGREST TABLET 15'S

  • Treatment of Migraine Headache
  • Management of Acute Migraine
  • Relief from Migraine Symptoms
  • Relief from Headache
  • Treatment of Nausea and Vomiting Associated with Migraine

How MIGREST TABLET 15'S Works

  • MIGREST TABLET 15'S is a combination medicine formulated to provide relief from migraine headaches. Its effectiveness stems from the synergistic action of its key ingredients: Flunarizine and Propranolol.
  • Flunarizine, a calcium channel blocker, plays a crucial role in preventing migraine attacks. Migraines are often associated with changes in blood vessel tone in the brain. Flunarizine works by inhibiting the entry of calcium ions into nerve and muscle cells. This action leads to the stabilization of blood vessels in the brain, preventing excessive constriction or dilation that can trigger a migraine. By reducing the frequency and intensity of these vascular changes, Flunarizine helps to decrease the likelihood of migraine occurrence. Moreover, it exhibits antihistamine properties, which may further contribute to its migraine-preventive effects. Essentially, it helps to normalize the blood flow and neuronal excitability within the brain, creating a more stable environment less prone to migraine triggers.
  • Propranolol, a beta-blocker, complements Flunarizine's action by addressing other physiological factors contributing to migraines. Propranolol works by blocking the effects of certain natural chemicals in your body, such as epinephrine (adrenaline), on the heart and blood vessels. By blocking beta-adrenergic receptors, Propranolol helps to reduce heart rate, lower blood pressure, and decrease the force of heart muscle contraction. This action reduces the overall excitability of the cardiovascular system, making it less responsive to stress and anxiety, which are common migraine triggers. Furthermore, Propranolol can also affect neurotransmitter activity in the brain, potentially influencing the pathways involved in migraine development. It is thought to stabilize nerve activity and reduce the likelihood of the neuronal firing patterns that lead to migraine pain. Essentially, it calms down the body's response to stress and regulates nerve signals that can initiate a migraine.
  • The combined action of Flunarizine and Propranolol provides a comprehensive approach to migraine prophylaxis. Flunarizine stabilizes blood vessels and neuronal excitability in the brain, while Propranolol reduces cardiovascular excitability and modulates neurotransmitter activity. Together, they work to address both the vascular and neurological components of migraine, leading to a reduction in the frequency, duration, and severity of migraine attacks. This combination allows for a more balanced and effective approach to migraine management compared to using either medication alone. It's important to note that MIGREST TABLET 15'S is intended for migraine prevention and should be taken regularly as prescribed by a healthcare professional to achieve optimal results. It is not designed to treat acute migraine attacks.
  • In summary, MIGREST TABLET 15'S works by utilizing Flunarizine to stabilize blood vessels and reduce neuronal excitability, and Propranolol to decrease cardiovascular excitability and modulate nerve signals, ultimately reducing the occurrence and intensity of migraines.

Side Effects of MIGREST TABLET 15'SArrow

MIGREST TABLET 15'S may cause several side effects, although not everyone experiences them. Common side effects include: * Nausea * Vomiting * Dizziness * Drowsiness * Dry mouth * Fatigue * Muscle weakness Less common but potentially serious side effects include: * Allergic reactions (rash, itching, swelling, difficulty breathing) * Changes in blood pressure (either high or low) * Heart palpitations * Visual disturbances * Seizures * Liver problems (abdominal pain, jaundice, dark urine) * Serotonin syndrome (confusion, agitation, muscle twitching, sweating, rapid heartbeat) - especially if taken with other serotonergic drugs * Increased risk of bleeding or bruising This is not an exhaustive list, and other side effects may occur. If you experience any unusual symptoms while taking MIGREST TABLET 15'S, consult your doctor immediately.

  • MIGREST TABLET side effects, nausea, vomiting, dizziness, drowsiness, allergic reaction, blood pressure, heart palpitations, visual disturbances, seizures, liver problems, serotonin syndrome, bleeding, bruising

Safety Advice for MIGREST TABLET 15'SArrow

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Heart and QT Interval

Use with extreme caution

Domperidone has been associated with prolongation of the QT interval on the electrocardiogram and with serious ventricular arrhythmias, including torsades de pointes, particularly in patients with underlying cardiac disease or when used with interacting medicines.

Dosage of MIGREST TABLET 15'SArrow

  • The recommended dosage of 'MIGREST TABLET 15'S' varies depending on the individual's condition, severity of symptoms, and response to treatment. It is crucial to adhere strictly to the dosage instructions provided by your physician. Typically, the starting dose is one tablet daily, but this may be adjusted by your doctor based on your specific needs.
  • For migraine prevention, 'MIGREST TABLET 15'S' is usually taken on a regular basis, even when you are not experiencing a migraine. Consistency is key for optimal effectiveness. Do not stop taking 'MIGREST TABLET 15'S' abruptly without consulting your doctor, as this may lead to withdrawal symptoms or a rebound effect.
  • The tablet should be swallowed whole with a glass of water, preferably at the same time each day. It can be taken with or without food. If you experience any stomach upset, taking it with food may help. If you miss a dose, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.
  • It's important to understand that the full benefits of 'MIGREST TABLET 15'S' may not be apparent immediately. It may take several weeks of consistent use to experience a significant reduction in the frequency and severity of migraines. Regular follow-up appointments with your doctor are essential to monitor your progress and adjust your treatment plan as needed. If you experience any side effects, such as fatigue, nausea, or dizziness, inform your doctor promptly. They can provide guidance on managing these side effects or adjust your dosage accordingly.
  • Take 'MIGREST TABLET 15'S' only as per the prescription by your physician only

What if I miss my dose of MIGREST TABLET 15'S?Arrow

  • If you miss a dose of Migrest Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

How to store MIGREST TABLET 15'S?Arrow

  • Keep MIGREST TAB 1X15 away from the reach of children and pets.
  • Store MIGREST TAB 1X15 at room temperature.

Benefits of MIGREST TABLET 15'SArrow

  • MIGREST TABLET 15'S offers a comprehensive approach to migraine management, targeting various aspects of this debilitating condition. Its multifaceted benefits aim to reduce the frequency, severity, and duration of migraine attacks, significantly improving the quality of life for sufferers.
  • One of the primary benefits of MIGREST TABLET 15'S is its ability to alleviate acute migraine symptoms. Upon the onset of a migraine, the medication works to relieve throbbing headaches, nausea, vomiting, and sensitivity to light and sound. This rapid relief allows individuals to resume their daily activities and responsibilities with minimal disruption.
  • MIGREST TABLET 15'S also plays a crucial role in preventing future migraines. By regulating neurotransmitter activity and promoting stable blood vessel function in the brain, the medication reduces the likelihood of migraine attacks occurring in the first place. This preventative action is particularly beneficial for individuals who experience frequent or predictable migraines.
  • Beyond immediate symptom relief and migraine prevention, MIGREST TABLET 15'S contributes to overall well-being by addressing associated symptoms and complications. The medication can help reduce the anxiety and stress often associated with chronic migraines, leading to improved mood and emotional stability. Additionally, by minimizing the need for frequent pain relievers, MIGREST TABLET 15'S reduces the risk of medication-overuse headaches and other adverse effects.
  • Furthermore, the use of MIGREST TABLET 15'S can lead to increased productivity and improved cognitive function. Migraines can significantly impair concentration, memory, and decision-making abilities. By reducing the frequency and severity of migraine attacks, the medication enables individuals to focus on work, studies, and other important tasks without the burden of debilitating symptoms.
  • MIGREST TABLET 15'S offers a well-rounded solution for migraine management, providing both acute relief and long-term prevention. Its benefits extend beyond physical symptoms, encompassing emotional well-being, cognitive function, and overall quality of life. By effectively addressing various aspects of migraines, MIGREST TABLET 15'S empowers individuals to take control of their condition and live fulfilling lives.

How to use MIGREST TABLET 15'SArrow

  • MIGREST TABLET 15'S is typically prescribed by your doctor to manage migraine headaches. It is crucial to adhere to their prescribed dosage and schedule for optimal results. This medication is intended for oral administration, meaning you should swallow the tablet whole with a glass of water. Avoid crushing, chewing, or breaking the tablet, as this could affect how the medication is released and absorbed by your body.
  • It's generally recommended to take MIGREST TABLET 15'S at the first sign of a migraine or as a preventive measure, depending on your doctor's instructions. Consistent timing is important; try to take the tablet around the same time each day if you're using it preventatively. If you are taking it as soon as migraine starts then ensure, you take it as soon as possible to avoid the headache to worsen. If you miss a dose, take it as soon as you remember, unless it's almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to compensate for a missed one.
  • Before starting MIGREST TABLET 15'S, inform your doctor about any other medications you are currently taking, including over-the-counter drugs, herbal supplements, and vitamins. This will help prevent potential drug interactions. Also, tell your doctor about any pre-existing medical conditions, especially heart, liver, or kidney problems. It's also essential to maintain a healthy lifestyle, including regular exercise, a balanced diet, and sufficient sleep. Identify and avoid migraine triggers such as certain foods, stress, or lack of sleep. If your migraines worsen or do not improve after using MIGREST TABLET 15'S, consult your doctor for further evaluation and treatment options.

Quick Tips for MIGREST TABLET 15'SArrow

  • Take Migrest Tablet exactly as prescribed by your doctor. Do not exceed the recommended dosage or frequency. Taking more than prescribed will not alleviate your migraine faster and may increase the risk of side effects.
  • Migrest Tablet is most effective when taken at the first sign of a migraine. Keep a record of your migraine triggers and symptoms to help you recognize an attack early. This medicine is not for daily preventive use.
  • Inform your doctor about all other medications, supplements, and herbal products you are currently taking. Certain medications can interact with Migrest Tablet, increasing the risk of side effects or decreasing its effectiveness. Pay close attention to medications for depression or anxiety.
  • If you experience persistent or worsening side effects such as nausea, dizziness, drowsiness, or chest pain, consult your doctor immediately. Do not drive or operate heavy machinery until you know how Migrest Tablet affects you. Rest in a quiet, dark room to help alleviate migraine symptoms.
  • Store Migrest Tablet at room temperature away from moisture and heat. Keep out of reach of children and pets. Properly dispose of any unused medication according to local regulations. Do not flush down the toilet.
  • Avoid food items like aged cheese, processed meat, chocolates & alcohol which are known trigger for migraine. Also, keep yourself hydrated & avoid stress to prevent migraine attack. Regular exercise & sleep can help reduce the frequency of attacks.

Food Interactions with MIGREST TABLET 15'SArrow

  • It is advisable to take Migrest Tablet 15's after food to prevent stomach upset.

FAQs

What is Migrest Tablet 15'S?Arrow

Migrest Tablet 15'S is a medication used to treat migraines, primarily containing Propranolol and Flunarizine.

What is Migrest Tablet 15'S used for?Arrow

Migrest Tablet 15'S is used to prevent and treat migraine headaches.

How does Migrest Tablet 15'S work?Arrow

Migrest Tablet 15'S works by relaxing blood vessels in the brain and stabilizing nerve activity, reducing the frequency and severity of migraines.

What is the usual dosage of Migrest Tablet 15'S?Arrow

The usual dosage of Migrest Tablet 15'S is typically one tablet once or twice a day, but it depends on the dosage prescribed by the doctor.

What are the side effects of Migrest Tablet 15'S?Arrow

Common side effects of Migrest Tablet 15'S may include fatigue, weight gain, constipation, and depression.

Is Migrest Tablet 15'S safe for pregnant women?Arrow

Pregnant women should consult a doctor before using Migrest Tablet 15'S.

Should Migrest Tablet 15'S be taken with food?Arrow

Migrest Tablet 15'S can be taken with or without food, but it is best to take it regularly.

Is Migrest Tablet 15'S addictive?Arrow

No, Migrest Tablet 15'S is not addictive.

How to store Migrest Tablet 15'S?Arrow

Store Migrest Tablet 15'S at room temperature, away from direct sunlight and moisture.

Can Migrest Tablet 15'S interact with other medications?Arrow

Yes, Migrest Tablet 15'S can interact with certain other medications. Inform your doctor about all your medications.

What if I miss a dose of Migrest Tablet 15'S?Arrow

If you miss a dose of Migrest Tablet 15'S, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Should Migrest Tablet 15'S be stopped abruptly?Arrow

Migrest Tablet 15'S should not be stopped abruptly, as it may cause symptoms to return. Consult your doctor to stop it gradually.

Is Migrest Tablet 15'S safe for children?Arrow

Consult a doctor before giving Migrest Tablet 15'S to children.

What are the alternatives to Migrest Tablet 15'S?Arrow

Alternatives to Migrest Tablet 15'S may include other migraine medications, which you should discuss with your doctor.

Is it safe to drink alcohol while taking Migrest Tablet 15'S?Arrow

Drinking alcohol while taking Migrest Tablet 15'S may increase the risk of side effects, so it should be avoided.

What are the main uses of Migrest Tablet?Arrow

Migrest Tablet is mainly used for the short-term relief of migraine headache and other types of headache or pain when associated with nausea or vomiting. The paracetamol component helps relieve pain and reduce fever, while domperidone helps control nausea, vomiting, and gastric discomfort, and may improve the absorption of paracetamol. It can also be prescribed for other painful conditions such as toothache, musculoskeletal pain, or menstrual pain when these are accompanied by nausea, as determined by a healthcare professional.

How does Migrest Tablet work in migraine and headache?Arrow

Migrest Tablet works through the combined actions of paracetamol and domperidone. Paracetamol acts in the central nervous system to reduce the perception of pain and lower fever by inhibiting prostaglandin synthesis in the brain. Domperidone blocks dopamine receptors in the gut and chemoreceptor trigger zone, which helps reduce nausea and vomiting and promotes gastric emptying. Faster gastric emptying can enhance the absorption and onset of action of paracetamol, which is particularly useful in migraine attacks where gastric stasis and vomiting are common.

Can Migrest Tablet be used to prevent migraine attacks?Arrow

Migrest Tablet is not intended for the prevention of migraine attacks. It is designed for acute, short-term treatment of migraine or headache episodes, especially when accompanied by nausea or vomiting. For patients experiencing frequent or severe migraine attacks, preventive (prophylactic) therapies may be more appropriate and should be discussed with a neurologist or treating physician. Using acute pain medicines too frequently can lead to medication-overuse headache, so long-term preventive strategies should be considered instead of relying on Migrest Tablet for regular use.

Is Migrest Tablet safe for long-term or daily use?Arrow

Migrest Tablet is not recommended for long-term or daily use. Prolonged or frequent use of paracetamol can increase the risk of liver damage, especially in people with pre-existing liver disease, those who consume alcohol regularly, or those taking other paracetamol-containing products. Long-term use of domperidone is also discouraged due to potential cardiac risks, including QT interval prolongation and serious ventricular arrhythmias, particularly in susceptible individuals. Migrest Tablet should be used only for short-term relief as prescribed, and if headaches are persistent or recurrent, medical evaluation and alternative management should be sought.

Who should avoid taking Migrest Tablet?Arrow

Migrest Tablet should generally be avoided in individuals with known hypersensitivity to paracetamol, domperidone, or any excipients in the formulation; those with severe liver impairment or active liver disease; moderate to severe kidney impairment without medical supervision; known or suspected cardiac conduction abnormalities, prolonged QT interval, or significant underlying heart disease; moderate to severe electrolyte disturbances such as low potassium or magnesium; gastrointestinal bleeding, obstruction, or perforation; and in patients with prolactin-secreting pituitary tumors (prolactinomas). It is also usually contraindicated in patients taking certain medicines that prolong the QT interval or potent inhibitors of the enzyme CYP3A4. A doctor should always review the individual risk profile before prescribing.

Can Migrest Tablet be taken with other painkillers or cold medicines?Arrow

Migrest Tablet should not be combined with other paracetamol-containing products, such as many cold, flu, or pain remedies, because this can lead to accidental paracetamol overdose and serious liver injury. Combining it with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may sometimes be done under medical advice, but this should not be self-initiated, especially in people with kidney disease, gastrointestinal ulcers, or cardiovascular risk. Always check the labels of all medicines you are taking and consult a healthcare professional before adding any additional painkillers or over-the-counter products.

What are the common side effects of Migrest Tablet?Arrow

Common side effects of Migrest Tablet are usually mild and may include dry mouth, abdominal discomfort, diarrhea, constipation, headache, dizziness, and mild drowsiness or restlessness. Paracetamol is generally well tolerated at recommended doses, but rare allergic reactions such as rash, itching, or swelling can occur. Domperidone may cause increased prolactin levels, which in some cases can lead to breast tenderness, galactorrhea (milk secretion), or menstrual irregularities. Serious but less common adverse effects include liver injury from paracetamol overdose and cardiac rhythm disturbances related to domperidone, particularly in high-risk individuals or at higher than recommended exposure.

What should I do if I miss a dose of Migrest Tablet?Arrow

Migrest Tablet is usually taken on an as-needed basis for acute symptoms rather than on a fixed schedule, so the concept of a missed dose often does not apply. If your doctor has advised a specific dosing regimen and you miss a dose, take it when you remember, provided it is not too close to the time for the next dose. Do not double the dose to make up for a missed one. Always respect the minimum interval between doses as advised by your doctor or indicated in the product information, and do not exceed the maximum number of doses in 24 hours.

What are the signs of paracetamol overdose when using Migrest Tablet?Arrow

Paracetamol overdose can be serious and potentially life-threatening due to acute liver failure. Early symptoms may be nonspecific and include nausea, vomiting, loss of appetite, sweating, pallor, and abdominal pain. These may improve temporarily, but severe liver damage can develop within 24 to 72 hours, leading to right upper abdominal pain, jaundice (yellowing of skin or eyes), dark urine, confusion, drowsiness, or bleeding tendencies. If you suspect that you or someone else has taken more than the recommended amount of Migrest Tablet or any other paracetamol-containing product, seek emergency medical attention immediately, even if you feel well, because early treatment is critical.

Can children or older adults use Migrest Tablet?Arrow

The use of Migrest Tablet in children is restricted and depends on age, body weight, and local regulatory guidance for domperidone-containing products. In many settings, domperidone is not recommended in young children due to safety concerns, particularly cardiac risks. Therefore, Migrest Tablet should not be given to children without explicit pediatric medical advice. In older adults, caution is required because of increased susceptibility to cardiac arrhythmias, drug interactions, and organ impairment. Dose adjustments, careful monitoring, and review of concomitant medications are important in elderly patients, and alternative therapies may be preferred in some cases.

What precautions should I take before starting Migrest Tablet?Arrow

Before starting Migrest Tablet, inform your doctor about your complete medical history, including any liver or kidney disease, heart disease, history of arrhythmias or prolonged QT interval, electrolyte imbalances, gastrointestinal ulcers or bleeding, hormonal disorders, or previous adverse reactions to paracetamol or domperidone. Provide a full list of all medicines and supplements you are taking, especially drugs that can affect heart rhythm, strong CYP3A4 inhibitors, other paracetamol-containing products, anticoagulants, and certain antibiotics or antifungals. Avoid alcohol or limit intake significantly while using Migrest Tablet. Do not exceed the prescribed dose or duration, and seek medical advice if symptoms persist or new symptoms appear.

References

Book Icon

MIGREXA (sumatriptan succinate) nasal spray Label - although this is for a different formulation and brand name, it contains sumatriptan, a key ingredient that might be relevant for understanding migraine treatments. It primarily provides details on usage, safety, and clinical studies related to sumatriptan nasal spray.

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Pathophysiology of Migraine: A Comprehensive Review - Provides extensive information on migraine pathophysiology, potential mechanisms of action of different treatments, and discusses various triggers and risk factors. This is a broad review of migraine research.

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Diet and Migraine: Preventing and Treating Headache Pain - Explores the relationship between diet and migraine, discussing potential trigger foods and dietary interventions that may help manage migraine symptoms. Relevant if the 'MIGREST TABLET 15'S' contains dietary supplements or ingredients linked to migraine management.

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Triptans - StatPearls - NCBI Bookshelf - Provides detailed information about triptans, a common class of drugs used to treat migraines, including their mechanism of action, side effects, and contraindications. Useful if the tablet contains a triptan.

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Acute treatment of migraine in adults: updated guideline from the American Headache Society - This is a clinical guideline providing recommendations on acute migraine treatments. It can provide context on the use of different medications and approaches for migraine relief.

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(5/5)


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