PROVANOL FORTE 0.5MG TABLET

Manufacturer : INT-INTAS (ALTIMA)
Composition : CLONAZEPAM-0.5MG+PROPRANOLOL-20MG
Dose Form : TABLET
Description : PROVANOL FORTE 0.5 TAB
Route Of Administration : ORAL
Pack : 10
Out of stock
SKU
PRO1227
₹51.00
Manufacturer : INT-INTAS (ALTIMA)
Composition : CLONAZEPAM-0.5MG+PROPRANOLOL-20MG
Dose Form : TABLET
Description : PROVANOL FORTE 0.5 TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

CLONAZEPAM-0.5MG+PROPRANOLOL-20MG

CLONAZEPAM

Information for patients
Drug Information It contains a medicine called clonazepam. This belongs to a group of medicines called ‘benzodiazepines’. Clonazepam is used to treat epilepsy in infants, children and adults. •It lowers the number of fits (seizures) that you have. •Any fits that you do have will be less serious.
Drug Alert
Alert •Clonazepam or any of the other ingredients of Clonazepam. •Other ‘benzodiazepine’ medicines. These include diazepam, flurazepam and temazepam. Do not take Clonazepam if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Clonazepam.
Before Consuming the Medicine
Avoid Drug •You have breathing problems or lung disease. •You have severe liver problems. •You have a condition called ‘myasthenia gravis’ (where your muscles become weak and get tired easily). •You have a condition called ‘sleep apnoea syndrome’ (where your breathing stops when you are asleep). Do not take Clonazepam if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Clonazepam.
Drug Special Care A small number of people being treated with anti-epileptics such as clonazepam have had thoughts of harming or killing themselves. If at any time you have these thoughts, immediately contact your doctor. Check with your doctor or pharmacist before taking Clonazepam if: •You have liver, kidney or lung problems. •You have ever had depression. •You have ever tried to kill yourself. •A close friend or relative has recently died. •You regularly drink alcohol or take recreational drugs or you have had problems with alcohol or drug use in the past. •You have spinal or cerebellar ataxia (where you may become shaky and unsteady, have slurred speech or rapid eye movements). •You have a rare, inherited blood problem called ‘porphyria’. If any of the above apply to you, or if you are not sure, talk to your doctor or pharmacist before you take Clonazepam.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Clonazepam can affect the way some other medicines work. Also some other medicines can affect the way Clonazepam works.In particular, tell your doctor or pharmacist if you are taking any of the following medicines: •Other medicines to treat epilepsy, such as carbamazepine, hydantoins, phenobarbital, phenytoin, primidone or sodium valproate. •Cimetidine (used to treat stomach problems and heartburn). •Rifampicin (an antibiotic used to treat infections). •Medicines used to make you sleep (hypnotics). •Medicines that help with anxiety (tranquillisers). •Pain-killers (analgesics) and medicines to relax your muscles (muscle relaxants). Operations If you are going to have an anaesthetic for an operation or for dental treatment, it is important to tell your doctor or dentist that you are taking Clonazepam.
Drug Pregnancy Interaction Do not take Clonazepam if you are pregnant, might become pregnant or are breast-feeding, unless your doctor tells you to. This is because Clonazepam will affect your baby.
Drug Breast feeding Interaction Do not take Clonazepam if you are pregnant, might become pregnant or are breast-feeding, unless your doctor tells you to. This is because Clonazepam will affect your baby.
Drug Machinery Interaction Talk to your doctor about driving and using machines or tools, whilst you are taking Clonazepam. This is because it can slow down your reactions, particularly when you start taking it. If you are in any doubt about whether you can do a particular activity, talk to your doctor
Drug More Information Do not drink alcohol while you are taking Clonazepam. This is because it may cause side effects or cause your fits to return.
How to take the Medicine
Consumption Info
Drug quanitty Adults and children over 12 years •The usual starting dose is 1 mg a day, or less. •This will be increased gradually (usually to between 4 mg and 8 mg a day). The maximum dose is 20 mg a day. The elderly •The usual starting dose is 0.5 mg a day, or less. •This will be increased gradually (usually to between 4 mg and 8 mg a day). The maximum dose is 20 mg a day. Infants (aged 0 to 1 year) •The usual starting dose is 0.25 mg a day, or less. •This will be increased gradually (usually to between 0.5 mg and 1 mg a day). Small children (aged 1 to 5 years) •The usual starting dose is 0.25 mg a day, or less. •This will be increased gradually (usually to between 1 mg and 3 mg a day). Older children (aged 5 to 12 years) •The usual starting dose is 0. 5 mg a day, or less. •This will be increased gradually (usually to between 3 mg and 6 mg a day).
Drug Dose Always take Clonazepam exactly as your doctor has told you. You should check with your doctor if you are not sure. •Your doctor will start you on a low dose of Clonazepam and gradually increase it over 2 to 4 weeks until the right dose has been found for you. •Your doctor will usually tell you to split your daily dose into three equal amounts which you will take at evenly spaced times throughout the day. •If the daily dose cannot be split equally, take the largest dose at bedtime. •Once your doctor has found the right dose for you, they may tell you to take Clonazepam as a single dose in the evening.
Excess Drug Consumption •If you take more Clonazepam than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you. •If you take too many tablets, you may feel drowsy, sleepy, light-headed, have a lack of co-ordination or be less responsive than normal.
Forgot Drug Consumption •If you forget to take a dose, skip the missed dose. Then take the next dose when it is due. •Do not take a double dose (two doses at the same time) to make up for a forgotten dose.
Stop Drug Consumption •Do not stop taking your tablets without talking to your doctor. If you do, your fits may return and you may get withdrawal symptoms (see Section 4: Possible side effects). •If the dose of Clonazepam you take has to be reduced, or stopped, this must be done gradually. Your doctor will let you know how to do this.If someone else takes your Clonazepam tablets by mistake, they should talk to a doctor or go to a hospital straight away.If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Possible Side Effects
General Information •Poor concentration, confusion and a feeling of being lost (disorientation). •Feeling restless. •Difficulty remembering new things. •Headache. •Depression. •Slowing or slurring of speech. •Poor co-ordination, including feeling unsteady when walking. •An increase in how often you have fits. Liver, kidney and blood •Changes in how well your liver is working (shown by blood tests). •Loss of bladder control. •Blood problems. The signs include feeling tired, bruising easily, being short of breath and nose bleeds. Your doctor may want you to have blood tests from time to time. Stomach and gut •Feeling sick (nausea). •Stomach upset. Eyes •Double vision. •Jerky movements of the eyes (nystagmus). Skin and hair •Skin rashes and itchy skin. •Changes to the colour of your skin. •Hair loss (the hair usually grows back). Sexual •Loss of sex drive. •Difficulty getting or keeping an erection (erectile dysfunction).
Common Drug Side Effects Allergic reactions If you get an allergic reaction, see a doctor straight away. The signs may include: •Sudden swelling of the throat, face, lips and mouth. This may make it difficult to breathe or swallow. •Sudden swelling of the hands, feet and ankles. •Skin rash or itching. Effects on the heart If you notice any of the following effects, see a doctor straight away.The signs may include: •Breathlessness, swelling of the ankles, cough, tiredness and a racing heart. •Chest pain which may spread to your neck and shoulders and down your left arm. Effects on behaviour If you notice any of the following effects, talk to your doctor as they may want you to stop taking Clonazepam. The signs may include: •Being aggressive, excited, irritable, nervous, agitated, or anxious. •Problems sleeping, nightmares and vivid dreams. •Mental problems such as seeing or hearing things that are not really there (hallucinations), delusions (believing in things that are not real) and problems with your speech. •Types of fits (seizures) that you have not had before. Infants and children •If an infant or small child is taking Clonazepam, watch them carefully. This is because they could develop breathing problems, coughing or choking. This can be caused by too much saliva being made. •Early puberty in children. This is reversible after stopping treatment with Clonazepam. Elderly patients Older patients taking benzodiazepine medicines have a higher risk of falling and breaking bones.
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms Using benzodiazepines like Clonazepam may make you dependent on the medicine. This means that if you stop treatment quickly, or reduce the dose too quickly, you may get withdrawal symptoms. The symptoms can include: •Problems sleeping. •Muscle pain, shaking (tremor) and feeling restless. •Feeling very anxious, tense, confused, irritable or agitated, or changes in your mood. •Increased sweating. •Headache. •Feeling sensitive to light, noise and physical contact. •Seeing or hearing things that are not really there (hallucinations). •Tingling and feeling numb in your arms and legs. •A feeling of losing contact with reality.
How to Store the Medicine
How to Store the Medicine •Keep Clonazepam tablets in their original bottle and in the outer carton to protect from light. •Clonazepam tablets do not need special storage conditions. •Keep out of the reach and sight of children. •Do not use Clonazepam after the expiry date printed on the pack. •Do not throw away any left over tablets. Instead, return them to your pharmacist so that they can be disposed of carefully. Only keep them if your doctor tells you to.

PROPRANOLOL

Information for patients
Drug Information The name of your medicine is Propranolol hydrochloride.It has the active ingredient propranolol hydrochloride.This belongs to a group of medicines called beta-blockers.Propranolol hydrochloride is used for many conditions including: •High blood pressure (hypertension). •Chest pain (angina). •Preventing migraines. •Essential tremor (shaking with an unknown cause). •Anxiety. •Some thyroid problems (such as thyrotoxicosis which is caused by an overactive thyroid gland). •Bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver. It works by the effects it has on the heart and circulation and also on other parts of the body.
Drug Alert
Alert •You have ever had asthma or wheezing. If this applies to you talk to your doctor or pharmacist. •You are allergic (hypersensitive) to propranolol hydrochloride or any of the other ingredients in Propranolol hydrochloride. •You have ever had any of the following heart problems: - heart failure which is not under control (this usually makes you breathless and causes your ankles to swell) - second- or third-degree heart block (a condition which may be treated by a pacemaker) - very slow or very uneven heart beats, very low blood pressure or very poor circulation - a type of chest pain (angina) called Prinzmetal’s angina. • You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure. • You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis). • You have been fasting recently. Do not take Propranolol hydrochloride if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Propranolol hydrochloride.
Before Consuming the Medicine
Avoid Drug •You have ever had asthma or wheezing. If this applies to you talk to your doctor or pharmacist. •You are allergic (hypersensitive) to propranolol hydrochloride or any of the other ingredients in Propranolol hydrochloride. •You have ever had any of the following heart problems: - heart failure which is not under control (this usually makes you breathless and causes your ankles to swell) - second- or third-degree heart block (a condition which may be treated by a pacemaker) - very slow or very uneven heart beats, very low blood pressure or very poor circulation - a type of chest pain (angina) called Prinzmetal’s angina. • You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure. • You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis). • You have been fasting recently. Do not take Propranolol hydrochloride if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Propranolol hydrochloride.
Drug Special Care Check with your doctor or pharmacist before taking Propranolol hydrochloride if: •You have ever had an allergic reaction, for example to insect stings. •You have poor blood circulation or controlled heart failure. •You have first-degree heart block. •You have sharp chest pain which is not caused by exercise (unstable angina). • You have problems with your kidneys. You may need to have some check-ups during your treatment. • You have problems with your liver (such as cirrhosis of the liver). You may need to have some check-ups during your treatment. • You have diabetes. Your medicine may change how you respond to having low blood sugar (hypoglycaemia). You may feel your heart beating faster. • You have thyrotoxicosis (a condition caused by an overactive thyroid gland). Your medicine may hide the symptoms of thyrotoxicosis. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Propranolol hydrochloride.
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Propranolol hydrochloride can affect the way some other medicines work and some medicines can have aneffect on Propranolol hydrochloride. In particular, tell your doctor if you are taking any of the following medicines: •Clonidine (for high blood pressure or migraine). If you are taking clonidine and Propranolol hydrochloride together, do not stop taking clonidine unless your doctor tells you to do so. If you have to stop taking clonidine, your doctor will give you careful instructions about how to do it. •Verapamil, diltiazem, nifedipine,nisoldipine, nicardipine, isradipine or lacidipine (for high blood pressure or chest pain). •Disopyramide, lidocaine, quinidine, amiodarone or propafenone (for an uneven heart beat). •Digoxin (for heart problems). •Warfarin (to thin the blood). •Adrenaline, also known as epinephrine (a medicine that stimulates the heart). •Ibuprofen or indometacin (for pain and inflammation). •Ergotamine, dihydroergotamine or rizatriptan (for migraine). •Chlorpromazine or thioridazine (for mental illness). •Cimetidine (for stomach problems). •Rifampicin (for tuberculosis). •Theophylline (for asthma). •Insulin
Drug Pregnancy Interaction Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding.
Drug Breast feeding Interaction Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding.
Drug Machinery Interaction •Your medicine is not likely to affect you being able to drive or use any tools or machines. However, it is best to wait to see how your medicine affects you before trying these activities. •If you feel dizzy or tired when taking this medicine, do not drive or use any tools or machines
Drug More Information If you frequently drink a lot of alcohol, talk to your doctor before having this medicine. This is because alcohol can affect how the medicine works. If you go into hospital to have an operation, tell the anaesthetist or medical staff that you are taking Propranolol hydrochloride. This is because you can get low blood pressure (hypotension) if you are given certain anaesthetics while you are taking Propranolol hydrochloride.
How to take the Medicine
Consumption Info Propranolol hydrochloride contain microcrystalline cellulose and titanium dioxide. These may cause a problem in a very small number of people who are sensitive to them
Drug quanitty High blood pressure (hypertension): the usual dose is a day. Your doctor may decide to increase this dose. •Chest pain (angina): the usual dose is to 240 mg a day. •To prevent migraine: the usual dose is to 240 mg a day. •Essential tremor: the usual dose is to 240 mg a day. •Anxiety: the usual dose is to a day. •Thyroid conditions (such as thyrotoxicosis): the usual dose is to 240 mg a day. •Bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver: the usual dose is to 320 mg a day. Elderly people If you are an elderly person, your doctor may decide to start you on a lower dose. Children Your medicine must not be given to children
Drug Dose Always take Propranolol hydrochloride exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. •Your doctor will tell you how many to take each day and when to take them. Read the label on the carton to remind you what the doctor said. •Swallow your Propranolol hydrochloride with a drink of water. Swallow whole. Do not chew.
Excess Drug Consumption If you take more Propranolol hydrochloride than prescribed by your doctor, talk to a doctor or go to a hospital straight away. Take the medicine pack with you so that the can be identified.
Forgot Drug Consumption If you forget to take a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose.
Stop Drug Consumption Do not stop taking Propranolol hydrochloride without talking to your doctor. In some cases, you may need to stop taking it gradually.
Possible Side Effects
General Information •Diarrhoea. •Feeling sick (nausea). •Being sick (vomiting).
Common Drug Side Effects •You may notice that your pulse rate becomes slower while you are taking the This is normal, but if you are concerned please tell your doctor about it. •Cold hands and feet. •Numbness and spasm in your fingers which is followed by warmth and pain (Raynaud’s disease). •Disturbed sleep or nightmares. •Feeling tired
Rare Drug Side Effects •Heart block (which may cause an abnormal heart beat, dizziness,tiredness or fainting). •Dizziness, particularly on standing up. •Thinning of your hair. •Mood changes. •Feeling confused. •Memory loss. •Changes in personality (psychoses). •Hallucinations. •Tingling of your hands. •Disturbances of vision. •Dry eyes. •Skin rash. •Reduced numbers of platelets in your blood which may make you bruise more easily. •Purplish marks on your skin.
Very Rare Drug Side Effects •Severe muscle weakness (myasthenia gravis). •Changes to some of the cells or other parts of your blood. Your doctor may take blood samples every so often to check whether Propranolol hydrochloride has had any effect on your blood. •Low levels of sugar in the blood (hypoglycaemia). This can happen in people with or without diabetes.This includes elderly people, people on artificial kidneys (haemodialysis) or people taking medicines for diabetes. It may also happen if you are fasting or in people with a long-term liver disease.
Drug Side Effects Symptoms If you have any of the following conditions,they may get worse when you start to take your medicine. This happens rarely affecting less than 1 in 1,000 people. •Psoriasis (a skin condition). •Being short of breath or having swollen ankles (if you have heart failure). •Asthma or breathing problems. •Poor circulation. Do not be concerned by this list of side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist
How to Store the Medicine
How to Store the Medicine •Keep your medicine in a safe place where children cannot see or reach it. Your medicine could harm them. •Do not store above 25°C. Protect your medicine from light and moisture. Store your in the original package. Keep the calendar pack in the carton. •Do not use your after the expiry date which is stated on the carton.The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer required.These measures will help to protect the environment

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