Migrex

Migrex Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Migrex is a brand name. Its generic name is Flunarizine.

Introduction

Migrex is a calcium channel blocker used in the treatment of migraine, vertigo, and neurosensory deafness. It is a highly selective antagonist of the L-type calcium channels in the brain, modulating the release of excitatory neurotransmitters such as glutamate, norepinephrine, and serotonin, thereby providing relief from the symptoms of migraine.

Uses

Migrex is used to treat migraine, vertigo, and neurosensory deafness. It is also used to prevent migraine headaches and other similar conditions.

Mechanism of Action

Migrex is a highly selective antagonist of the L-type calcium channels in the brain. By blocking the L-type channels, it modulates the release of excitatory neurotransmitters such as glutamate, norepinephrine, and serotonin, thereby providing relief from the symptoms of migraine. Migrex also blocks the calcium channels present in peripheral blood vessels, thereby reduced the amount of calcium available, which leads to the relaxation of the blood vessels and reduction in blood pressure.

How Long Does It Take to Work?

The effects of flunarizine can be noticed after about 6-8 hours after the initial dose. It may take up to two weeks for the full therapeutic effects of flunarizine to be noticed.

Absorption

Migrex is rapidly and completely absorbed after oral administration. The peak plasma concentrations are reached in 1-2 hours.

Route of Elimination

Migrex is eliminated from the body in urine and feces. It undergoes extensive biotransformation and has an elimination half-life of around 25-30 hours.

Dosage

Migrex is available in the form of tablets and capsules containing 10mg of flunarizine. The recommended dosage of flunarizine for migraine prophylaxis is 10-20mg per day in divided doses, or as advised by a doctor. It should not be taken more than twice a day.

Administration

Migrex should be taken orally with or without food. It can be taken with food to reduce the adverse effects. It should not be taken with alcohol as it can increase the side-effects.

Side Effects

The side effects associated with flunarizine include drowsiness, abdominal pain, nausea, dizziness, fatigue, blurred vision, dry mouth, headache and constipation.

Toxicity

The acute oral toxicity of flunarizine is very low. Long-term exposure of flunarizine in higher doses than recommended can lead to toxicity. The primary effects of flunarizine toxicity include bradycardia, QT prolongation, and cardiac arrhythmias.

Precaution

It is recommended to avoid using flunarizine in patients with history of congenital or acquired QT prolongation, orthostatic intolerance, myasthenia gravis, depression, Parkinson’s disease and renal impairment.

Interaction

Migrex may interact with other medicines such as anticonvulsants, antibiotics, and antihistamines.

Disease Interactions

Migrex may interact with certain diseases such as diabetes, hypertension, and hyperlipidemia.

Drug Interactions

Migrex may interact with other drugs and can increase the risk of toxicity or adverse effects.

Food Interactions

Migrex should be taken after a meal to reduce the risk of gastrointestinal irritation. Avoid taking flunarizine with alcohol.

Pregnancy Use

Migrex should be avoided in pregnant women unless the benefit outweighs the risk.

Lactation Use

Migrex should be avoided in breastfeeding women as it can be passed through breast milk and may cause adverse effects on the infant.

Acute Overdose

Acute overdose with flunarizine can cause headaches, nausea, vomiting, drowsiness, seizures, bradycardia, and hypotension.

Contraindication

Migrex is contraindicated in patients with hypersensitivity to the drug.

Use Direction

The benefits and effectiveness of flunarizine should be discussed with a doctor before using the medication.

Storage Condition

Migrex should be stored in a cool, dry place, away from direct sunlight.

Volume of Distribution

Migrex has a volume of distribution of 11L/kg.

Half Life

The elimination half-life of flunarizine is around 25-30 hours.

Clearance

The clearance of flunarizine is 5.9 L/h.

Here you find in details version of Migrex

Some Frequently Asked Questions About Migrex

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Q1. What is Migrex?

Migrex is a medication used to prevent headaches, migraines, and vertigo primarily caused by vascular problems. It belongs to the calcium channel blocker family, which works by blocking signals in the brain to decrease the intensity of the headache or migraine.

Q2. How does Migrex work?

Migrex belongs to the calcium channel blocker family, which works by blocking signals in the brain to decrease the intensity of the headache or migraine. It also relaxes the blood vessels, which improves blood flow and can reduce the severity of the headaches.

Q3. What are the uses of Migrex?

Migrex is used primarily to prevent headaches, migraines, and vertigo. It can also be used to prevent cluster headaches. Additionally, it may be used to treat neuropathic pain caused by diabetes.

Q4. Is Migrex safe?

When taken as directed, Migrex is generally safe. However, it is important to follow your doctor’s instructions, as taking too much can cause serious side effects. It is important to note that Migrex may interact with other medications.

Q5. What are the side effects of Migrex?

Common side effects of Migrex include drowsiness, dizziness, nausea, constipation, dry mouth, and difficulty concentrating. In rare cases, Migrex may cause more serious side effects, such as kidney problems, liver damage, skin rash, or muscle weakness.

Q6. Who should not take Migrex?

Patients with certain medical conditions should not take Migrex. These include pregnant or nursing mothers, those with kidney or liver problems, or those taking certain medications. If you have any questions, be sure to speak with your doctor.

Q7. How do I take Migrex?

Follow your doctor’s instructions for taking Migrex. Generally, adults should take 5-10mg once daily at bedtime. You should not take more than 15mg of Migrex per day. Take Migrex with food or milk to reduce nausea.

Q8. How long does it take for Migrex to work?

It can take up to 4 weeks for Migrex to start working. During this time, your doctor may adjust your dosage to find the best results. Generally, Migrex is most effective when taken over a long period of time.

Q9. What should I do if I miss a dose of Migrex?

If you miss a dose of Migrex, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose. Do not take an extra dose to make up for the missed one.

Q10. Is flunarizine habit-forming?

No, flunarizine is not addictive. If you take flunarizine for a long period of time, your doctor may need to gradually reduce your dose before stopping it completely.

Q11. Is Migrex generic?

Yes, flunarizine is a generic medication. It is also available under brand names such as Sibelium,Calaptin, Solariz, and Fluress.

Q12. What are the possible drug interactions of Migrex?

Migrex may interact with other medications, such as drugs to treat high cholesterol, diabetes, or depression. Be sure to tell your doctor about any other medications you take. It is also important to avoid drinking alcohol while taking Migrex.

Q13. Are there any other precautions to consider when taking Migrex?

Yes, it is important to avoid performing activities that require alertness, such as driving or operating heavy machinery, while taking Migrex. Additionally, Migrex may increase the risk of allergic reactions, so be sure to discuss any allergies you have with your doctor.

Q14. Is Migrex available over the counter?

No, Migrex is not available over the counter. It must be prescribed by a physician.

Q15. Is Migrex safe for children?

No, children under the age of 12 should not take Migrex. For children ages 12 to 18, the dosage and treatment schedule should be discussed with a doctor.

Q16. Can Migrex be used to treat depression?

No, Migrex is not effective for treating depression. It is only used to prevent headaches, migraines, vertigo, and cluster headaches.

Q17. Is Migrex safe for pregnant women?

No, pregnant women should not take Migrex. It can cause birth defects and other serious side effects.

Q18. Is Migrex safe for nursing mothers?

No, nursing mothers should not take Migrex, as it can pass through breast milk and can harm the infant.

Q19. Is Migrex an opioid?

No, Migrex is not an opioid. It is a medication used to prevent headaches, migraines, and vertigo.

Q20. Does Migrex have any interactions with other drugs?

Yes, Migrex may interact with other drugs, such as drugs to treat high cholesterol, diabetes, or depression. Be sure to tell your doctor about any other medications you take.

Q21. How long can I take Migrex?

Migrex is generally taken over a long period of time, but the exact length of treatment should be discussed with your doctor. It's important to follow your doctor's instructions when taking Migrex.

Q22. Does Migrex cause weight gain?

Weight gain is not a commonly reported side effect of Migrex, though it is possible. If you experience unexplained weight gain while taking Migrex, contact your doctor.

Q23. What should I do if I experience serious side effects from Migrex?

If you experience serious side effects such as kidney problems, liver damage, skin rash, or muscle weakness, contact your doctor immediately.

Q24. Are there any natural alternatives to Migrex?

Some natural alternatives to Migrex include herbs, vitamins, and supplements. Always talk to your doctor before taking any herbs, vitamins, or supplements to make sure they don't interact with other medications.

Q25. What are the long-term effects of taking Migrex?

Long-term effects of taking Migrex are not well known. It is important to talk to your doctor about any risks associated with long-term use of Migrex.

Q26. What food should I avoid while taking Migrex?

If you experience nausea while taking Migrex, you should avoid foods that are high in fat, such as fried foods, and opt for lighter food like salads or fruits.

Q27. Is Migrex available in generic form?

Yes, flunarizine is a generic medication. It is also available under brand names such as Sibelium,Calaptin, Solariz, and Fluress.

Q28. How is Migrex different from other migraine medications?

Migrex works differently than other migraine medications. Instead of treating the headache, Migrex works by preventing the headache or migraine from occurring in the first place. It also takes longer to start working than other medications.

Q29. Does Migrex affect the brain?

Migrex works by blocking signals in the brain to decrease the intensity of the headache or migraine. It also relaxes the blood vessels, which improves blood flow and can reduce the severity of the headaches.

Q30. Does Migrex have any interactions with alcohol?

Yes, it is important to avoid drinking alcohol while taking Migrex. Alcohol can increase the risk of side effects such as drowsiness, dizziness, and difficulty concentrating.

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