Lunarzin 5 Tablet

✔️ Side Effects

• Drowsiness or sleepiness
• Fatigue
• Weight gain
• Dry mouth
• Constipation
• Mild stomach discomfort
• Increased appetite
• Muscle pain or mild tremors
• Insomnia

✔️ Interaction

1. Oral Contraceptives

Interaction:
Using Flunarizine together with oral contraceptive pills may result in hormonal interactions, particularly during the early stages of treatment.

Possible Effects:
In some women, this combination has been associated with galactorrhea (unexpected breast milk secretion), especially within the first two months of therapy.

Management:
Inform your healthcare provider if you are taking oral contraceptives before starting Flunarizine. Your doctor may monitor for symptoms and provide appropriate guidance if hormonal side effects occur.

2. Hypnotics, Tranquilizers, and Alcohol

Interaction:
Flunarizine can enhance the sedative effects of alcohol, sleeping medications, tranquilizers, and other central nervous system (CNS) depressants.

Possible Effects:
Concurrent use may increase the risk of:

• Excessive drowsiness
• Sedation
• Dizziness
• Reduced concentration and alertness
• Impaired coordination and reaction time

Management:
Avoid or limit alcohol consumption while taking Flunarizine. Consult your doctor before combining it with sleeping pills, anti-anxiety medications, tranquilizers, or other sedative drugs, as dosage adjustments or additional monitoring may be required.

✔️ Dosage & Administration: Lunarzin 5

Migraine Prevention

Initial Treatment

• Adults under 65 years of age: 10 mg once daily at bedtime
• Adults 65 years and older: 5 mg once daily

Treatment should be discontinued if depressive symptoms, extrapyramidal disorders (such as tremors or movement abnormalities), or other intolerable adverse effects occur. Patients who do not show meaningful improvement after two months of therapy are generally considered non-responders, and treatment should be stopped.

Maintenance Treatment
For patients who respond well and require ongoing preventive therapy, the same daily dose may be continued for five consecutive days each week, followed by two drug-free days. Even when effective and well tolerated, maintenance treatment should generally be stopped after six months and restarted only if migraine symptoms return.

Peripheral Vascular Disease

• Recommended dose: 10 mg twice daily
• If necessary, the dose may be increased gradually up to 30 mg per day under medical supervision.

Vertigo and Motion Sickness

Adults

• 10–20 mg daily

Children weighing more than 40 kg

• 5 mg daily

Adjunctive Treatment of Epilepsy

When used alongside standard antiepileptic medications:

Adults

• 15–20 mg daily

Children

• 5–10 mg daily

✔️ Storage:

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.