Promygra 20 Tablet 10

Promygra 20 Tablet 10 may interact with the following medicines:

• Other blood pressure or heart medicines (such as ACE inhibitors, calcium channel blockers, or antiarrhythmics): Taking these together may lead to an excessive drop in blood pressure or a slower than normal heart rate. This can cause symptoms such as dizziness, tiredness, or fainting. Your doctor may monitor your blood pressure and pulse more closely.
• Antidepressants and anti-anxiety medicines (such as amitriptyline, fluoxetine, benzodiazepines): When taken together, there may be increased drowsiness, reduced concentration, and slower reaction time. Inform your doctor if you feel overly sleepy or mentally slowed.
• Other beta-blockers: Taking more than one beta-blocker at the same time can increase the risk of heart-related effects such as a very slow heartbeat, low blood pressure, or fatigue. Your doctor will usually avoid prescribing multiple beta-blockers together.
• Medicines for asthma or breathing problems (such as salbutamol or other bronchodilators): The propranolol component may reduce the effect of these medicines and make breathing control less effective in some people with asthma or COPD. Inform your doctor if you notice worsening breathing symptoms.

Promygra 20 Tablet 10 should be used with caution if you have any of the following conditions, as this medicine may worsen symptoms or require closer monitoring:

• Asthma or breathing disorders: The propranolol component can sometimes tighten the airways, which may worsen breathing problems. People with asthma or chronic breathing conditions should use this medicine only under medical supervision and report any worsening breathlessness.
• Slow heart rate or heart rhythm disorders: This medicine can further slow down the heart rate. If you already have a slow pulse or rhythm problems, your doctor may monitor your heart rate more closely.
• Low blood pressure: Promygra 20 Tablet 10 may lower blood pressure further in some people, which can lead to dizziness, light-headedness, or fainting, especially when standing up suddenly.
• Mood disorders: The flunarizine component may affect mood in some individuals. If you have a history of depression, inform your doctor and report any changes in mood, motivation, or sleep.

Your doctor will decide how you should take Promygra 20 Tablet 10 based on your condition and how well you respond to treatment. Take the medicine regularly at the same time each day for best results.

Taking more than advised may cause severe drowsiness, a very slow heartbeat, breathing difficulty, low blood pressure, or fainting. If an overdose is suspected, seek emergency medical help immediately.

If you miss a dose, take it as soon as you remember. If it is nearly time for your next dose, skip the missed one and continue with your usual schedule. Do not take extra medicine to make up for the missed dose.