Uses / Indications: Nigrain 20mg Tablet is used in the treatment of preventive treatment of migraine, chest pain (Angina), high blood pressure and anxiety.

Product composition:
• Propranolol (20mg)

Pregnancy interaction:
• Nigrain 20mg Tablet may be unsafe to use during pregnancy.Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

Expert advice:
• Nigrain may cause dizziness and lightheadedness. To avoid this, get up slowly after sitting or lying down. The Nigrain may affect your blood sugar and cover up the symptoms of low blood sugar if you have diabetes. Nigrain may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid the use of tobacco. Consult your doctor whether to continue Nigrain before any scheduled surgery. It is not the first-choice treatment for high blood pressure according to the latest guidelines, except if you have a heart failure or heart disease. Adults over the age of 65 may be at greater risk for the side-effects.

Side Effects:
• Nausea, Headache, Fatigue, Dizziness, Palpitations, Abdominal pain, Breathlessness, Diarrhoea, Slow heart rate, Constipation.

How to use:
• Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nigrain 20mg Tablet is to be taken empty stomach.Avoid Nigrain 20mg Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

How it works:
• Nigrain 20mg Tablet blocks the action of certain chemical messengers on the heart and blood vessels. This effect reduces heartbeat, blood pressure, and strain on the heart following a heart attack.

Faq for medicine:
• What is Nigrain used for? : Nigrain is used in the treatment of angina (chest pain), arrhythmias (abnormal heartbeat), heart attack, increased blood pressure, anxiety, and migraine.|Is Nigrain over the counter product? : Nigrain is a prescription medicine and should only be taken for the proper indication in the appropriate dose, frequency, and duration as advised by a doctor.|Is Nigrain a monoamine oxidase inhibitor (MAO) inhibitor? : Nigrain is not a MAO inhibitor. It belongs to a class of drugs known as beta blockers.|Is Nigrain safe to use? : Clinical studies have shown that Nigrain is tolerated well even in long-term use and is safe. However, the drug is not devoid of side effects and should only be taken as per the doctor’s advice.|Is it safe to take Nigrain with Betahistine? : Nigrain and Betahistine can be taken together. Betahistine is given in patients with a migraine for the relief of vertigo and Nigrain is indicated for preventing the attacks of a migraine. No harmful side effects or any other clinical interactions have been seen when the two drugs are used together.|Is Nigrain a blood thinner? : Nigrain is not a blood thinner. It is a nonselective beta-adrenergic receptor blocker.|Is Nigrain a narcotic substance? : Nigrain is not a narcotic substance. It is a beta-blocker used in the treatment of diseases like hypertension and angina.|Is Nigrain ototoxic? : Nigrain is not associated with ototoxicity (harmful to the ear). However, if you experience any such problem while using the drug, talk to your doctor.|Is Nigrain a statin? : No, Nigrain is not a statin. It is a nonselective beta-adrenergic receptor blocker.|Is Nigrain used to treat anxiety? : Nigrain is indicated for the treatment of anxiety. However, consult your doctor for the right treatment of anxiety.|Can I take Nigrain for headaches? : Nigrain is not used for the treatment of a headache. It is used to prevent an attack of a migraine headache. However, it is not known to stop the migraine headaches once started. Consult your doctor for the proper treatment of your headache.|Can I take Nigrain for irritable bowel syndrome (IBS)? : Nigrain is not indicated in the treatment of irritable bowel syndrome (IBS). Consult your doctor for the right treatment IBS.|For how long can I take Nigrain? : Nigrain is a prescription drug and should only be taken in the dose, frequency, and duration as advised by the doctor. However, clinical studies have shown that Nigrain is tolerated well in long-term use and is generally safe. |Can you take Nigrain for depression? : Nigrain is not indicated for the treatment of depression. Please consult your doctor for the right treatment of depression.|Can I take Nigrain for a migraine headache? : Nigrain can be used as a to prevent an attack for migraine headaches. However, it is not known to stop the migraine headaches once started. Consult your doctor for the appropriate the appropriate therapy.|Can I take Nigrain with alprazolam? : Nigrain is not known to have any clinically meaningful interaction with alprazolam. However, interactions can occur. Please consult your doctor before taking both the drugs together.|Can I take Nigrain with lorazepam? : Nigrain is not known to have any clinically meaningful interaction with lorazepam. However, interactions can occur. Please consult your doctor before taking both the drugs together.|Can I take Nigrain without food? : Nigrain can be taken without food. However, taking the drug with food, especially high-protein food enhances the bioavailability (amount of drug which reaches the blood) of the drug.|Can I take Nigrain with aspirin? : Aspirin, especially if taken in high doses, may reduce the blood pressure lowering (antihypertensive) effect of Nigrain. Talk to your doctor before taking the two medicines together.|Can I take Nigrain with gabapentin? : Nigrain is not known to have any interactions with gabapentin. However, interactions can occur. Talk to your doctor before taking both the medicines together.|Can I take Nigrain with amoxicillin? : Nigrain is not known to have any interaction with amoxicillin. However, interactions can occur. Talk to your doctor before taking both the medicines together.|Can I take Nigrain with prednisone? : Anti-hypertensive (blood pressure lowering) effect of Nigrain may decrease if taken with prednisone as prednisone can cause sodium and water retention. Talk to your doctor before taking both the medicines together.|Does Nigrain cause diabetes? : Nigrain is not known to cause diabetes. However, it can interfere with insulin secretion and it can also block the sympathetic response (signs and symptoms experienced by the patient) to hypoglycemia. Talk to your doctor in case you are prescribed Nigrain and you have diabetes.|Does Nigrain work? : Nigrain is a nonselective beta-adrenergic receptor blocker which is used in the treatment of a variety of diseases like hypertension, angina, migraine, heart attack, tremors etc. It is a prescription drug which should only be used as per the doctor’s advice.|Does Nigrain make you sleepy? : Nigrain is not known to make you sleepy. It can, however, cause loss of sleep and dizziness rarely. Consult your doctor if you experience any such symptom.|Does Nigrain expire? : Nigrain. like any other drug, has an expiry date and should not be used beyond that period. The shelf life of Nigrain is three years.|Does Nigrain cause depression? : Depression is a rare side effect of Nigrain. If you experience any form of depression or associated symptoms while using the drug, consult your doctor.|Does Nigrain cause erectile dysfunction? : Nigrain use has been associated with erectile dysfunction (also known as impotence). Consult your doctor if you experience any such problem while using the drug.|Does Nigrain cause diarrhea? : Diarrhea is a rare side effect of Nigrain. Consult your doctor if you experience such problem while using the drug.|Does Nigrain affect sleep? : Use of Nigrain has been associated with sleep disturbances, especially insomnia (inability to fall asleep). Consult your doctor if you experience any sleep disturbance after taking Nigrain.|Can the use of Nigrain increase the blood sugar levels? : Nigrain can interfere with insulin secretion and can also block the sympathetic response (signs and symptoms experienced by the patient) to hypoglycemia. However, it is not known to significantly affect blood sugar values.

Medicine interaction:
• Nigrain with Teneligliptin|Nigrain with Penfluridol|Nigrain with Ritonavir|Nigrain with Insulin Glulisine|Nigrain with Chlorpromazine|Nigrain with Sitagliptin|Nigrain with Fluoxetine|Nigrain with Gliclazide|Nigrain with Moxonidine|Nigrain with Dapoxetine|Nigrain with Loxapine|Nigrain with Glipizide|Nigrain with Tolbutamide|Nigrain with Citalopram|Nigrain with Trifluoperazine|Nigrain with Nateglinide|Nigrain with Clonidine|Nigrain with Voglibose|Nigrain with Glibenclamide|Nigrain with Vildagliptin|Nigrain with Repaglinide|Nigrain with Saroglitazar|Nigrain with Haloperidol|Nigrain with Acarbose|Nigrain with Glimepiride|Nigrain with Lidocaine|Nigrain with Pimozide|Nigrain with Metformin|Nigrain with Insulin Lispro|Nigrain with Exenatide|Nigrain with Paroxetine|Nigrain with Escitalopram|Nigrain with Rosiglitazone