Pacinol 0.25 mg/20 mg Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
Short term anxiety
Hypertension
COMPOSITION:
Alprazolam (0.25mg)
Propranolol (20mg)
CAUTION
Taking Propranolol with alcohol may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
WEIGH RISKS VS BENEFITS
Pacinol 0.25 mg/20 mg Tablet is unsafe to use during pregnancy.There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
CAUTION
Pacinol 0.25 mg/20 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Do not drive unless you are feeling well.Pacinol 0.25 mg/20 mg Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Pacinol 0.25 mg/20 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Pacinol 0.25 mg/20 mg Tablet may not be needed in these patients. Please consult your doctor.
CAUTION
Pacinol 0.25 mg/20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Pacinol 0.25 mg/20 mg Tablet may be needed. Please consult your doctor.Regular monitoring of blood pressure is advisable for dose adjustment.
Uses of Alprazolam
Alprazolam is used in the treatment of short term anxiety.
How to use Alprazolam
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. Pacinol 0.25 mg/20 mg Tablet is to be taken empty stomach.Take this medicine before food.Avoid Pacinol 0.25 mg/20 mg Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.
How Pacinol 0.25 mg/20 mg Tablet works
Alprazolam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
Common Sleepiness, Slurred speech, Memory impairment, Uncoordinated body movements, Dizziness, Dryness in mouth, Fatigue, Irritability, Constipation, Headache, Depression.
Expert advice for Alprazolam
If you are taking Alprazolam for the treatment of insomnia and anxiety, it should not be used more than 4 weeks. It may become less effective over the time. It causes sleepiness or drowsiness. If this happens to you, do not drive or use machinery. Avoid consuming alcohol when taking the Alprazolam, as it may cause excessive sleepiness or drowsiness. Inform your doctor if you are pregnant or planning to conceive or breastfeeding. Inform your doctor if you have ever been diagnosed with kidney or liver problems. The addiction / habit-forming potential of Alprazolam is very high.
Q. What is Alprazolam used for?
Alprazolam is used to relieve excess (moderate to severe) anxiety and to treat anxiety associated with depression. It is not to be used for mild anxiety associated with stress of day today life situations.
Q. Is Alprazolam safe?
Alprazolam is safe if used at prescribed doses for the prescribed duration as advised by your doctor.
Q. Is Alprazolam addictive (habit-forming)?
Yes, the use of Alprazolam has addictive potential. Its use is associated with risk of addiction for physical or psychological effects. The abrupt discontinuation of Alprazolam is therefore not advised to avoid serious withdrawal symptoms.
Q. Is Alprazolam an opioid?
No, Alprazolam is not an opioid, it belongs to a class of substances called benzodiazepines.
Q. Is Alprazolam an anti-depressant?
No, Alprazolam is not an anti-depressant. It is used to relieve excess anxiety and to treat anxiety associated with depression.
Q. Is Alprazolam a narcotic substance?
No, Alprazolam is not a narcotic substance. It belongs to the class of medicines known as benzodiazepines and is used for the treatment of anxiety.
Q. Can I take Alprazolam for a hangover?
No, Alprazolam is not indicated for managing a hangover. Rather, Alprazolam should not be taken with alcohol as both the substances can cause excessive sleep (sedation) and depress your brain.
Q. Can I take Alprazolam for anxiety?
Yes, Alprazolam is used to relieve excess (moderate to severe) anxiety and to treat anxiety associated with depression. It is not recommended for mild anxiety associated with stress of day today life situations.
Q. Can I take Alprazolam for heart palpitations?
No, Alprazolam is not indicated for the treatment of heart palpitations. However, it may help in reducing heart palpitations associated with anxiety. Alprazolam should always be taken only when advised by your doctor.
Q. Can I take Alprazolam for alcohol withdrawal?
No, Alprazolam is not indicated for the management of alcohol withdrawal.
Q. Does Alprazolam reduce blood pressure?
Lowering of blood pressure is seen if you take more than prescribed dose of Alprazolam. Please consult your doctor if you experience excessive fall in blood pressure while you are taking Alprazolam.
Q. Does Alprazolam make you sleepy?
Yes, Alprazolam makes you sleepy. Sedation (sleepiness) is a very common side effect of Alprazolam. Please consult your doctor if you are prescribed Alprazolam and your work requires you to remain alerted or you drive yourself as it may affect your driving.
Q. Does Alprazolam expire?
Yes, Alprazolam like any other medicine has an expiry date and should not be used beyond the date mentioned on the package.
Q. Does Alprazolam cause weight gain?
Change in weight (both weight gain and weight loss) has been reported as a common side effect with Alprazolam. Please consult your doctor if you experience disproportionate change in weight when you are taking Alprazolam.
Q. Can the use of Alprazolam cause hair loss?
It has not been reported to cause hair loss. Talk to your doctor if you experience this while taking Alprazolam. As it could be due to some other underlying condition.
Q. Can I take Alprazolam with hydrocodone?
Alprazolam should not be taken with hydrocodone. Alprazolam belong to a class of medicines called benzodiazepines and hydrocodone belongs to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with paracetamol?
No, interactions have been reported between Alprazolam and paracetamol. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with prednisone?
Prednisolone may increase the metabolism (breakdown) of Alprazolam and hence decrease the levels of Alprazolam in the body which may decrease the effect of Alprazolam and a higher dose may be needed. Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with clonazepam?
Alprazolam should not be taken with clonazepam as both the medicines belong to the same class of medicines called benzodiazepines. When taken together, they can cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with oxycodone?
Alprazolam should not be taken with oxycodone. Alprazolam belong to a class of medicines called benzodiazepines and oxycodone belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with tramadol?
Alprazolam should not be taken with tramadol. Alprazolam belong to a class of medicines called benzodiazepines and tramadol belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with ibuprofen?
No, interactions have been reported between Alprazolam and ibuprofen. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with sertraline?
No, interactions have been reported between Alprazolam and sertraline. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam with buspirone?
No, interactions have been reported between Alprazolam and buspirone. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.
Q. Can I take Alprazolam for the rest of my life?
No, Alprazolam should be taken only for a prescribed duration at prescribed doses as advised by your doctor.
Q. Can I take Alprazolam for pain?
No, Alprazolam is not indicated for the treatment of any kind of pain. It belongs to the class of benzodiazepines and is indicated for the treatment of anxiety.
Uses of Propranolol
Propranolol is used in the treatment of hypertension, chest pain (Angina), anxiety, migraine headaches and arrhythmias.
How to use Propranolol
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. Pacinol 0.25 mg/20 mg Tablet is to be taken empty stomach.Take this medicine before food.Avoid Pacinol 0.25 mg/20 mg Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.
How Pacinol 0.25 mg/20 mg Tablet works
Propranolol 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.
Common Nausea, Headache, Fatigue, Dizziness, Palpitations, Abdominal pain, Breathlessness, Diarrhoea, Slow heart rate, Constipation.
Expert advice for Propranolol
Propranolol may cause dizziness and lightheadedness. To avoid this, get up slowly after sitting or lying down. The Propranolol may affect your blood sugar and cover up the symptoms of low blood sugar if you have diabetes. Propranolol 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 Propranolol 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.
Q. What is Propranolol used for?
Propranolol is used in the treatment of angina (chest pain), arrhythmias (abnormal heartbeat), heart attack, increased blood pressure, anxiety, and migraine.
Q. Is Propranolol over the counter product?
Propranolol 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.
Q. Is Propranolol a monoamine oxidase inhibitor (MAO) inhibitor?
Propranolol is not a MAO inhibitor. It belongs to a class of drugs known as beta blockers.
Q. Is Propranolol safe to use?
Clinical studies have shown that Propranolol 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.
Q. Is it safe to take Propranolol with Betahistine?
Propranolol and Betahistine can be taken together. Betahistine is given in patients with a migraine for the relief of vertigo and Propranolol 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.
Q. Is Propranolol a blood thinner?
Propranolol is not a blood thinner. It is a nonselective beta-adrenergic receptor blocker.
Q. Is Propranolol a narcotic substance?
Propranolol is not a narcotic substance. It is a beta-blocker used in the treatment of diseases like hypertension and angina.
Q. Is Propranolol ototoxic?
Propranolol is not associated with ototoxicity (harmful to the ear). However, if you experience any such problem while using the drug, talk to your doctor.
Q. Is Propranolol a statin?
No, Propranolol is not a statin. It is a nonselective beta-adrenergic receptor blocker.
Q. Is Propranolol used to treat anxiety?
Propranolol is indicated for the treatment of anxiety. However, consult your doctor for the right treatment of anxiety.
Q. Can I take Propranolol for headaches?
Propranolol 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.
Q. Can I take Propranolol for irritable bowel syndrome (IBS)?
Propranolol is not indicated in the treatment of irritable bowel syndrome (IBS). Consult your doctor for the right treatment IBS.
Q. For how long can I take Propranolol?
Propranolol 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 Propranolol is tolerated well in long-term use and is generally safe.
Q. Can you take Propranolol for depression?
Propranolol is not indicated for the treatment of depression. Please consult your doctor for the right treatment of depression.
Q. Can I take Propranolol for a migraine headache?
Propranolol 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.
Q. Can I take Propranolol with alprazolam?
Propranolol 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.
Q. Can I take Propranolol with lorazepam?
Propranolol 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.
Q. Can I take Propranolol without food?
Propranolol 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.
Q. Can I take Propranolol with aspirin?
Aspirin, especially if taken in high doses, may reduce the blood pressure lowering (antihypertensive) effect of Propranolol. Talk to your doctor before taking the two medicines together.
Q. Can I take Propranolol with gabapentin?
Propranolol is not known to have any interactions with gabapentin. However, interactions can occur. Talk to your doctor before taking both the medicines together.
Q. Can I take Propranolol with amoxicillin?
Propranolol is not known to have any interaction with amoxicillin. However, interactions can occur. Talk to your doctor before taking both the medicines together.
Q. Can I take Propranolol with prednisone?
Anti-hypertensive (blood pressure lowering) effect of Propranolol may decrease if taken with prednisone as prednisone can cause sodium and water retention. Talk to your doctor before taking both the medicines together.
Q. Does Propranolol cause diabetes?
Propranolol 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 Propranolol and you have diabetes.
Q. Does Propranolol work?
Propranolol 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.
Q. Does Propranolol make you sleepy?
Propranolol 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.
Q. Does Propranolol expire?
Propranolol. like any other drug, has an expiry date and should not be used beyond that period. The shelf life of Propranolol is three years.
Q. Does Propranolol cause depression?
Depression is a rare side effect of Propranolol. If you experience any form of depression or associated symptoms while using the drug, consult your doctor.
Q. Does Propranolol cause erectile dysfunction?
Propranolol use has been associated with erectile dysfunction (also known as impotence). Consult your doctor if you experience any such problem while using the drug.
Q. Does Propranolol cause diarrhea?
Diarrhea is a rare side effect of Propranolol. Consult your doctor if you experience such problem while using the drug.
Q. Does Propranolol affect sleep?
Use of Propranolol has been associated with sleep disturbances, especially insomnia (inability to fall asleep). Consult your doctor if you experience any sleep disturbance after taking Propranolol.
Q. Can the use of Propranolol increase the blood sugar levels?
Propranolol 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.
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