Flunarizine (HCl)
Flunarizine (HCl) is a sedating antihistamine and difluorinated derivative of cinnarizine. Flunarizine (HCl) is investigational calcium channel blocker. It has been reported in preliminary trials to effectively reduce the severity of the acute attack of migraine and prevent recurrences.
Primary Characteristics
It is of Synthetic origin and belongs to Piperazine.
It belongs to Calcium L-channel antagonist pharmacological group on the basis of mechanism of action and also classified in Vasodilators pharmacological group.
Molecular Weight: 477.4 · pKa: 7.7 · Solubility in Water: 1 in 300 · Solubility in Alcohol: 1 in 200 · Non-proprietary name: Flunarizine (HCl).

Pharmacokinetics
Absorption: Flunarizine (HCl) has an oral bioavailability is 47.5% (±47.5%).
Distribution: Flunarizine (HCl) has a volume of distribution is 43 l/kg. plasma protein binding is 90%.
Elimination: it is metabolised via extensive by Liver, plasma half-life is 18 days.
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Indications
Flunarizine (HCl) is primarily indicated in conditions like Dizziness, Migraine prophylaxis, Tinnitus, Vertigo.
Contraindications
Flunarizine (HCl) is contraindicated in conditions like Depressive illness, Symptomatic parkinsonism, Hypersensitivity to the drug.
Dosage
Flunarizine (HCl)'s dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 5 – 10 mg | — | Every 24h | PO | |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Flunarizine (HCl) produces potentially life-threatening effects which include Tremour, Rigidity, Orofacial dyskineria, Blady kinesia. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Flunarizine (HCl) are Sedation , Asthenia.
Flunarizine (HCl) is known to cause more or less tolerable side effects which are usually transient. These include Asthenia , Diarrhea, Drowsiness, Dry mouth, Headache, Heart burn, Nausea.
Warnings / Precautions
Available Brands
Storage Conditions
Drug Classification
- 1.7.2 — Migraine prophylaxis
Manufacturers
Manufacturers of Flunarizine (HCl) in Pakistan: