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Flunarizine + propranolol is a fixed-dose combination of a calcium channel blocker and a beta-blocker, primarily indicated for the prophylaxis of migraine. Flunarizine acts by inhibiting T-type and L-type calcium channels, reducing calcium influx into neurons and vascular smooth muscle, and also exhibits antihistaminic properties. Propranolol is a non-selective beta-adrenergic receptor antagonist that reduces migraine frequency by stabilizing cranial blood vessels and modulating central serotonergic and adrenergic pathways. This combination is marketed by Brainwave Healthcare as a branded generic in India for patients requiring dual-action preventive therapy to reduce the frequency and severity of migraine attacks.
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