E Grain Tablet is a medicine used to prevent and treat migraine. It blocks the release of certain chemical messengers that cause pain and inflammation. It also blocks the signals in the brain that cause nausea and vomiting associated with migraine. E Grain Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose and duration will depend on what you are using it for and how well it helps your symptoms. Use it regularly and do not discontinue using it until the doctor tells you it is alright to stop. It may cause side effects like sedation, orthostatic hypotension (sudden lowering of blood pressure on standing), drowsiness, urinary retention, and dryness in mouth in some patients. If you experience any of such side effects that do not go away or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms. In general, you should try to use the smallest amount necessary to control your symptoms. Before using the medicine, you should tell your doctor if you have any other illnesses or disorders. It may also affect, or be affected by, some other medicines you are using so let your doctor know all the other medicines you are taking. It should be used with caution in patients who are alcoholic or have liver or kidney disease. Pregnant and breastfeeding women should consult their doctors first before using the medicine.

• Orthostatic hypotension (sudden lowering of blood pressure on standing)
• Drowsiness
• Urinary retention
• Dryness in mouth
• Increased heart rate
• Constipation
• Muscle pain

If you miss a dose of E Grain Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

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• Q. Q. What is E Grain Tablet??
  Ans: E Grain Tablet is a combination of four medicines: Paracetamol, Ergotamine, Caffeine and Prochlorperazine. This medicine is used in the treatment of migraine symptoms like a headache, nausea and vomiting. Ergotamine prevents blood vessels in the head from expanding. Caffeine increases the absorption of ergotamine and also narrows the widened blood vessels. Paracetamol blocks the release of certain chemical messengers in the brain that causes pain. Prochlorperazine is an antiemetic which prevents vomiting by blocking signals to the part of your brain that cause nausea/vomiting.
• Q. Q. What can cause or trigger a migraine attack??
  Ans: Certain physical or environmental factors, such as foods, hormonal changes, weather and stress can lead to or “trigger” a migraine. However, it is important to remember that triggers can be different for everyone. That is why, to help prevent migraine attacks, you need to figure out which triggers affect you and which ones do not. Keeping a headache diary is an effective way to track triggers, and it will help you talk to your healthcare professional about your condition.
• Q. Q. Can I stop taking E Grain Tablet when my migraine symptoms are relieved??
  Ans: E Grain Tablet is usually used for prevention and treatment of migraine attack. E Grain Tablet should be continued as advised by the doctor.
• Q. Q. Can the use of E Grain Tablet cause constipation??
  Ans: Yes, the use of E Grain Tablet can cause constipation. Lifestyle changes like eating a good amount of high-fiber foods such as fresh fruits, vegetables and cereals, drinking plenty of water or other fluids and regular exercise can help relieve constipation.
• Q. Q. Can the use of E Grain Tablet cause dry mouth??
  Ans: Yes, the use of E Grain Tablet can cause dry mouth. If you experience dry mouth, drink plenty of water. Take regular sips during the day and keep some water by your bed at night. You may use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy and salty.
• Q. Q. Can I take a higher than the recommended dose of this medicine??
  Ans: No, taking a higher than the recommended dose of E Grain Tablet can increase the risk of side effects. If you are experiencing increased severity of migraine attacks which are not relieved by the recommended dose of this medicine, please consult your doctor for re-evaluation.
• Q. Q. Does E Grain Tablet expire??
  Ans: Yes, E Grain Tablet does expire. Please check the expiry date written on the pack of this medicine. Do not use E Grain Tablet after the expiry date.

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