myrest forte tablet - Paracetamol (650mg) + Prochlorperazine (5mg) medicine

Myrest Forte Tablet: Complete Information

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🏭 Medishri Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 28, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or stool
  • Severe abdominal pain
  • Yellowing of skin or eyes
  • Difficulty breathing or swelling of face
  • High fever with muscle rigidity
  • Uncontrolled movements of tongue or face
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is myrest forte tablet used for?

This medicine is a combination of Paracetamol (650 mg) and Prochlorperazine (5 mg) used to treat pain and nausea, especially in migraines. It works by relieving pain and blocking nausea signals in the brain. It is taken orally as prescribed by a doctor.

  • Generic Name: Paracetamol (650mg) + Prochlorperazine (5mg)
  • Manufacturer: Medishri Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 myrest forte tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और प्रोक्लोरपेराज़ीन का संयोजन है, जिसका उपयोग दर्द और मतली, विशेषकर माइग्रेन में किया जाता है। यह दर्द को कम करती है और उल्टी को रोकती है।

साइड इफेक्ट्स: सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना और धुंधली दृष्टि शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, यकृत क्षति और रक्त विकार हो सकते हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अधिक मात्रा में न लें। गाड़ी चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। यकृत या गुर्दे की समस्या हो तो डॉक्टर को बताएं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 myrest forte tablet Uses & Benefits

[{"condition":"Migraine headache","description":"Relieves pain and reduces nausea and vomiting associated with migraines.","evidence":"Well-established"},{"condition":"Tension headache with nausea","description":"Provides pain relief and controls nausea.","evidence":"Moderate"},{"condition":"Post-operative nausea and vomiting","description":"Used to prevent or treat nausea and vomiting after surgery.","evidence":"Well-established"},{"condition":"General pain with nausea","description":"Used for various painful conditions when nausea is also present.","evidence":"Limited"}]

Off-label uses: [{"condition":"Vertigo","description":"Sometimes used to relieve vertigo due to its antiemetic and sedative effects.","evidence":"Limited"},{"condition":"Anxiety-associated nausea","description":"May be used off-label for nausea related to anxiety.","evidence":"Limited"}]

Primary treatment for: Migraine headache

Also treats: Tension headache, Post-operative nausea and vomiting, General pain with nausea

📋 Drug Information

Generic Name(s)Paracetamol (650mg) + Prochlorperazine (5mg)
Brand Namemyrest forte tablet
ManufacturerMedishri Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Avoid driving or operating machinery until you know how it affects you.
3
Do not consume alcohol while taking this medicine.
4
Do not exceed the prescribed dose, especially of paracetamol.
5
Consult your doctor if symptoms persist beyond 3 days.
6
Report any unusual muscle movements or signs of infection immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Migraine headache with nausea
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly absorbed from the gastrointestinal tract. Prochlorperazine is also absorbed from the gastrointestinal tract.
DistributionParacetamol distributes widely into body tissues. Prochlorperazine is highly protein-bound and distributes to the brain and other tissues.
Protein BindingParacetamol: 10-25%; Prochlorperazine: 90-99%
MetabolismParacetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction via CYP2E1 to NAPQI. Prochlorperazine is metabolized in the liver via CYP2D6 and other enzymes.
Half-LifeParacetamol: 2-3 hours; Prochlorperazine: 6-8 hours
ExcretionParacetamol is excreted in urine as metabolites. Prochlorperazine is excreted in urine and feces.
BioavailabilityParacetamol: 80-100%; Prochlorperazine: 20-40% (due to first-pass metabolism)
Onset of ActionParacetamol: 30-60 minutes; Prochlorperazine: 30-60 minutes
Peak Plasma TimeParacetamol: 0.5-2 hours; Prochlorperazine: 2-4 hours
Duration of ActionParacetamol: 4-6 hours; Prochlorperazine: 6-12 hours

How It Works

Paracetamol works centrally to reduce pain and fever by inhibiting prostaglandin synthesis in the brain. Prochlorperazine blocks dopamine D2 receptors in the chemoreceptor trigger zone, reducing nausea and vomiting. It also has anticholinergic and sedative effects.

Mechanism Steps

1
Paracetamol action: Paracetamol inhibits prostaglandin synthesis in the central nervous system, reducing pain and fever.
2
Prochlorperazine action: Prochlorperazine blocks dopamine D2 receptors in the chemoreceptor trigger zone, preventing nausea and vomiting.
3
Combined effect: The combination provides both pain relief and antiemetic effects, useful in conditions like migraine.

💡 How to Take myrest forte tablet

Strength: Tablet: Paracetamol 650 mg + Prochlorperazine 5 mg

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food or milk to reduce stomach upset.
4Follow the prescribed dose and frequency exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally every 6 to 8 hours as needed for pain and nausea, not to exceed 4 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects, especially drowsiness and extrapyramidal symptoms. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseParacetamol: 4000 mg per day; Prochlorperazine: 40 mg per day. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases drowsiness and liver risk.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of myrest forte tablet

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Consult doctor if persistent.
Dry mouth (Common (5-10%))
Sip water frequently. Chew sugar-free gum.
Blurred vision (Uncommon (1-5%))
Avoid driving until vision clears. Consult doctor if persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling, dizziness, or difficulty breathing.
Liver damage (Rare (<0.1%))
Seek medical help if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Blood disorders (e.g., agranulocytosis) (Very rare (<0.01%))
Report any signs of infection, fever, sore throat, or unusual bleeding.
Neuroleptic malignant syndrome (Very rare (<0.01%))
Seek emergency care if you have high fever, muscle rigidity, confusion, or irregular pulse.

⚠️ Rare Side Effects

Tardive dyskinesia
Report involuntary movements to your doctor immediately.
Jaundice
Seek medical attention if skin or eyes turn yellow.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Opioids Major
Benzodiazepines Major
Anticholinergics Moderate
Levodopa Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Other CNS depressants (e.g., opioids, benzodiazepines)

⚡ Moderate Interactions

  • Anticholinergics (e.g., benztropine)
  • Levodopa

🍷 Alcohol Interaction

Avoid alcohol consumption while taking this medicine. Alcohol can increase drowsiness, dizziness, and the risk of liver damage, especially due to the paracetamol component.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to paracetamol or prochlorperazine","Severe liver disease","Severe kidney disease","Blood dyscrasias","Parkinson's disease","Children under 2 years (prochlorperazine)"]

⚠️ Warnings & Precautions

["Avoid driving or operating machinery until you know how this medicine affects you.","Do not consume alcohol while taking this medicine.","Use with caution in elderly patients due to increased risk of side effects.","Use with caution in patients with liver or kidney disease.","Do not exceed the recommended dose of paracetamol to avoid liver damage.","Prochlorperazine may cause extrapyramidal symptoms; report any unusual muscle movements."]

🤱 Lactation Safety

Paracetamol is considered safe during breastfeeding. Prochlorperazine may pass into breast milk and could cause drowsiness in the infant. Consult your doctor before use.

💊 Overdose Management

Overdose can cause severe liver damage from paracetamol and severe drowsiness, hypotension, and extrapyramidal symptoms from prochlorperazine. Seek emergency medical attention immediately. Treatment includes activated charcoal, acetylcysteine for paracetamol toxicity, and supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not consume alcohol while taking this medicine as it can increase drowsiness and the risk of liver damage. Inform your doctor if you have liver or kidney problems, or if you are pregnant or breastfeeding. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the sedative and extrapyramidal effects of prochlorperazine. Use with caution and monitor closely. Dose adjustment may be needed.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy if you are taking this medicine. Paracetamol is generally considered safe, but prochlorperazine should be used only if clearly needed.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain and nausea. Inform your surgeon and anesthesiologist about all medicines you are taking.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with anesthetics and other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule.
🥗
Stay hydrated throughout the day.
😴
Avoid triggers like certain foods, stress, and lack of sleep.
💧
Practice relaxation techniques like deep breathing.
🧘
Exercise regularly but avoid strenuous activity during migraine attacks.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel dizzy or drowsy after taking this medicine. Light activities are fine if you feel well.

🥗 Diet Recommendations

Eat small, frequent meals to avoid nausea.
Avoid alcohol and caffeine.
Stay hydrated with water and clear fluids.
Include ginger tea for nausea relief.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness and dizziness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also affect your concentration at work.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects, seek medical advice immediately. For short-term use, stop when symptoms resolve as advised.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use of prochlorperazine can cause tardive dyskinesia. Regular monitoring of liver and kidney function may be needed. Do not use for extended periods without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Relaxation techniques

Can help reduce migraine frequency and nausea.

Evidence: Moderate
Acupuncture

May help with pain and nausea.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. Consult your doctor before vaccination if you are on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme heat. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for controlled substances.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with recurrent migraines
She was prescribed this medicine for migraine attacks. She found that taking it at the first sign of headache with a light snack reduced her pain and nausea within an hour. She was advised not to drive after taking it due to drowsiness.
💡 Lesson: Taking the medicine early and with food improves effectiveness and reduces stomach upset.
👤 A 60-year-old man with post-operative nausea
After surgery, he experienced nausea and pain. This medicine helped control both, but he felt very sleepy. His doctor adjusted the dose and monitored him closely.
💡 Lesson: Elderly patients may need dose adjustment and close monitoring for side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It usually starts working within 30-60 minutes after taking it.

Q: Can I take it on an empty stomach?

A: It is best taken with food to reduce stomach upset.

Q: Is it safe to take with other painkillers?

A: Consult your doctor before combining with other painkillers, as paracetamol overdose can occur.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for myrest forte tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for any type of pain.
    Fact: It is specifically for pain with nausea, such as migraine. It is not a general painkiller for all conditions.
  • Myth: It is safe to take extra doses if pain persists.
    Fact: Taking more than the recommended dose can cause serious liver damage and other side effects.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol + Prochlorperazine combination tablets

Brand Alternatives

  • Myrest Forte Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol + Domperidone","difference":"Domperidone is a prokinetic antiemetic; less sedating than prochlorperazine."},{"medicine":"Paracetamol + Metoclopramide","difference":"Metoclopramide is a prokinetic antiemetic; may cause extrapyramidal symptoms."}]

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