Sibelium
Flunarizine tablets sold as Sibelium in 5mg and 10mg strengths, used to reduce the frequency of migraine attacks and to treat vertigo, in packs of 30 to 180.
All strengths and pack prices
| Strength | Pack | Price | Per tablet |
|---|---|---|---|
| 5mg | 30 tablets | $51.00 | $1.70 |
| 5mg | 60 tablets | $58.80 | $0.98 |
| 5mg | 90 tablets | $66.60 | $0.74 |
| 5mg | 120 tablets | $74.40 | $0.62 |
| 5mg | 180 tablets | $108.00 | $0.60 |
| 10mg | 30 tablets | $54.30 | $1.81 |
| 10mg | 60 tablets | $64.80 | $1.08 |
| 10mg | 90 tablets | $78.30 | $0.87 |
| 10mg | 120 tablets | $93.60 | $0.78 |
| 10mg | 180 tablets | $129.60 | $0.72 |
- Category
- Neurology
- Active ingredient
- Flunarizine
- Route
- Oral
- Form
- Tablet
- Strengths
- 5/10mg
You will receive a quality generic equivalent, depending on stock.
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- Migraine prophylaxis · Vertigo
- Therapeutic Class
- Calcium channel blocker
- Pharmacological Class
- Selective calcium inhibitor
- Minor Side Effects
- Weight gain, Drowsiness
- Moderate Side Effects
- Muscle aches, Dry mouth
- Dosage Forms
- Tablet
- Administration Route
- Oral
- Originator
- Janssen-Cilag
- Storage Instructions
- Store at room temperature.
- Drug Interactions
- Alcohol, CNS depressants
- Age Restrictions
- Consult doctor for paediatric patients.
What you will receive
Sibelium is the originator brand name, made by Janssen-Cilag. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Sibelium.
- The same active ingredient (Flunarizine) at the same strength.
- The exact brand supplied depends on what is in stock when your order ships.
FAQ
Which Sibelium strengths and pack sizes can I order?
Sibelium comes as 5mg or 10mg tablets, in packs of 30, 60, 90, 120 or 180. This is generic flunarizine, not the original Sibelium. Larger packs cost less per tablet. Choose the strength and pack that suit you.
Can I cancel or track a Sibelium order to Hong Kong?
Sibelium orders can be cancelled within 24 hours if not yet dispatched. Tracked courier takes 5 to 9 business days with online tracking; standard airmail takes 14 to 21 business days, untracked. Order tracking is on the tracking page, and support answers 24/7 in English and Cantonese by live chat.
How long does Sibelium take to work for migraine?
A few weeks at least. Flunarizine clears from the body slowly, so it takes a fortnight or more to build up, and the first quiet week proves nothing either way. The first change to look for is how often attacks arrive. A calendar with each attack ticked off makes the comparison easy.
Can I drink alcohol with Sibelium?
Alcohol and flunarizine both make you drowsy, and together the effect is stronger — dizziness and a heavy, sleepy feeling are the usual result. An occasional drink is unlikely to trouble you once you know how the tablets affect you, but a heavy night soon after starting is best avoided.
What is the difference between Sibelium 5mg and 10mg?
Only the amount of flunarizine in each tablet. The 10mg strength is what most adults take once a day; 5mg gives a lower dose, which suits people who feel too sleepy on the higher one or who want a gentler start. Both come in the same pack sizes.
Does Sibelium stop a migraine that has already started?
No. It is a preventive medicine, taken daily to reduce how often attacks come, and it does nothing for pain once an attack is under way. Keep your usual migraine painkiller to hand and take that when the first symptoms appear.
Can Sibelium be used for dizziness or vertigo?
Yes — flunarizine is used for vertigo and other balance problems as well as for migraine prevention, and the routine is the same: one dose a day. Taking it in the evening keeps the first weeks of drowsiness out of your working hours.
About Sibelium
What Sibelium tablets do
Sibelium is a brand name for flunarizine, a tablet taken every day to make migraine attacks less frequent. It is preventive work rather than pain relief: an attack that has already begun will not be stopped by a dose, so keep your usual painkiller for those days. The same medicine is used for vertigo — the spinning, unsteady feeling that comes from the balance system in the inner ear. Here it is sold as 5mg and 10mg tablets, in packs of 30 up to 180, and every strength contains the same active ingredient, flunarizine.
How it works, and how long it takes
Flunarizine is a calcium channel blocker: it reduces the amount of calcium that gets into nerve and muscle cells, which calms the over-active signalling thought to sit behind both migraine and balance symptoms. Nothing happens overnight. Most people need a few weeks of daily doses before the pattern of attacks starts to change, so a fortnight of tablets with no difference is not a reason to stop.
Taking your tablets
One tablet a day is the usual routine, and most people take theirs in the evening, since drowsiness is the effect flunarizine is best known for and a night-time dose puts it to use while you sleep. Pick a time you will not forget — with brushing your teeth, for example — and stay with it. Adults generally take 10mg; 5mg is the lower strength. If a dose slips your mind, take it later the same day; if the next one is nearly due, let the missed dose go and carry on as before rather than taking two at once.
Side effects worth knowing about
Sleepiness is common, especially in the first weeks, along with a bigger appetite and some weight gain; dry mouth, nausea and general tiredness turn up too. A rare but more serious problem with longer courses is a movement effect — tremor, or stiff and slow movement — or a low mood that does not lift. People with Parkinson's-type disorders or a history of depression do not take flunarizine at all, because of that risk.
Alcohol, other medicines and storage
Alcohol deepens the drowsiness, as do sleeping tablets, strong painkillers and older antihistamines, so a quiet first few weeks is sensible while you see how the tablets treat you. Heat and damp are the two things that shorten a tablet's shelf life, so keep the pack away from both.
Sources
- Migraine Headache Prophylaxis | AFP — American Academy of Family Physicians
- Migraine | National Institute of Neurological Disorders and Stroke — National Institute of Neurological Disorders and Stroke