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Introduction About SPASMONIL TABLET

Spasmonil Tablet (Dicyclomine + Paracetamol) is a combination medicine formulated to provide relief from abdominal pain associated with muscle spasms and inflammation. It brings together Dicyclomine, an antispasmodic that relaxes smooth muscles of the gut, and Paracetamol, an analgesic and antipyretic that helps reduce pain and discomfort. This dual-action approach makes it useful in conditions where cramping and pain occur together, such as gastrointestinal spasms, menstrual cramps, or colicky abdominal pain.

Dicyclomine works by reducing involuntary contractions of the stomach and intestinal muscles, thereby easing cramp-like discomfort. Paracetamol acts centrally to lower pain signals and control associated fever if present. This combination is generally suitable for adults and adolescents who experience recurrent abdominal spasms with pain. It may also be considered in individuals with functional bowel disturbances or menstrual-related abdominal discomfort, based on medical advice.

The tablet should be taken exactly as prescribed by a healthcare professional, usually with water and preferably after food to minimize stomach upset. Do not exceed the recommended dose, especially because Paracetamol in high amounts may affect the liver. Avoid alcohol while taking this medicine. Individuals with liver disorders, glaucoma, urinary retention, enlarged prostate, or severe kidney problems should inform their doctor before use. Caution is advised in elderly patients, as they may be more sensitive to anticholinergic effects such as dry mouth or blurred vision.

During pregnancy, this medicine should be used only if clearly advised by a doctor after assessing benefits and risks. Breastfeeding mothers should consult a healthcare professional before use, as Dicyclomine is generally not recommended during lactation. Common side effects may include dry mouth, dizziness, nausea, blurred vision, weakness, or mild stomach upset. Seek medical attention if severe abdominal pain persists, allergic reactions occur, or unusual symptoms develop.

Uses Of SPASMONIL TABLET

Management of stomach cramps
Relief of renal and biliary colic, as well as pain associated with gynaecological or surgical conditions
Management of functional bowel disorders, including irritable bowel syndrome (IBS)

Benefits of SPASMONIL TABLET

Spasmonil Tablet for Stomach Cramps

Spasmonil Tablet is commonly prescribed to help relieve abdominal discomfort linked with sudden muscle tightening in the stomach or intestines. Stomach cramps often occur due to irregular or excessive contraction of smooth muscles in the digestive tract. The tablet works by relaxing these muscles, which helps ease the gripping or squeezing sensation in the abdomen. It supports smoother intestinal movement without completely stopping normal digestion.

Spasmonil Tablet for Renal and Biliary Colic

Renal colic (linked to urinary tract spasms) and biliary colic (associated with bile duct spasms) can cause sharp, wave-like pain due to muscle contractions in these ducts. Spasmonil Tablet helps relax smooth muscles in these areas, which may reduce the intensity of spasmodic pain. By easing muscle tightness, it supports improved comfort during episodes of colicky pain. Medical supervision is important, especially if symptoms are severe or persistent.

Spasmonil Tablet for Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) is a functional digestive condition that may involve abdominal pain, bloating, and altered bowel habits. Spasmonil Tablet helps manage IBS-related discomfort by reducing abnormal intestinal muscle contractions. It supports better gut rhythm and may help lower the frequency of cramp-like pain episodes. Regular follow-up with a healthcare provider is recommended for long-term IBS management.

How SPASMONIL TABLET Works

Antispasmodic Activity on Smooth Muscles

Spasmonil Tablet works by relaxing the smooth muscles of the gastrointestinal tract. This helps reduce involuntary muscle contractions that may cause abdominal discomfort and cramping.

Direct Action on Intestinal Musculature

The active ingredient acts directly on the intestinal muscles without significantly affecting normal gut movement, helping maintain natural digestive rhythm.

Reduction of Intestinal Spasm Intensity

It helps decrease the strength and frequency of spasms in the digestive tract, which supports improved comfort in functional bowel disturbances.

Regulation of Gut Motility

By stabilizing abnormal muscle contractions, the tablet assists in balancing intestinal motility without causing complete suppression of bowel activity.

Minimal Systemic Anticholinergic Effect

Spasmonil primarily acts locally in the gut and generally has minimal impact on other organs, which helps lower the likelihood of widespread anticholinergic effects.

How to use SPASMONIL TABLET

Take Spasmonil Tablet exactly as prescribed by your doctor.
Swallow the tablet whole with a glass of water.
Do not crush, chew, or break the tablet unless advised by a healthcare professional.
It is usually taken with or after food to reduce stomach discomfort.
Try to take it at the same time each day to maintain consistent levels in the body.
Follow the recommended dose and duration; do not increase or decrease the dose on your own.
If you miss a dose, take it as soon as you remember. Skip it if it is almost time for the next dose.
Do not take a double dose to make up for a missed one.
Complete the full course as advised, even if you start feeling better.
Consult your doctor if symptoms persist or worsen during use.

What if I forgot to take SPASMONIL TABLET

If you remember the missed dose within a short time, take it as soon as you remember.
If it is almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule.
Do not take two tablets at the same time or extra doses to make up for a missed dose.
Taking more than the advised amount may increase the risk of side effects such as dizziness, dryness of mouth, or stomach discomfort.
If you frequently forget doses, try using reminders, alarms, or a pill organizer to stay on track.
If you are unsure whether to take the missed dose, it is safer to consult your doctor or pharmacist for guidance.

Overdose

If you or anyone else accidentally takes too much Spasmonil Tablet, seek medical help immediately or go to the nearest hospital. Overdose symptoms may include headache, nausea, vomiting, blurred vision, dilated pupils, hot and dry skin, dizziness, dry mouth, difficulty swallowing, nervous system effects (such as convulsions), loss of appetite, stomach pain, and liver damage.

Side Effects Of SPASMONIL TABLET

Common side effects of Spasmonil tablet

Dizziness, drowsiness
Dry mouth
Vision blurred
Nausea
Mild stomach discomfort
Fatigue

When to Seek Medical Attention?

Stop taking Spasmonil Tablet and contact your physician immediately if you experience any of the following side effects:

serious allergic reaction such as rashes, hives, itching, red, swollen, blistered, shortness of breath, wheezing, cough, difficulty breathing, swallowing, or talking, swelling of the face, lips, tongue, or throat, legs and arms
changes in blood cell types and numbers. If you notice an increase in the number of nosebleeds, or notice that you bruise easily, or get more infections
fluttering or pounding in your chest, rapid or slow heartbeats
hallucinations, anxiety, unusual thoughts, or actions
difficulty with speech or memory
difficulties in muscle movements or balance
diarrhoea, severe constipation, or worsening bowel issues
difficulty swallowing
where a dicyclomine injection was administered, there is bruising, swelling, or pain
dizziness, confusion, intense thirst, decreased urine or sweating are all symptoms of dehydration

How To Manage Side Effects

Dizziness Or Drowsiness

Sit or lie down immediately: If you feel dizzy, sit or lie down right away to avoid falls. Rest until the feeling passes.
Stay hydrated: Drink enough water during the day. Dehydration is a common cause of dizziness, especially in hot weather.
Eat on time: Low blood sugar can lead to light-headedness. Have small, balanced meals at regular intervals.
Move slowly: Avoid sudden changes in position. Get up slowly from sitting or lying down to reduce the risk of dizziness.
Try deep breathing: Slow, steady breathing may help if dizziness is related to anxiety or stress.
Ginger tea: Ginger may help ease dizziness linked with nausea. Sip it slowly for comfort.
Ensure proper sleep: Lack of rest can worsen dizziness. Maintain a consistent sleep routine.

Nausea And Vomiting

Sip ginger tea or chew a small piece of fresh ginger: Ginger is commonly used to ease stomach discomfort. Warm ginger tea or ginger candy may help settle the feeling of nausea.
Drink small sips of clear fluids: Water, coconut water, clear soups, or oral rehydration fluids can help prevent dehydration. Take small, frequent sips instead of drinking large amounts at once.
Try lemon or citrus aroma: Smelling fresh lemon or adding a few drops of lemon juice to warm water may help reduce queasiness.
Eat light, bland foods: Choose simple foods like plain rice, toast, crackers, bananas, or curd. Avoid spicy, oily, or heavy meals until you feel better.
Peppermint tea: Peppermint has a soothing effect on the stomach. A warm cup of peppermint tea may help relieve the uneasy feeling.
Rest in an upright position: Sit upright or keep your head elevated after eating. Lying flat may worsen nausea.
Get fresh air: Open a window or take a short walk in fresh air. Strong smells and stuffy rooms can trigger nausea.

Warning & Precautions

Pregnancy

Use with Caution

Spasmonil Tablet should be used carefully during pregnancy and only if a healthcare professional considers it necessary. It is advisable to consult a doctor before use.

Breastfeeding

Contraindicated

Spasmonil Tablet is generally not advised for women who are breastfeeding. Medical guidance should be sought before taking this medicine.

Driving and Using Machines

Use with Caution

Some people may experience drowsiness or blurred vision while taking Spasmonil Tablet. Avoid driving or operating machinery that requires full alertness if such effects are noticed.

Alcohol

Consult your doctor

Consuming alcohol while taking Spasmonil Tablet may increase unwanted effects. It is best to discuss alcohol intake with a healthcare professional.

Kidney

Use with Caution

Individuals with severe kidney-related conditions should use Spasmonil Tablet carefully. Consultation with a doctor is recommended before starting use.

Liver

Use with Caution

Spasmonil Tablet should be used with caution in patients with severe liver disease. Contact your doctor before taking it.

Allergy

Contraindicated

Spasmonil Tablet should not be used by individuals who are allergic to dicyclomine, paracetamol, or any other ingredient in the formulation.

Heart Disease

Consult your doctor

This medicine is generally not recommended for people with unstable heart conditions or active bleeding. Extra caution is required in those with high blood pressure, coronary heart disease, heart failure, or irregular heart rhythms. Medical advice is essential before use.

Use In Pediatrics

Contraindicated

Spasmonil Tablet is not advised for children below 10 years of age. A doctor should be consulted for appropriate guidance.

Use In Geriatrics

Monitoring required

Older adults may require closer monitoring while using Spasmonil Tablet. Consulting a healthcare professional before use is recommended.

Other Warnings for SPASMONIL TABLET

Before taking Spasmonil Tablet, inform your doctor if you have:

heat prostration (such as fever and heat stroke because of decreased sweating)
psychosis and delirium (such as elderly patients and/or in patients with mental illness)
incomplete intestinal obstruction (small intestine partially or totally blocked)
patients with salmonella dysentery
ulcerative colitis (inflammatory bowel disease)
prostatic hypertrophy (prostate gland enlargement)
hyperthyroidism
suffered from alcoholism
take painkillers often for headache

Who should not take SPASMONIL TABLET

Spasmonil Tablet is not recommended for use if you have:

myasthenia gravis
glaucoma
obstructive uropathy
obstructive disease of the gastrointestinal tract
severe ulcerative colitis
reflux esophagitis

Safety Advice

Follow medical advice strictly: Spasmonil Tablet should be taken only as prescribed by a healthcare professional. Do not change the dose or duration on your own, even if symptoms improve.
Inform your doctor about all ongoing medicines: Always share details of any prescription medicines, over-the-counter products, or supplements you are using, as this helps avoid unwanted interactions.
Do not exceed the recommended intake: Taking more than the advised amount may increase the risk of discomfort or unwanted effects. If an extra dose is taken accidentally, seek medical guidance.
Be alert to changes in vision or alertness: If you notice difficulty focusing, blurred vision, or reduced alertness, avoid tasks that require concentration until you feel normal again.
Do not share this medicine with others: Spasmonil Tablet is prescribed based on individual health needs. Sharing it with others may not be appropriate or safe.
Check the expiry date before use: Always ensure the medicine is within its expiry period. Do not use tablets that appear damaged, discoloured, or improperly stored.
Seek medical advice if discomfort persists: If symptoms continue or new concerns arise during use, consult a healthcare professional for further evaluation and guidance.

Diet and Lifestyle Advice

Eat light, simple, and easy-to-digest foods such as rice, curd, toast, boiled vegetables, and fruits like bananas or apples.
Prefer small and frequent meals instead of large or heavy portions to reduce abdominal discomfort.
Avoid spicy, oily, fried, or very fatty foods, as these may increase stomach cramps and bloating.
Limit caffeine-containing drinks like tea, coffee, and cola, which can irritate the digestive system.
If you experience bloating with milk or dairy, consider reducing dairy products or choosing lactose-free alternatives.
Drink adequate water throughout the day to support digestion and prevent dehydration.
Avoid overeating and try to eat slowly and chew food well.
Maintain a regular eating and sleeping schedule to support digestive balance.
Practice stress-relief techniques such as deep breathing, meditation, or yoga, as stress can worsen abdominal cramps.
Engage in light physical activity like walking to help improve digestion and reduce bloating.
Ensure adequate rest and sleep, as poor sleep may increase discomfort and fatigue.
Avoid sudden strenuous exercise during episodes of abdominal pain or cramps.
Be cautious with activities like driving or operating machinery if you feel dizzy or drowsy after taking the tablet.
Keep a food and symptom diary to identify foods or habits that trigger discomfort.

1. Spasmonil Tablet vs Meftal-Spas Tablet- abdominal cramps

Feature	Spasmonil Tablet (Dicyclomine + Paracetamol)	Meftal-Spas Tablet (Dicyclomine + Mefenamic Acid)
Active Ingredients	Dicyclomine (antispasmodic) + Paracetamol (pain reliever)	Dicyclomine (antispasmodic) + Mefenamic Acid (NSAID)
Primary Action	Relaxes gut muscles and reduces pain signals	Relaxes gut muscles and also reduces inflammation and pain
Best For	General abdominal cramps and mild pain without strong inflammation	Stronger cramps with inflammation or period pain (dysmenorrhea)
Inflammation Relief	No direct anti-inflammatory effect (Paracetamol mainly relieves pain)	Provides anti-inflammatory effect (Mefenamic acid is NSAID)
Pain Relief Strength	Good for mild to moderate pain relief	May provide stronger pain relief for moderate cramps and dysmenorrhea
Safety Considerations	Generally gentler on the stomach and liver (watch Paracetamol dose)	NSAIDs like mefenamic acid can irritate the stomach and may not suit all patients (e.g., with ulcers or kidney issues)
Ideal Patients	Patients needing relief from smooth muscle cramps without heavy inflammation	Patients with cramps plus inflammatory pain (especially menstrual pain) if NSAID use is appropriate

2. Spasmonil Tablet vs Buscopan Plus - stomach spasms

Feature	Spasmonil Tablet (Dicyclomine + Paracetamol)	Buscopan Plus Tablet (Hyoscine Butylbromide + Paracetamol)
Primary Antispasmodic Ingredient	Dicyclomine relaxes smooth muscles in the gut to reduce spasms.	Hyoscine Butylbromide relaxes gut smooth muscles, often faster acting.
Pain Relief Component	Paracetamol reduces pain and discomfort.	Paracetamol also reduces pain.
Speed of Action	Moderate onset may take some time depending on individual response.	Often works relatively quickly, sometimes within ~1 hour.
Inflammation Reduction	Does not have significant anti-inflammatory action.	Also does not provide anti-inflammatory effects beyond pain relief.
Typical Use Cases	Abdominal cramps, colic, renal and biliary colic, IBS-related cramps.	Stomach cramps, menstrual cramps, general abdominal pain.
Effectiveness for Spasm Relief	Effective; relaxes muscles to ease spasms, suitable for many conditions.	Effective; often reported to work quickly and directly on muscle spasms.
Patient Response Variability	Some users may find relief similar to other antispasmodics.	Many patients respond well; some report rapid relief, though responses can vary.
Suitability	May suit patients needing muscle relaxation plus pain control.	May be preferred when fast comfort from spasm is important.
Common Side Effects	Dizziness, dry mouth, blurred vision, nausea.	Dry mouth, blurred vision, constipation, nausea.

Drug - Drug interaction

1. Other Paracetamol-Containing Medicines

Interaction: Taking additional medicines that contain paracetamol (cold/flu combinations, pain relievers) may increase the total daily dose and raise the risk of liver damage.
Management: Check labels carefully and avoid duplicate paracetamol products. Do not exceed the recommended daily dose. Seek medical advice if unsure.

2. Anticholinergic Medicines (e.g., atropine, antihistamines, tricyclic antidepressants, certain antipsychotics)

Interaction: Dicyclomine has anticholinergic effects. Combining it with similar drugs may increase dry mouth, blurred vision, constipation, urinary retention, or confusion.
Management: Use cautiously under medical supervision. Dose adjustment may be needed, especially in elderly patients.

3. Opioid Pain Relievers (e.g., codeine, tramadol, morphine)

Interaction: May increase the risk of constipation, drowsiness, and slowed gut movement.
Management: Monitor for excessive sedation or severe constipation. Inform your doctor if symptoms worsen.

4. Sedatives and Anti-Anxiety Medicines (e.g., benzodiazepines, sleeping pills)

Interaction: Dicyclomine may enhance dizziness or drowsiness when combined with sedatives.
Management: Avoid driving or operating machinery if feeling sleepy. Use only under medical advice.

5. Warfarin and Other Blood Thinners

Interaction: Long-term or high-dose paracetamol may increase the blood-thinning effect of warfarin, raising bleeding risk.
Management: Regular INR monitoring may be required. Inform your doctor if you notice unusual bruising or bleeding.

6. Liver Enzyme–Inducing Drugs (e.g., phenytoin, carbamazepine, rifampicin)

Interaction: These medicines may increase the breakdown of paracetamol into harmful metabolites, increasing liver risk.
Management: Dose adjustment and liver function monitoring may be necessary.

7. Prokinetic Medicines (e.g., metoclopramide, domperidone)

Interaction: These drugs may increase the absorption rate of paracetamol, possibly altering its onset of action.
Management: Usually mild; follow prescribed doses and consult your doctor if needed.

8. Cholestyramine

Interaction: May reduce the absorption of paracetamol if taken at the same time.
Management: Take Spasmonil at least 1–2 hours before or after cholestyramine.

Drug - Food interaction

1. Heavy or Fatty Meals

Interaction: Large, high-fat meals may slow down the absorption of paracetamol, slightly delaying pain relief.
Management: The tablet is usually taken after food to reduce stomach discomfort but avoid very heavy meals for faster onset of action.

2. Caffeine-Containing Beverages (e.g., coffee, energy drinks, strong tea)

Interaction: Excess caffeine may increase nervousness or mild restlessness, which could add to dicyclomine-related side effects in sensitive individuals.
Management: Limit excessive caffeine intake while using this medicine.

3. Grapefruit Juice

Interaction: Although not strongly established, grapefruit juice can sometimes affect drug metabolism. The impact on Spasmonil is minimal but caution is advised.
Management: Consume grapefruit products in moderation and consult your doctor if you take them regularly.

4. Dehydration (Low Fluid Intake)

Interaction: Dicyclomine may reduce sweating and increase the risk of overheating. Poor fluid intake can worsen this effect.
Management: Stay well-hydrated, especially in hot weather, to prevent dizziness or heat-related discomfort.

Synopsis

Drug	Dicyclomine, Paracetamol
Pharmacological Category	Antispasmodics, Analgesic and Antipyretics
Therapeutic Indication	Relief pain & and irritable bowel syndrome (IBS)
Dosage Forms	Tablet

More Information

Storage

Keep Spasmonil Tablet out of reach of children
Store Spasmonil Tablet below 25°C

FAQs About SPASMONIL TABLET

Q: What is Spasmonil Tablet used for?

A: Spasmonil Tablet is a combination medicine containing Dicyclomine and Paracetamol. It is commonly prescribed for abdominal pain linked with muscle spasms. Dicyclomine relaxes gut muscles. Paracetamol helps reduce pain and discomfort. It is taken under medical guidance.

Q: How does Spasmonil Tablet work?

A: Dicyclomine relaxes tightened stomach and intestinal muscles. This helps reduce spasms. Paracetamol works on pain signals in the brain. Together, they help reduce abdominal discomfort. The action supports better comfort.

Q: How should I take Spasmonil Tablet?

A: Take it exactly as prescribed. Swallow the tablet whole with water. It is usually taken after food. Do not crush or chew unless advised. Follow the recommended dose only.

Q: Can I take it on an empty stomach?

A: It is better taken after food. This may reduce stomach upset. If your doctor advises otherwise, follow their instructions. Avoid taking it with alcohol. Ask your doctor if unsure.

Q: How quickly does it start working?

A: Relief may begin within 30-60 minutes. The timing can vary between individuals. Pain intensity and body response matter. Continue as prescribed. Consult your doctor if no relief.

Q: Can I take Spasmonil daily?

A: Take it only for the duration advised. Do not use it long-term without medical advice. Regular monitoring may be needed. Avoid self-medication. Always consult your doctor.

Q: What are the common side effects?

A: Dry mouth is common. Some people may feel dizzy. Blurred vision may occur rarely. Mild nausea can happen. Most effects are temporary.

Q: Can it cause drowsiness?

A: Yes, some people may feel sleepy. Dizziness can also occur. Avoid driving if you feel unwell. Rest until symptoms improve. Inform your doctor if severe.

Q: What happens if I take too much?

A: Overdose may harm the liver. Severe dizziness or vomiting may occur. Seek medical help immediately. Do not wait for symptoms. Emergency care may be required.

Q: Can I take other painkillers with it?

A: Avoid taking extra Paracetamol. Check medicine labels carefully. Too much Paracetamol is harmful. Consult your doctor before combining medicines. Always inform about other drugs.

Q: Can it cause constipation?

A: Yes, mild constipation may occur. Drink enough water. Include fibre in your diet. Inform your doctor if severe. Most cases are manageable.

Q: Does it help menstrual cramps?

A: Yes, doctors may prescribe it for menstrual pain. It helps relax uterine muscle spasms. It also reduces pain sensation. Take as advised during cramps. Follow the recommended dose.

Q: Can I stop taking it once I feel better?

A: Follow the full course if prescribed. Do not stop suddenly without advice. Short-term use is common. Consult your doctor before stopping. Medical guidance is important.

Q: Who should avoid this medicine?

A: People with glaucoma should be cautious. Those with liver problems must inform the doctor. Patients with urinary retention need supervision. Allergies to ingredients should be reported. Medical evaluation is necessary.

Q: When should I see a doctor immediately?

A: If severe abdominal pain continues. If allergic reactions appear. If vomiting or yellowing of skin occurs. If dizziness becomes severe. Seek prompt medical attention.

References

1. KD Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomic Ganglia. Essentials of medical pharmacology. Seventh edition. 2013. Page – 117.

2. KD. Tripathi. Nonsteroidal Anti-inflammatory Drugs and Antipyretic-Analgesics. Essentials of medical pharmacology. Seventh edition. 2013. Page – 206.

3. Niranjan Mayadeo. Role of camylofin and its combinations in obstetrics and gynaecological practice: a review of Indian evidence. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. January 2019. [Accessed on 12th February 2026]

4. Shah DA, Rana JP, Chhalotiya UK, Baldania SL, Bhatt KK. Development and validation of a liquid chromatographic method for estimation of dicyclomine hydrochloride, mefenamic Acid and paracetamol in tablets. Indian Journal of Pharmaceutical Sciences. Nov-Dec 2014. [Accessed on 12th February 2026]

5. Bethesda (MD). Dicyclomine. National Institute of Health. NLM. National Centre for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 12th February 2026]

6. Axcan Pharma US, Inc. U.S. Food & Drug Administration. [Revised in July 2021] [Accessed on 12th February 2026]

7. Hikma Pharmaceuticals USA Inc. Dicyclomine hydrochloride. [Revised in May 31, 2018] [Accessed on 12th February 2026]

8. Life Line Home Care Services, Inc. Dicyclomine hydrochloride. [Revised in February 2012] [Accessed on 12th February 2026]

9. Leeford Healthcare Ltd. Dicyclomine, Paracetamol. [Accessed on 12th February 2026]

10. Dicyclomine. Drugs.com. [Accessed on 12th February 2026]

Author Details

Written By Dr. Dhivakaran R - BDS

Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS

Last updated on 14 Mar 2023 | 12:35 PM(IST)

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