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Introduction About SPADIC 20MG TABLET
SPADIC 20MG TABLET contains a medicine called Dicyclomine, which belongs to the group of medicines called Antispasmodics. It is used to manage functional bowel or irritable bowel syndrome. Irritable bowel syndrome (IBS) is a common condition that affects the digestive system. It causes symptoms like stomach cramps, bloating, diarrhoea and constipation.
Before taking SPADIC 20MG TABLET, inform your doctor if you have any problems related to the kidney, liver, lungs or heart or if you have other conditions such as myasthenia gravis, ulcerative colitis, glaucoma, an enlarged prostate or reflux esophagitis.
SPADIC 20MG TABLET should be used during pregnancy only if advised by your doctor and it is not recommended for use by breastfeeding women. In elderly patients (over the age of 65), SPADIC 20MG TABLET should be used with caution. The most common side effects of taking SPADIC 20MG TABLET include dizziness, weakness, dry mouth, blurred vision, nausea, sleepiness and nervousness. Consult your doctor immediately if any of the symptoms worsen.
Uses Of SPADIC 20MG TABLET
- Manage functional bowel or irritable bowel syndrome
How SPADIC 20MG TABLET Works
SPADIC 20MG TABLET works by slowing the natural movements of the gut and by relaxing the muscles in the stomach and intestine, which helps to relieve cramps, pain, bloating, wind and discomfort.
How to use SPADIC 20MG TABLET
Take SPADIC 20MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending on your age, body weight and disease condition
Side Effects Of SPADIC 20MG TABLET
Common
- dizziness
- dry mouth
- blurred vision
- nausea
- sleepiness
- weakness
- nervousness
Rare
Stop taking SPADIC 20MG TABLET and contact your doctor immediately if you experience any of the following side effects:
- signs of allergic reactions (such as rash, swallowing or breathing problems, swelling of your face, lips, tongue or throat)
How To Manage Side Effects
Dizziness:
Lie down until the dizziness passes away and then move slowly and carefully. Take plenty of rest and drink plenty of fluids. Consult your doctor if the symptom does not improve.
Dry mouth:
Try to drink plenty of cold water. Sip on cold, unsweetened drinks and use lip balm if your lips are dry. Try to brush your teeth twice a day and use mouthwash. Consult your doctor if the symptom gets worse.
Nausea:
Try to take this medicine with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom does not improve.
Diarrhoea:
Drink lots of fluids, such as water or fruit juices, to keep yourself hydrated. Avoid taking any medicine on your own to manage diarrhea. Consult your doctor if the symptom does not improve.
Warning & Precautions
Pregnancy
SPADIC 20MG TABLET should be used during pregnancy only if considered necessary. Consult your doctor before taking SPADIC 20MG TABLET.
Breastfeeding
SPADIC 20MG TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking SPADIC 20MG TABLET.
Driving and Using Machines
Do not drive or operate any machines if you experience dizziness, tiredness, sleepiness or blurred vision after taking SPADIC 20MG TABLET.
Kidney
SPADIC 20MG TABLET should be used with caution in patients with kidney impairment. Consult your doctor before taking SPADIC 20MG TABLET.
Liver
SPADIC 20MG TABLET should be used with caution in patients with liver impairment. Consult your doctor before taking SPADIC 20MG TABLET.
Allergy
Do not take SPADIC 20MG TABLET if you are allergic to Dicyclomine.
Heart Disease
SPADIC 20MG TABLET is not recommended for use in patients with unstable cardiovascular status during acute hemorrhage. It should be used with caution in patients with congestive heart failure, coronary heart disease, high blood pressure and a history of cardiac surgery. Consult your doctor before taking SPADIC 20MG TABLET.
Others
SPADIC 20MG TABLET is not recommended for you, if you have:
- glaucoma
- myasthenia gravis
- severe ulcerative colitis
- obstructive uropathy (flow of urine is blocked)
- obstructive disease of the gastrointestinal tract, reflux esophagitis
Before taking SPADIC 20MG TABLET, inform your doctor if you have:
- enlarged prostate
- indigestion or heartburn caused by hiatus hernia (part of the stomach pushes through the diaphragm)
- ulcerative colitis
Use in Pediatrics:
SPADIC 20MG TABLET should be used with caution in children from 2 years of age and above. Consult the child’s doctor for advice on a suitable dose.
Use in Geriatrics:
SPADIC 20MG TABLET should be used with caution in elderly patients (above 65 years of age). Usually, the dose will be initiated with the lowest effective dose depending upon kidney function. Consult your doctor before taking SPADIC 20MG TABLET.
Interactions
A. Drug-Drug interactions:
Before taking SPADIC 20MG TABLET inform your doctor, if you are taking any of these medicines:
- antiglaucoma agents such as timolol and betaxolol (used to manage glaucoma)
- amantadine (used to manage Parkinson’s disease)
- quinidine, digoxin (used to manage irregular heartbeat)
- antihistamines such as diphenhydramine, chlorpheniramine (used to manage allergies)
- phenothiazines such as thioridazine and trifluoperazine (used to manage schizophrenia)
- benzodiazepines such as alprazolam and lorazepam (used to manage anxiety)
- tricyclic antidepressants such as amitriptyline, desipramine and monoamine oxidase inhibitors (MAOIs) such as isocarboxazid, phenelzine (used to manage depression)
- narcotic analgesics such as meperidine (used to relieve severe pain)
- nitrates such as isosorbide mononitrate (used to manage chest pain)
- sympathomimetic agents such as epinephrine and norepinephrine (used to manage life-threatening allergic reactions)
- metoclopramide (used to manage nausea or vomiting)
- antacids such as aluminium hydroxide and magnesium hydroxide (used to relieve indigestion or heartburn)
Overdosage:
If you or anyone else accidentally take too much of SPADIC 20MG TABLET, consult your doctor or visit the nearby hospital immediately. Overdosage symptoms of SPADIC 20MG TABLET include headache, nausea, vomiting, blurred vision, dilated pupils, weakness, loss of movement in any part of the body, hot, dry skin, dizziness, dryness of the mouth, difficulty in swallowing and convulsion.
Synopsis
| Drug | : | Dicyclomine |
| Pharmacological Category | : | Antispasmodic |
| Therapeutic Indication | : | Functional bowel or irritable bowel syndrome |
| Dosage Forms | : | Tablet, Injection, Oral drops |
More Information
- Keep out of reach from children
- Store below 30°C
FAQs About SPADIC 20MG TABLET
Can I stop taking SPADIC 20MG TABLET on my own if I feel better?
Keep taking SPADIC 20MG TABLET until your doctor tells you to stop. Do not stop taking [GBNKEYWORD] just because you feel better. If you stop, your cramps or pain may come back.
Can SPADIC 20MG TABLET cause constipation?
Yes, SPADIC 20MG TABLET may cause constipation in some individuals. In such cases, eat fiber-rich foods such as fresh fruits, vegetables and cereals and drink plenty of water. Exercise more regularly. Consult your doctor if the symptom does not improve.
Can I take SPADIC 20MG TABLET during pregnancy?
SPADIC 20MG TABLET should be used during pregnancy only if it is considered necessary by your doctor. Consult your doctor before taking SPADIC 20MG TABLET if you are pregnant or plan to become pregnant.
What should I do if I forget to take SPADIC 20MG TABLET?
You should take SPADIC 20MG TABLET immediately when you remember. If it is time for your next dose, skip the missed dose and follow your regular dose schedule. Do not double the dose to make up for your missed dose.
Can SPADIC 20MG TABLET be used in the elderly?
In elderly patients (over the age of 65), SPADIC 20MG TABLET should be used with caution. Usually, the dose will be initiated with the lowest effective dose, depending upon kidney function. Consult your doctor before taking SPADIC 20MG TABLET.
References
1. KD Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomic Ganglia. Essentials of medical pharmacology. Seventh edition. 2013. Page – 117.
2. Brian E. Lacy, corresponding author Kirsten Weiser and Ryan De Lee. The Treatment of Irritable Bowel Syndrome. NIH: National Library of Medicine, National center of biotechnology Information Pubmed.gov. Jul 2009. [Accessed on 04th December 2021] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002524/
3. J G Page, G M Dirnberger. Treatment of the irritable bowel syndrome with Bentyl (dicyclomine hydrochloride). NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. June 1981. [Accessed on 04th December 2021]. https://pubmed.ncbi.nlm.nih.gov/7016973/
4.Axcan Pharma US, Inc; U.S. Food & Drug Administration. [Revised in July 2011] [Accessed on 04th December 2021] https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/007409s041lbl.pdf
5. Opella Healthcare Poland. Electronic Medicines Compendium (EMC). [Revised in March 2022] [Accessed on 04th December 2021] https://www.medicines.org.uk/emc/files/pil.4666.pdf
Useful Diagnostic Tests
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