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Introduction About SPAS TABLET
SPAS TABLET is used for the management of stomach cramps, renal and biliary colic, as well as pain from gynaecologic or surgical conditions. It is also used to manage functional bowel disease and irritable bowel syndrome (IBS). It is a combination of Dicyclomine, and Paracetamol, which belong to the group of medicines called Antispasmodics, Analgesics, and Antipyretics, respectively. It works by relaxing the muscles in your stomach and gut (intestine). It manages unexpected muscular contractions (spasms). It also works by inhibiting both COX-1 and COX-2 enzymes and inhibiting prostaglandin synthesis, thus relieving pain.
Avoid consuming alcohol while taking SPAS TABLET, as it may increase the side effects. SPAS TABLET is not recommended in patients with an unstable cardiovascular condition with acute hemorrhage, myasthenia gravis, glaucoma, obstructive uropathy, obstructive disease of the gastrointestinal tract, severe ulcerative colitis, or reflux esophagitis.
SPAS TABLET should be used with caution in patients with severe liver and kidney disease, hypertension, coronary heart disease, congestive heart failure, cardiac tachyarrhythmia, psychosis, and delirium (such as elderly patients and/or in patients with mental illness), incomplete intestinal obstruction (the small intestine partially or totally blocked), patients with salmonella dysentery, ulcerative colitis (inflammatory bowel disease), prostatic hypertrophy (prostate gland enlargement), hyperthyroidism, alcoholism, and in patients who take painkillers often for headache, etc.
SPAS TABLET should be used with caution in pregnant women, unless considered necessary. SPAS TABLET is not recommended for use by breastfeeding women. SPAS TABLET is not recommended for use by children under 10 years of age. SPAS TABLET should be used with caution by elderly patients.
The most common side effects of taking SPAS TABLET are hypersensitivity reactions, dry mouth, upset stomach, vomiting, constipation, and gas or bloating. Contact your doctor if any of the symptoms get worse.
Uses Of SPAS TABLET
- Manage stomach cramps, renal and biliary colic, as well as pain from gynaecologic or surgical conditions.
- Manage functional bowel disease and irritable bowel syndrome (IBS).
How SPAS TABLET Works
SPAS TABLET contains dicyclomine, which is an antispasmodic and works by relaxing the muscles in your stomach and gut (intestine). It manages unexpected muscular contractions (spasms). It also reduces bloating, pain, cramps, and discomfort. Paracetamol is analgesic and antipyretic as well. It works by inhibiting both COX-1 and COX-2 enzymes and managing prostaglandin synthesis, thus relieving pain.
How to use SPAS TABLET
Take SPAS TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Depending on your age, body weight, and disease condition, your doctor will determine the correct dose and duration for you.
Side Effects Of SPAS TABLET
Common
- Dizziness, drowsiness
- Dry mouth
- Vision blurred
- Nausea
- Weakness and nervousness
Stop taking SPAS TABLET and contact your physician immediately if you experience any of the following side effects:
- Serious allergic reactions 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, 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
Constipation
Increase fiber intake through fruits, vegetables, and whole grains. Stay hydrated by drinking plenty of water. Maintain regular meal times and avoid skipping meals. Exercise regularly to promote bowel movements. Establish a bathroom routine and avoid ignoring the urge to go. Avoid processed foods and prioritize probiotic-rich foods for gut health. Consult your doctor if constipation persists.
Diarrhea
Drink plenty of clear fluids, like water, diluted fruit juices, or oral rehydration solutions, to stay hydrated. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration. Gradually take bland, low-fiber foods like bananas, rice, applesauce, and toast to help firm up stools. Probiotics, found in yogurt or supplements, may help restore the balance of gut bacteria. Practice good hand hygiene to prevent the spread of infection. Consult your doctor if diarrhea worsens.
Dizziness Or Drowsiness
Ensure proper hydration, as dehydration can cause dizziness. Avoid excessive caffeine, alcohol, and high-sodium foods, which can exacerbate symptoms. Engage in physical therapy or vestibular rehabilitation exercises designed to improve balance and reduce dizziness. Move slowly when changing positions, such as standing up or lying down, to avoid triggering dizziness. Practice relaxation techniques such as deep breathing, meditation, or yoga to manage stress, which can contribute to dizziness. Consult your doctor if dizziness persists.
Nausea And Vomiting
Stay hydrated with small sips of clear fluids like water, ginger ale, or electrolyte solutions. Avoid consuming large meals; instead, opt for bland, easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the stomach. Rest in a comfortable position, preferably with your head elevated, to ease symptoms. Consult your doctor if nausea and vomiting persist
Warning & Precautions
Pregnancy
Use with CautionSPAS TABLET should be used with caution in pregnant women, unless considered necessary. Contact your doctor before taking SPAS TABLET.
Breastfeeding
ContraindicatedSPAS TABLET is not recommended for breastfeeding women. Contact your doctor before taking SPAS TABLET.
Driving and Using Machines
Use with CautionDo not drive or operate any machines while taking SPAS TABLET or things that require mental alertness, as it may cause blurred vision or drowsiness.
Alcohol
Consult your doctorAvoid consuming alcohol while taking SPAS TABLET, as it may increase the side effects.
Kidney
Use with CautionSPAS TABLET should be used with caution in patients with severe kidney disease. Contact your doctor before taking SPAS TABLET.
Liver
Use with CautionSPAS TABLET should be used with caution in patients with severe liver disease. Contact your doctor before taking SPAS TABLET.
Allergy
ContraindicatedDo not take SPAS TABLET if you are allergic to dicyclomine, paracetamol, or other ingredients of this medicine.
Heart Disease
Consult your doctorSPAS TABLET is not recommended in patients with unstable cardiovascular conditions with acute hemorrhage and should be used with caution in patients with hypertension, coronary heart disease, congestive heart failure, and cardiac tachyarrhythmia. Contact your doctor before taking SPAS TABLET.
Use In Pediatrics
ContraindicatedSPAS TABLET is not recommended for use in children under 10 years of age. Contact your doctor before taking SPAS TABLET.
Use In Geriatrics
Use with CautionSPAS TABLET should be used with caution in elderly patients. Contact your doctor before taking SPAS TABLET.
Others
SPAS 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
Before taking SPAS TABLET, inform your doctor if you have:
- Heat prostration (such as fever and heat stroke because of decreased sweating)
- Psychosis and delirium (such as in elderly patients and/or in patients with mental illness)
- Incomplete intestinal obstruction (small intestine partially or totally blocked)
- Salmonella dysentery
- Ulcerative colitis (inflammatory bowel disease)
- Prostatic hypertrophy (prostate gland enlargement)
- Hyperthyroidism
- Suffered from alcoholism
- Take painkillers often for headaches.
Interactions
A. Drug-Drug interactions:
- Antiglaucoma agents (Ex. timolol)
- Other drugs with anticholinergic activity, such as amantadine
- antiarrhythmic agents (Ex. quinidine)
- antihistamines (Ex. diphenhydramine)
- antipsychotic agents (Ex. phenothiazines)
- benzodiazepines (Ex. alprazolam)
- MAO inhibitors (Ex. rasagiline)
- narcotic analgesics (Ex. meperidine)
- nitrates and nitrites (Ex. isosorbide, isosorbide mononitrate)
- tricyclic antidepressants (Ex. amitriptyline)
- sympathomimetic drugs (Ex. epinephrine)
- Cardiovascular agent (Ex. digoxin)
- Anticoagulants (Ex. warfarin)
- Antiemetics (Ex. metoclopramide or domperidone)
- Antilipidemic (Ex. cholestyramine)
- Anticancer agents (Ex. imatinib)
Overdosage:
If you or anyone else accidentally takes too much of SPAS TABLET, consult your doctor immediately or visit the nearby hospital. Signs and symptoms of an overdose may include headache, nausea, vomiting, blurred vision, dilated pupils, hot, dry skin, dizziness, dryness of the mouth, difficulty swallowing, CNS stimulation, including convulsions, loss of appetite, stomach pain, and liver damage.
Synopsis
|
Drug |
: |
Dicyclomine, Paracetamol |
|
Pharmacological Category |
: |
Antispasmodics, Analgesics, and Antipyretics |
|
Therapeutic Indication |
: |
Relief pain and irritable bowel syndrome (IBS) |
|
Dosage Forms |
: |
Tablet |
More Information
Storage
- Keep SPAS TABLET out of reach of children
- Store SPAS TABLET below 25°C
FAQs About SPAS TABLET
Q: What is SPAS TABLET used for?
A: SPAS TABLET is used for the management of stomach cramps, renal and biliary colic, as well as pain from gynaecologic or surgical conditions. It is also used to manage functional bowel disease and irritable bowel syndrome (IBS). Consult your doctor before taking SPAS TABLET.
Q: What are the side effects of taking SPAS TABLET?
A: The most common side effects of taking SPAS TABLET are hypersensitivity reactions, dry mouth, upset stomach, vomiting, constipation, and gas or bloating. Contact your doctor if any of the symptoms get worse.
Q: Is SPAS TABLET safe during pregnancy?
A: SPAS TABLET should be used with caution in pregnant women, unless considered necessary. Contact your doctor before taking SPAS TABLET.
Q: Is SPAS TABLET safe during breast-feeding?
A: SPAS TABLET is not recommended for breastfeeding women. Contact your doctor before taking SPAS TABLET.
Q: Can we use SPAS TABLET in children?
A: SPAS TABLET is not recommended for use by children under 10 years of age. Contact your doctor before taking SPAS TABLET.
Q: How does SPAS TABLET work?
A: SPAS TABLET is an antispasmodic that works by relaxing the muscles in your stomach and gut (intestine). It manages unexpected muscular contractions (spasms). It also reduces bloating, pain, cramps, and discomfort. Paracetamol is an analgesic and an antipyretic as well. It works by inhibiting both COX-1 and COX-2 enzymes and managing prostaglandin synthesis, thus relieving pain.
Q: Is SPAS TABLET good for stomach pain?
A: SPAS TABLET relieves stomach and intestinal cramps, muscle spasms, abdominal pain, constipation, and other GI discomforts by relaxing the muscles and managing normal gut movements.
Q: Is SPAS TABLET used for periods?
A: SPAS TABLET helps to relieve the symptoms of menstrual (period-related) pain and cramping.
Q: Can I buy SPAS TABLET online?
A: To order SPAS TABLET online, visit the Netmeds website, search for the product, add it to your cart, and proceed to checkout. Follow the instructions for payment and delivery. Netmeds has made buying online medicines easier for consumers and is one of India's leading online pharmacies.
Q: Who should not take SPAS TABLET?
A: Do not take SPAS TABLET if you are allergic to dicyclomine or paracetamol or if you have an unstable cardiovascular condition with acute hemorrhage, myasthenia gravis, glaucoma, obstructive uropathy, obstructive disease of the gastrointestinal tract, severe ulcerative colitis, or reflux esophagitis. Consult your doctor before taking it.
Q: What precautions must be taken while using SPAS TABLET?
A: Before taking SPAS TABLET, inform your doctor if you have severe liver, kidney disease, hypertension, coronary heart disease, congestive heart failure, cardiac tachyarrhythmia, heat prostration (such as fever and heat stroke because of decreased sweating), psychosis and delirium, incomplete intestinal obstruction, salmonella dysentery, ulcerative colitis, prostatic hypertrophy (prostate gland enlargement), hyperthyroidism, and alcoholism.
References
1. KD Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomic Ganglia and Nonsteroidal Anti-inflammatory Drugs and Antipyretic-Analgesics. Essentials of Medical Pharmacology, Seventh Edition. 2013. Page – 117, 206.
2. 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 Gynaecology. January 2019. https://www.ijrcog.org/index.php/ijrcog/article/view/6014/4142
3. 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. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293684/
4. Bethesda (MD). Dicyclomine. National Institute of Health. NLM. National Centre for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 28th May 2024] https://pubchem.ncbi.nlm.nih.gov/compound/Dicyclomine
5. Axcan Pharma US, Inc., U.S. Food and Drug Administration. [Revised in July 2021] [Accessed on 28th May 2024] https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/007409s041lbl.pdf
6. Zentiva Pharma UK Limited. Electronic Medicines Compendium (EMC). [Revised in February 2021] [Accessed on 28th May 2024] https://www.medicines.org.uk/emc/files/pil.5164.pdf
7. Balkanpharma – Dupnitsa AD. Electronic Medicines Compendium (EMC). [Revised in June 2019] [Accessed on 28th May 2024] https://www.hpra.ie/img/uploaded/swedocuments/2b04cfdb-8571-4543-a4c9-b1380e0a92c3.pdf
8. Hikma Pharmaceuticals USA Inc., Dicyclomine hydrochloride. [Revised in May 31, 2018] [Accessed on 28th May 2024] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5a553bda-1e3d-4b80-913f-73dd54655033
9. Life Line Home Care Services, Inc. Dicyclomine hydrochloride. [Revised in February 2012] [Accessed on 28th May 2024] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e576f409-d319-4878-9863-25988be7fde1##
10. Leeford Healthcare Ltd. Dicyclomine, Paracetamol. [Accessed on 28th May 2024] https://www.leeford.in/product/1015/leemol-dc-tablet
11. Dicyclomine. Drugs.com. [Accessed on 28th May 2024] https://www.drugs.com/mtm/dicyclomine.html
Useful Diagnostic Tests
- Complete Blood Count (CBC)/ Hemogram
- Monsoon Gastro Infection Panel
- Gastro / Gut Health Panel
- Healthy Midlife Checkup
- Complete Women Checkup
- Women Health Checkup - Essential
- Full Body Checkup - Gold
- Elderly Checkup - Female
- Elderly Checkup - Male
- Full Body Checkup – Silver
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