Drotaverine tabs 80mg #20

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User manual for Drotaverine

You can buy Drotaverine on this page

Reduces the tone of smooth muscles of internal organs and intestinal motility, dilates blood vessels. Most often, the medication is prescribed for various spasmodic pains, although it is not a painkiller.

Release form and composition

The drug Drotaverine is available in the form of tablets intended for oral administration. Tablets are small in size, round, with a horizontal strip on one side of a light yellow color with a slight greenish tint.
    The composition contains the active ingredient Drotaverine hydrochloride. 1 tablet contains 40 or 80 mg of this substance.
    Additional elements: talc, potato starch, povidone, magnesium stearate, lactose monohydrate.
The drug is sold in blisters of 10 and 25 pieces in a cardboard bundle, as well as in plastic cans of 20 or 50 pieces with the detailed description attached.

Pharmacological effect

Drotaverine is a myotropic antispasmodic. Drotaverine hydrochloride inhibits phosphodiesterase IV, resulting in the accumulation of intracellular cyclic adenosine monophosphate and subsequent inactivation of the myosin kinase light chain, which results in relaxation of smooth muscles.
Regardless of the type of vegetative innervation, the drug acts on the smooth muscles of the biliary, vascular, urogenital systems, as well as the gastrointestinal tract. The direct effect of Drotaverine hydrochloride on smooth muscles makes it possible to use it as an antispasmodic when m-holinoblockers are contraindicated.

Indications for use

What helps? According to the instructions to Drotaverine, the use of the drug is aimed at reducing the tone of smooth muscles of various internal organs, the appointment of tablets is shown with:
    Pyelite;
    Algodismenoree;
    Dyskinesia of the gallbladder and biliary tract in hyperkinetic type, renal and biliary colic, cholecystitis;
    Pain syndrome caused by spasm of cerebral vessels, coronary arteries, endarteritis;
    Threatening miscarriage or premature delivery, prolonged opening or spasm of the uterus orifice during childbirth, postpartum labor;
    Exacerbations of gastric ulcer and duodenal ulcer, pylorospasm, intestinal colic, proctitis, spastic colitis and constipation, tenesme.
As part of the complex treatment of some of these diseases, the patient may be given Drotaverine solution in case tablets cannot be used.
In addition, the use of the solution is indicated for the treatment of smooth muscle spasms:
    Urinary tract, including nephrolithiasis, urethrolithiasis, pyelitis, cystitis, tenesmus of the bladder;
    Caused by diseases of the biliary tract, such as cholecystolithiasis, cholangiolithiasis, pericholecystitis, cholangitis, papillitis.

Contraindications

According to the instructions Drotaverine is contraindicated in:
    Severe heart failure;
    Hypersensitivity to the drug;
    Severe hepatic and renal failure;
    Congenital lactose intolerance and lactase deficiency (due to the presence of monohydar in the composition of Drotaverine lactose).

Drotaverine is not prescribed to children under 2 years and during lactation.
With caution, the drug is used with low blood pressure, pronounced atherosclerosis of the coronary arteries, angle-closure glaucoma, prostatic hyperplasia during pregnancy.


Use during pregnancy and lactation

According to the instructions for the use of Drotaverine, it is proved that this drug overcomes the hematological and placental barrier. In this case, the decision and the appointment of this tool is taken exclusively by the doctor, taking into account the benefits / risks for the mother and fetus.
During lactation, it is recommended to stop feeding the child for the period of taking the drug.

Instructions for use

The instructions for use indicated that Drotaverine tablets should be taken without chewing.
Dosage and course duration is determined individually by a doctor.
    Adults appoint inside 40-80 mg (1-2 tab.) 2-3 times / day. The maximum daily dose is 240 mg.
    Children aged 3 to 6 years - in a single dose of 20 mg, the maximum daily dose - 120 mg (in 2-3 doses); between the ages of 6 and 12, a single dose is 40 mg, the maximum daily dose is 200 mg; frequency of use - 2-5 times / day.

Side effects

When taking Drotaverine in the recommended doses, the likelihood of side effects is low. Possible:
    rash;
    flushing of the face;
    lower blood pressure;
    Quincke swelling.
In isolated cases:
    heart palpitations, arrhythmia;
    headache, dizziness, insomnia;
    nausea, constipation.
Very rarely:
    bronchospasm;
    swelling of the nasal mucosa.

Overdose

Overdose manifests itself in the following symptoms:
    respiratory depression;
    vascular insufficiency;
    AV blockade;
    pale skin;
    sweating;
    nausea;
    vomiting;
    paralysis of the respiratory center;
    cardiac arrest.
After 3 days, signs of liver damage may appear.
Treatment of gastric lavage, taking saline laxatives. In case of overdose, the patient should be under the supervision of a physician.


special instructions

    When ingested in therapeutic doses, Drotaverine does not affect the ability to drive and perform work that requires increased attention. With the appearance of any side effects, the question of driving vehicles and working on machine tools requires individual consideration.
    In the treatment of gastric ulcer and duodenal ulcer is used in combination with other drugs, usually prescribed to treat this group of diseases of the esophagus, stomach and duodenum.

Drug interactions

    Reduces the spasmogenic activity of morphine.
    With the simultaneous use can weaken the anti-parkinsonian effect of levodopa.
    Phenobarbital increases the severity of the antispasmodic action of Drotaverine.
    Enhances the action of papaverine, bendazole and other antispasmodics (including m-holinoblokatorov), lower blood pressure caused by tricyclic antidepressants, quinidine and procainamide.

Reviews

We picked up some reviews of people about the drug Drotaverine:
Lida
    In the hospital, IV drip from pancreatitis and gastritis — it is necessary to drip slowly, drip in 40 min — my head went, I thought I was losing consciousness…. I began to drip in 1 hour 20 minutes — much better ... I cleared the spasms ...
Margo
    When I was pregnant, I was brought to the 28th week of pregnancy in the hospital with the threat of premature birth. I was immediately injected with a drilter, and literally in about 20 minutes, it became much easier, immediately a spasm passed.
Lena
    Good time of day! I am familiar with the tablets "Drotaverine" rather recently, about five years. I knew “No-Spa” before them, but then a friend suggested to me their cheap counterpart — Drotaverine. And she was right. This is a great painkiller for my body. I drink them during a painful menstrual cycle in order to relieve cramps. Also take with headache. They relieve pain in abdominal cramps. I recommend them to everyone.
Dasha
    Probably there is not a single girl who has never drank this medicine. Excellent tool for painful menstruation, as well as for any pain in the abdomen, well relieves spasms. It helps literally within 30 minutes. “Drotaverine” is the Russian equivalent of “No-shpy”, absolutely the same in action, but it costs three times less. Yellow pills, small. I do not advise chewing, they taste bitter. The drug has virtually no contraindications.

Storage conditions

In accordance with the instructions, Drotaverine should be stored in a well-ventilated, protected from light, dry and out of reach of children, at a temperature not exceeding 25 ºС.
The shelf life of the drug, subject to the basic recommendations of the manufacturer, is three years.

Terms of sell

You don't need a prescription from a doctor to buy Drotaverine.