No-Spa tabs 40mg #64

No-Spa user manual

You can buy No-Spa here

Release form and composition

Tablets No-Spa have small sizes, round color and yellow coloring.
    The composition of the tablets: 40 mg of drotaverine (in the form of hydrochloride), magnesium stearate, povidone, talc, corn starch, lactose (in the form of monohydrate).
    Tablets Forte have an identical composition. The only difference is a higher concentration of the active substance (80 mg / tab.).
    The composition of No-Spa in ampoules: Drotaverine hydrochloride at a concentration of 20 mg / ml, 96% ethanol, sodium metabisulfite, water d / and.
No-Spa tablets are packaged in a blister of 6 and 24 pieces, as well as in glass bottles of 60 and 100 pieces. A carton pack contains one blister or vial with the appropriate number of tablets, as well as instructions for using the drug.

Pharmacological effect

The main active component of No-Spa is drotaverine hydrochloride, an antispasmodic that has a positive effect on the smooth muscle of the urinary and biliary tract, as well as the gastrointestinal tract. The substance contributes to the effective removal of edema, normalizes blood circulation and eliminates inflammation in muscle tissue.
The main advantage is the absence of a negative effect of the drug components on the functioning of the nervous system. After consuming the tablets, the result is felt after 20 minutes, a greater effect is achieved after 1 hour. With the introduction of the solution intravenously - after 2-5 minutes, the maximum effect - after 30 minutes. Drotaverine is completely eliminated from the body 72 hours after it has been taken.

Indications for use

What helps? No-Spa can be used both as a main and as an auxiliary therapeutic agent in a number of pathological conditions:
    Colic;
    Cholecystitis;
    Algodismenoree;
    Spasms of the arteries;
    Spastic constipation;
    Pyelite;
    Colitis;
    Tenesmus;
    Proctitis;
    Gastroduodenitis;
    Endarteritis;
    Stomach ulcer;
    Biliary dyskinesia;
    Spasm of cerebral vessels.
In addition, No-Spa is used in certain conditions, to alleviate and relieve unpleasant symptoms.

No-Spa for children

Children should be treated with cystitis and nephrolithiasis, acute duodenal or gastric spasms, gastritis, enteritis, colitis, flatulence, constipation, spasm of peripheral arteries, high temperature and severe headaches.
40 mg tablets for children prescribed from the age of six. Clinical studies on the safety and efficacy of Forte tablets in children have not been conducted.

Contraindications

    Lactase deficiency, hereditary intolerance to galactose, galactose-glucose malabsorption syndrome (tablets, due to the presence of lactose monohydrate in their composition);
    Age up to 6 years (tablets);
    The period of breastfeeding (due to the lack of necessary clinical data confirming the safety and efficacy of No-Spa for this group of patients);
    Severe heart failure (low cardiac output syndrome);
    Severe hepatic or renal failure;
    Hypersensitivity to the drug.
No-Spa should be used with caution on the background of arterial hypotension, in children and during pregnancy.
For intravenous injection of the injection solution, the patient should lie down due to the risk of collapse.

Use during pregnancy and lactation

During pregnancy, the use of the drug No-Spa is possible only in cases where the expected benefit is several times greater than the possible danger to the development and health of the fetus. In this case, the dosage is selected strictly individually.
In the period of breastfeeding is not recommended to use the drug.

Dosage and method of use

The instructions for use indicate that when taking No-Spa without consulting a doctor, the recommended duration of the drug is usually 1-2 days. In cases where drotaverine is used as an adjuvant therapy, the duration of treatment without consulting a doctor may be longer (2-3 days). If the pain syndrome persists, the patient should consult a doctor.
The effectiveness of the drug No-Spa is three to four times higher than the effectiveness of Papaverine. In addition, the drug is characterized by 100% bioavailability. When you take a pill, drotaverine is very rapidly absorbed from the gastrointestinal tract: the period of semi-absorption of the substance is 12 minutes.
Dosages No-Spa:
    Adults appoint 1-2 tab. at one time 2-3 times / day. The maximum daily dose - 6 tab. (which corresponds to 240 mg).
    Clinical studies with the use of drotaverine with the participation of children has not been conducted. In the case of administration of the drug No-Spa for children aged 6 to 12 years, 40 mg each (1 tab.) 1-2 times / day, for children over 12 years old - 4 mg each (1 tab.) 1- 4 times / day or 80 mg (2 tab.) 1-2 times / day. The maximum daily dose is 160 mg (4 tab.).
If a patient can easily self-diagnose the symptoms of his illness, because they are well known to him, then the effectiveness of the treatment, namely the disappearance of pain, is also easily measurable by the patient. If within a few hours after taking the drug in the maximum single dose there is a moderate decrease in pain or no decrease in pain, or if the pain does not significantly decrease after taking the maximum daily dose, it is recommended to consult a doctor.
When using a bottle with a plastic cap fitted with a piece dispenser: before use, remove the protective strip from the top of the bottle and the sticker from the bottom of the bottle. Place the bottle in the palm so that the dispensing opening on the bottom does not rest on the palm. Then put pressure on the top of the bottle, as a result of which one tablet will fall out of the dispensing opening on the bottom.

Side effects

Side effects on the background of the use of shpy are quite rare. The most common ones are:
    feeling of increased heartbeat;
    nausea;
    itchy skin rash;
    anxiety;
    insomnia;
    lowering blood pressure;
    constipation;
    headache;
    angioedema;
    dizziness.

Overdose

A significant excess of the recommended therapeutic dose of No-Spa pills can lead to disruption of the heart rate (arrhythmia), as well as to intracardiac conduction, up to a complete blockade with cardiac arrest.
Treatment of overdose consists in washing the stomach, intestines, taking intestinal sorbents (activated carbon), and also conducting symptomatic therapy in a medical hospital.

special instructions

The composition of tablets 40 mg includes 52 mg of lactose monohydrate, as a result, complaints from the digestive system in lactose intolerant patients are possible. This form is not intended for patients with lactase deficiency, galactosemia, or impaired glucose / galactose absorption syndrome.
When any adverse reactions are manifested, the question of driving a vehicle and working with mechanisms requires individual consideration. In case of dizziness after taking the drug, you should avoid engaging in potentially hazardous activities, such as driving and working with mechanisms.

Drug interactions

PDE inhibitors, like papaverine, weaken the anti-Parkinsonian effect of levodopa. In the appointment of the drug No-Spa simultaneously with levodopa may increase rigidity and tremor.
With simultaneous use of drotaverine with other antispasmodic agents, including m-anticholinergics, there is a mutual increase in antispasmodic action.

Reviews

We picked up some reviews of people using the drug No-Spa:
Alexey
    For stomach pains, I take No-Spa in pills - spasms and discomfort disappear in 20 minutes. Also, the medicine helps me from headaches. Over the years of use did not notice any side effects. Recently, the drug has risen in price, but I still keep it in my home pharmacy.
Katerina
    I am without a shpy nowhere. I will eat or No-Spa exactly or drotaverin-the effect is absolutely the same. This medicine very well helps those who have problems with the digestive tract. It is herbal and harm at least. If you feel nausea and heaviness, you can drink No-Spa pill and immediately it becomes easier. I do not know how others, but she saved me and saves so far. Thanks mom for the advice!
Marina
    The doctor prescribed me No-Spa injections in the treatment of the pancreas. I give this medicine to tablets in fever, colic, or constipation. The drug has never failed, it is time tested. I care about the health of my family, and do not use cheaper counterparts.
Sergei
    He took No-Spa with complex treatment of pancreatitis. Discharged injections to relieve spasms of the stomach and intestines. The injection works very quickly, the pain releases instantly. Injections were given twice a day, in the morning and in the evening. A good and long-known drug that quickly relieves cramps. Houses in the first-aid kit there is always No-Spa.

Drotaverine or No-Spa - what's the difference?

Surely each of us had to take a well-known yellow pill with a special aftertaste for certain health problems. The drug contains the active ingredient Drotaverinum, and it is under this name that the most popular No-Spa competitor and its analogue is produced. What is the difference between Drotaverine and No-Spa?
    Drotaverine is a generic drug offered to a consumer under an international, and therefore unpatented name. The clinical efficacy of generics is not fully proven, since less stringent requirements are put forward for this group of drugs.
    No-Spa is an original drug, a patented dosage form. The presence of a patent is not only an excuse for the high cost of the drug, but also certain obligations that are imposed on the manufacturer: the quality of raw materials, production control, and safety of the drug must be top notch. In order to obtain a patent, the drug must meet a number of stringent requirements and pass the necessary clinical trials.
It turns out that the patented drug is subjected to more tests before it reaches the pharmacy counter. However, this does not mean that the generic adversely affects health.

Storage conditions

The shelf life of the No-Spa tablets is 3 years from the date of their manufacture. The preparation should be stored in the original original packaging, in a dark, dry, out of the reach of children place at an air temperature not higher than + 25 ° C.

Terms of sell

You can buy No-Spa without a prescription.