Is it possible to drink spasmalgon and noshpa at the same time? What is better No-shpa or Spazmalgon and how do they differ? Average cost in Ukraine

One of the main symptoms of various diseases is pain. When this symptom appears, a person’s performance deteriorates. To quickly eliminate pain, doctors advise taking antispasmodic and painkillers. Therefore, the question arises, which copes better with pain - No-shpa or Spazmalgon.

Characteristics of No-shpa

No-spa belongs to the group of myotropic antispasmodics. Available in 2 types: tablets for oral administration and solution for intravenous or intramuscular administration.

The active ingredient is drotaverine hydrochloride. Its content per 1 tablet is 40 mg or 20 mg per 1 ml of solution. The active component is an isoquinoline derivative. It has a powerful antispasmodic effect on smooth muscle structures.

The effect of the drug is to inhibit the enzyme phosphodiesterase. The drug is effective against spasms of intestinal and neurogenic origin. Used when anticholinergic drugs are powerless.

Drotaverine is evenly distributed in tissues. Begins to act in 10-30 minutes. It is completely eliminated from the body within 3 days along with urine, bile and feces in the form of metabolites.

No-spa is prescribed to patients for the following conditions:

• vascular spasms;
• severe abdominal pain due to the development of cholecystitis, cholangitis, papillitis;
• cystitis, nephrolithiasis, pyelitis;
• bladder tenesmus;
• exacerbation of peptic ulcer of the stomach or duodenum;
• development of flatulence against the background of spastic colitis;
• spasms of the pylorus and cardia;
• dysmenorrhea in women;
• exacerbation of hemorrhoids.

The medicine can be taken for headaches that arise as a result of vascular spasms. But the drug is ineffective for tooth pain, since the cause is tissue inflammation.

No-shpu is contraindicated for use in patients with increased sensitivity to drotaverine, severe renal and liver failure, and lactose intolerance.

The medication is prohibited for pregnant and lactating women. But the doctor should select the dosage based on the cause of pain and spasms.

Characteristics of Spasmalgon

Spasmalgon is an anti-inflammatory and non-narcotic spasmoanalgesic. Can be purchased in 2 forms: solution for injection and tablets. The composition includes 3 active components:

• metamizole sodium - 500 mg;
• pitofenone hydrochloride - 5 mg;
• fenpiverinium bromide - 100 mcg.

Thanks to this combination, pain relief, relaxation of smooth muscle structures and a decrease in temperature are observed.

The drug is used in several cases:

• with renal or hepatic colic;
• for spasmodic pain in the intestinal canal;
• with algodismenorrhea in women;
• after surgical or diagnostic measures as an aid;
• to lower high temperatures due to colds or infectious and inflammatory diseases.

Spazmalgon has a large list of contraindications in the form of:

• increased susceptibility to active and auxiliary components;
• inhibition of the process of hematopoiesis in the bone marrow;
• angina pectoris of a stable and unstable nature;
• decompensated heart failure;
• severe impairment of the liver and kidneys;
• deficiency of lactase and glucose-6-phosphate dehydrogenase;
• tachyarrhythmias;
• angle-closure glaucoma;
• prostatic hyperplasia with urinary retention;
• intestinal obstruction and megacolon;
• granulocytopenia;
• children under 6 years of age.

It is forbidden to take the medicine during lactation, pregnant women in the first and third trimesters.

Compound similarities

No-spa is considered a one-component product. If we talk about Spazmalgon, then it contains 3 active ingredients. Pitophenone and drotaverine belong to the group of myotropic antispasmodics and have a direct effect on smooth muscle tissue.

The drugs have other similarities. Both medications are available in the form of tablets and solution. They can not only be taken orally, but also given intramuscularly and intravenously.

What is the difference between No-shpa and Spasmalgon?

No-spa is considered a strong antispasmodic due to the presence of drotaverine in the composition. Despite this, the medication is approved for use in children of different ages, pregnant and lactating women. It is used to eliminate spasms of internal organs. It has a minimum of contraindications, but is ineffective for pain of an inflammatory and infectious nature.

No-silo is often used as a third component to prepare medicine for children at high temperatures.

Spasmalgon has a broad action. It is not only an antispasmodic, but also an anti-inflammatory and antipyretic agent. It is allowed to be used for toothache and headache, colic in the kidneys and liver, painful feeling in the intestines, infectious and inflammatory pathologies. Despite this, the medication has many contraindications.

Spasmalgon should be taken with caution. The drug should not be taken by pregnant women without the knowledge of a doctor. Children's age is also a limitation.

What is better No-shpa or Spazmalgon?

Which drug is better to choose - No-shpu or Spazmalgon, depends on the cause of the pathological condition. No-spa has only an antispasmodic effect. It works effectively only if the pain syndrome is accompanied by spasms. Considered safer. Therefore, this drug is well suited for the treatment of young children, pregnant and lactating women.

Spasmalgon is a combination remedy. It exhibits analgesic, antispasmodic, anti-inflammatory and antipyretic effects. Thanks to this, the drug has more indications.

But with long-term use, both drugs can lead to adverse consequences. They should be taken with caution in patients with lactase deficiency.

No-shpa is considered a selective remedy. It affects the smooth muscles of blood vessels, intestinal canal, gastric cavity and bile ducts. Spazmalgon is a multicomponent drug. Therefore, it can lead to adverse consequences in the form of a sharp drop in blood pressure.

Some doctors allow you to take No-shpa and Spazmalgon at the same time.

But such compatibility must be controlled by specialists. This combination is possible, since they contain different components, so the risk of overdose is minimal. But between doses it is better to take a short break.

I was prescribed noshpa to relieve spasms of the gastrointestinal tract, but what about the brain? I'm not a doctor, but I think there are other drugs like spazgan. I think no.

noshpa relieves spasm of smooth muscles. but not in the brain. who told you that you have a spasm there?!

no-spa (drotaverine hydrochloride) Regardless of the type of autonomic innervation, drotaverine relaxes the smooth muscles of the gastrointestinal tract, biliary tract, and genitourinary system.

That is, if you have smooth muscles in your brain (which is typical only for the gastrointestinal tract), then it can help))

Indications for use of Baralgin

Baralgin is used for moderate and mild pain with spasms of smooth muscles: intestinal, renal, biliary colic, spasms of the bladder, ureter. (WITH)

That is, the same nonsense. The brain is in a different place, and if intestinal remedies helped someone, then this is a placebo effect or just a coincidence.

No-spa is an antispasmodic with myotropic action

No-spa (international non-proprietary name - drotaverine) is an antispasmodic with myotropic action, that is, it relieves increased tone from smooth muscles. All muscles of our body are divided into skeletal, which ensure the movement of the skeletal system, and smooth, located in the internal organs and blood vessels. No-spa acts only on smooth muscles, limiting the flow of calcium ions to it. Calcium ions play an important role in regulating the body's vital functions. Penetrating into cells, they activate intracellular bioenergetic processes that ensure the implementation of the physiological functions of these cells, including their contraction.

No-spa reduces the tone of the smooth muscles of internal organs, their motor activity (including intestinal motility) and moderately dilates blood vessels. It relieves spasm of smooth muscles caused both by the central nervous system and by direct effects on smooth muscles located in the gastrointestinal tract, biliary, urinary and vascular systems. At the same time, no-spa does not have serious cardiovascular side effects (that is, it does not inhibit the contractility of the heart muscle), does not affect the autonomic nervous system that innervates internal organs and blood vessels, and does not penetrate the central nervous system.

When administered intravenously, the effect of no-shpa appears after 2-4 minutes, and the maximum effect develops after 30 minutes.

No-spa is used for the prevention and treatment of functional conditions and pain caused by spasm of smooth muscles and is available in the form of tablets for oral administration in dosages of 40 mg and 80 mg (no-spa forte) and as an injection solution in ampoules.

Indications and contraindications for prescribing no-shpa

No-spa is used for the prevention and treatment of functional disorders and pain caused by smooth muscle spasm:

A dull aching pain gives a person unpleasant sensations. Spasmodic syndrome can affect any part of the body and cause temporary inactivity and poor health. It is possible to overcome painful reactions with the help of special medications. In every home medicine cabinet or pharmaceutical kiosk, there is spasmalgon or no-spa.

Many people mistakenly consider these remedies to be analogues, using them for the same ailments. It is worth understanding what area of ​​pathology no-spa affects and why spasmolgon is used.

No-spa is a medical product from a Hungarian pharmaceutical company "Hinoin", which produces a number of antispasmodics. The active element of the product is considered drotaverine hydrochloride with pronounced long-lasting effects.

No-spa reduces the excitability of the muscle mass of internal organs, promotes vasodilation, and reduces intestinal contractions. The medicine is widely used for various painful sensations of different nature:

• Aching, sharp, antispasmodic pain in the head, migraine.
• Unpleasant pain in the genitourinary system.
• Diseases of the gastrointestinal tract.
• Biliary, renal colic.
• Women's ailments, cramps during the menstrual cycle.

No-spa is available in ampoules as a solution for intravenous and intramuscular administration. It also comes in the form of tablets of a greenish or orange tint, round convex shape, with “spa” engraved on one side. Sold in cardboard packages of 6, 10, 20 blisters. The bottles containing liquid medicine are made of polypropylene material and closed with a polyethylene stopper equipped with a piece dispenser.

In gynecology, the drug is successfully used to prevent the threat of miscarriage, when there is a threat of premature birth, as well as during the birth process, to relieve tension in the uterine pharynx. In moderate doses, under the supervision of the attending physician, the drug is prescribed to pregnant and lactating women.

Under the influence of the drug blood vessels dilate, tissue blood circulation increases. No-spa is quickly absorbed into the body, has rapid therapeutic properties, and is completely excreted through urine.

Spasmalgon is an analgesic with pronounced analgesic properties. A combination of substances such as: metamizole sodium, pitofenone hydrochloride And fenpiverinium bromide, constitutes an active role of elements in the composition of medications to eliminate strong spasmodic effects. The combination of components enhances the therapeutic effect of the medication on the area of ​​pain.

Spazmalgon is produced in white tablets, flat round in shape. The cardboard package contains 10 tablets in a blister.

Just like no-spa, the medicine is available in a solution intended for injection. Ampoules contain from 2-5 ml of clear liquid and are 10 pieces in a cardboard pack.

When taking the medicine, metamizole sodium is instantly absorbed into the walls of the gastrointestinal system, like other components, quickly dissolves in organs and tissues.

Spasmalgon has a wide range of effects on the human body and is used for pain and antispasmodic sensations of various types:

• Renal colic.
• Spasmodic reactions of the ureter and bladder.
• Pain in the intestines.
• Chronic colitis.
• Diseases of the biliary tract.
• Pelvic diseases.
• Reduction of inflammatory processes and elevated temperature during the manifestation of colds.
• Neuralgia, arthralgia, myalgia.

Helps overcome painful syndrome after operations and diagnostic procedures.

One of the disadvantages of the drug is considered a large list of contraindications:

1. Heart failure.
2. Impaired functions of the liver and kidneys.
3. Angina pectoris of stable and unstable direction.
4. Lack of glucose and lactose.
5. Intestinal obstruction.
6. Disease of the prostate gland and genitourinary system.
7. Prohibited for use by children under 6 years of age.

Comparisons and differences between drugs

Spazmalgon and No-shpa are known as effective antispasmodic agents. Medicines are intended to eliminate the spasmodic inflammatory process in the body and to regulate well-being. Both medicines are used for colic in the kidney area, pain in the intestines, and stomach diseases.

Each of the drugs is equally effective in relieving spasms and tension in tissues, but there are significant differences.

No-spa is widely used for relieving spasmodic reactions in internal organs, is quite effective in eliminating high fever in children. It has virtually no contraindications, and is often prescribed for the treatment of pregnant women and children. Due to the presence of drotaverine in the composition, No-shpa is considered a fairly effective antispasmodic. However, it is ineffective in combating severe painful sensations of an infectious and inflammatory nature.

Spazmalgon has a number of significant differences: it has extensive action, copes with spasms and eliminates pain, lowers temperature and relieves inflammation. It is often used for dental, ear and headache pain, stomach ulcers, infectious diseases, renal and hepatic colic. But with a wide range of effects it contains a number of serious contraindications. It can be taken with caution, only under the supervision of a physician, especially for children and pregnant women.

No-shpa or Spazmolgon for therapy are selected depending on the state of the pathology. No-spa is a safer remedy that relieves spasms. Suitable for the treatment of pain syndromes where the disease is accompanied by spasms. Very often, no-shpa is prescribed to young children and nursing mothers.

Spasmalgon is a combination drug. It has analgesic, anti-inflammatory and antipyretic properties, relieves spasms. But it is not suitable for every category of people.

Overdose and side effects of drugs

These drugs are not considered analogues and in some cases the doctor prescribes both medications.

Long-term use of both medications will lead to serious undesirable consequences.

In case of an overdose of No-shpa, the patient faces:

• Cardiac arrhythmia.
• Heart disorders.

Excessive intake of Spazmalgon results in the following reactions:

• Dry mouth.
• Excessive snotty.
• Cramps.
• Dysfunction of the liver and kidneys.
• Reduced blood pressure.
• Decreased sweating.
• Nausea, vomiting.

Spasmalgon is a high-quality analgesic used together with no-shpa for severe spasmodic pain. Usually the patient takes a Spazmalgon tablet, and if in the next few minutes his condition does not experience proper relief, he takes no-shpa. With this combination, the pain subsides for a long time, but there is a risk of lowering blood pressure. In any case, the use of medications should be monitored by the attending physician. Self-medication can lead to unpleasant and unsafe moments.

It’s interesting, but this is exactly the situation now.

Most people with migraines use medications that help them in most cases: spasmalgon, citramon, paracetamol, aspirin, analgin. Doctors prescribe other tablets that affect the etiological and pathogenetic components of the cephalgic syndrome.

What types are beneficial?

Tablets for headaches can be divided into 3 categories (according to the active ingredient):

1. Painkillers;
2. Anti-inflammatory drugs;
3. Antiplatelet agents (prevent the formation of blood clots inside blood vessels).

The group of painkillers includes amidopyrine and analgin. The mechanism of action of these drugs is to eliminate the pain center of the brain due to disruption of nerve transmission.

These medications have side effects. Analgin is prohibited for use in many European countries and the USA due to the presence of agranulocytosis. These drugs should not be used if the number of leukocytes is low or if you have diseases of the cardiovascular system. Amidopyrine and analgin are contraindicated for people with bronchial asthma. They should not be prescribed to pregnant women and children under 8 years of age.

Aspirin (acetylsalicylic acid) is one of the most popular migraine medications. The medicine helps relieve cephalalgia by improving blood supply to the cerebral vessels, but the main effect of this remedy is anti-inflammatory. The use of aspirin is rational in the presence of inflammatory changes in ligaments, muscles, and meninges.

The mechanism of action of acetylsalicylic acid is to suppress swelling, which tablets can relieve headaches, but only against the background of mild cephalgia.

You should not take aspirin in cases of gastric ulcer, bronchial asthma, or a tendency to allergies.

The safest remedy of all types used by the population for cephalgic syndrome is paracetamol. The effectiveness of the medicine is inferior to the drugs described above. It should not be used for liver or kidney diseases.

The best medicine for migraines

In the search for the best medicine, a number of other common medicines should be highlighted:

These tablets are included in the list of common folk remedies that can be used against headaches.

The popularity and effectiveness of citramon is due to its complex composition. Active ingredients of the medicine:

Additional ingredients: citric acid, sugar, cocoa.

Due to the presence of several ingredients, these tablets cope well with cephalgic syndrome. They have anti-inflammatory and analgesic effects. To relieve pain, take 2 tablets 3 times daily.

Tempalgin is a synthetic medicine based on gampidone and analgin. It is used for neuritis, muscle spasms, toothache, intestinal and renal colic. The spasmodic and analgesic effect of the drug allows you to eliminate cephalgia of vascular origin.

Solpadeine is a complex tablet containing codeine, caffeine, and paracetamol. To treat cephalgic syndrome, you need to take 1 tablet 4 times daily.

Pentalgin has the following composition:

To treat migraines, you need to take it 2 times a day, one tablet.

Doctors do not recommend using these medications until the cause of cephalgia is determined. In case of vascular origin of pain syndrome, it is enough to eliminate the spasm or improve the blood supply to the cerebral vessels, which will lead to the elimination of the pain syndrome.

Anti-inflammatory and antispasmodic drugs do not help with tumors and hematomas of the skull. These formations can compress brain tissue and form cephalgic syndrome.

Spasmalgon for headaches: the secret of effectiveness

Spasmalgon helps due to the combined therapeutic effect of the drug. The tablets have an anti-inflammatory, antipyretic, analgesic effect (due to the content of metamizole), antispasmodic effect (due to pitofenone). The complex composition of the drug also contains piverinium bromide, which reduces the conductivity of nerve impulses when taking 2-3 tablets per day.

Due to its numerous medicinal effects, the drug is widespread not only among the people, but also among doctors. Even pharmaceutical companies actively duplicate it and produce it under different international names:

1. Baralgetas (Serbia);
2. Spazgan (Indonesia);
3. Revalgin (India);
4. Masigan (India);
5. Bral (India).

Spasmalgon for cephalgia: indications and contraindications

Spasmalgon is prescribed in the following cases:

• Moderate pain syndrome due to spasmodic contractions of the muscles of the organs;
• Renal colic, abdominal pain;
• Joint tenderness;
• After surgical interventions;
• To reduce fever (infection)

Spasmalgon is used for headaches in children, adults over 15 years old, 2 tablets three times a day; more than 6 tablets cannot be used per day. The duration of treatment is no more than 5 days. It is forbidden to increase the dosage of the drug on your own, as the medicine has side effects.

Spazmalgon against head pain in children is prescribed ½ tablet (for children under 8 years old), ¾ tablet (10–12 years old). Side effects of the medicine:

1. Burning in the epigastrium;
2. Tachycardia, decreased blood pressure;
3. Proteinuria, anuria, impaired renal function;
4. Agranulocytosis, leukopenia, thrombocytopenia;
5. Allergic reactions (Quincke's edema, anaphylactic shock, bronchospasm).

Contraindications to taking spasmalgon:

• Bone marrow suppression;
• Unstable angina;
• Impaired kidney and liver function;
• Tachyarrhythmias;
• Chronic heart failure;
• Glaucoma;
• Glucose-6-phosphatase deficiency;
• Lactation;
• Intestinal obstruction;
• Prostate hyperplasia;
• Pregnancy;
• Childhood.

Spasmalgon is not recommended during lactation, as well as while driving; alcohol should not be used.

Paracetamol

Paracetamol against headaches began to be used in the 19th century, when it was developed under the name Antifebrin. The first analogue of the drug was highly toxic, so it was processed only in the second half of the 20th century. It was sold under the name Panadol.

There are many effective tablets for cephalalgia, but paracetamol is a must-have in your medicine cabinet, as the medicine helps against many types of pain: dental, muscle, ligamentous, viral, bacterial infections.

After oral administration, the tablets dissolve in the stomach after half an hour. After this time interval, the active ingredients enter the blood and brain. In case of cephalgic syndrome, long-term use of paracetamol causes an addictive effect, so you need to take the medicine according to a certain algorithm:

1. If you have severe pain in the head, you should not take paracetamol and spasmalgon on an empty stomach;
2. Take the tablets with water, green tea, coffee, juice;
3. Caffeine can negatively affect the liver;
4. For cephalgia, the dose of the drug is from 500 to 1000 mg per day;
5. You cannot use these tablets for more than 3 days;
6. Paracetamol is contraindicated for nursing mothers and pregnant women;
7. For hepatitis, bronchospasm, and allergies, taking medication should be discussed with your doctor.

Paracetamol for migraines should be used in combination with analgesics. This combination for children should be prescribed only according to strict indications. There are more effective pills for preventing migraine attacks. Acetylsalicylic acid only helps with mild headaches. Severe attacks should be treated with caffeine, phenacetin, ibuprofen, or naproxen.

For children, it is rational to administer ergotamine orally. At the very beginning of the disease, you need to take the medicine several times a day, but not more than a week.

No-spa for cephalgic syndrome

No-spa is rarely used for headaches, since the drug is more aimed at eliminating spasmodic contractions of the smooth muscles of the gastrointestinal tract. Clinical studies have proven that drotaverine (no-spa) is good for tension-type pain syndrome (tension headache). This cephalalgia occurs due to psychological or physical overload, tension in the muscles of the cervical spine. Tension syndrome is accompanied by the following additional syndromes:

• Girdle pain on one side;
• Increased pressure in the temples (the “hoop” symptom);
• Throbbing, uniform pain.

Taking no-shpa reduces the severity of tension pain and reduces the risk of it becoming chronic. Drotaverine (no-spa) does not always bring relief, since persistent compression of the nerve fibers occurs against the background of spasm of the occipital and cervical muscles.

Dosage of drotaverine release:

1. Tablets 40 mg;
2. Tablets 80 mg;
3. Intramuscular injections.

The tablets are yellow in color, convex in shape and have the brand name “spa”.

For vascular headaches, the symptoms begin to disappear after 12 minutes, and intravenous administration of no-shpa eliminates cephalalgia after 6-8 minutes.

Contraindications to taking no-shpa (drotaverine);

• Heart diseases;
• Kidney and liver diseases;
• Age up to 6 years;
• Lactation, pregnancy.

Drotaverine is characterized by antispasmodic and vasodilating effects, which leads to the elimination of spastic conditions.

Main indications for taking no-shpa:

1. Spasmodic constipation;
2. Spasms of the gastrointestinal tract;
3. Attack of urolithiasis and cholelithiasis;
4. Ulcer of the duodenum, stomach;
5. Constriction of peripheral vessels;
6. Angina;
7. Renal and hepatic colic.

Drotaverine (no-spa) is not an essential medicine for migraines, since there are more effective medications (including spasmalgon, paracetamol, citramon). Only with tension pain can you use no-shpa to eliminate cephalgic syndrome.

There is experimental information indicating the effectiveness of vasodilator drugs for migraine attacks. It is somewhat erroneous, since antispasmodics cannot be used for a long time. They become addictive, limiting the duration of use of the medicine.

The second point for using no-shpa is tension pain. They occur against a background of depression or nervous experiences. Increased fatigue, nervous feelings and stress lead to compression of the brain. Such symptoms often develop in people engaged in active physical or mental labor.

However, the medicine has few side effects, so it can be used as a muscle relaxant to eliminate the pathological symptoms of cephalgic syndrome in the back of the head, temples, and forehead.

The therapeutic effect of taking no-shpa occurs quickly, so there is no doubt about the effectiveness of the drug. It takes minutes to achieve the maximum concentration of drotaverine in the blood. If the medicine is administered intravenously, a positive therapeutic effect will occur within 3 minutes.

The drug has few contraindications, so it is often used against headaches, but is prohibited for kidney, liver and heart diseases. It is difficult for pregnant women to do without drotaverine, since there is no alternative to it.

No-Shpa or Spazmalgon

No-Shpa or Spazmalgon

No-spa helps relieve spasm and pain syndrome of spasm of smooth muscles of internal organs. No-spa helps with colic in the kidneys, intestines, and stomach pain.

And here’s another question: Does No-spa heal or just relieve spasms?

Pain doesn't just happen. It is like a signal - it lets us know that something is wrong with our body. If pain in one place or another constantly reminds you of itself, then it is time to pay special attention to it and seek help from doctors, and, consequently, medications. No-shpu is considered to be one of the best antispasmodic drugs. No-spa is used for prevention, as well as in the treatment of functional conditions and pain syndromes caused by spasm of smooth muscles.

the neighbor, an elderly man, had been taking painkillers for a long time due to age-related diseases accompanied by pain. And as a side effect I got deafness. The doctors said so, he abused painkillers. Due to the existing contraindications and side effects, even such a popular remedy as “no-spa” should not be taken continuously so as not to cause a side effect in the body. You need to consult your doctor.

No-shpa tablets are used:

Spasms of smooth muscles associated with diseases of the biliary tract (cholecystolithiasis, cholangiolithiasis, cholecystitis, pericholecystitis, cholangitis, papillitis);

Spasms of smooth muscles of the urinary tract (nephrolithiasis, urethrolithiasis, pyelitis, cystitis, bladder tenesmus).

As an adjuvant therapy:

For spasms of smooth muscles of the gastrointestinal tract (peptic ulcer of the stomach and duodenum, gastritis, spasms of the cardia and pylorus, enteritis, colitis, spastic colitis with constipation and mucous colitis with severe flatulence);

Pressing type headaches;

Dysmenorrhea (menstrual pain in the lower abdomen).

Is it possible to take Nosh-pu and spasmalgon at the same time?

The practical situation with these drugs is as follows. Noshpa has a selective antispasmodic effect on the smooth muscles of blood vessels, intestines, stomach, and various gland ducts. Spasmalgon, combined, three-component drug. Analgesic and double antispasmodic (two different mechanisms of antispasmodic action of the components). From the combination of these drugs, you can expect a significant drop in blood pressure. But this is not typical for all patients. If, after taking the spasmalgon tablet, it doesn’t feel better within a minute. Blood pressure did not decrease due to its effect; to enhance the effect, you can add a noshpa tablet.

In theory, it’s possible.

No-shpa contains one component - drotaverine. Spazmalgon already contains three ingredients: metamizole sodium (aka analgin), pitofenone and fenpiverine. So, the ingredients do not overlap, and you won’t be able to accidentally overdose on any of the components.

The annotation for Spazmalgon indicates a number of drugs with which they are incompatible or the interaction negatively affects the body. So, Spazmalgon should not be taken with other non-narcotic analgesics, as this may adversely affect the liver. But No-shpa is an antispasmodic and there is no mention of it.

However, there is no need to take one tablet with another. It is worth taking medications only when some time has passed after taking the first drug and there is no effect.

spasmalgon or no spa

But spa and spasmalgon

In the Beauty and Health section, to the question: What is better and safer, No-shpa or spasmalgon? asked by the author Alena Klassnaya the best answer is No-spa has a pronounced antispasmodic effect. Used for spasms of the stomach and intestines, antispasmodic constipation, attacks of cholelithiasis and urolithiasis, angina pectoris.

Spasmalgon, a synonym for Baralgin, has a pronounced antispasmodic and analgesic effect. Used for spasms of smooth muscles, especially renal colic, spasms of the ureters, spasms of the stomach and intestines.

But spasmalgon and spasmalgon are compatible

If a headache begins, most people prescribe medications for treatment themselves. Often, the medications we take do not work, and the headache continues to torment us. To get rid of a headache, you need to determine the reason why your head hurts.

Why does my head hurt?

Most often, headaches occur due to:

blood pressure problems.

Medicine

Migraine. In most cases, the pain is severe, lasting from 4 hours to 3 days. The head hurts on both one and both sides, mainly in the forehead or temples. The pain is throbbing, accompanied by nausea, vomiting, and worsens with noise and bright light.

Tension pain. It occurs as a result of prolonged exposure to an uncomfortable position, due to psycho-emotional stress, and severe fatigue. The pain is rarely intense; as a rule, it is dull and aching, as if the head is clamped with a hoop. But there is no nausea or vomiting. Such pain lasts from 30 minutes to several hours.

Tension pain and migraine make a person extremely irritable and nervous. Therefore, you should not endure such pain. Properly selected medications help to completely relieve pain in just a few minutes. In this case, nonsteroidal anti-inflammatory drugs are most effective.

Vascular headache. Occurs when excessive expansion (hypotension) or, conversely, narrowing (hypertension) of the blood vessels of the brain. The correct treatment in this situation is to increase and decrease systemic blood pressure. Such drugs are taken only in consultation with a specialist. Analgesics can provide relief from this type of pain.

This group includes the well-known tablets Analgin, Baralgin, as well as Minalgin, Nebagin, Nobol, Novalgin, Optalgin, Piretin, Ronaldin, Spazdolzin and others. Use 1-2 tablets 1-3 times a day, but no more than 6 tablets per day. The analgesic effect reaches a maximum 20 minutes after taking the first dose, the duration of action of the drug is on average 2 hours. After taking the drug, your urine may turn red - do not worry, this is normal.

Metamizole sodium derivatives are contraindicated for:

Hypersensitivity to Metamizole sodium;

Severe dysfunction of the liver and kidneys;

Hereditary disorder - deficiency of glucose-6-phosphate dehydrogenase.

In some cases, Citramon, a combination drug containing acetylsalicylic acid, paracetamol and caffeine, has a good effect. Apply 1 tablet every 4 hours until pain stops.

Liquorodynamic pain. In this case, the pain is intense, bursting, as if the brain is becoming crowded in the skull, and intensifies during coughing. Such pain is a manifestation of serious problems, including trauma, meningitis, and brain tumors. As a rule, pain decreases only slightly after taking analgesics and non-steroidal anti-inflammatory drugs. See a doctor immediately if you experience such pain.

But spa

However, the main action of the tablets is:

To relieve spasms of the smooth muscles of the abdominal wall.

To combat bronchospasms.

To relieve uterine muscle spasms and other gynecological spasms.

To relieve tension-type pain, which includes manifestations of headaches, depression or overwork.

That is, relief will not come for every condition: this drug will not save you from migraines, just as it will not relieve vascular pain. But No-Shpa effectively fights fatigue, even helps with insomnia if it is caused by squeezing sensations in the head.

How to recognize whether the drug will help in your case? Usually, with a headache of the described nature, there is a feeling that the head is being squeezed as if by a vice. One-sided intensity may occur, and in such cases vascular spasms are suspected.

Spasmalgon

We have already discussed the topic of headaches. If you remember, this symptom is not an independent diagnosis, but occurs for some reason. The most common headaches are:

For colds,

High blood pressure.

In these situations, the vessels of the brain reflexively contract (spasm), which means their capacity decreases. And the heart, in turn, has to work with double force to push blood through. Consequently, tachycardia develops, and all this leads to an even greater increase in headaches.

The properties of the components of spasmalgon for headaches relieve tension in the walls of spasmodic blood vessels. Consequently, blood circulation and blood pressure are normalized, the temperature drops and the heartbeat stabilizes.

Among the many medical non-narcotic analgesics, it can be distinguished because it has the same good antispasmodic effect. Spasmalgon for headaches contains three excellent components that enhance each other’s effects. Perhaps it can be considered one of the three options for headaches. By the way, next I wrote about spasmalgon for toothache.

What makes it so effective? Let's look at its composition:

Metamizole sodium (Analgin) is the main component of our medication. It has analgesic, antipyretic, and anti-inflammatory effects.

Pitophenone hydrochloride - has an antispasmodic effect on the smooth muscles of internal organs, helps relieve vascular spasm.

Phenpiverinium bromide – its ability to block the conduction of pain impulses helps reduce smooth muscle hypertonicity.

That is why, when choosing painkillers, many doctors give preference to this medicine or its analogues.

Citramon

Among the most common medications is citramon. Citramon for headaches is effective in most cases. This pharmacological agent is available without a prescription, but it must be taken according to an appropriate regimen, depending on the nature of the headache and its cause. We should not forget about contraindications and side effects. That's why you should at least read the instructions first.

Citramon containing phenacetin was previously produced. The composition of modern “Citramon P”, as it is more correctly called, includes paracetamol, caffeine and acetylsalicylic acid.

A single dose is 1-2 tablets. You can drink no more than four pieces in one day. The maximum daily norm is 8 tablets.

Analgin

Pros and cons of analgin

The drug should not be taken in large doses, as serious health problems may arise;

In some cases, analgin can cause an allergic reaction.

Quickly relieves headaches;

The drug has the ability to reduce high body temperature and reduce the severity of inflammatory processes.

Algin for headaches is a very good and quick way to get rid of the problem, but you should not get too carried away with the drug, as you can become dependent on it.

Paracetamol

Paracetamol can relieve any pain (dental pain, headache, migraine, pain from burns and injuries) and has a very good antipyretic effect. It is very important that Paracetamol is well absorbed: it enters the bloodstream through the gastrointestinal tract in a relatively short time, around half an hour.

The drug belongs to non-steroidal (non-hormonal) anti-inflammatory drugs. But research data from recent years indicate a very low, insignificant anti-inflammatory effect, therefore, one should not think that long-term treatment can be carried out with Paracetamol.

And most importantly, it should be remembered that Paracetamol relieves symptoms, but does not treat the very causes of pain and fever.

Rules for using Paracetamol

Paracetamol, use of paracetamol Medicines based on Paracetamol should be taken after meals with plain water; Paracetamol should not be taken with coffee or other caffeine-containing drinks, as this may increase the negative effect on the liver.

Usually, if there is no special prescription from a doctor, Paracetamol is taken in a single dose of no more than 0.5-1 g, up to four times a day.

When treating children, you must be especially careful, and in no case should you self-prescribe doses, but strictly follow the doctor’s instructions. Treatment should not exceed two or three days. MirSovetov reminds that children under 3 years of age are not recommended to take Paracetamol at all.

Be sure to inform your doctor about any chronic diseases you have and if you are taking any other medications. Despite the fact that Paracetamol has minimal interaction with other drugs, it should still be excluded when taking certain medications, such as sodium valproate (Depakine, Konvulex) or barbiturates.

Spasmalgon - Instructions

International name:

Metamizole sodium+Pitofenone+Fenpiverinium bromide

Group:

Active ingredients:

Dosage form:

solution for intravenous and intramuscular administration, tablets

Pharmachologic effect:

A combined analgesic and antispasmodic agent, the combination of drug components leads to a mutual enhancement of their pharmacological action. Metamizole sodium is a pyrazolone derivative that has an analgesic and antipyretic effect. Pitophenone hydrochloride has a direct myotropic effect on smooth muscles (papaverine-like effect). Phenpiverinium bromide has an m-anticholinergic effect and has an additional myotropic effect on smooth muscles.

Indications:

Pain syndrome (mild or moderate) with spasms of smooth muscles of internal organs: renal colic, spasm of the ureter and bladder; biliary colic, intestinal colic; biliary dyskinesia, postcholecystectomy syndrome, chronic colitis; algodismenorrhea, diseases of the pelvic organs. For short-term treatment: arthralgia, myalgia, neuralgia, sciatica. As an auxiliary drug: pain syndrome after surgical interventions and diagnostic procedures.

Contraindications:

Hypersensitivity (including to pyrazolone derivatives), inhibition of bone marrow hematopoiesis, severe liver and/or renal failure, glucose-6-phosphate dehydrogenase deficiency, tachyarrhythmias, severe angina pectoris, decompensated CHF, angle-closure glaucoma, prostatic hyperplasia (with clinical manifestations) , intestinal obstruction, megacolon, collapse, pregnancy (especially in the first trimester and the last 6 weeks), lactation. For intravenous administration - infancy (up to 3 months) or body weight less than 5 kg. For tablets - children's age (up to 5 years). With caution. Renal/liver failure, bronchial asthma, “aspirin” triad, tendency to arterial hypotension, hypersensitivity to other NSAIDs.

Side effects:

Allergic reactions: urticaria (including on the conjunctiva and mucous membranes of the nasopharynx), angioedema, in rare cases - malignant exudative erythema (Stevens-Johnson syndrome), toxic epidermal necrolysis (Lyell's syndrome), bronchospastic syndrome, anaphylactic shock. From the urinary system: impaired renal function, oliguria, anuria, proteinuria, interstitial nephritis, red staining of urine. From the cardiovascular system: decreased blood pressure. From the hematopoietic organs: thrombocytopenia, leukopenia, agranulocytosis (may be manifested by the following symptoms: unmotivated rise in temperature, chills, sore throat, difficulty swallowing, stomatitis, as well as the development of vaginitis or proctitis). Anticholinergic effects: dry mouth, decreased sweating, accommodation paresis, tachycardia, difficulty urinating. Local reactions: with intramuscular injection, infiltrates at the injection site are possible. Overdose. Symptoms: vomiting, decreased blood pressure, drowsiness, confusion, nausea, pain in the epigastric region, impaired liver and kidney function, convulsions. Treatment: gastric lavage, administration of activated carbon, symptomatic therapy.

Directions for use and dosage:

Spazmalgon is taken orally: adults and adolescents over 15 years of age: 1-2 tablets 2-3 times a day, without chewing, with a small amount of liquid. Children: single dose - 1 tablet, maximum daily dose - 6 tablets (1.5 tablets 4 times a day), 8-11 years - 0.5 tablets, maximum daily dose - 4 tablets (1 tablet 4 times a day), 5-7 years - 0.5 tablets, maximum daily dose - 2 tablets (0.5 tablets 4 times a day). Parenterally (i.v., i.m.). For adults and adolescents over 15 years of age with acute severe colic, 2 ml are administered intravenously slowly (1 ml over 1 minute); if necessary, re-inject after 6-8 hours. V/mml solution 2-3 times a day. The daily dose should not exceed 10 ml. The duration of treatment is no more than 5 days. Dose calculation for children with IV and IM administration: 3-11 months (5-8 kg) - IM only - 0.1-0.2 ml; 1-2 years (9-15 kg) - IV - 0.1-0.2 ml, IM - 0.2-0.3 ml; 3-4 years (16-23 kg) - IV - 0.2-0.3, IM - 0.3-0.4 ml; 5-7 years (24-30 kg) - IV - 0.3-0.4 ml, IM - 0.4-0.5 ml; 8-12 years (31-45 kg) - IV - 0.5-0.6 ml, IM - 0.6-0.7 ml; years - IV and IM - 0.8-1 ml. Before administering the injection solution, it should be warmed in your hand.

Special instructions:

During treatment with the drug, it is not recommended to take ethanol. With long-term (more than a week) treatment, monitoring of the peripheral blood picture and the functional state of the liver is necessary. If agranulocytosis is suspected or thrombocytopenia is present, the drug should be discontinued. It is not permissible to use it to relieve acute abdominal pain (until the cause is determined). Use in nursing mothers requires cessation of breastfeeding. Intolerance is very rare, but the risk of developing anaphylactic shock after intravenous administration of the drug is relatively higher than after taking the drug orally. Patients with atopic bronchial asthma and hay fever have an increased risk of developing allergic reactions. Parenteral administration should be used only in cases where oral administration is not possible (or absorption from the gastrointestinal tract is impaired). Special caution is required when administering more than 2 ml of solution (risk of a sharp decrease in blood pressure). The IV injection should be carried out slowly, in the “lying” position and under the control of blood pressure, heart rate and respiratory rate. When treating children under 5 years of age and patients receiving cytostatic drugs, metamizole sodium should only be taken under medical supervision. For intramuscular administration it is necessary to use a long needle. It is possible that the urine may turn red due to the release of a metabolite (it has no clinical significance). During treatment, drivers of vehicles and persons engaged in potentially hazardous activities that require quick physical and mental reactions should be careful.

Interaction:

The solution for injection is pharmaceutically incompatible with other drugs. When administered together with H1-histamine blockers, butyrophenones, phenothiazines, tricyclic antidepressants, amantadine and quinidine, the m-anticholinergic effect may be enhanced. Enhances the effects of ethanol; simultaneous use with chlorpromazine or other phenothiazine derivatives can lead to the development of severe hyperthermia. Tricyclic antidepressants, oral contraceptives and allopurinol increase the toxicity of the drug. Phenylbutazone, barbiturates and other hepatoinducers, when administered simultaneously, reduce the effectiveness of metamizole sodium. Sedative and anxiolytic drugs (tranquilizers) enhance the analgesic effect of metamizole sodium. Radiocontrast drugs, colloidal blood substitutes and penicillin should not be used during treatment with drugs containing metamizole sodium. With simultaneous administration of cyclosporine, the concentration of the latter in the blood decreases. Metamizole sodium, displacing oral hypoglycemic drugs, indirect anticoagulants, corticosteroids and indomethacin from protein binding, can increase the severity of their action. Thiamazole and cytostatics increase the risk of developing leukopenia. The effect is enhanced by codeine, H2-histamine receptor blockers and propranolol (slows down the inactivation of metamizole sodium).

What is the difference between No-shpa and Spasmalgon?

What the drug Spazmalgon and No-shpa have in common is their purpose: they are used to relieve spasms. But the composition of these drugs is completely different, in No-shpe it contains drotaverine hydrochloride, while in Spazmolgon there is metamizole sodium. Spasmalgon can also relieve headaches, while No-shpa only relieves spasms of smooth muscles.

These medicines are not analogues.

Since they differ in composition and reasons for use.

So I usually take Nosh-pu for severe pain in the stomach (especially, it helps on critical days, with severe cramps).

But I usually take Spazmalgon for severe headaches, and it also relieves toothache quite well.

Good day.

The difference is in composition, active ingredients and effect.

The composition of the drug Spasmaglon includes three components:

metamizole sodium, which is a non-steroidal anti-inflammatory drug and has an analgesic effect;

pitofenone hydrochloride and fenpiverinium bromide - due to them, an antispasmodic effect is realized.

As for No-shpa, its active ingredient is drotaverine, an antispasmodic.

So, Noshpa and Spazmaglon are not analogues, although under certain conditions they can have an effect close to each other.

I always thought that No-shpa and Spazmalgon were essentially the same thing.

But it turned out that not everything is so simple.

So, the difference between No-shpa and Spazmalgon: the composition of No-shpa is the same drotaverine known to many since Soviet times; Spazmalgon contains Metamizole sodium.

Therefore, no-spa is a strong antispasmodic, and spasmalgon, in addition to relieving spasms, also relieves pain.

If no-spa is an antispasmodic, then Spazmalgon is an antispasmodic, i.e. When taking Spazmalgon, the effect comes from the action of three drugs:

Spazmalgon is available in tablets and ampoules for intravenous and intramuscular administration of the drug.

That is, taking into account the mechanism of action of these drugs, there are some preferences when prescribing them, so to speak, playing with the mechanism of their action.

Noshpa is preferable for pain in the intestines, attacks of cholelithiasis (kidney stones), chronic gastritis, cholecystitis, pancreatitis.

Spasmalgon is better where, in addition to the antispasmodic effect, an analgesic (pain reliever) is also necessary: ​​the condition after surgery, an attack of renal colic with urolithiasis (urolithiasis), limb injuries, attacks of migraines and other headaches.

No, these drugs are not analogues and the difference between them is obvious, it’s all about the completely different composition. As for spasmalgon, it not only relieves spasms, but also anesthetizes, while containing metamizole sodium plus pitofenone, as well as fenpiverinium bromide. But as for nosh-pa, it contains only an antispasmodic - drotaverine.

No, these are not analogues, even in normal pharmacies they are not recommended instead, although to some extent they have a common effect.

Even in terms of active ingredients they have a big difference:

Spasmalgon consists of two main substances: Metamizole sodium and Pitophenone.

No-spa is one main substance Drotaverine.

Spazmalgon contains sodium metamizole, which is essentially the same analgin. It relieves pain. In addition, this medicine contains the antispasmodic fenpiverinium bromide. They relieve spasms. But the spa only relieves spasms. Therefore, there is a difference between them.

These are different drugs with different compositions. No-spa is drotaverine, an antispasmodic.

Spasmalgon has a more complex composition: metamizole sodium (analgin) + Pitofenon (Pitofenonum) + Fenpiverinium bromide (antispasmodics), that is, spasmalgon is an antispasmodic analgesic.

If you look, then, in principle, both no-spa and spasmalgon belong to a group of drugs that can be called antispasmodic. Even from the name of the group it is clear that the main task of the drugs included in it is to relieve spasms. But, comparing the drugs noshpa and spasmalgon, it is worth noting that noshpa will relieve spasms, but will not relieve pain. It is best used when there are problems (painless) with the functioning of the stomach or intestines. This can include constipation and even an attack of angina. Spazmolgon differs from noshpa in that in addition to removing spam, it relieves pain.

Therefore, when choosing between these medications, everyone is guided by what they want to relieve.

Spasms and antispasmodics. drugs: papaverine, dibazol, no-spa, papazole, baralgin.

Spasms are involuntary contractions of the smooth muscles of internal organs and blood vessels. Unfortunately, many people are familiar with the pain that arises. To relieve pain, antispasmodics are prescribed (from the Greek “spasmos” - abbreviation and “lytikos” - capable of dissolving).

All antispasmodic drugs are divided into groups according to the direction of action: bronchodilators, vasodilators, etc. Special mention should be made of drugs that are used to eliminate spasms of the abdominal organs: stomach, intestines, biliary and urinary tracts. Spasms of these organs can be caused both by local causes (inflammation, stone formation) and by a violation of the coordinating functions of the central nervous system during vegetative neuroses. In this regard, antispasmodics are divided into myotropic, that is, acting directly on muscle fibers, and neurotropic, which eliminate spasms due to their effect on nerve elements.

Papaverine is considered the ancestor of antispasmodic drugs. It was isolated from the heads of the sleeping pill poppy back in 1848, but it became widely used only in the 20s of the last century, when its ability to eliminate muscle spasms was discovered.

As soon as papaverine was in the arsenal of doctors, it immediately became one of the most popular drugs, as it was considered a universal and very effective antispasmodic agent. It was prescribed for spasms of the abdominal organs, spasms of the blood vessels of the heart and brain, hypertension and other diseases. However, after some time it became clear that the use of papaverine to eliminate spasms of heart vessels is not effective. To dilate the blood vessels of the heart, the dose of papaverine had to be 2-4 times higher than the usual therapeutic dose. In addition, when taking it, the need of the heart muscle for oxygen increases, and the strength of its contractions decreases, which can worsen the patient’s condition.

Currently, papaverine hydrochloride is used mainly for spasms of smooth muscles of the abdominal organs (intestinal, renal, hepatic colic) - 1 tablet 3-4 times a day, as well as for spasms of cerebral vessels and obliterating endarteritis. In the treatment of hypertension, it is used in combination with other drugs: phenobarbital, nicotinic acid, etc.

In the 40s of the last century, a new drug was synthesized, called dibazol. Having the same general antispasmodic activity as papaverine, dibazole is superior to it as a treatment for unstable hypertension, having a more pronounced vasodilator and hypotensive effect. It is also used to relieve spasms of the smooth muscles of internal organs (stomach, duodenum). It should be taken 1-2 tablets 2-3 times a day 2 hours before meals or 2 hours after meals.

In addition, dibazol has an immunostimulating effect, that is, it increases the body's defenses, in particular in case of some infectious diseases. Taking 1 tablet of dibazol daily for 3-4 weeks is considered a reliable prevention of influenza.

Later, a complex drug papazole was created, which includes dibazole and papaverine. Unlike papaverine, papazole is more active and does not have significant side effects. It relieves spasms of the smooth muscles of internal organs, dilates the blood vessels of the heart and brain, lowers blood pressure, which makes it possible to use it to treat hypertension and even angina pectoris. Take papazole 1 tablet 2-3 times a day 2 hours before meals or 2 hours after meals.

In 1963, a drug called no-shpa was obtained in Hungary. Now it is one of the most universal antispasmodics. It is used for many diseases and ailments associated with increased tone of the smooth muscles of internal organs - kidneys, intestines, biliary tract, uterus. In addition, no-spa has the ability to moderately dilate blood vessels. This drug can be taken for headaches, intestinal, renal and hepatic colic, for premenstrual and menstrual syndromes, peptic ulcers of the stomach and duodenum, spastic colitis, for increased excitability of the uterus during pregnancy (especially if there is a threat of miscarriage), for exacerbations of urolithiasis .

However, despite such a wide range of applications, no-spa itself does not eliminate the cause of the disease, and therefore cannot be the main medicine in the treatment of a particular disease. So, in case of hypertension, after taking no-shpa, the tone of peripheral vessels decreases and blood pressure drops somewhat, but a hypertensive crisis, for example, cannot be stopped in this way.

No-shpa tablets can be taken even by children under 6 years of age (single dose - no more than 120 mg, daily dose - up to 120 mg), at the age of 6 to 12 years the daily dose increases to 200 mg. For adult patients, a single dose of the drug is mg, daily - no more than 240 mg. One tablet of regular no-shpa contains 40 mg of the active ingredient drotaverine hydrochloride, and a tablet of no-shpa forte contains 2 times more. Therefore, no-shpa forte should not be given to children.

No-spa also has a number of limitations and side effects. It is contraindicated for people suffering from severe diseases of the liver, kidneys and heart. Almost everyone who takes this drug for a long time experiences constipation. In some cases, after taking no-shpa, dizziness, nausea, palpitations, and a feeling of heat may appear. As a rule, such conditions disappear after 30 minutes and do not require special treatment.

In recent years, a number of less active, but safer antispasmodic drugs of plant origin have been obtained. Thus, the drug Avisan was created from the fruits of Ammi dentifrice, which has a relaxing effect on the smooth muscles of the ureters. It also reduces or relieves the pain of renal colic and promotes the passage of stones from the urinary tract. For acute and chronic cystitis (inflammation of the bladder), Avisan reduces dysuria (difficulty passing urine). Take it 1-2 tablets 3-4 times a day after meals. To facilitate the passage of stones from the urinary tract, it is recommended to drink plenty of fluids while taking the drug.

For spasms of the biliary tract and intestines, tanacechol is used, a drug made from tansy flowers. It is taken 1-2 tablets 3 times a day after meals. If necessary, the number of doses of the drug can be increased to 4 times a day.

Particularly popular are medications that contain both myotropic and neurotropic antispasmodics. Among them, the most famous are baralgin and tempalgin.

Baralgin is a combination drug that contains analgin. It has a pronounced analgesic and antispasmodic effect. It is widely used for pain caused by spasms of smooth muscles of internal organs (renal and intestinal colic, spasms of the stomach and biliary tract), as well as for migraines and angina. Take Baralgin 1-2 tablets 3 times a day. If you have intestinal and bladder atony, glaucoma, or severe hypotension, you should avoid taking this drug.

Spasgan, spasmalgol, trigan and maxigan also have a similar effect.

For biliary and renal colic and headaches, tempalgin, which contains tempidone and analgin, is often used. In addition to a pronounced analgesic effect, it has a mild calming effect. Take tempalgin 1 tablet 1-4 times a day. Contraindications for taking this drug are severe liver disease and decompensated heart disease.

If you don’t have any of these drugs at hand, to eliminate colic and spasms of the abdominal organs, you can use any antispasmodic prescribed for spasms of the blood vessels of the heart and brain, for example, nitrong, sustak, trinitrolong, nitrosorbitol, erinite. In case of a sudden attack of colic, people with a healthy cardiovascular system can safely take finoptin (verapamil), Cavinton, xanthinol nicotinate (Complamin), etc.

Remember that if you have abdominal pain, you should not take any medications without a doctor's instructions unless the cause of the pain is clearly established.

Spasmalgon ®

Pills white or almost white, round, flat, with a chamfer and a notch on one side.

Excipients: lactose monohydrate - 10 mg, wheat starch - 85.9 mg, talc - 6 mg, magnesium stearate - 4 mg, gelatin - 4 mg, sodium bicarbonate - 5 mg.

10 pieces. - blisters (1) - cardboard packs.

10 pieces. - blisters (2) - cardboard packs.

10 pieces. - blisters (5) - cardboard packs.

The drug contains: the non-narcotic analgesic metamizole sodium, the myotropic antispasmodic drug pitofenone and the m-anticholinergic drug fenpiverinium bromide.

Metamizole is a pyrazolone derivative. It has analgesic, antipyretic and anti-inflammatory effects. Pitophenone, like papaverine, has a direct myotropic effect on the smooth muscles of internal organs and causes its relaxation. Phenpiverinium due to its m-anticholinergic effect, it has an additional relaxing effect on smooth muscles.

The combination of the three components of the drug leads to pain relief, relaxation of smooth muscles, and a decrease in elevated body temperature.

Mild or moderate pain syndrome due to spasms of the smooth muscles of internal organs - renal and hepatic colic, spasmodic pain along the intestines, algodismenorrhea. Can be used for short-term symptomatic treatment of joint pain, neuralgia, sciatica, myalgia;

As an adjuvant it can be used to reduce pain after surgical and diagnostic interventions;

If necessary, the drug can be used to reduce elevated body temperature during colds and infectious and inflammatory diseases.

Adults and children over 15 years of age take orally (preferably after meals), usually 1-2 tablets 2-3 times a day. The daily dose should not exceed 6 tablets. Duration of administration is no more than 5 days.

Increasing the daily dose of the drug or the duration of treatment is possible only on the recommendation and under the supervision of a physician.

Dosages for children.

In children, the drug is used only as prescribed by a doctor.

Dosage for children 6-8 years old - half a tablet, 9-12 years old - three quarters of a tablet, years old - one tablet 2-3 times a day. Other dosage regimens are possible only after consultation with a doctor.

From the digestive system: burning sensation in the epigastric region, dry mouth.

From the nervous system: headache, dizziness, anticholinergic effects (decreased sweating, accommodation paresis, difficulty urinating).

From the cardiovascular system: decreased blood pressure, tachycardia, cyanosis.

From the urinary system: impaired renal function, oliguria, anuria, proteinuria, interstitial nephritis, red staining of urine.

From the hematopoietic organs: with long-term use - thrombocytopenia, leukopenia, agranulocytosis.

Allergic reactions: urticaria, bronchospastic syndrome, anaphylactic shock, Quincke's edema: erythema multiforme (including Stevens-Johnson syndrome), toxic epidermal necrolysis (Lyell's syndrome).

Hypersensitivity to nirazolone derivatives (butadiene, tribuzone), to other components of the drug;

Inhibition of bone marrow hematopoiesis;

Stable and unstable angina;

Chronic heart failure in the stage of decompensation;

Severe liver or kidney dysfunction;

Angle-closure form of glaucoma;

Prostatic hyperplasia with a tendency to urinary retention;

Intestinal obstruction and megalocon;

Pregnancy (especially the first trimester and the last 6 weeks);

Children's age up to 6 years.

Carefully and under the supervision of a physician, the drug should be used in patients with impaired liver or kidney function, with a tendency to arterial hypotension (systolic pressure below 100 mmHg), bronchospasm, as well as with increased individual sensitivity to non-steroidal anti-inflammatory drugs or non-narcotic analgesics.

Contraindicated in cases of severe renal impairment.

With long-term (more than a week) use of the drug, monitoring of the peripheral blood picture (leukocyte content) and the functional state of the liver is necessary. If agranulocytosis is suspected or thrombocytopenia is present, the drug should be discontinued.

During treatment with the drug, you should not drink alcohol.

The use of the drug in nursing mothers requires cessation of breastfeeding.

Impact on the ability to drive vehicles and operate machinery

In case of an overdose of the drug, the following may occur: symptoms: vomiting, a feeling of dry mouth, decreased sweating, impaired accommodation, decreased blood pressure, sniffling, confusion, impaired liver and kidney function, convulsions.

Treatment: gastric lavage, administration of activated carbon, symptomatic therapy.

The simultaneous use of Spazmalgon with other non-narcotic analgesics can lead to mutual enhancement of toxic effects. Tricyclic antidepressants, oral contraceptives, and allopurinol disrupt the metabolism of metamizole in the liver and increase its toxicity. Barbiturates, phenylbutazone and other inducers of microsomal liver enzymes weaken the effect of metamizole. Simultaneous use with cyclosporine reduces the level of the latter in the blood. Sedatives and tranquilizers enhance the analgesic effect of Spazmalgon.

When administered together with H1-histamine blockers, butyrophenones, phenothiazines, tricyclic antidepressants, amantadine and quinidine, the m-anticholinergic effect may be enhanced.

Enhances the effects of ethanol. Concomitant use with chloriromazine or other phenothiazine derivatives can lead to the development of severe hyperthermia.

X-ray contrast drugs, colloidal blood substitutes and penicillin should not be used during treatment with drugs containing metamizole sodium.

Metamizole sodium, displacing oral hypoglycemic drugs, indirect anticoagulants, glucocorticoids and indomethacin from protein binding, can increase the severity of their action.

Thiamazole and cytostatics increase the risk of developing leukopenia.

The effect is enhanced by codeine, H2-histamine receptor blockers and propranolol (slows down the inactivation of metamizole sodium).

If it is necessary to use these and other medications simultaneously, you should consult your doctor.

Spazmalgon and its analogue Spazgan differ only in the different auxiliary components in the composition.

Among them there is no better drug for relieving headaches; they are almost identical. Spazgan acts more aggressively when compared to Spazmalgon.

Letters from our readers

Subject: Grandma's blood pressure has returned to normal!

From: Christina ( [email protected])

To: Site Administration

Christina
Moscow

My grandmother's hypertension is hereditary - most likely, I will have the same problems as I grow older.

The scope of application of the drugs spazgan and spasmalgon is quite wide. These funds are used in the following areas of medicine:

• gynecology;
• gastroenterology;
• nephrology.

The direction of action of spazgan and spasmalgon is the same. They are used for the following indications:

• migraine;
• toothache;
• diseases of the genitourinary system;
• hepatic colic;
• cholelithiasis;
• menstrual pain;
• neurological pain.

The agents under consideration are united by the property of pain relief. The drugs relieve pain of varying localization and intensity. The effect is achieved by using both spasmalgon and spazgan.

pharmachologic effect

The action of spasmalgon and spazgan is the same.

The differences lie in the pharmacological action. The drugs contain various auxiliary components. The ingredients of the drugs cause an individual reaction.

The active ingredient metamizole sodium has a rapid effect. Its action includes:

• decreased receptor sensitivity;
• brain cell activity.

Other effects of the drug component:

• muscle relaxation process;
• exception of spasm.

Contraindications

Both spasmalgon and spazgan have contraindications. Each drug contains auxiliary components. The ingredients of medications cause individual reactions.

An individual reaction may include an allergy. Another name for a negative reaction is a side effect. The body’s reaction is individual, just as the human body is individual.

General contraindications include:

• acute surgical pathology;
• kidney and liver damage;
• decreased bladder tone;
• intestinal obstruction;
• vascular insufficiency;
• adenoma;
• pregnancy status;
• children up to 3 months old.

The drug spasmalgon and spazgan are used carefully. Because negative reactions are possible. Their use is undesirable in the following cases:

• asthma;
• allergy;
• high sensitivity;
• cold.

Instructions for use

Both drugs contain the substance metamizole sodium. The direction of action of spazgan or spasmalgon is as follows:

• anesthesia;
• decreased body temperature;
• analgesic effect.

For pain, it is enough to take one tablet. Especially if you have a migraine. The effect of application is achieved after half an hour. The greatest effectiveness is achieved by using injection.

Overdose

Using the drug in excess causes a negative reaction. Overdose leads to the following:

• hematopoietic disorder;
• blood pathology;
• vascular lesions;
• heart failure.

These drugs are not used often.

Main differences

Spazgan is produced by an Indian company. And spasmalgon in Bulgaria.

Spasmalgon has a weak effect. Spazgan acts more intensely.

Spasmalgon contains fewer excipients. Most of the components are found in spazgan. Thanks to these substances, the effect is enhanced.

These drugs are analogues. The more additives or excipients, the greater the risk of an adverse reaction.

Additives negatively affect the gastrointestinal tract.

What is the best treatment for headaches?

These drugs treat headaches in the same way. They have an analgesic effect.

Spazgan has higher efficiency. The headache goes away quite quickly.

The faster the effect, the better the drug. This is the opinion of many patients. Although the individual reaction of the body causes adverse reactions.

special instructions

The drugs are used strictly according to the instructions. Self-medication is contraindicated! If there are adverse reactions, the drugs are discontinued.

Use the products with extreme caution for the following pathologies:

• renal failure;
• liver pathologies;
• blood diseases.

Other analogues

There are enough analogues for the drugs. These include the following means:

• pentalgin;
• efferalgan;
• Phosicard;
• nevotens;
• selectra;
• vestibo.

These are not all analogues of drugs. The focus of the funds is the same. All products have an analgesic effect.

These drugs are used strictly for their intended purpose. Independent use of the products is contraindicated.

• use strictly according to instructions;
• compliance with dosage;
• be alert to possible side effects.