“No-Shpa” for abdominal pain is one of the most famous medicines. This drug is in great demand among patients due to its affordable cost and effectiveness. Its use is intended for aching, cramping, spastic pains that are localized in the gastrointestinal tract. The medication copes well with pain in peptic ulcer and gastritis, relieves them.
The composition of the drug and its effect on the body
Why take "No-Shpu" for abdominal pain? The drug primarily produces an antispasmodic effect on smooth muscle by inhibiting the functioning of an enzyme called phosphodiesterase-4, due to which the concentration of cAMP rises, which inactivates the light chain of myosin kinase. As a result, the muscles relax, that is, the spasm in the muscle tissue is eliminated.
Drotaverine hydrochloride is the main component of the drug.
Its main form is injections or tablets. Regardless of its type, the maximum amount of the active component in the blood plasma is observed one hour after consumption and is equal to 65% of the entire dosage.
Drotaverin and other active substances combine with proteins, distributed evenly in muscle tissue, and the central nervous system barriers are not violated.
During pregnancy, a certain amount of medication can penetrate the placenta. Its metabolism is carried out in the liver, and it begins to be excreted after a few hours from the patient's body with feces and urine, however, complete excretion occurs after three days. In urinalysis, the components of the drug are not observed unchanged.
Description of the drug: brief instructions for the patient
The drug is dispensed in pharmacies without a prescription, but it is still recommended to consult a specialist on issues of its use.
Does No-Shpa help with stomach pains? This is a common question. Indications for use of this drug most often become:
- Cholecystitis.
- Headaches of tension.
- Cystitis.
- "No-Shpa" for pain in the stomach is very effective. She relieves cramps with an ulcer or gastritis.
- Pancreatitis
- Spastic colitis accompanied by constipation.
- Dysmorrhea (menstruation, which are difficult). "No-Shpa" for pain in the lower abdomen is indispensable.
Contraindications
The main contraindications of “No-Shpy” for abdominal pain are excessive sensitivity to the constituent components, renal, cardiac and liver failure. During pregnancy and breastfeeding, you can drink the medicine very carefully, since the danger of affecting the baby is not ruled out.
Until six years of age, tablets are not allowed to be given to children. Clinical studies to objectively consider the effect of the drug on the baby's body have not been conducted.
How to take No-Shpu for pain in the stomach?
Features of the drug
The dosage of the drug is determined by the characteristics of the pain, their intensity and duration, as well as the age of the patient. It is preferable to consult a doctor before use, who will select the optimal dose for the patient.
This is one of the most effective antispasmodics that helps relieve flatulence, discomfort and severe pain in the stomach.
If there is no possibility of consulting with a doctor, you should know some features. "No-Shpa" for abdominal pain is taken orally, it must be washed down with a sufficient volume of water. You can not use the drug on an empty stomach, it is best to do this twenty minutes after eating. The maximum dosage is 240 milligrams.
Use pattern
The following drug intake is recommended:
- patients under six years of age - one tablet once a day;
- from six years - twice a day, one tablet;
- adult patients - three times a day, one tablet.
During pregnancy and breastfeeding, it is allowed to drink two tablets during the day. The duration of the use of No-Shpy for abdominal pain is no more than three days.
Feasible side effects
During the use of the drug, side effects such as insomnia, constipation, shortness of breath, dizziness, nausea, sweating, swelling, vomiting, increased pain symptoms, a drop in blood pressure, and an allergic reaction can appear. If side effects occur, you should immediately stop taking the medicine and get a doctor's consultation.
Analogs of No-Shpy for spastic pain
It is important to know that the daily dosage of No-Shpa is 240 milligrams. It is forbidden to independently increase it. To enhance the effectiveness of this dose, it should be divided into three doses. However, its use is irrational in chronic pain in a patient.
In order to stop the pain in a timely manner, one should be aware of the cases in which certain drugs are used and which analogues exist. If unpleasant sensations are localized in the stomach and abdominal cavity, many experts advise taking Mezim. In addition, this medication relieves heartburn in the morning and discomfort after a heavy meal. Also, in some cases, you can take the drug "Maalox". This drug reduces the content of hydrochloric acid, because of which the pain goes away. The duration of the onset of the effect of the mentioned drugs is approximately forty minutes.
If heaviness is felt in the epigastric region, activated charcoal should be taken. It perfectly eliminates overeating, food poisoning, removes toxic substances, bacteria and waste from the human body. Its natural composition does not cause side effects in patients. It can also be used in pediatrics. The main advantage of activated carbon is its excretion through the intestines, as well as the fact that it is not absorbed into the blood.
"No-Shpa" with an intestinal upset very quickly helps relieve pain. It is also an excellent tool for eliminating cramping in the peritoneum. This medication allows the intestinal muscles to relax. It can be used even by children in order to eliminate the neurogenic narrowing of the digestive tract.
Another analogue of No-Shpa is Drotaverin. His indications for use are as follows: stomach pain, inflammation in the gall bladder, excessive gas formation, biliary dyskinesia.
To get rid of spastic pain during uterine contractions, gynecologists prescribe "Papaverine hydrochloride" to patients. Thanks to him, the muscles of the pelvis are relaxed, but the pain is not so much relieved.
Among the current antispasmodic drugs, it is necessary to highlight calcium and sodium potassium inhibitors. With their help, a quick result is provided, they differ in the minimum number of negative manifestations in comparison with other antispasmodic drugs.
The following drugs have gained popularity:
- Alverina Citrate;
- "Browid Pinaverium";
- Mebeverin.
With the manifestation of gastric pain due to a psychogenic factor, it is necessary to take strong antidepressants. Such drugs can only be prescribed by a specialist.
A combined drug “Spazmalgon” also has a good effect. Its actions are as follows: anti-inflammatory, myotropic, analgesic. Promotes the speedy relaxation of the muscles of the intestines and internal organs. It is taken in the following cases: with intestinal colic, dysmenorrhea, kidney failure, biliary dyskinesia. It is administered intramuscularly or intravenously. Do not take more than a daily dosage equal to ten milligrams. The duration of treatment is five days.
If all the medicines listed above do not help, specialists can prescribe narcotic analgesics to the patient: Promedol, Morphine, Tramadol and Fentanyl.
Compatibility with other drugs
In some cases, two antispasmodics are prescribed to quickly eliminate painful symptoms. In this case, drotaverine will enhance the effect of another anesthetic. But with simultaneous administration with morphine, the effect of the drug will decrease.
The following drugs are prescribed as a complex treatment : antispasmodics (for example, Drotaverinum); analgesics; antacids (that is, substances that help reduce the destructive effect of acids on the mucous membranes); enterosorbents (remove toxins from the body).
With the intramuscular administration of the No-Shpa drug, the risk of hypotension increases, and therefore it is not recommended to use it simultaneously with drugs that contain procainamide and quinidine.
An antispasmodic reduces the effect of Levodopa. With this combination, trigidity and tremor may increase.
It goes well with phenobarbital, due to which the antispasmodic effect is increased.
Often, in combination with No-Shpa, for pain in the abdomen, valerian extract, Persen, and Drotaverin are prescribed for gastrointestinal tract pathologies, severe diarrhea, and nervous disorders. It is shown to use one or two tablets three times a day, which depends on the symptoms of the disease.
Reviews
Many patients are satisfied with No-Shpo due to its effectiveness and affordable cost. It does not fail with spasms, it helps with exacerbation of pathologies of the gastrointestinal tract.
There are also negative opinions that state the lack of proper influence, when the pain only dulls, but is not completely eliminated.
Not everyone is equally helped by No-Shpa from abdominal pain.