"Spazmalgon" refers to a group of painkillers with a strong effect. As a result of the intake, smooth muscles are relaxed, the patient gets rid of cramps and colic, and body temperature decreases. These are the main indications for the use of Spazmalgon.
Release form, composition and packaging
The drug is on sale in tablets and in the form of a solution.
- Tablets. Packaged in 20 pieces per pack. They are more popular due to their ease of use.
- The drug is in liquid form, 2 or 5 ml per ampoule. It is injected into a muscle or into a vein.
The components of one tablet of the drug:
- analgin (metamizole sodium) - 0.5 g;
- pitophenone hydrochloride - 0.005 g;
- fenpiverinium bromide;
- other components: acidic salt of carbonic acid and sodium, natural sugar from milk (or dairy products), talc, salt of magnesium and stearic acid, wheat starch, hydrolyzed collagen protein.
The composition of the liquid form of the drug per 1 ml:
- metamizole sodium - 0.5 g;
- pitophenone hydrochloride - 0.002 g;
- fenpiverinium bromide;
- other components, water.
pharmachologic effect
The main components of the drug interact with each other, enhancing their effect. Thanks to this, the effectiveness of Spazmalgon increases.
- metamizole sodium stops inflammatory processes, acts as an analgesic;
- pitophenone hydrochloride weakens muscle cramps and eliminates the cause of pain;
- fenpiverinia bromide helps relieve smooth muscle tension by relaxing it.
The general effect of the drug: relieving cramping, eliminating heat and temperature, getting rid of pain.
"Spazmalgon" stops attacks of pain in 15-45 minutes after application. Time is due to the form of the drug used:
- tablets need more time for exposure;
- drug injections act for a shorter period.
The effect of the drug weakens gradually, stops after 6–9 hours. "Spazmalgon" not only helps relieve pain, but also eliminates the spasm that causes this pain.
Pharmacokinetics
The components of the product in a short period of time are completely absorbed from the digestive tract. Metamizole sodium is well absorbed in the liver, the body is released from it when urine leaves.
The intensity of absorption, absorption and excretion of the components of the drug is different. It will depend on the susceptibility and general condition of the patient.
Indications
Indications for use of Spazmalgon are as follows:
- pain arising for various reasons (mild and acute);
- convulsive contractions and contractions of smooth muscles (cramps);
- pain during the menstrual cycle;
- pain during urination;
- cold, fever;
- diseases of the urinary system;
- problems with the elimination of bile with dyskinesia;
- postoperative pain;
- various inflammations;
- acute, repeated attacks of pain in the liver, kidneys or gastrointestinal tract;
- pain as a result of problems with the musculoskeletal system;
- problems with teeth, destruction of enamel, inflammation of the gums, pulp.
Indication for the use of "Spazmalgon" is a headache. This is one of the most common reasons for using the drug.
Very strong or sudden pains are characteristic indications for the use of Spazmalgon in injections. In this form, the drug acts most quickly.
Indications for use of tablets "Spazmalgon" is a painful syndrome that is not so pronounced. According to patients, tablets are convenient to use anywhere, anytime.
Important! The drug helps to get rid of pain and cramps, but it is not a therapeutic agent and does not eliminate the causes of diseases.
Contraindications
For some patients, the drug is not suitable for use. If there are contraindications, then you should refrain from treatment with Spazmalgon. The reasons for refusing the drug are:
- allergy to constituents;
- individual intolerance to the components of the drug;
- poor or improper functioning of the liver and kidneys;
- the period of bearing a child or breastfeeding;
- cardiac arrhythmia;
- insufficient production of glucose-6-phosphate dehydrogenase enzyme;
- coronary heart disease and angina pectoris;
- low or incomplete bowel obstruction;
- eye diseases caused by the closure of the angle of the anterior chamber of the eyeball;
- cardiovascular failure or collapse;
- prostatitis;
- age restrictions.
Attention! Patients with impaired liver and kidney function should be especially careful. If the use of the drug is necessary, then you should definitely consult a doctor and be guided by its recommendations.
How to use the drug
The permissible dosage is determined based on the age category of patients. For safe treatment, it is necessary to study the complete instructions "Spazmalgona." It is attached to the package.
- starting from 15 years of age and older, it is allowed to take 1-2 tablets 2-3 times a day;
- for such patients, up to 6 tablets are allowed daily (this is the maximum possible amount);
- at the age of 13-15 years, 2-3 tablets per day are considered the norm, 1 each;
- for ages 9 to 12 years - three quarters of 1 tablet several times daily;
- for the smallest patients, from 6 to 8 years, the permissible dosage is half a tablet 2-3 times in 24 hours.
Do not take pills on an empty stomach. They must be washed down with a sufficient amount of liquid. Many patients note that 2-3 tablets per day are sufficient for severe pain. The effectiveness of the drug is quite high.
Another way to determine the norm of the drug for children is the weight of the baby:
- at 6–8 kg, the drug can be administered intramuscularly, up to 0.2 ml;
- 9-14 kg - intravenously 0.2 ml or intramuscularly 0.3 ml;
- at 15–22 kg 0.3 ml of the drug is allowed intravenously and 0.4 ml intramuscularly;
- 23-29 kg allow you to enter 0.4 ml into a vein and 0.5 into a muscle;
- at 30–45 kg, 0.6 ml of the drug is acceptable intravenously or 0.7 intramuscularly.
Adverse Reactions and Overdose
Adverse reactions from the drug appear in the form of:
- various allergic reactions;
- skin rashes;
- manifestations of itching;
- deterioration in the general condition of the patient;
- vomiting, dry mouth;
- exacerbation of chronic diseases of the gastrointestinal tract;
- the appearance of Quincke's edema: partial or complete enlargement of the face or limb.
The manifestation of adverse reactions is extremely rare. The main thing is to observe the indications for the use of "Spazmalgon", contraindications for use should also be kept under control.
If the permissible dosages are exceeded, the following can be observed:
- problems in the liver and kidneys;
- difficulty breathing or respiratory paralysis;
- disturbances in the gastrointestinal tract;
- impaired function of the formation and maturation of blood cells;
- the occurrence of acute allergic reactions;
- in severe forms, symptoms of an effect on the brain are manifested.
If the dosage of the drug has been exceeded or side effects have appeared, then the patient needs the help of a doctor. Some measures can be taken independently:
- refuse to use the drug;
- completely rinse the stomach and release it from the remnants of the product;
- take activated carbon or another sorbent.
special instructions
Even if there are indications for the use of "Spazmalgon", some features must be taken into account.
The use of "Spazmalgon" for more than 6 days requires special control of the content of white blood cells (white blood cells). You should also pay attention to liver function (especially if there are diseases or disorders in its work).
A sharp decrease in the number of white blood cells and problems with blood coagulation are reasons for stopping the drug.
It is forbidden to combine alcohol with medicine. Particular care should be taken when using the drug and driving or in other situations requiring increased concentration.
According to experts, following the instructions and directions for use, the drug does not cause side effects.
Can I use it in children or during pregnancy
It is forbidden to take "Spazmalgon" to women during pregnancy or while breastfeeding. This is especially dangerous in the first 13 weeks and from 14 to 27 weeks of pregnancy. Otherwise, complications in the development of the fetus are possible.
If the drug was prescribed by a doctor for a nursing mother, then for the period of treatment it is necessary to interrupt breastfeeding. This will help prevent the baby from getting the medicine with milk. It is advisable that the attending physician select suitable analogues.
Children under the age of six are also prohibited from using the drug. Older children (6-15 years old) may use the drug if there is no more suitable alternative. If there are indications for the use of Spazmalgon, then this must be done under the supervision of a doctor.
Drug interaction. Analogues of the drug
Indications for the use of the drug "Spazmalgon" require careful attention to their compatibility with various drugs.
The simultaneous use of "Spazmalgon" and other analgesic drugs enhances the toxic effect of both drugs.
Contraceptives for oral administration, tricyclic antidepressants affect the detoxification of the body, as they slow down the metabolism of analgesics.
Some drugs that activate liver enzymes lead to a weakening of the main active element of Spazmalgon.
Means for calming the nervous system and relieving stress increase the effectiveness of the drug in eliminating cramping.
A single use with antihistamines, anticholinergic, antipsychotics in some cases provokes an increase in temperature and an accumulation of excess heat.
The content of metamizole sodium is incompatible with the simultaneous use of liquids - blood and plasma substitutes, X-ray diagnostics.
The most famous drugs with a similar effect are: "Spazgan"; "Renalgan"; "Spazmogard"; Baralgetas.
How to store the drug, shelf life
Proper storage conditions will help preserve the medicinal properties of the drug. Necessary conditions are: dryness and limited access to sunlight. For safety reasons, it is necessary to limit children's access to medicine.
Spazmalgon tablets are suitable for use for two years. The liquid form for injection is stored for 4 years from the date of release.
Price "Spazmalgona"
The medicine can be freely purchased at the pharmacy without a doctor’s prescription. The patient should independently take into account the indications for use. The price of Spazmalgon is acceptable. In various pharmacies "Spazmalgon" can be bought for 180-360 rubles.