In acute pain attacks, medications come to the rescue, which in a few minutes remove unpleasant sensations. One such tool is Spazgan. Analogues of the drug also exist, but before buying, you should familiarize yourself with their composition and instructions for use. This will help to avoid side effects of drugs on the body.
Spazgan - what is this drug?
Before choosing an analogue of "Spazgan", it is worth familiarizing yourself with the effect of the drug, its composition and contraindications. "Spazgan" refers to the group of NSAIDs (non-steroidal anti-inflammatory drugs), the pharmacy is presented in 2 forms - tablets and injection. In patients, the first form is more popular due to ease of use.
The main active substance is sodium metamizole, it is 500 mg in one tablet. This is a derivative of pyrozolone, which has an antipyretic and anti-inflammatory effect. Metamizole also provides the analgesic effect of the drug, belongs to the group of non-narcotic analgesics. In addition to it, Spazgan includes:
- fenpiverinia bromide - in 1 tablet 0.1 mg, provides anticholinergic effect;
- pitophenone hydrochloride - in 1 tablet of 5 mg, belongs to myotropic antispasmodics, helps to relax smooth muscles.
Indications for medication
Assign "Spazgan" in the following cases:
- dysmenorrhea, pain in the premenstrual period in women;
- pain and intestinal cramps;
- attacks of hepatic and renal colic;
- spasms of smooth muscles of internal organs;
- pain after surgery and some diagnostic procedures;
- neuralgia, sciatica, joint pain;
- headaches and joint pains with flu and other infectious and inflammatory diseases.
It is important to remember that "Spazgan" does not eliminate the cause of the pain, it only removes unpleasant symptoms for a while, therefore it is prescribed only in a comprehensive therapeutic regimen. The average cost of tablets in a pharmacy is from 90 to 180 rubles, which depends on the region and the pricing policy of the network.
Contraindications
There are conditions and situations when taking "Spazgan" is strictly contraindicated. It is not prescribed for pregnant women in the first and last trimester, during lactation, with severe liver and kidney dysfunctions, individual intolerance to the components of the drug, with systemic blood diseases and babies up to 5 years of age.
In this case, you can replace the "Spazgan" analog.
Similar medicines: list
In the instructions for use for "Spazgan" analogues are usually not indicated, to replace it is worth consulting with your doctor, who will help you choose the drug taking into account contraindications and the condition of the patient.
The list of the most effective substitutes for the drug "Spazgan" includes:
- "Baralgin";
- Maxigan
- "Spazmalin";
- Renalgan;
- Cyclopar
- Andipal;
- Reonalgon;
- "Took";
- "Spazmogard".
The following medicines are equivalent to Spazgan in Europe: Spazmoblok (Bulgaria), Baralgetas (Serbia), Spazmalgon (Serbia, Bulgaria).
Andipal
The cheap analogues of Spazgan include the Andipal medicine, which has practically the same composition and effect. In addition to the main active substances, phenobarbital is also included in it, which provides a sedative effect.
In addition to the analgesic and antipyretic effects, Andipal dilates the peripheral vessels and vessels of the brain, which makes it advisable to use it with high blood pressure. The active ingredients of the drug relieve spasms of the smooth muscles of the internal organs and eliminate pain.
It must be remembered that the presence of phenobarbital eliminates the possibility of using the drug during work that requires an increased concentration of attention, and when driving vehicles.
Other contraindications to the medication include the entire period of pregnancy and lactation, blood diseases and impaired kidney and liver function. Also, Andipal is not prescribed for children under 18 years of age.
In the case of individual intolerance to the active substances of the drug, allergic reactions can occur, and if the recommended dosage is exceeded, in rare situations, cases of leukopenia are recorded.
Concomitant use of Andipal with drugs containing ethanol is not recommended.
The average cost of a blister with 10 tablets is 50-60 rubles.
"Baralgin"
This is a complete analogue of Spazgan. In pharmacies, the patient can buy Baralgin in the form of suppositories, tablets and an injection. The cost of the drug is in the range from 70 to 300 rubles, depending on the number of tablets in the package.
Indications for the use of this analogue of "Spazgan" are painful menstruation, dysmenorrhea and algomenorrhea, renal colic provoked by urolithiasis, the need to urgently relieve spasms of blood vessels, including the brain.
As a rule, patients respond positively to the effectiveness of this Indian drug. Only in rare cases in reviews can one find mention of allergic reactions that are caused by individual sensitivity to the components of the medication.
"Baralgin" is not prescribed for any period of pregnancy, since its use can provoke a miscarriage or premature birth. Also, an absolute contraindication is the period of breastfeeding and children under 16 years of age.
Renalgan
Renalgan is another complete analogue of Spazgan tablets. In addition to relieving muscle spasms, it contributes to anesthesia for neurological problems (sciatica, neuralgia, pinched nerve, arthralgia), which is why it is used in the complex treatment of such diseases.
The cost in pharmacies ranges from 90 to 200 rubles, the patient can purchase medicine without a doctor’s prescription.
Due to the fact that the main active substance passes into breast milk, during the treatment with Renalgan it is necessary to interrupt breastfeeding and transfer the baby to the mixture. It is also forbidden to be treated with the drug at any stage of pregnancy and in children under 15 years of age.
An absolute contraindication to the prescription of the drug is heart disease (ischemia, decompensated insufficiency) and cardiac arrhythmias (bradycardia, tachycardia).
In patients' reviews of the drug "Renalgan" mentions the speed of the drug and good tolerance. However, in the case of individual sensitivity, allergic skin reactions (rash, itching) were noted, which independently passed after discontinuation of the drug.
Maxigan
This medicine is also an analogue of Spazgan in Russia, but the drug is produced in India. Its composition is identical to all of the above. The main active ingredient is the same metamizole sodium (analgin). But the cost of the drug is slightly lower and starts at 40 rubles per pack of 10 tablets.
It is indicated for short-term treatment of neuralgia, for pain relief after injuries and surgical interventions, for painful menstruation and for lowering the temperature in infectious and inflammatory diseases. Like all drugs containing analgin, it is prohibited during pregnancy and lactation, with diseases of the cardiovascular system and congenital deficiency of glucose-6-phosphate dehydrogenase.
Judging by patient reviews, Maxigan is less effective than Spazgan or Baralgin, but this may be due to the individual characteristics of each individual.
Drugs without analgin
The presence of an impressive list of contraindications forces patients to look for analogues of Spazgan without analgin in the composition. Similar antispastic and analgesic effects have drugs from the group of lubricants, the most famous and effective of which is considered to be No-Shpa.
In this medicine, another active substance is drotaverine hydrochloride, so it can be called, rather, not an analog, but a substitute with a similar effect. Drotaverin also has a relaxing effect on smooth muscles and relieves spasticity.
It is prescribed for hepatic and renal colic, with gynecological problems and headache.
The list of contraindications "No-Shpy" is significantly shorter. It includes individual intolerance to the main active substance, heart failure, severe kidney and liver disease.
Pregnancy is not included in the list of absolute contraindications, since the studies did not reveal the negative impact of drotaverine on a woman’s health and fetal development. However, this does not mean that you can take the medicine without consulting a gynecologist.
Patient reviews on the use of No-Shpy are mostly positive, the effectiveness of the drug and the absence of adverse reactions are noted.
The list of antispasmodics can also include drugs such as Drotaverin, Papaverine, Dibazol and Bellastesin. All of them belong to the group of peripheral vasodilators.