Unfortunately, spasms of internal organs are a very common problem. Soreness adversely affects the patient's condition, reduces the quality of life and slows down the healing process. Fortunately, modern medicine offers a lot of antispasmodics. In particular, the drug "Spazmalin" is considered quite good. Instructions for use, indications and contraindications, side effects and cost - all these are extremely important questions for patients.
The composition and form of the drug
Doctors quite often prescribe antispasmodics for the intestines to patients, in particular, “Spasmalin”. This medication is available in the form of tablets and injection. The main active ingredients of the tablet are metamizole sodium (500 mg), fenpiverinium bromide (0.1 mg) and pitophenone hydrochloride. As auxiliary components, the preparation contains colloidal silicon dioxide, sodium starch glycolate, as well as talc and magnesium stearate.
In the solution for injection there are the same active substances, only with a different dosage. One ampoule (its volume is 5 ml) contains 2.5 g of metamizole sodium, 10 mg of pitophenone hydrochloride and 100 μg of fenpiverinium bromide. The basis for the solution is purified water and citric acid monohydrate diluted in it. The medicine is sold in dark glass ampoules, five in one blister.
The main pharmacological properties
This medicine is a combination drug that has a wide spectrum of effects. In particular, metamizole sodium is a derivative of pyrazolone and today is considered one of the most effective substances - analgesics. It has a pronounced analgesic effect, and also partially affects body temperature, eliminating fever. In addition, this component affects the synthesis of prostaglandins, thereby halting the further development of the inflammatory process.
Pitophenone is an antispasmodic substance that acts on smooth muscles and has a myotropic effect, thereby causing muscle relaxation. At the same time, fenpiverinium bromide also has antispasmodic properties, as it is an m-anticholinergic.
The drug "Spazmalin": indications for use
In what cases is it advisable to take this drug? In fact, doctors quite often prescribe the drug "Spazmalin." Indications for use are pain caused by a spasm of smooth muscles of the internal organs.
For example, the drug effectively relieves pain in intestinal, renal and biliary colic. It also alleviates the condition of patients suffering from spasm of the ureter and bladder, biliary dyskinesia, chronic colitis, postcholecystectomy syndrome. In addition, pills and injections help relieve pain caused by diseases of the pelvic organs.
Short-term use is indicated for patients diagnosed with myalgia, sciatica, and various types of neuralgia and arthralgia. The drug "Spazmalin" (ampoules) is prescribed to eliminate the pain syndrome that has arisen against the background of diagnostic procedures or surgical intervention.
The drug "Spazmalin": instructions for use, dosage
It’s worth saying right away that only a doctor can prescribe a drug. As a rule, patients are advised to take 1-2 tablets 2-3 times a day, depending on the severity of the symptoms. It is best to drink the drug after eating. The maximum allowable daily dose is 6 tablets.
For children under 15 years of age, the dose is determined individually and only by the attending physician. As a rule, adolescents aged 13 to 15 years take one tablet 2-3 times a day. Children aged 9-12 years drink ¾ tablets 2-3 times a day. And a single dose for children 6-8 years of age is 0.5 tablets.
How to use the Spazmalin solution? Instructions for use (injections) contain only general recommendations. The medicine can be administered intravenously, but the procedure must be slow, and a single dose should not exceed 2 ml. Intramuscularly administered 2-5 ml 2-3 times a day. The maximum daily dose of the solution is 10 ml.
Are there any side effects?
Before starting treatment, patients, as a rule, are interested in questions about what complications a spazmalin drug may lead to. Instructions for use and reviews of doctors indicate that therapeutic doses of the drug are most often tolerated very well, without any side effects. Nevertheless, some deterioration is still possible.
For example, some patients have an allergic reaction, which is accompanied by the appearance of itching, skin rash and redness, swelling, in extreme cases, anaphylactic shock. Sometimes there is pain in the epigastrium, as well as dry mouth. If a person has a tendency to bronchospasm, it is possible to develop attacks of varying severity.
Side effects also include dizziness, tachycardia, decreased blood pressure, cyanosis. Prolonged use of the drug can lead to disruption of blood formation processes.
Extremely rare adverse reactions include toxic epidermal necrolysis, incision of accommodation, violation of sweating, as well as various disorders of the kidneys, including interstitial nephritis, anuria, proteinuria, oliguria, and urinary retention.
The main contraindications to therapy
Of course, many people are interested in questions about whether the drug "Spazmalin" has any contraindications. Instructions for use indicate that not all categories of patients are allowed to take this medicine. In particular, the following conditions include contraindications:
- hypersensitivity to any of the constituent components, as well as an allergy to pyrazolone derivatives;
- violation of normal blood formation in the bone marrow;
- tachyarrhythmia;
- severe, severe forms of hepatic or renal failure;
- angle-closure glaucoma;
- severe angina pectoris;
- lactation and pregnancy (especially in the first and last trimester);
- megacolon;
- intestinal obstruction;
- prostatic hyperplasia, which is accompanied by severe clinical symptoms;
- children's age up to 3 months (for solution) or 5 years (for tablets);
- tendency to lower blood pressure;
- hypersensitivity to non-steroidal anti-inflammatory drugs;
- collapse;
- glucose-6-phosphate dehydrogenase deficiency.
Before starting therapy, be sure to provide the doctor with all the information he needs about your state of health, the drugs you take, etc. If there is a contraindication, the doctor will help you choose another remedy - there are a variety of antispasmodics for the intestines and other organs that will help alleviate your condition.
Overdose: symptoms and treatment
Many people are interested in questions about what the use of too much Spazmalin can lead to. The instruction, as well as statistics, indicates that cases of overdose are rarely recorded. Nevertheless, this is possible, so you should familiarize yourself with the complications.
Against the background of taking too large a dose, nausea and vomiting may occur. In more severe cases, blood pressure decreases, drowsiness, confusion, and convulsions appear. Some patients complain of severe pain in the stomach. Sometimes there is a violation of the normal functioning of the kidneys and liver.
In the presence of such symptoms, the patient must be urgently taken to the hospital. If possible (if the drug was taken recently), gastric lavage is performed. In other cases, symptomatic therapy is needed, which is aimed at supporting the work of the body (for example, drugs are prescribed to maintain normal blood pressure, etc.).
How much is the medicine?
In fact, today many patients are interested in questions about the cost of Spazmalin. The price, of course, will differ, since the figure depends on the form and dose of the drug you have chosen, as well as the manufacturer, the price policy of the pharmacy, etc.
For example, a package of 20 tablets costs from 100 to 170 rubles. But for 100 tablets you will have to pay 400-500 rubles. Slightly different prices for injectable solutions - five ampoules of 5 ml each cost about 70-100 rubles. A package with 25 ampoules will cost about 320-450 rubles.
Are there any effective analogues?
For one reason or another, far from every person suffering from spasms, the drug "Spazmalin" is suitable. Analogues of the drug, of course, exist, and many of them very effectively relieve soreness.
For example, to eliminate spasms, the doctor often recommend Maxigan. Also, Baralgin, Rennel, and Minalgan are considered good analogues. About the same effect is exerted by such drugs as Spazmalgon, Spaznil, Trigan and Zologan.
In any case, it is worthwhile to understand that only the attending physician can choose a really good substitute. Therefore, in no case do not try to try any drugs on yourself without first consulting with specialists. Self-medication and non-compliance with the recommendations of a doctor can lead to serious complications.