Spazmalgon x 20 Tablets

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Spazmalgon*20 Tablets

Category: Medicine

1. What is Spazmalgon, and what is it used for?

Spazmalgon is a medicinal product that combines analgesic and relaxing smooth muscle effects.

It is used for symptomatic treatment of mild or moderate pronounced pain syndrome due to spasms of the smooth muscles of internal organs.

It helps in the following cases:

Renal stone disease and inflammatory diseases of the urinary tract, accompanied by pain and interference in the process of urination;
Stomach and intestinal colic, gallstones, biliary dyskinesia;
Painful menstruation.

Spazmalgon is a round, flat tablet scored on one side, white or nearly white.

2. What should you know before you take Spazmalgon tablets?

As with any other medicine, there are contraindications.

Do not use Spazmalgon:

If you have an allergy to any of the active ingredients or the excipients;
If you have gastrointestinal obstruction and megacolon (dilation of the colon);
If you suffer from difficulty in emptying due to weakness of the muscles (atony) and gall bladder;
In severe renal and hepatic failure;
In certain blood disorders (changes in the cell composition of blood such as agranulocytosis, which is a severe reduction or complete absence of white blood cells in the blood) and leucopenia (reduced white blood cell counts in the blood);
In some congenital diseases (such as deficiency of glucose-6-phosphate dehydrogenase and porphyria);
Glaucoma – acute glaucoma characterised in that the intraocular pressure increases very quickly;
During pregnancy and breastfeeding.

Take special care with Spazmalgon

The product should be used with caution in patients with the following health conditions:

Impaired renal and/or hepatic function;
Some stomach disorders such as achalasia (the inability of the lower esophageal sphincter to open in swallowing and lack of normal peristalsis in the esophagus, gastroesophageal reflux disease, pyloric stenosis);
An enlarged prostate;
Overactive thyroid gland (hyperthyroidism);
If there is a tendency to low blood pressure (hypotension);
Severe heart rhythm disorders;
Ischemic heart disease (especially recent myocardial infarction);
Advanced congestive heart failure;
Chronic bronchitis and bronchospasm (due to an increase in the density of bronchial secretions);
Known hypersensitivity to NSAIDs, non-narcotic analgesics, or other allergies (allergic rhinitis, bronchial asthma).

Warning!

With prolonged product intake (more than one week), control of peripheral blood counts and functional condition of the liver is required.

Metabolites (degradation products) of Metamizole can colour the urine red, which has no clinical significance.

The product could affect the psychophysiological state of patients during concomitant use with alcohol and products inhibiting the function of the central nervous system.

Taking Spazmalgon with other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Metamizole increases the content of antiparasitic chloroquine in the blood, reduces the effects of coumarin anticoagulants (products that reduce blood clotting), and the effects of cyclosporine.

Enhances the suppressive effect on the hematopoietic function of bone marrow.

Tricyclic antidepressants, oral contraceptive products, and allopurinol violate the metabolism of Metamizole and increase its toxicity.

Barbiturates, phenylbutazone (and other products that increase the breakdown of liver function) may reduce the effects of Metamizole.

The soothing nervous system drugs (sedatives and tranquilisers) enhance the analgesic effect of Spazmalgon.

Concomitant use of Spazmalgon with other painkillers (analgesics) and NSAIDs increases the risk of hypersensitivity reactions and other side effects.

Metamizole reduces plasma concentrations of cyclosporine A and can endanger performed tissue or organ transplantation.

You should consult a doctor in case of concomitant administration of these or other drugs.

Taking Spazmalgon with food and drinks

Given the reduced tolerance to alcohol, its consumption during the treatment with Spazmalgon should be avoided.

Taking Spazmalgon during pregnancy and lactation

Ask your doctor or pharmacist before taking any medicine. Spazmalgon should not be used during pregnancy and breastfeeding.

Driving and operating machines

It should be used with caution in people who drive or operate machines as prolonged intake of Spazmalgon can cause dizziness and accommodative infacility, the ability to differentiate objects that are close and far away.

3. What does Spazmalgon contain?

Each tablet of Spasmalgon contains the following active substances:

500 mg metamizole sodium
5 mg pitophenone hydrochloride
0.1 mg fenpiverinium bromide

The excipients in the drug are as follows:

Lactose monohydrate
Wheat starch
Gelatin
Talc
Magnesium stearate
Sodium hydrogen carbonate

Important information about some of the ingredients of Spazmalgon

The composition of the excipients includes wheat starch, which is a danger for people with celiac disease (congenital bowel disease manifested by diarrhoea with the use of wheat products). The product contains the excipient lactose (milk sugar), making it unsuitable for lactose intolerant patients.

4. How to take Spazmalgon for symptomatic treatment?

The tablets are taken orally with water after eating.

Recommended daily doses:

Adults and children over 15 years of age: 1-2 tablets x 2-3 times daily. Maximum daily dose: 6 tablets.
Children should take the drug as follows:
From 12 to 15 years of age: 1 tablet x 2-3 times daily. Maximum daily dose - 3 Tablets;
From 9 to 12 years of age: 1/2 tablets x 2-3 times daily. Maximum daily dose - 2 tablets.

Treatment duration should not exceedthree days.

What to do if you take more than the recommended daily dose of Spazmalgon?

When taking a higher dose than prescribed, immediately contact a doctor! Your doctor will decide what measures should be taken, if necessary.

When an overdose, most commonly, the following symptoms are observed:

Allergic reactions
Signs of damage to the hematopoietic function
Gastrointestinal disorders
Signs of brain damage in severe cases

If there is evidence of overdose, you should immediately stop taking the product and take measures for its rapid elimination from the body (vomiting, gastric lavage, forced increased urine output). Seek medical attention.

What to do if you forget to take Spazmalgon?

Do not take a double dose to make up for a missed one. Continue regular intake as scheduled.
Ask your doctor or pharmacist if you have any further questions about using this product.

5. What are the possible side effects?

Spazmalgon can cause side effects like all medicines, although not everybody gets them.
Most often, they are temporary and resolved upon discontinuation of treatment.

Some patients can experience the following:

Immune system disorders and severe allergic reactions such as:

Rash or pruritus;
Bronchospasm;
Shortening the smooth muscles of the bronchial walls;
Angioedema;
Swelling of the face, lips, eyelids and some mucous membranes;
Anaphylaxis;
Itching, swelling of the face, breathlessness, cardiovascular problems;
Very rarely: toxic epidermal necrolysis and Stevens-Johnson; severe blistering of the skin, which may progress as the top layer begins to peel.

Gastrointestinal disorders such as:

Malaise;
Dry mouth;
Constipation;
Exacerbation of gastritis and peptic ulcer disease.

Cardiac disorders such as:

Palpitations;
Low blood pressure;
Rapid pulse;
Heart rhythm disturbances.

Blood and lymphatic system disorders such as:

Changes in the number of blood cells - agranulocytosis, thrombocytopenia, leukopenia ( a decrease in the number of platelets or leukocytes);

Nervous system disorders such as:

Dizziness;
Abnormal vision.

Renal and urinary side effects such as:

Urinary retention.

Prolonged intake of high doses can cause a possible decrease in renal function (especially in patients with previous damage) and, in rare cases - acute renal failure.

Please tell your doctor or pharmacist if you notice any side effects not listed in this leaflet.

6. How to store Spazmalgon?

Always store the medicine in its original packaging.

To safely store and use Spazmalgon, follow these recommendations:

Store at room temperature below 25° C;
Keep out of reach of children;
Do not use Spazmalgon after the expiry date stated on the blister and carton – the expiry date refers to the last day of that month;
Medicines should not be disposed of in wastewater or as household waste. Ask your pharmacist how to dispose of medications that are no longer required. These measures will help protect the environment.