In acute pain attacks, medications come to the rescue, which relieve discomfort in a few minutes. One of these tools 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", you should familiarize yourself with the effect of the drug, its composition and contraindications. "Spazgan" belongs to the group of NSAIDs (non-steroidal anti-inflammatory drugs), in the pharmacy it is presented in 2 forms - tablets and injection solution. The first form is more popular with patients due to its ease of use.
The main active ingredient is metamizole sodium, it contains 500 mg in one tablet. This is a derivative of pyrozolone, which has antipyretic and anti-inflammatory effects. Metamizole also providesanalgesic effect of the drug, belongs to the group of non-narcotic analgesics. In addition to him, "Spazgan" includes:
- fenpiverinium bromide - in 1 tablet 0.1 mg, provides anticholinergic action;
- pitophenone hydrochloride - in 1 tablet 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;
- intestinal pain and spasms;
- attacks of hepatic and renal colic;
- spasms of smooth muscles of internal organs;
- pain after operations and some diagnostic manipulations;
- neuralgia, sciatica, joint pain;
- headaches and joint pains with influenza and other infectious and inflammatory diseases.
It is important to remember that "Spazgan" does not eliminate the cause of pain, it only removes unpleasant symptoms for a while, therefore it is prescribed only in a complex therapeutic regimen. The average cost of pills in a pharmacy is from 90 to 180 rubles, depending on the region and the chain's pricing policy.
Contraindications
There are states and situations when taking "Spazgan" is categorically contraindicated. It is not prescribed to pregnant women in the first and last trimester, during lactation, with severe dysfunctions of the liver and kidneys, individual intolerancecomponents of the drug, with systemic blood diseases and babies under 5 years of age.
In this case, you can replace "Spazgan" with an analogue.
Similar drugs: list
Analogues are usually not indicated in the instructions for use for Spazgan, for a replacement, you should consult with your doctor who will help you choose the drug, taking into account contraindications and the patient's condition.
The list of the most effective substitutes for the drug "Spazgan" includes:
- "Baralgin";
- "Maxigan";
- "Spasmalin";
- "Renalgan";
- "Cyclopar";
- "Andipal";
- "Reonalgon";
- "Took";
- "Spasmoguard".
Analogue of "Spazgan" in Europe are the following drugs: "Spazmoblok" (Bulgaria), "Baralgetas" (Serbia), "Spazmalgon" (Serbia, Bulgaria).
Andipal
The cheap analogues of "Spazgan" include the drug "Andipal", which has almost the same composition and effect. In addition to the main active ingredients, it also includes phenobarbital, which provides a sedative effect.
Besides analgesic and antipyretic action, "Andipal" expands the peripheral vessels and vessels of the brain, which makes it advisable to use it at elevated pressure. The active ingredients of the drug relieve spasmssmooth muscles of internal organs and eliminate pain.
It must be remembered that the presence of phenobarbital in the composition excludes the possibility of using the drug during work that requires increased concentration of attention, and when driving vehicles.
Other contraindications of the drug include the entire period of pregnancy and lactation, blood diseases and disorders in the kidneys and liver. Also, Andipal is not prescribed for children under 18.
In case of individual intolerance to the active substances of the drug, allergic reactions may occur, and if the recommended dosage is exceeded in rare situations, cases of leukopenia have been recorded.
It is not recommended to take "Andipal" simultaneously with drugs that contain ethanol.
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 purchase "Baralgin" in the form of suppositories, tablets and injections. The cost of the drug ranges 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 vasospasm, including the brain.
Typically, patients respond positively to the effectiveness of thisIndian drug. Only in rare cases in the reviews you can find a mention of allergic reactions, which are caused by individual sensitivity to the components of the drug.
Baralgin is not prescribed at any stage of pregnancy, as its use can provoke a miscarriage or premature birth. Also, the period of breastfeeding and children under 16 years of age are considered an absolute contraindication.
Renalgan
"Renalgan" is another complete analogue of "Spazgan" in tablets. In addition to relieving muscle spasms, it helps to relieve pain in case of neurological problems (sciatica, neuralgia, nerve pinching, arthralgia), therefore it is used in the complex treatment of such diseases.
The cost in pharmacies ranges from 90 to 200 rubles, the patient can buy medicine without a doctor's prescription.
Due to the fact that the main active ingredient penetrates into mother's milk, for the duration of treatment with "Renalgan" it is necessary to interrupt breastfeeding and transfer the child to mixtures. It is also forbidden to be treated with the drug at any stage of pregnancy and in children under 15 years of age.
Absolute contraindications to prescribing medication are heart disease (ischemia, decompensated insufficiency) and heart rhythm failures (bradycardia, tachycardia).
Patient reviews of the drug "Renalgan" mention the speed of the drug and good tolerance. However, in case of individual sensitivityallergic skin reactions (rash, itching) were noted, which independently disappeared 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 for a pack of 10 tablets.
Indicated for short-term treatment of neuralgia, for pain relief after injuries and surgical interventions, with painful menstruation and to reduce 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 the feedback from patients, 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 makes patients look for analogues of "Spazgan" without analgin in the composition. A similar antispastic and analgesic effect is possessed by drugs from the group of antispasmodics, the most famous and effective of which is No-Shpa.
In this medication, another active ingredient is drotaverine hydrochloride, so it can be called, rather, notanalogue, but a substitute with a similar effect. Drotaverine also has a relaxing effect on smooth muscles and relieves spasticity.
Prescribed for hepatic and renal colic, gynecological problems and headaches.
The list of contraindications for "No-Shpy" is much shorter. It includes individual intolerance to the main active substance, heart failure, severe kidney and liver diseases.
The list of absolute contraindications does not include pregnancy, since studies have not revealed a negative effect of drotaverine on a woman's he alth and intrauterine development of the fetus. However, this does not mean that you can take the medicine without consulting a gynecologist.
Patient feedback on the use of "No-Shpa" is 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 Drotaverine, Papaverine, Dibazol and Bellastezin. They all belong to the group of peripheral vasodilators.