"Spasmalgon" belongs to the group of painkillers with a strong effect. As a result of the intake, smooth muscles relax, the patient gets rid of spasms and colic, and the body temperature drops. These are the main indications for the use of Spazmalgon.
Release form, composition and packaging
The drug is offered for sale in tablets and as a solution.
- Pills. Packed in 20 pieces per pack. More popular due to ease of use.
- Drug in liquid form, 2 or 5 ml in an ampoule. Injected into a muscle or vein.
Components of one tablet of the drug:
- analgin (metamisole sodium) - 0.5 g;
- pitophenone hydrochloride - 0.005g;
- fenpiverinium bromide;
- other ingredients: acidic sodium carbonate, natural sugar from milk (or dairy products), talc, magnesium s alt and stearic acid, wheat starch, hydrolyzed collagen protein.
Composition of the liquid formdrug per 1 ml:
- metamisole sodium - 0.5 g;
- pitophenone hydrochloride - 0.002g;
- fenpiverinium bromide;
- other ingredients, water.
Pharmacological action
The main components of the drug interact with each other, enhancing their effect. Thanks to this, Spazmalgon's effectiveness increases.
- metamisole sodium stops inflammation, acts as an analgesic;
- pitofenone hydrochloride relieves muscle spasms and eliminates the cause of pain;
- fenpiverinium bromide helps relieve tension in smooth muscles by relaxing them.
General action of the drug: relieving spasms, eliminating heat and temperature, getting rid of pain.
"Spasmalgon" stops pain attacks 15-45 minutes after application. The time is determined by the form of the remedy used:
- pills take longer to take effect;
- Drug injections last for a shorter period.
The effect of the remedy weakens gradually, stops after 6-9 hours. "Spasmalgon" not only helps to get rid of pain, but also eliminates the spasm that causes this pain.
Pharmacokinetics
The components of the remedy are completely absorbed from the gastrointestinal tract in a short period of time. Metamizole sodium is well absorbed in the liver, the body is released from it when urine is released.
Intensity of absorption, assimilation and excretion of drug componentsdifferent. It will depend on the susceptibility and general condition of the patient.
Indications
Indications for the use of Spazmalgon are as follows:
- pain for various reasons (mild and acute);
- convulsive contractions and smooth muscle contractions (spasms);
- pain during the menstrual cycle;
- pain when urinating;
- cold, fever;
- diseases of the urinary system;
- problems with bile excretion in dyskinesia;
- postoperative pain;
- various inflammations;
- acute, recurring attacks of pain in the liver, kidneys or gastrointestinal tract;
- pain due to musculoskeletal problems;
dental problems, enamel decay, gum inflammation, pulp
Indication for the use of "Spasmalgon" - headache. This is one of the most common reasons for using the drug.
Very severe or sudden pains are typical indications for the use of "Spasmalgon" in injections. In this form, the drug acts most quickly.
Indications for the use of Spazmalgon tablets is a painful syndrome that is not so pronounced. According to patients, tablets are convenient to use anywhere, at any time.
Important! The drug helps to get rid of pain and spasms, but is not a remedy and does not eliminate the causes of diseases.
Contraindications
Some patients do not need the drugsuitable for use. If there are contraindications, then you should refrain from treatment with Spazmalgon. The reasons for not taking the drug are:
- allergic to ingredients;
- individual intolerance to drug components;
- poor or abnormal functioning of the liver and kidneys;
- bearing or breastfeeding period;
- cardiac arrhythmia;
- production of the enzyme glucose-6-phosphate dehydrogenase in insufficient quantities;
- coronary heart disease and angina pectoris;
- low or incomplete intestinal patency;
- eye diseases caused by closure of the anterior chamber angle 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 follow his recommendations.
How to use the drug correctly
The allowable dosage is determined based on the age category of patients. For safe treatment, it is imperative to study the full instructions for Spasmalgon. It is included with the package.
- starting from 15 years and older, it is allowed to take 1-2 tablets 2-3 times a day;
- for such patients, up to 6 tablets daily (this is the maximum possible amount) is acceptable;
- At the age of 13-15, the norm is 2-3 tablets per day, 1 each;
- For ages 9 to 12, three-quarters of 1 tablet several times daily;
- for the smallest patients, 6 to 8 years old, the allowable dosage is half a tablet 2-3 times in 24 hours.
Do not take pills on an empty stomach. They need to be washed down with a sufficient amount of liquid. Many patients note that 2-3 tablets per day are enough for severe pain. The effectiveness of the drug is quite high.
Another way to determine the rate of the drug for children is the weight of the baby:
- at 6–8 kg it is possible to administer the drug intramuscularly, up to 0.2 ml;
- 9-14 kg IV 0.2 ml or IM 0.3 ml;
- at 15–22 kg, 0.3 ml of the drug intravenously and 0.4 ml intramuscularly are allowed;
- 23-29kg allow 0.4ml vein and 0.5ml muscle;
- at 30-45 kg, 0.6 ml of the drug intravenously or 0.7 ml intramuscularly is acceptable.
Adverse reactions and overdose
Adverse reactions from the drug appear as:
- various allergic reactions;
- skin rashes;
- manifestations of itching;
- deterioration of the general condition of the patient;
- vomiting, dry mouth;
- exacerbations of chronic gastrointestinal diseases;
- appearance of angioedema: partial or complete enlargement of the face or limb.
The manifestation of adverse reactions is extremely rare. The main thing is to follow the indications for the use of Spazmalgon,contraindications to use should also be kept under control.
When the allowable dosages are exceeded, the following may be observed:
- problems in the liver and kidneys;
- difficulty breathing or airway paralysis;
- disturbances in the work of the gastrointestinal tract;
- disorders in the formation and maturation of blood cells;
- occurrence of acute allergic reactions;
- in severe forms, symptoms of an effect on the brain appear.
If the dosage of the drug was exceeded or side effects appeared, then the patient needs the help of a doctor. Some measures you can take yourself:
- refuse to use the drug;
- completely rinse the stomach and free it from the remnants of the remedy;
- take activated charcoal or other sorbent.
Special Instructions
Even if there are indications for the use of Spasmalgon, some features must be taken into account.
The use of "Spasmalgon" for more than 6 days requires special control of the content of white blood cells (leukocytes). You should also pay attention to the function of the liver (especially if there are diseases or disorders in its work).
Dramatically low white blood cell counts and clotting problems are reasons to stop taking the drug.
It is forbidden to combine alcohol with medicine. Particular care should be taken when using the drug and driving a car.or in other situations that require increased concentration.
According to experts, if the instructions and instructions for use are followed, the drug does not cause side effects.
Can it be used 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 to a nursing mother by a doctor, then breastfeeding should be interrupted for the period of treatment. This will help prevent the medication from getting into the baby's milk. It is advisable that the attending physician selects 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 should be done under the supervision of a doctor.
Drug interaction. Analogues of the drug
Indications for the use of the drug "Spasmalgon" require careful attention to their compatibility with various drugs.
Simultaneous use of "Spasmalgon" and other analgesic drugs enhances the toxic effect of both drugs.
Oral contraceptives, tricyclic antidepressants affect the detoxification of the body as they slow down the metabolism of analgesics.
Some drugs that activate liver enzymes causeweakening the main active element "Spasmalgon".
Nervous system calming and stress relief products increase the effectiveness of the drug in eliminating spasms.
One-time use with antihistamines, anticholinergics, antipsychotics in some cases provokes an increase in temperature and accumulation of excess heat.
The content of metamizole sodium is incompatible with the simultaneous use of liquids - substitutes for blood and plasma, X-ray diagnostics.
The most famous drugs with a similar effect are: "Spazgan"; "Renalgan"; "Spasmogard"; Baralgetas.
How to properly store the drug, expiration dates
Proper storage conditions will help preserve the medicinal properties of the drug. The necessary conditions are: dryness and limited access to sunlight. For safety reasons, it is necessary to limit the access of children to the medicine.
"Spasmalgon" tablets are usable for two years. The liquid injectable form has a shelf life of 4 years from the date of issue.
Price of Spazmalgon
The medicine can be freely purchased at a pharmacy without a doctor's prescription. The patient must independently consider the indications for use. The price of "Spazmalgon" is acceptable. In various pharmacies, Spazmalgon can be bought for 180-360 rubles.