But-spa( tablets) - instructions for use, analogues

No-spa is an antispasmodic, which has an effective myotropic effect on the smooth muscles of the organs and blood vessels. This drug does not affect the central nervous system, but only lowers the tone of smooth muscles and moderately dilates the blood vessels. By its effectiveness, the drug in many respects surpasses the known papaverine - instructions for the use of No-shpa tells that the drug can be used even when other antispasmodics are banned.

No-shpa effectively and quickly relaxes muscles, removing any spasm. At intravenous introduction the medicine starts to influence already in two-four minutes. The full effect of the action of the drug comes in half an hour. Today, in almost every home medicine cabinet, you can find this medication. The drug is also intended for the removal of spasmodic pains of various etiologies.

No-shpa - the description of the preparation

The medicinal preparation is produced in tablets, on which there is a marking "SPA".The manufacturer of the drug is the Hungarian pharmaceutical company "Hinoin", which specializes in the production of effective antispasmodics. The development of the No-shpa preparation was carried out by a scientific group, as a result of which drotaverin was synthesized.

No-shpa contains 40 mg of drotaverine hydrochloride and additional substances - talc, magnesium stearate, lactose monohydrate, corn starch. No-shpa tablets are available in blisters or in polypropylene bottles with a dispenser and without.

There is also a No-Shpa in injectable ampoules. One ampoule contains 2 ml of the drug. The active substance of the solution for intravenous administration is drotaverine hydrochloride. As auxiliary substances in a medicinal solution are included metabisulphite, ethanol and water.

Properties of

The active drug drug drotaverin is a derivative of isoquinoline. Drotaverin has a pronounced spasmolytic effect on smooth muscle, due to the suppression of phosphodiesterase enzymes. The drug reduces pain, as well as spasms and pain of varying intensity.

It effectively cures headache, spasms of the gastrointestinal tract, painful sensations with gastritis and colitis. Intravenous administration of the drug during childbirth facilitates the rapid opening of the cervix and shortens the duration of the process. But the spine in injections is often used in case of inability of oral therapy.

Drotaverin does not have a side effect on the cardiovascular system. Cell vessels and smooth muscles of the myocardium contain isoenzyme. The enzyme, which is hydralized as a result of the action of No-shpa, is isoenzyme. Drotaverin is a strong antispasmodic agent that does not have any side effect on the cardiovascular system.

Active medicinal substance effectively eliminates spasms of smooth muscles of the muscular and neural etiology, and also affects the muscles of the internal organs of the bile, gastrointestinal, urogenital system.

Drotaverin increases the blood circulation of tissues and has a vasodilating effect. Its absorption is very fast and complete, because the substance interacts with plasma proteins. No-shpa does not affect the stimulation of the respiratory system, which is observed after the administration of papaverine. The drug substance is metabolized in the liver. After 72 hours the drug is completely excreted from the body with metabolites and urine.

Indications for use

What helps But the spine? This drug is prescribed for hepatic and renal colic, with pain and spasms during the withdrawal of gallstones, with inflammation of the digestive system to relieve pain. In urology, the drug is used in the treatment of various inflammatory processes, which are accompanied by spasms and pains of the urinary tract.

In gynecology, No-shp can be used to relieve painful menstruation, which is accompanied by uterine spasms. The drug is also widely used during labor - it speeds up their process and promotes rapid opening of the uterus. Sometimes a gynecologist can appoint No-shp in the early stages of pregnancy to exclude miscarriage. With such a threat, the drug relaxes the muscles of the uterus and prevents miscarriage.

The drug is used in the treatment of headaches, as it penetrates well to the vessels of the brain. Causing their relaxation, drotaverin improves cerebral circulation and relieves headache. But-shpa from a headache is appointed only by the attending physician.

Main indications:

• spasms of tissues and muscles of organs of different etiology;
• spastic colitis characterized by constipation;
• gastritis;
• irritable stomach syndrome, which is accompanied by flatulence;
• spasms with peptic ulcer;
• relief of the condition when removing stones from the biliary tract;
• renal colic;
• hepatic colic;
• pyelite;
• cystitis;
• cholecystitis;
• threat of miscarriage;
• headache.

Contraindications

In some cases this medication is contraindicated. But-shpa is not used when the body's sensitivity to the components of the remedy is high, with a severe form of heart failure, with hereditary intolerance to galactose.

The drug is also not prescribed in cases of renal and hepatic insufficiency and during lactation. With special care the drug is prescribed in childhood, with low blood pressure and during pregnancy.

Side effects of

As with any No-Shpa medication, it can cause various side effects. In rare cases, there are:

• nausea;
• constipation;
• dizziness;
• headache;
• heart palpitations;
• pressure reduction;
• allergy;
• skin rash;
• skin itching;
• hives.

Instruction for use, dosage

• Children from 1 to 6 years of age are recommended a dose of 40-120 mg, which should be divided into three doses per day.
• Children from 6 years can take 80-200 mg of the drug. The dose should be divided into 3-5 doses per day.
• Adults with a daily dose of 120-240 mg of the drug, which is divided into 2-3 doses per day.

The tablet should be swallowed whole and washed down with a sufficient amount of water.

In acute colic as a result of cholelithiasis and urolithiasis, the drug is administered intravenously - 40-80 mg of the drug. If No-shpa is prescribed in an injection solution to relieve various spasms and pains, then the drug is usually administered intramuscularly - 40-240 mg.

With the intravenous administration of the drug, it is required that the patient to whom the drug is administered is in the lying position! Otherwise, loss of consciousness may occur.

It is important to know that an overdose of the medication can cause heart palpitations and even cardiac arrest. In case of an overdose, the patient must receive the necessary treatment and be under medical supervision.

Interaction with drugs

When using the drug No-shpa in conjunction with levodopa may reduce the drug effect of the latter in the treatment of Parkinson's disease. With the interaction of these two drugs increases the stiffness of muscles and appears tremor.

No-spa for children

This medication can be used in childhood, starting from 1 year. However, to cope with spasms and pains, the child should be given a child's dosage of the medication. It is important to know that the active substance of the drug drotaverin has a synthetic origin and is not natural. In the application of No-shpa in children, care must be taken not to engage in self-medication without first consulting a pediatrician.

In pharmacology, No-shpa is an effective antispasmodic, but not an analgesic. This property of the drug is important to take into account all parents who are going to treat the child No-shpoy. Not always yellow tablets of this medicine can become life-saving.

Before taking the drug, you need to understand what exactly is needed for a No-shpa child in this particular case. The drug also has a number of contraindications, which should be noted when treating children. To give No-shp to children it is possible in such situations:

• spasms of muscles of urinary ways at a cystitis;
• spasms in the detection of kidney stones;
• severe headache;
• constipation and mererizm;
• for the expansion of blood vessels at high temperature;
• spasms of peripheral arterial vessels.

Some parents prefer to give No-shp in the treatment of bronchitis in children and removal of laryngospasm. However, it is important to know that this drug does not affect the smooth muscles of the upper respiratory tract. The use of No-shpa in children with cough is useless and unfounded.

In the treatment of children it is necessary to understand that the reception of No-shps is a temporary measure that will help alleviate the condition of the child and eliminate spasms. The drug relieves spasm and lasts for 8 hours. Auxiliary therapy No-shpa to eliminate spasms is prescribed only against the background of the general treatment of the underlying disease, which causes spasms. But the spine is not the main remedy in eliminating the cause of such symptoms. This medicine is used only as an auxiliary, not therapeutic therapy!

In the case of emergency care, giving No-shp to children is required in the dosage indicated in the drug instructions. This important rule must be strictly observed so as not to harm the child and cause serious side effects and the development of complications in the child's body.

Contraindications to use in children No-shpas are:

• age under 1 year;
• individual drug intolerance;
• low blood pressure;
• acute appendicitis;
• intestinal obstruction;
• bronchial asthma;
• glaucoma;
• hepatic / renal failure;
• coronary atherosclerosis.

After taking the drug, the child may experience some side effects. Usually there are various disorders of digestion and stool, nausea, severe headache, dizziness, allergic reaction may occur. With any side effects from the effects of the drug, the drug should be stopped giving to the child and consult with a doctor.

How to give No-shp to children correctly? From 1 year to 6 years, the daily dose is 40-120 mg of the drug. It's 1-3 tablets a day. You can give small children 1/3 or ½ tablets in one session. Thus the time interval between receptions should make about three hours. It should be noted that very small children are not recommended for No-shpa.

To facilitate the child's well-being at a very high temperature, the doctor can prescribe 1/3 or ½ tablets But the spines are combined with Paracetamol. The drug is not taken with food, it must be taken during a spasm. For a child, a medicine tablet can be crushed and given along with syrup or water.

From 6 to 12 years No-shp is given according to the child's prescribed dosage in the instructions to the medication. The daily dose for a child over 6 years is from 2 to 5 tablets per day. The medicine should be evenly distributed at receptions throughout the day. The best option is to use ½ tablets.

But the spine during pregnancy

Pregnant women often use No-shp during the gestation period, but the unsystematic and unreasonable use of this medication is dangerous. The medicine is a fast-acting antispasmodic. For any reason, take No-shp pregnant woman can not!

It is important to know that in late pregnancy, increased uterus tone is the norm. Thus, the female body is prepared for childbirth, and preliminary small spasms help to lower the abdomen down before birth. So the fetus takes the right position before giving birth.

In Europe No-shpa is prohibited for use during pregnancy. According to European studies, it was proved that with the reception of No-shpah by a pregnant woman, the child may develop a delay in speech development. Any tablet is a medicine that can cause irreparable harm to the developing fetus. Sometimes No-shpa is prescribed to relieve spasms of the uterus in the early stages of pregnancy in order to prevent the threat of miscarriage. However, the doctor should prescribe the medicine directly, and then - under special indications.

Analogues of

Analogues of the drug are those medications that have an ATS-code and therapeutic effect is the same as the original medication. Similar No-shpe drugs are used for functional disorders and pains, which are caused by spasms of smooth muscles of the internal organs.

The following medicines are used for colic, spastic colitis, for the removal of stones from the body, for chronic gastritis and peptic ulcer disease, as well as for gynecology for lowering the tone of the uterus and eliminating postpartum labor. Prescribe the replacement of the drug should be the attending physician.

Effective analogues No-shpas are:

• Drotaverin;
• Dolce;
• Drotaverin forte;
• Drotaverina hydrochloride;
• But -h-sha;
• The scabbard;
• Nohshaverin.

Drotaverin is the most famous and often used analogous No-shpe drug. However, it should be prescribed only for certain diseases and symptoms of the body.

No-shpa and drotaverin - which is better, the price of

medications Doctors recognize that these two drugs do not really have a special difference today. They have the same effect on the smooth muscles of the organs, quickly relieve spasms and pain syndrome in various diseases. The concentration of the active drug substance in both drugs is identical.

However, No-shpa is an imported medicine and undergoes rigorous and strict control. At the same time, more expensive tools are often counterfeited. Therefore, Drotaverin has practically no counterfeits. The drugs have absolutely the same properties and therapeutic effect. The average cost of No-shpa in tablets is 100-200 rubles, in ampoules for injections - 490 rubles. The average price of Drotaverina is 60-80 rubles.

Feedback on the application of

Review No. 1

Adopted No-shpa for the complex treatment of pancreatitis. Were prescribed in pricks to relieve stomach and intestinal cramps. The injection very quickly acts, the pain releases immediately. Injections were done twice a day, morning and evening. A good and long-known drug that quickly relieves spasms. At home in the medicine cabinet there is always a No-shpa.

Сергей, 38 years - Москва

отзыв № 2

Sometimes I take pills No-shpy with pain in the abdomen. He lets go instantly, I lie down for half an hour, and my stomach stops ache. A fast-acting drug, so I use only it to relieve spasms.

With a headache, I never took this remedy. Also, when he had been treated for a long time with No-shpa, there was an attack of the pancreas. Very well helps with various diseases of the gastrointestinal tract, in which there are spasms.

Constantine, 46 years - Ekaterinburg

Review No. 3

Since childhood this medicine is familiar to everyone. I also always keep in my home medicine cabinet No-shpu. Recently, it has become a little more expensive, but the drug is very effective, so I always try to have it in the house.

For abdominal pain, if there is a digestive disorder, I give the children at high temperature half the tablets together with antipyretics. A good drug, the action of which is checked by time!

Valentina, 57 years - Voronezh