There are many reasons for using Spazgan: from the need to relieve pain in the joints and ending with the need to relieve a cold. In addition, it reduces body temperature in infectious diseases.
Release form, composition and pharmacological action
The drug combines the properties of analgesic and antispasmodic, that is, allows you to stop the pain and get rid of muscle spasms, relaxing smooth muscles. In addition, it provides a certain anti-inflammatory effect in fever and other pathological conditions.
The main properties of the drug due to the presence of:
- metamizole sodium (non-narcotic analgesic);
- fenpiverinium bromide;
- Pitofenon hydrochloride (antispasmodic).
It can be produced in the form of tablets placed in the cells of the blister packs, or in ampoules as a solution for injection (both intravenous and intramuscular).
Indications and contraindications
The tool is used for:
- dyskinetic pathologies of the gastrointestinal tract, gallbladder and its ducts;
- pain syndromes in the joints;
- lumbosacral radiculitis;
- muscle hypertonus pains;
- unspecified neuralgia, neuritis, renal colic, dysmenorrhea and other spastic manifestations, pain in the gastrointestinal tract;
- spasmodic and convulsive manifestations;
- fever caused by colds and infectious diseases;
- complications due to surgical and therapeutic effects;
- renal and biliary colic;
- pathologies affecting the pelvic organs.
However, Spazgan has a number of contraindications:
- excessive sensitivity to substances that are part of the drug;
- pronounced problems in the kidneys and liver;
- the absence of glucose-6-phosphate dehydrogenase, due to the genetic characteristics of the patient;
- tachycardia;
- closed angle glaucoma;
- hypertrophied prostate gland, which caused regular urinary retention;
- obstruction of the gastrointestinal tract;
- diseases of the hematopoietic system;
- the first trimester and the last 1.5 months of the child bearing period;
- lactation;
- age up to 5 years, if pills are used, or up to 3 months (up to 5 kg) - when performing injections;
- conditions characterized by CNS depression;
- malformation of the colon (its increase).
In the presence of renal or hepatic insufficiency, arterial hypotension and location to them, bronchial asthma, urticaria, rhinitis (due to NSAIDs), the patient should also be careful.
Spazgan tablets: instructions for use
Spazgan in tablet form, it is desirable to use after a meal according to the scheme given in the table.
| Age groups (years) | The number of tablets drunk for 1 reception |
|---|---|
| from 15 | 1 - 2 (no more than 6 tablets per day) |
| 13 - 15 | 1 |
| 9 - 12 | ¾ |
| 6 - 8 | ½ |
The number of medications for patients of all ages: 2-3 times a day. The duration of the therapeutic course is 5 days. Changes in the dosage and the general course of treatment can be made only after consulting with a specialist.
Spazgan ampoules: instructions for use injections
The dosage of Spazgan for intramuscular (IM) and intravenous (IV) administration is also determined by the age of the patient.
| Age (years) | Admission scheme |
|---|---|
| from 15 | If we are talking about colic of considerable severity, then the solution needs to be introduced into / in extremely slowly (1 ml / min at a time, a total of 2 ml). Additional injection is done no earlier than 6-8 hours. With intramuscular injection of Spazgan, the volume of one dose is increased to 2-5 ml, and injections can be made 2-3 times a day. At the same time, the total amount of a substance administered per day should not exceed 10 ml. |
| 12 - 15 (from 45 kg) | For both types of injections - 0.8-1 ml of the drug. |
| 8 - 12 (from 31 kg) | In / in - 0.5-0.6 ml. V / m - 0.6-0.7 ml. |
| 5 - 7 (from 24 kg) | In / in - 0.3-0.4 ml, and 0.4-0.5 - in / m. |
| 3 - 4 (from 16 kg) | B / V - 0.2-0.3 ml, and in / m - 0.3-0.4 ml. |
| 1 - 2 (from 9 kg) | At 0.1-0.2 ml / in and 0.2-0.3 ml / m. |
| 3 - 11 months (from 5 kg) | Only intramuscular injections of the drug are allowed at 0.1-0.2 ml at a time. |
The duration of the therapeutic course is determined by the symptoms and etiopathogenesis, but it can not last more than 5 days.
Pregnancy and lactation
The use of Spazgan in the first 3 and the last 1.5 months of pregnancy, as well as during the lactation period is prohibited.
Side effects, overdose
Taking the drug in the prescribed doses allows you to avoid almost any adverse events. In rare cases, it is noted:
- allergic symptoms (feelings of itching, skin rash, in exceptional situations - anaphylactic shock);
- burning sensation covering the epigastric region;
- headaches and dizziness;
- dryness in the mouth;
- lower blood pressure;
- the appearance of disorders affecting the blood system (their appearance is due to prolonged use of the drug);
- toxic epidermal necrolysis;
- bouts of bronchospasm (if there is an initial predisposition to it);
- angioedema;
- edudremus escudative;
- unjustified temperature increase;
- difficulty swallowing;
- vanigity and proctitis;
- disorders of the urinary system and kidneys (also urine may turn red);
- the appearance of infiltrates at the injection site with intramuscular administration of the drug.
When overdose among the most pronounced symptoms noted:
- nausea and vomiting;
- too low body temperature and a drop in blood pressure;
- cardiopalmus;
- acute failure (hepatic and renal);
- bouts of shortness of breath and cramps;
- feeling sleepy;
- pain syndrome in the stomach (cramping type);
- delusions and distortions in the work of consciousness;
- respiratory muscle paralysis;
- hemorrhagic syndromes.
If you find any of these symptoms should immediately stop taking the medication and seek help from a specialist.
Drug interaction
In any case of combined medication, you should get a preliminary consultation from a doctor.
It is advisable not to combine the tool with other non-narcotic analgesics, since this may cause an increase in their toxic effects on the body.
In the case of association with tricyclic antidepressants, allopurinol, or contraceptive drugs, metabolic processes (Metamizol production) in the liver can be provoked and Spasgan’s toxicity can increase. When using phenylbutazone, barbiturates and similar substances, Metamizol is less effective.
Cyclosporine is not effective enough in combination with Spazgan.
If we are talking about injection solution, then its compatibility with other drugs is zero.
special instructions
If we are talking about the treatment of patients suffering from hypotension, bronchospasms, disorders of the liver and kidneys, then the drug is administered exclusively under the guidance and supervision of the attending specialist. The same applies to persons with hypersensitivity to the drug.
When using Spazgan for more than 7 days, it is required to monitor the indicators of peripheral blood tests and liver function. If, during the course of therapy, thrombocytopenia was diagnosed or the risk of agranulocytosis is detected, the medication is discontinued.
The use of Spazgan is also inappropriate before making a diagnosis and identifying the exact cause of the pain.
It is required to monitor heartbeat, blood pressure and respiratory rate during the injection. Also, be careful when introducing more than 2 ml of the drug into the body (this can lead to a significant drop in blood pressure).
Psychomotor reactions are slowed down during treatment, so drivers and workers involved in potentially hazardous activities should exercise the utmost care.
The price of the drug Spazgan, its analogues
At its cost, Spazgan is not very different from most similar drugs, which can be identified by examining the table below.
| Drug name | Release form | Cost, rub.) |
|---|---|---|
| Spazgan | tablets (20 and 100 pieces per pack) | 91 - 450 |
| Spazgan | ampoules with solution for intravenous and intramuscular injections (5 pieces of 5 ml each) | 93 - 111 |
| Smazmalgon | tablets (10, 20 or 50 pieces per pack) | 100 - 320 |
| Spazmalgon | ampoules with a solution for i / m administration (10 pieces of 2 or 5 ml) | 243 - 337 |
| Took | tablets (10, 20 or 100 pieces per pack) | 39 - 266 |
| Took | ampoules with a solution for intravenous and intramuscular injection (5 pieces of 5 ml) | 118 - 122 |
| Spasmoblock | tablets (20 pieces per pack) | 98 - 128 |
In some pharmacies, the cost of drugs may differ, but only slightly.
Reviews
Spazgan is used very widely. If you follow the instructions attached to the tool, there are no problems with using the medication. For this reason, reviews from people who have felt its effect on themselves are mostly positive.
For several years at a height of autumn and spring, one has to buy Spazgan to relieve spasm-like pain in the temples. Four years ago, I had problems with the vessels in the neck (near the spine), which is why my head hurts. I cannot fully improve my health, but I can take a pill, and the attack goes away. At the moment it is the only proven and inexpensive way to get rid of unnecessary suffering.
Mikhail, 38 years old, St. Petersburg
I have a hard time during menstruation. Previously, the condition was terrible, I could not even get out of bed during this period. Tried a couple of other drugs, but did not feel much relief. Then the turn came to Spazgan, and it turned out to be a good choice. Although I once went overboard a bit, and my blood pressure dropped a lot, but this was an isolated case and he has nothing to do with the quality of the pills.
Olga, 29 years old, Samara
It is very convenient that these tablets are released without a prescription, but I do not use them so often. More precisely, they are great for me as a means of recovery after any alcohol party - the pain goes away, the body relaxes. Starts to want to sleep, and this is the best way to come to life.
Natalia, 31 years old, Anapa
Based on these opinions, we can conclude that the drug is truly effective. However, he has an acceptable cost and his presence in the home first-aid kit is quite appropriate.
A little more information about the drug Spazgan can be found in the following video.
