But shpa is the maximum daily dose. How often and for how long can the drug be used to relieve pain

No-shpa is a drug for relieving spasms.

Pharmacological action of No-shpa

From what No-shpa dilates blood vessels, reduces muscle tone internal organs, reduces intestinal peristalsis, while the agent does not affect the central nervous system. All thanks to the composition of the drug. The active substance of the drug is drotaverine hydrochloride, which is similar in action to papaverine, but it is characterized by a more pronounced, lasting effect. intravenous administration The therapeutic effect occurs in 2-4 minutes.

Release form

They produce No-shpa tablets and solution.

Medication No-shpa: what is it used for

The drug is effective for spastic constipation and spastic colitis, pyelitis, tenesmus, proctitis, gastroduodenitis, gastrointestinal ulcers, endarteritis, spasms of the coronary, cerebral and peripheral arteries, algomenorrhea. , intestinal, biliary colic, cholecystitis, dyskinesia of the gallbladder, bile ducts, postcholecystectomy syndrome. No-shpa is used during pregnancy - to relieve the threat of miscarriage, prevent premature birth. In obstetric practice, the drug is used to relieve spasm of the uterine pharynx during childbirth, in case of prolonged opening of the pharynx, to relieve postpartum contractions. The drug is also used for cholecystography and instrumental examinations.

Instructions for use No-shpa

Inside No-shpu is prescribed in a dosage of 120-240 mg ( daily dose), which is taken two or three r / day. The maximum allowable single dosage of No-shpa tablets is 80 mg, and the daily dosage is 240 mg. Intramuscularly, the drug is administered to adults in the amount of 40-240 mg / day for 1-3 injections. In acute biliary and renal colic, the drug is administered intravenously at a dosage of 40-80 mg for 30 seconds. No-shpu for children 6-12 liters is prescribed at a dosage of 80 mg in two doses, for children after 12 liters - 160 mg in 2-4 doses. -shpy children 6-12l - 20mg, daily - 200mg.

When using the remedy on your own, without a doctor's prescription, it should be borne in mind that therapy should last no more than one or two days. If after this period the pain could not be removed, you should seek medical help to clarify or clarify the diagnosis. No-shpu during pregnancy is prescribed to take an average of 3-6 tablets / day when characteristic symptoms increased tone of the uterus - sipping and pain in the lower abdomen. A combination of the drug with papaverine and valerian gives a good effect. It is recommended to take No-shpa during pregnancy only as prescribed by a doctor, strictly following the prescription.

Side effects of the drug No-shpa

What causes negative reactions? May cause palpitations, fever, increased sweating, dizziness, decreased pressure, allergies.Due to intravenous use No-shpa, the patient may begin to collapse, arrhythmia, respiratory depression. To prevent the development of these conditions, the patient with reduced pressure during the infusion procedure, you should be in a supine position. Due to an overdose of No-shpa, the excitability of the heart muscle may decrease, paralysis of the respiratory center, and cardiac arrest may occur.

Contraindications for No-shpa

What should not be used? The drug No-shpa is contraindicated in severe heart, liver failure, hypersensitivity to the agent, intolerance to sodium disulfite (with intramuscular, intravenous administration). No-shpa tablets should not be taken with galactose-glucose malabsorption syndrome, congenital galactose intolerance, lactase deficiency. the administration of the drug is contraindicated in children under 18 liters, and the appointment of the No-shpa tablet form is contraindicated in children under 6 liters. For patients with a gastrointestinal ulcer, No-shpa is usually prescribed simultaneously with antiulcer drugs. Since dizziness often begins after intramuscular, intravenous administration of the drug, it is recommended for another hour after the procedure, refrain from driving vehicles, managing other complex, potentially dangerous mechanisms. During therapy, it should be borne in mind that the drug can weaken the effect of Levodopa, the antispasmodic effect of Morphine, enhance the effect of Bendazole, Papaverine, and other antispasmodics. Phenobarbital increases the antispasmodic activity of the drug.

No-shpa is an antispasmodic drug.

Release form and composition

No-shpu is produced in the following dosage forms:

• Tablets: biconvex, round, yellow with an orange or greenish tint, engraved with "spa" on one side (6 or 24 pieces in PVC / aluminum blisters, 1 blister in a carton box; 20 pieces in blisters of aluminium/aluminum (polymer-laminated), 2 blisters in a carton box, 60 or 100 pieces in polypropylene bottles, 1 bottle in a carton box);
• Solution for intravenous and intramuscular injection: greenish-yellow, transparent (2 ml in dark glass ampoules, 5 ampoules in blister plastic packs, 1 or 5 packs in a carton box).

The composition of 1 tablet includes:

• Auxiliary components: magnesium stearate - 3 mg; talc - 4 mg; povidone - 6 mg; corn starch - 35 mg; lactose monohydrate - 52 mg.

The composition of 1 ampoule (2 ml) includes:

• Active substance: drotaverine hydrochloride - 40 mg;
• Auxiliary components: sodium disulfite (sodium metabisulphite) - 2 mg; 96% ethanol - 132 mg; water for injection - up to 2 ml.

Indications for use

• Spasms smooth muscle in diseases of the biliary tract: papillitis, cholangiolithiasis, cholecystolithiasis, cholecystitis, cholangitis, pericholecystitis;
• Spasms of smooth muscles urinary tract: urethrolithiasis, nephrolithiasis, pyelitis, spasms Bladder, cystitis;
• Spasms of smooth muscles of the gastrointestinal tract: gastritis, peptic ulcer stomach and duodenum, colitis, spasms of the cardia and pylorus, enteritis, spastic colitis with irritable bowel syndrome with flatulence and constipation (simultaneously with other drugs);
• Dysmenorrhea (simultaneously with other drugs);
• Tension headaches (tablets, simultaneously with other drugs);
• The period of stretching during physiological childbirth in order to shorten the phase of cervical dilatation and reduce the total duration of labor (injection solution).

Contraindications

• Severe heart failure (low cardiac output syndrome);
• severe liver or kidney failure;
• Lactase deficiency, hereditary galactose intolerance, galactose-glucose malabsorption syndrome (tablets, due to the presence of lactose monohydrate in their composition);
• Age up to 6 years (tablets);
• Period breastfeeding(due to the lack of necessary clinical data confirming the safety and efficacy of No-shpa for this group of patients);
• Hypersensitivity to the components of the drug.

No-shpu should be used with caution against the background of arterial hypotension, in children and during pregnancy.

With intravenous administration of an injection solution, due to the risk of collapse, the patient must lie down.

Method of application and dosage

Tablets

• Adults: single dose - 1-2 tablets, frequency of administration - 2-3 times a day (maximum - 240 mg);
• Children from 12 years old: single dose - 1-2 tablets, frequency of administration - 1-4 times a day (maximum - 160 mg);
• Children 6-12 years old: single dose - 1 tablet, frequency of administration - 1-2 times a day.

The recommended duration of taking No-shpa without consulting a doctor is usually 1-2 days. If the drug is used for adjuvant therapy, the duration of the course without medical advice can be increased up to 3 days. If there is no improvement, you should consult a doctor.

If the patient can independently diagnose the symptoms of his illness, since they are well known to him, he can also evaluate the effectiveness of therapy (disappearance of pain). If within a few hours after taking No-shpa at the maximum single dose, the pain decreases moderately or does not decrease at all, or there is no significant improvement in the condition after taking the maximum daily dose, you should consult a doctor.

injection solution

No-shpy solution is administered intravenously or intramuscularly.

The average adult daily dose is 40-240 mg of drotaverine hydrochloride (divided into 1-3 doses) intramuscularly.

In acute stone colic (cholelithic and / or nephrolithic), the solution is administered intravenously at a dose of 40-80 mg.

In order to shorten the cervical dilatation phase at the beginning of the stretching period during physiological labor, 40 mg of No-shpa is administered intramuscularly; within 2 hours, if the effect is unsatisfactory, it is possible to re-administer the solution.

Side effects

During the application of No-shpa in any dosage form the development of the following disorders is possible (> 10% - very often; > 1% and<10% – часто; >0.1% and<1% – нечасто; >0.01% and<0,1% – редко; <0,01%, включая отдельные сообщения – очень редко; с неизвестной частотой – при невозможности определить частоту развития побочных действий по имеющимся данным):

• Nervous system: rarely - dizziness, headache, insomnia;
• Digestive system: rarely - constipation, nausea;
• Cardiovascular system: rarely - palpitations, lowering blood pressure;
• Immune system: rarely - allergic reactions (in the form of angioedema, itching, urticaria, rash).

special instructions

1 tablet contains 52 mg of lactose monohydrate, which may cause digestive problems in patients with lactose intolerance. No-shpu in this dosage form should not be taken by patients with lactase deficiency, galactosemia, or galactose/glucose malabsorption syndrome.

The composition of the injection solution contains bisulfite, which can lead to the development of allergic-type reactions, including anaphylactic symptoms and bronchospasm, especially in patients with asthma or a history of allergic diseases. In case of hypersensitivity to sodium metabisulphite, parenteral use of No-shpa is not recommended.

With the development of any adverse reactions while taking the drug orally, the question of the possibility of driving vehicles and working with mechanisms requires individual consideration. If dizziness appears after taking No-shpa, it is recommended to avoid performing potentially hazardous types of work. After parenteral, especially intravenous administration, you should refrain from working on machines and driving a vehicle for 1 hour after using the drug.

drug interaction

With the simultaneous use of No-shpa with certain drugs, the following effects may occur:

• Levodopa: weakening of the anti-Parkinsonian action, increased tremor and rigidity;
• Other antispasmodics, including m-anticholinergics: mutual reinforcement of action.

Terms and conditions of storage

Store in a place protected from light, out of the reach of children.

Best before date:

• Tablets in polyvinyl chloride / aluminum blister packs - 3 years at temperatures up to 25 ° C;
• Tablets in aluminum/aluminum blister packs - 5 years at temperatures up to 30 ° C;
• Tablets in vials - 5 years at temperatures up to 25 ° C;
• Injection solution - 5 years at a temperature of 15-25 ° C.

No-shpa is a very effective medicinal antispasmodic drug that helps eliminate fairly strong or moderate pain in the abdomen, which is mainly caused by spasms of the smooth muscles of the gastrointestinal tract.

The drug allows you to significantly expand the blood vessels in the cavity of the internal organs, as well as reduce the increased peristalsis (functioning) of the intestine.

The main active drug of No-shpa is drotaverine hydrochloride, which has a pronounced and fairly rapid antispasmodic effect (reduces muscle tone).

No-shpa is used for various acute or chronic diseases of the gastrointestinal tract, accompanied by pain in the abdomen (gastritis, pancreatitis, cholecystitis, etc.).

As a rule, the beginning of the therapeutic effect is noted after 20-30 minutes. after internal administration of No-shpa and lasts for 4-6 hours, depending on the severity and nature of pain.

The main indications for the use of No-shpa:

• spasms of smooth muscles of the gastrointestinal tract (gastric and duodenal ulcers, gastritis, colitis, enteritis, cholecystitis, pancreatitis);
• inflammatory diseases of the urinary system, which are accompanied by pain (cystitis, urethritis);
• intestinal colic;
• pyelonephritis (inflammation of the kidneys);
• gastroduodenitis;
• dyskinesia of the gallbladder;
• prolonged constipation (used in complex treatment);
• proctitis;
• severe headache (No-shpa helps to eliminate spasm of the muscles of the head).

Attention: before long-term use of No-shpa, it is advisable to consult a gastroenterologist or therapist!

The drug is produced in the form of tablets for oral (internal) administration, as well as a solution for intramuscular or intravenous administration.

How to drink No-shpu?

For adults, the daily dose of No-shpa is from 3 to 6 tablets (120-240 mg), which is recommended to be taken 1-2 tons 2-3 r. per day with plenty of fluids.

For children older than 6 years, the medicinal dose of No-shpa is 1 t. 2-3 r. per day, depending on the age of the child. The total daily dose for children under 12 years of age should not exceed more than 120-160 mg.

With intramuscular injection, the daily dose for adults is 2.0-4.0 ml. no more than 2-3 r. per day, depending on the severity of pain.

The maximum duration of continuous treatment with this antispasmodic drug without prior consultation with a doctor should not exceed more than 2-3 days.

Contraindications to the use of No-shpa

• individual intolerance by the body of the main constituent substance (Drotaverine) contained in the drug;
(violation of the rhythm of the heartbeat);
• frequent insomnia;
• constipation (occurs very rarely);
• allergic skin rash (urticaria).

With the development of any of the above side effects, it is recommended to completely stop further use of the drug, and also, be sure to consult a doctor!

In this article, we looked at what No-shpa helps from, as well as how to take it correctly.

No-shpa is a well-known, time-tested medicine. Almost all home first aid kits have this drug. Often parents are afraid to give this drug to young children. After all, the official instructions for use say that the medicine should not be given to children under 6 years of age. In what cases is No-shpa for children prescribed from an earlier age and how does it work?

No-shpa is an antispasmodic that effectively affects the muscle tissue of human internal organs and blood vessels. The drug relieves muscle tone, while expanding the vessels through which blood circulates.

The main substance is drotaverine. It is he who has a pronounced antispasmodic effect. After taking the medication, blood circulation normalizes, all organs and tissues are additionally saturated with oxygen. Painful spasms in this case are significantly reduced or completely disappear.

The drug is of the following types:

• Tablet form;
• Oval capsules;
• Ampoule with liquid substance.

After taking No-shpa tablets, in children, the effect occurs within an hour. Intramuscular administration of the drug acts much faster - after 20 minutes.

Important! No-shpa injection solution should not be administered to persons under 18 years of age.

When can a doctor prescribe No-shpa for children?

Children under 6 years of age should be given medicine with great care. It is important to know that drotaverine, which is the main active ingredient of the drug, is artificially synthesized. In other words, this substance is not a natural ingredient. Therefore, the treatment of symptoms in children with No-shpa should only occur as prescribed by a doctor.

The drug is an excellent antispasmodic, but it does not have an analgesic effect like analgin and similar drugs. The drug has certain contraindications, which must also be taken into account when treating children.

Usually the medicine is prescribed to small patients in such cases:

1. : high temperature with cold extremities. In this case, No-shpa can relieve vasospasm, dilate blood vessels, improve blood circulation;
2. Spasms with or stenosis, causing severe coughing;
3. Spasms causing headaches;
4. Intestinal or renal colic;
5. Excessive painful gas formation;
6. Spasm of smooth muscles with pyelitis;
7. Spasms in colitis or gastritis.

Important! No-shpa has only a symptomatic effect, that is, it eliminates the spasm that caused the pain, but it does not treat the very cause of the spasm. Therefore, No-shpa is an adjuvant that should be prescribed along with the main medicine.

Contraindications

Nosh-pa for the treatment of young children should be used with caution, mindful of possible contraindications. The drug should not be given to children in such cases:

1. Children's age up to 1 year;
2. Reduced blood pressure in a child;
3. Individual intolerance to the children's organism of drotaverine;
4. Bronchial asthma;
5. Vascular disease (atherosclerosis);
6. Suspicion of a baby;
7. Suspicion of appendicitis;
8. Liver or kidney failure.

Important! In some cases, a doctor may prescribe a few drops of No-Shpa ampoule to an infant under 1 year of age for acute spasmolytic pain or white fever.

After taking the medicine, the child may experience some side effects:

1. Indigestion. Some time after the child has taken the drug, he may experience nausea, often accompanied by vomiting. It is also possible indigestion, constipation, increased separation of gases.
2. From the side of the cardiovascular system, problems after taking the drug are rare. But if a child has tachycardia or a sharp drop in pressure, which is expressed in drowsiness and lethargy, then the drug should be stopped.
3. No-shpa can cause dizziness and insomnia in a child. In such cases, it is also necessary to abandon the use of the drug.
4. Allergy. No-shpa rarely causes allergic reactions, but sometimes the baby may experience sneezing, a rash on the body.

In case of side effects, it is recommended to stop taking the drug immediately.

Dosage of medication for children

In pediatrics, the medicine is prescribed to children who have reached the age of one. The use of the drug in children under 1 year of age can disrupt the cardiovascular system. However, sometimes the medication is prescribed in small doses to newborns. The drug effectively relieves spasms and colic in infants. If the child is breast-fed, it is enough for the mother to take 1 No-shpa tablet before feeding. The active active substance through mother's milk in minimal quantities will enter the body of the newborn, relieving pain, spasm and colic. With artificial feeding, the baby is allowed to give a strictly defined dosage of the medication as prescribed by the doctor, dissolved in boiled water.

The amount of the drug that needs to be given to the child depends on two factors: the form of release of the drug No-shpa and the age of the child.

1. Children from 1 year to 6 years. Usually, this age group is prescribed the drug with extreme caution, 1/3 tablet 3 to 6 times a day, depending on the severity of the condition. Taking the drug No-shpa for children in this group should not exceed 2 tablets per day;
2. Children from 6 to 12 years old. 1/2 tablet 3 to 8 times a day, depending on the severity of the condition. Taking the drug No-shpa for children in this group should not exceed 4 tablets per day;
3. Children over 12 years old. 1 tablet 3 to 5 times a day, depending on the severity of the condition. Taking the drug No-shpa for children in this group should not exceed 5 tablets per day.

No-shpa is an effective remedy that relieves various spasms. Use this drug to treat babies with extreme caution and only when absolutely necessary. Children from the age of 6 can be given the drug No-shpa without fear. However, it should be remembered that it is possible to give a child medicine without a doctor's prescription for no more than two days.

Remember that only a doctor can make a correct diagnosis, do not self-medicate without consultation and diagnosis by a qualified doctor.