Drotaverine or No-shpa: what is the difference, which is better to choose from the drugs?

Characteristics of No-shpa

No-shpa and Drotaverine are representatives of drugs that belong to myotropic antispasmodics. Used for pain caused by spasm of smooth muscles. Widely used in gastroenterology, gynecology, urology and other branches of medicine.

Drotaverine

Drotaverine has antispasmodic and vasodilating effects. The active substance in the composition is drotaverine hydrochloride. Reduces smooth muscle tone by reducing the amount of calcium in smooth muscle cells. Dilates blood vessels and lowers blood pressure. Increases the filling of blood vessels in the brain. Does not affect the autonomic and central nervous system. Does not block the action of the neurotransmitter acetylcholine.

Drotaverine is used for various spasms of the smooth muscles of internal organs, spasm of cerebral vessels, menstrual pain, intestinal, renal and hepatic colic, stomach and duodenal ulcers, chronic cholecystitis, flatulence. As a component of complex therapy, it can be prescribed for hypertensive crises.

No-shpa

No-spa is available in tablets and ampoules for injection. Has an antispasmodic effect on smooth muscles. Eliminates spasms of muscle and neurogenic origin. Affects the smooth muscles of the gastrointestinal tract, genitourinary system, and biliary tract.

No-spa has an antispasmodic effect on smooth muscles.

The active component due to which the therapeutic effect occurs is drotaverine hydrochloride. The maximum amount of the substance in the blood is reached an hour after administration. The drug is completely eliminated from the body after 3 days.

Used in the treatment of spasms of smooth muscles of the gastrointestinal tract, urinary tract, and diseases of the biliary tract. Used for headaches and menstrual pain.

Taking the drug in the doses indicated in the instructions does not affect the ability to drive a car. The medicine is sold without a prescription.

No-spa is an antispasmodic drug created on the basis of drotaverine hydrochloride. Forms of its release:

1. Tablets 40 mg. Round, biconvex, yellow with a green or orange tint. They are engraved with “spa”.
2. Injection. It is a transparent yellow-green liquid.

Drotaverine is an antispasmodic based on the active ingredient of the same name. Like No-shpa, it is available in 2 dosage forms:

1. Pills. Flat-cylindrical, round, with a notch and a chamfer. Color – yellow with a greenish tint.
2. Injection. Transparent, yellow-green.

Drotaverine is indicated for diseases of the urinary and biliary tract and spasms of smooth muscles of the gastrointestinal tract.

Effective tablets and other remedies for stomach and intestinal upsets

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The uncomfortable condition that provokes disturbances in the digestive system makes people look for pills for stomach and intestinal upsets. Many people prefer tableted drugs due to their convenient use and fairly high efficiency.

The drugs prescribed by doctors have a different spectrum of action and have very different properties that affect not only individual symptoms, but also the causative factors of the disorder. Modern pharmacology offers a wide selection of a wide variety of remedies for intestinal disorders, from sorbents and antibiotics to herbal preparations.

• 1How to choose the right medicine
• 2How to treat diarrhea
• 3Popular tablets
• 4Herbal remedies for pathology

1How to choose the right medicine

Before choosing the effective remedy necessary to eliminate painful symptoms, you should consult a doctor so that he can help determine the cause of the ailment, which could be eliminated with the help of the necessary medicine. Medicines prescribed by doctors, as a rule, have standard properties:

• have a positive effect on the digestive microflora;
• normalize intestinal motility;
• remove waste and harmful toxins from the body;
• eliminate all associated pain.

Patients with disorders of the gastrointestinal tract are prescribed drugs such as Gastal, Drotaverin, Linex, Penzital, Motilak, Allohol, Mezim, Loperamide, Furazolidone.

For elevated temperatures that appear due to intestinal upset, doctors prescribe Paracetamol and Ibuprofen. To relieve stomach cramps and eliminate pain, Nurofen, Faspik, and No-shpu are prescribed.

The list of drugs that are prescribed for the purpose of therapeutic treatment of disorders of the digestive tract is opened by sorbents. They are prescribed for their effective detoxifying properties. This group of drugs includes activated carbon, Sorbitol, Neointestopan, Gastrofarm.

If the cause of the disorder is a toxic infection, the symptoms of which are nausea, gag reflex and loose diarrhea, doctors prescribe sulfonamides. These are Furazolidone and Imodium tablets.

If the state of the intestinal microflora is disturbed, provoked by dysbacteriosis, preference is given in therapeutic therapy to taking tablets that eliminate the symptoms of intestinal disorder: “Linex”, “Bifidumbacterin”, “Bifiform”.

2How to treat diarrhea

Before prescribing the necessary treatment for diarrhea, doctors determine its cause. Sometimes this symptom can be treated with a topical remedy. Functional diarrhea, which is caused by intestinal spasms, can be cured by applying a warm heating pad to the stomach and giving the patient complete rest. If the cause of diarrhea is poisoning, then you cannot do without a medicine with absorbent properties. Often, before the doctor arrives or the ambulance arrives, the patient is given activated carbon tablets (1 tablet per 10 kg of body weight) or Smecta. Doctors categorically prohibit giving stronger drugs until the true cause of the disease is determined.

Pharmacological action of drugs

No-shpa

Drotaverine and No-shpa have the same therapeutic effect, since their composition completely coincides with the active substance. In addition, one tablet contains the same amount of drotaverine hydrochloride - 40 mg. The additional components in the composition are also the same, so the action and effect on smooth muscles is identical. The speed of action and time of removal of the drug from the body also do not differ.

Contraindications

Contraindications for the use of both drugs are the same. It should not be used by people who are hypersensitive to the active or additional component of the drug. Do not use in patients with severe renal, cardiac or hepatic impairment. Due to the presence of lactose in the composition, it should not be taken by people for whom it is contraindicated.

Both drugs should not be used by patients with renal failure.

Both drugs should not be used in patients with heart failure.

Both drugs are prohibited for use in patients with liver failure.

During pregnancy, medications can be used after consultation with a doctor and under his supervision.

Breastfeeding women are not recommended to use the drugs.

It is not recommended to take the drugs for children under 6 years of age.

During pregnancy, use after consultation with a doctor and under his supervision. It is not recommended for use by breastfeeding women, as no studies have been conducted to confirm the safety of using the drug during this period. Use with caution in people with low blood pressure, as the drug may cause hypotension. Not recommended for children under 6 years of age.

Side effects

Undesirable effects are rare. Use of the drug can lead to sleep disturbances, headaches, tachycardia, dizziness, and hypotension. Sometimes there is nausea and constipation. Allergies may occur in people with hypersensitivity to the components of the drug. When administering drotaverine by injection, sweating and a feeling of heat may occur.

Drotaverine is almost 2 times cheaper than No-shpa. A package of No-shpa, which contains 100 tablets, costs about 170-200 rubles, a similar number of Drotaverine tablets costs about 70 rubles.

Since Drotaverine is produced by different manufacturers, the price difference with No-shpa may be greater; There are drugs that are 4 times cheaper.

Before buying one of the antispasmodics, you need to understand how they differ from each other.

Similarities

Both drugs contain the same active ingredient, which makes them complete analogues. Drotaverine hydrochloride relaxes the smooth muscles of internal organs, lowers blood pressure, and improves blood supply to internal organs. The antispasmodic effect of this component extends to the muscles of the gastrointestinal tract, cardiovascular system, bile and urinary tract. The list of excipients is the same for both drugs.

The indications for the use of drugs are the same. This:

• diseases of the urinary and biliary tract (cholecystolithiasis, pericholecystitis, papillitis, cholecystitis, cholangitis, cholangiolithiasis, urethrolithiasis, cystitis, nephrolithiasis, bladder spasms, pyelitis).
• spasms of smooth muscles of the gastrointestinal tract (gastritis, enteritis, spastic colitis with constipation, peptic ulcer, colitis, increased gas formation in irritable bowel syndrome, spasms of the cardia and pylorus);
• dysmenorrhea (pain during menstruation);
• tension headache;
• postpartum contractions, the possibility of miscarriage or premature birth;
• conducting cholecystography and some instrumental studies.

The list of contraindications is no different. The use of drugs is prohibited for the following diseases and conditions:

• individual intolerance to drotaverine hydrochloride or other components;
• severe form of heart failure;
• liver, kidney failure;
• breastfeeding period;
• childhood.

No-spa is prohibited if there is an individual intolerance to drotaverine hydrochloride or other components, and is also prohibited in severe heart failure.

Medicines in tablet form contain milk sugar, so they are not prescribed to people with glucose-galactose malabsorption, congenital lactose intolerance, or lactase deficiency.

What is the difference

The differences between the drugs are as follows:

1. Manufacturer. No-Shpa is produced in Hungary, and Drotaverine is produced in Russia.
2. Contraindications. No-shpa tablets are recommended for use from 6 years of age. Contraindication to the use of Drotaverine tablets is children under 3 years of age.

Which is cheaper?

The cost of drugs depends on the form of release, region of sale, pricing policy and other factors. The price of No-Shpa is 65-450 rubles, and Drotaverine – 45-150 rubles. This difference is due to 2 factors:

1. No-Shpa is produced abroad, in Hungary. Drotaverine is a Russian generic version of the drug.
2. No-Shpa is a product of the original brand. The price includes the cost of clinical trials, certifications and inspections necessary to obtain a patent. Drotaverine is an international name that can be used by any manufacturer.

The task of an antispasmodic is to relax the smooth muscles of blood vessels and internal organs. With the spasm gone, the spastic pain disappears and the vascular lumen expands.

In pharmacology, antispasmodics, depending on the mechanism of action, are divided into:

1. Antispasmodics with neurotropic action. In this case, the effect occurs at the moment of transmission of a nerve impulse to the smooth muscles of a vessel or organ. These substances are called M-anticholinergics: platiphylline, scopolamine, buscopan.
2. Antispasmodics with myotropic action. The effect through a biochemical process is carried out directly in the cell of the smooth muscle structure, changing its membrane cellular potential. These are drotaverine (No-shpa), papaverine, halidor, etc.

Antispasmodics of the neurotropic and myotropic series produce an effect approximately 15 minutes after entering the body. Antispasmodics of both groups have a high rate of absorption into the blood from the digestive tract.

The main active ingredient of the antispasmodic, evenly distributed, works in every cellular structure of smooth muscles.

An important feature: antispasmodics do not have a negative effect on innervation processes in higher and autonomic nervous activity.

The effect of the drugs is the same, since they have the same active ingredient - drotaverine

If we consider two antispasmodic drugs: Drotaverine and No-shpu, then it is obvious that they are identical in their main active ingredient.

Both the first and the second have the active ingredient drotaverine, and therefore they will have the same effect on the body.

Both belong to the same pharmacological group, providing an antispasmodic effect by interfering with the process of muscle contraction.

The indications and purposes of the antispasmodics Drotaverine and No-shpa are identical:

• spasm of smooth muscles in the gastrointestinal tract;
• spasm of blood vessels;
• spasm of cerebral vessels and peripheral nerve endings;
• spasm of smooth muscles of the urogenital organs.

Myotropic antispasmodic drugs (Drotaverine, Papaverine) are included in the mandatory list of drugs for the complex treatment of osteochondrosis in the acute stage.

The antispasmodic serves as a kind of catalyst, after which recovery and recovery comes noticeably faster.

There are two opposing opinions about which antispasmodic drug to prefer. On the one hand, Drotaverine and No-shpa are identical, and their action is the same. What is the main difference between the drugs? — Manufacturer, name, cost.

Arguments in favor of No-shpa:

1. the drug is safe;
2. a patented drug that has undergone special testing and clinical trials;
3. the probability of forgery is zero;
4. The drug has been on the pharmaceutical market for quite a long time and has proven itself well.

Drotaverine has fewer advantages:

1. generic drug;
2. produced by many pharmaceutical companies;
3. high probability of fakes.

The choice factor is also influenced by individual characteristics: (works - doesn’t work) and price. No-shpa has a higher cost, while Drotaverine is more affordable. Many people take Drotaverine and find it quite effective.

Therefore, if a person took a certain antispasmodic, and it really helped him, then he should not refuse and switch to another drug. It is better to be treated with a proven drug.

Side effects

"Drotaverine" has a positive effect on the condition of patients and is well tolerated. Adverse reactions occur infrequently, but are possible with an overdose, as well as with increased sensitivity to the components of the drug. And although negative effects are rarely noted, you should not self-medicate. Only a doctor can prescribe a medicine after an examination. Possible adverse reactions:

Hyperhidrosis sometimes develops while taking the drug.

• hives;
• bronchospasm;
• fainting;
• hyperhidrosis;
• sleep disturbance;
• decreased blood pressure;
• heaviness in the stomach, nausea, vomiting;
• arrhythmia;
• migraine;
• cardiopalmus.

Alternative drug choice

The spectrum of action of the drug is wide. Drotaverine tablets have the following indications for use:

• renal colic;
• biliary colic;
• spastic colitis;
• bile duct dyskinesia;
• intestinal colic;
• pyelitis;
• cholecystitis;
• spastic constipation;
• spastic colitis;
• pylorospasm;
• algodismenorrhea;
• endarteritis;
• spasms of cerebral vessels;
• ulcer of the stomach and duodenum.

Drotaverine helps well with pain during menstruation and toothache. Experts sometimes prescribe pills when there is a threat of miscarriage or premature birth. Drotaverine helps relieve spasm of the uterine pharynx during childbirth; it is prescribed for prolonged opening of the pharynx and postpartum contractions. Among other things, the medication is sometimes used to make patients feel better during instrumental studies - such as cholecystography, for example.

So far, pharmacists have not been able to make a drug that would suit everyone perfectly. And effective Drotaverine has certain contraindications. You should not use this remedy if:

• hypersensitivity to one or more components;
• cardiogenic shock;
• renal failure;
• severe liver failure;
• angle-closure glaucoma;
• arterial hypotension;
• prostate adenoma.

Medication treatment should be approached with caution by those who are familiar first-hand with such a diagnosis as severe atherosclerosis of the coronary arteries. Since Drotaverine contains milk sugar monohydrate, it is also contraindicated for:

• congenital lactose intolerance;
• glucose-galactose malabsorption;
• lactase deficiency.

Drotaverine should not be given to children under three years of age. At this age, the risk of side effects is highest. The medicine does not affect embryonic development in any way. At least the opposite has not been proven. However, Drotaverine during pregnancy is prescribed only in exceptional cases - when it is impossible to do without the drug. Doctors do not recommend it for nursing mothers either.

Which is better - Drotaverine or No-shpa?

It is impossible to say unequivocally which antispasmodic is better. Medicines have the same chemical composition and the same effectiveness. When choosing a drug, you should rely on your own preferences and financial capabilities. If in doubt, it is better to consult a doctor.

Many people think that generics are of lower quality, but this is not true. According to the FDA, 8 out of 10 drugs prescribed in the United States are generics. Clinical studies have shown that such products work no worse than their analogues and are safe for health.

In Russia, the effectiveness of generics depends on the manufacturing company. While in other countries, before registering a drug, therapeutic equivalence (the result of therapy and side effects) is determined, this is not the case in the Russian Federation. Therefore, generics may have several disadvantages:

• failure to comply with the stated dosage of the active substance;
• difference in the composition of auxiliary components;
• the presence of impurities in the active substance due to poor purification.

During pregnancy

Clinical studies have demonstrated the safety of Drotaverine and No-shpa for pregnant women. However, you can take these medications with the permission of the doctor leading the pregnancy. The specialist must make sure that there are no contraindications and that the expected benefit to the mother outweighs the potential danger to the fetus.

Drotaverine and No-shpa are identical in composition - the active substance, its quantity, and additional components are the same. The drugs do not differ in pharmacological action, contraindications and side effects. Accordingly, it is impossible to say that any of the medicines is more effective.

The only difference between the drugs is the price. Therefore, if you do not want to pay more for the original name and imported production, you can save money by choosing to purchase Drotaverine.

No-shpa

NO-SHPA. What you didn't know yet. A drug that lowers blood pressure.

Drotaverine

special instructions

The drug in question is used with caution when relieving symptoms of exacerbation of hypertension.

In special cases, intra-arterial administration of the solution may be recommended.

In this case, it is necessary to constantly monitor the patient’s condition.

The intravenous method of drug delivery is recommended less frequently than the intramuscular or subcutaneous route. It also requires monitoring the patient's condition.

During pregnancy and breastfeeding

During the period of bearing a child (early and late), it is permissible to use the drug in question, but only for health reasons, taking into account the effect of Drotaverine on the fetus.

This antispasmodic is used with caution during breastfeeding.

In childhood

The drug in tablet form is prohibited for use in the treatment of children under 3 years of age. Drotaverine injections are not given to patients under 12 years of age.

Effect on concentration

If tablets are used, it is permissible to drive a car and engage in other activities that require increased alertness.

When using the solution, you should avoid driving, since in this case the active substance is delivered directly to the blood and soft tissues, which can speed up the effect of the medicine.

Doctors' opinion

Larisa Alekseevna, cardiologist, Moscow: “The drugs relax the smooth muscles of blood vessels, so they should be taken for heart disease (including atherosclerosis) as part of complex therapy. The question of which medicine is better cannot be answered. They act the same way, because they are made from the same active substance. The only difference is the cost."

Alexander Stepanovich, therapist, Kaluga: “Patients who take medications without a doctor’s permission often come to appointments. Recently a man came in who used No-shpa to relieve pain from hemorrhoids. It is important to understand that drugs based on drotaverine have an analgesic effect if the symptom is caused by spasms. In other cases, it is not advisable to use them.”

Help determine the cause of severe abdominal pain. Alexander 40 years old, Yuzhnouralsk

Regarding the disappearance of pain after colonoscopy. Most likely, there was a pronounced local spasm, and passage with a colonoscope and the introduction of air contributed to the restoration of normal intestinal patency and straightened it.

Based on the totality of symptoms, it is necessary:

1. Rule out liver disease (including chronic hepatitis, as well as toxic hepatitis (alcohol, chemicals, occupational hazards).
2. Carry out advanced biochemistry, determine GGTP (gamma-glutamyl transpeptidase), total blood protein and protein fractions, cholesterol.

Drotaverine - application

Each patient must clearly understand how to take Drotaverine and take it in accordance with the most suitable regimen. Otherwise, the minimum treatment will not bring any benefit at all, and the maximum will cause discomfort and additional problems. The treatment regimen with Drotaverine for each person should be determined individually and it is advisable that it be approved by a specialist.

The attending physician should choose the amount of the drug that the patient should take. This will eliminate all potential risks and ensure maximum efficiency. Drotaverine - dose for different categories of people:

• Children from 2 to 6 years old are recommended to take 10–15 mg of the drug 1–2 times a day;
• children 6 – 12 years old – up to 20 mg no more than twice a day;
• for teenagers and adults – 40 – 8 mg twice – three times a day.

The maximum permissible doses for these groups of patients are 120, 200 and 240 milligrams. You cannot take more medicine, but in some cases this rule is violated. This happens, as a rule, in particularly difficult situations, when without increasing the dosage it will not be possible to achieve the desired result and this is done only with the approval of a professional.

The question of how to take Drotaverine in tablets should arise for every patient, because in most cases the effectiveness of treatment depends on this, but this remedy is a pleasant exception. The fact is that the drug can be taken at any convenient time, its effect is in no way connected with eating food. The main condition is to take the medicine in sufficient quantities with still water. It is not necessary to crush or dissolve Drotaverine.

It is also very important for patients to deal with this issue carefully, because even the best and most harmless medicines, when used for a long time, begin to act in the opposite direction and cause harm instead of helping. To prevent this from happening with Drotaverine, it is advisable to coordinate the treatment regimen in detail with the attending physician, taking into account all the characteristics of the condition, organism, and problem for which the remedy is prescribed.

Can Drotaverine be used continuously? For many patients, a single dose of Drotaverine is enough, but there are also those who have to live on tablets. This happens when it is not possible to solve the problem radically, but in most cases, pills are a temporary help. They are prescribed until the causes of anxiety are clarified, and after they are eliminated, the need for the medicine disappears by itself. In other situations, the duration of treatment is selected individually.

Drug interactions

When prescribing, you need to take into account the properties of the drug in question, which appear when combined with other drugs, thereby reducing the risk of complications.

With other drugs

The intensity of the effect of Levodopa on the body decreases, at the same time the antiparkinsonian effect is weakened.

The drug in question inhibits Morphine's ability to provoke spasms.

The antispasmodic effect of a number of drugs and substances is enhanced: M-choline blockers, Bendazole, etc.

A more pronounced decrease in blood pressure is observed when used simultaneously with tricyclic antidepressants, Procainamide, and Quinidine.

Under the influence of Phenobarbital, the effectiveness of Drotaverine increases.

Alcohol compatibility

There are no strict restrictions, which means that it is allowed to take the drug in question along with drinking alcoholic beverages. However, there is a risk of developing negative phenomena that are not described in the instructions for the product.

Reviews

Doctors

Tatarnikov D.V., pediatrician, Novosibirsk

No-spa is a good antispasmodic drug. I prescribe it for colic and to bring down the temperature. The safety of the drug allows it to be used in the treatment of patients of all age groups. One of the disadvantages of the drug is the bitter taste, which sometimes causes nausea in children.

Shishkina E.I., endocrinologist, Krasnodar

I prescribe No-shpu when you need an analgesic effect for headaches, toothaches and other types of pain. Most effective when pain is caused by spasms. Used for uterine hypertonicity. If you follow the instructions, there will be no side effects. This is a medicine that should be in your home medicine cabinet.

Petrunina A.S., gynecologist, Orel

No-spa effectively and quickly eliminates spasms. Used in pregnant women with uterine hypertonicity to prevent miscarriage. Oral administration does not always produce results. It helps well with pain caused by menstruation.

Kurbanismailov R.B., gynecologist, Krasnoyarsk

Drotaverine works well in eliminating pain due to smooth muscle spasms. Excellent for intestinal spasms. Allowed and often prescribed to pregnant women.

Pakhnov D.V., proctologist, Astrakhan

I prescribe Drotaverine to eliminate spasms in pancreatitis, renal, intestinal and hepatic colic. Can be used in the therapy of adults and children. There are no side effects, the price is affordable. The drug is often used in various branches of medicine.

Patients

Alena, 38 years old, Smolensk

Drotaverine is one of the most effective and cheapest antispasmodics. I take it for abdominal discomfort and intestinal pain. The pain goes away after 15 minutes. I always carry the medicine with me. The taste is bitter, you need to wash it down with water. I don’t buy no-shpa because I don’t want to pay more for the same effect.

Irina, 33 years old, Krasnoyarsk

When drug prices increased, I started buying Drotaverine. This is an analogue of No-shpa, contains the same medicinal substances, and is cheaper. Always present in the first aid kit. I use it for pain in the abdomen, kidneys and high fever. Effective for menstrual pain.

Irina, 26 years old, Yaroslavl

No-spa is an excellent pain reliever that helps with almost any pain. It is effective for simple abdominal pain and during menstruation. After use, the effect occurs quickly. The tablets are small and can be swallowed without chewing.

Olga, 47 years old, Tver

Headaches are common, especially during weather changes. Sometimes accompanied by nausea and vomiting. In this case, No-shpa helps well. Although I don’t like injections, I use the drug intramuscularly - this way the effectiveness is highest. I make sure that the drug is available both at home and when traveling. If there are no ampoules, I use tablets. I determine the dosage according to the instructions.

Daniil, 25 years old, St. Petersburg

I had severe headaches for more than 2 weeks, which prevented me from sleeping and studying normally. It was difficult to concentrate because the pain was distracting. On the advice of a friend, I purchased No-shpa. A couple of hours after use, the pain decreased and then completely disappeared. I recommend the drug to eliminate various painful sensations, including headaches.

Bogdana, 25 years old: By chance, the pharmacist at the pharmacy advised me to buy drotaverine in tablets instead of no-shpa. The package costs 40 rubles, much cheaper than no-shpa, but the effect is the same, no worse. I didn’t find any disadvantages in the drug, but there were advantages: inexpensive, effective, accessible.

Valeria, 47 years old: I have drotaverine - an important medicine in the home medicine cabinet. It helps the whole family: from the stomach, from pain during menstruation, from stagnation of bile, from exacerbation of gastritis. But-shpoy were also treated. But as it turned out, the effect is the same for everyone, only the price is different. Why pay more?

Zinaida, 33 years old: There is nothing better than proven No-shpa. This drug works for the head, stomach, and menstruation. I don’t understand why risk your health and run into a fake? Moreover, the difference is not that big.

Elena, 50 years old, Samara: “I have suffered from varicose veins all my life, but this disease cannot be compared with what I experience during attacks of cystitis. Drotaverine helps fight unpleasant symptoms. The medicine quickly relieves spasms and improves well-being.”

Vladimir, 46 years old, Rostov-on-Don: “I used to use generics instead of patented drugs because of their lower cost. Then, using the example of Drotaverin, I became convinced that cheap is not always good. This remedy rarely helps, unlike No-shpa. Perhaps I’m unlucky with manufacturers.”

Nadezhda, 36 years old, Odintsovo: “No-Spa in tablets and injections is always in our home medicine cabinet. I use it for menstrual pain, and my husband uses it for exacerbations of gallstone disease. The medicine relieves spasms and relieves discomfort. My parents take Drotaverine because it costs less and works the same.”

Contraindications

The product should not be used if the following factors are present:

• personal sensitivity to the drug or any of its substances;
• severe renal, liver and heart failure;
• atrioventricular block 2 and 3 degrees;
• arterial hypotension.

Since No-spa tablets contain lactose, its use during diarrhea is contraindicated in patients with galactosemia, lactose deficiency or syndrome of impaired absorption of glucose, galactose.

The use of No-shpa in ampoules for diarrhea is prohibited for allergy sufferers and people who suffer from asthma, as it contains bisulfite, which causes acute allergies, including anaphylactic shock.

In addition, there are cases when the use of funds is not contraindicated, but requires special caution.

In such situations, No-shpa is used only according to a specialist’s prescription and when the expected effect of its use is higher than the probable harm.

Dosage and composition

Release form of Drotaverine:

1. Tablets of 40 or 80 mg with the active ingredient drotaverine.
2. Injection solution of 2 ml with 40 mg of active ingredient.

Form of release of drugs - tablets and injection solution

Tablet form for oral administration, regardless of food.

The course of treatment and dosage of the antispasmodic is determined by the attending physician.

Usually this is 40-80 mg of the drug three times a day, with a maximum daily dose of no more than 240 mg.

The injection solution is administered intramuscularly or intravenously slowly, three times a day, 40-80 mg, with a maximum daily dose of 240 mg.

The release form, amount of active substance (drotaverine), course of treatment, dosage and maximum daily dosage of No-shpa is identical to Drotaverine.

The antispasmodics Drotaverine and No-shpa have minimal side effects and are well tolerated by patients.

Very rarely, drugs can cause an allergic reaction, especially in people with sensitivity to bisulfite. Antispasmodics in tablets are included in the over-the-counter list, injection solutions are available with a prescription.

If a patient takes antispasmodics without consulting a doctor, one should be careful and remember that the duration of use should not exceed two days.

If the pain syndrome has not decreased on the third day, further treatment with antispasmodics without the supervision of a specialist is dangerous and can lead to serious consequences.

Contraindications during pregnancy

There is no consensus on whether the use of No-shpa causes harm to the fetus. Laboratory studies have not established the effect of using this medication on the formation of the fetus.

No-spa is considered a potent antispasmodic that helps reduce increased uterine tone and prevent the threat of miscarriage, which is why experts often recommend it to women in the 1st trimester of pregnancy.

Therefore, if there are no liver or kidney diseases or other severe contraindications, the use of the drug in tablet form for diarrhea in pregnant women is possible, but only within a specific dose and according to a doctor’s prescription.

No-spa for diarrhea is a fairly common antispasmodic medication.

It effectively eliminates headaches, abdominal discomfort, pain during the menstrual cycle, and diarrhea.

However, no matter how effective and harmless the drug is considered, No-shpa remains a medicinal product that has certain contraindications and side effects.

This remedy is available for purchase in pharmacies, but if after 1-2 days a positive effect in eliminating diarrhea has not been achieved, then you need to contact a specialist in order to correct the diagnosis and revise the therapy.

Drotaverine - analogues

For various reasons, not every patient can try it on themselves and find out how Drotaverine works. For some, the remedy is contraindicated; for others, due to frequent use, it has become rather weak and no longer works properly. Such people have to look for alternative options. It’s good that Drotaverine has enough substitutes, and most of them work just as effectively. Among the most famous and effective analogues, a separate list includes the following:

• Spakovin;
• Spasmol;
• Biospa;
• No-Shpa;
• Spasmonet;
• No-H-Sha;
• Nispasm;
• Nispasm forte;
• Nokhshaverin;
• Dolce;
• Ple-spa;
• Spazoverine;
• Papaverine;
• Papaverine-Health.

One of the most famous analogues of Drotaverine is No-Shpa. These drugs are often even confused, considered to be the same drug, but in reality they are two different drugs. Which, it’s true, have a lot in common. The same properties include the following:

• one active ingredient;
• one dosage per tablet;
• the same dosage regimen;
• similar side effects;
• contraindications;
• form of production.

To say, Drotaverine or No-Shpa, which is better, can only be done by testing the medications on yourself and evaluating the main differences. Among the latter, it is worth focusing on the following:

• number of pills in the pack;
• release options (Drotaverine has many of them);
• crospovidone in Drotaverine;
• price – No-Shpa is much more expensive, which is why it is not suitable for all patients.

1. Analgin with drotaverine
2. Is drotaverine an analogue of noshpa or not?