Пожалуй, каждому, кто хоть раз испытывал боли и spasms, the sign of the drug "No-spa". Its analogue - “Drotaverin”, which completely repeats this medicine in composition and action, is not known to everyone. Most people trust more advertising and the familiar name, which for many years of use has already become a symbol of pain relief. Many people take "No-shpu" for any spasm, prescribing this medicine on their own without the advice of a doctor. But, despite the good reputation of the brand and the high efficacy of the drug, it still has many contraindications and side effects. And in many cases, when “No-shpa” is required, its analogue is preferable. To be sure that taking these pills will help from pain and will not lead to new problems, you need to know the specifics of their actions, indications and contraindications for use.
The history of the popularity of the drug
In the middle of the 19th century, opium was isolatedeffective pain reliever. He was called papaverine. At the beginning of the 20th century, mass production of this drug was launched. The medicine was inexpensive and was used to relieve pain and cramps in many diseases. In the 60s, the drug was improved. On its basis, two similar drugs began to be produced. A Hungarian pharmaceutical company produced the drug "No-shpa". Its analogue is produced in Russia and is called “Drotaverine hydrochloride”. No-shpa itself is more popular mainly due to the reputation of the pharmaceutical company Hinoin. But in recent years, drugs have become more expensive, and therefore, no-shpa is available to everyone. The Russian equivalent of Drotaverine Hydrochloride is 5 times cheaper, and in terms of effectiveness it is not inferior to it. Many patients who tried to replace "No-shpu" with "Drotaverin" note that they did not feel any difference.
Effect of the drug
Основное действующее вещество «Но-шпы» - drotaverine. It belongs to myotropic antispasmodics and is popular because of its ability to quickly relieve spasms of smooth muscles of internal organs. This is reflected even in the name of the drug, which is translated from the Latin language as “no spasm”.
When the drug is used
Very effective "No-shpa" for pains of differentorigin, especially those caused by vasospasm or muscle spasms. It is prescribed by doctors for many diseases. And some people, who are often in pain, take the drug even without consulting a doctor, which is undesirable, because you need to know in what cases the reception of “No-shpy” is indicated. She is prescribed:
- with spastic colitis, constipation, gastritis, gastroduodenitis and ulcer;
- With painful menstruation;
- to prevent premature birth, reduce the tone of the uterus and removal of postpartum contractions;
- with renal colic, cholecystitis and biliary dyskinesia;
- with urolithiasis and gallstone disease;
- with headaches caused by vasospasm;
- with deep cuts, muscle strains and injuries.
Forms of release "No-shpy"
1. This drug is best known as a small, yellowish round pill.
2In medical institutions or for the relief of severe colic and spasms, a solution is used for intravenous or intramuscular administration. One ampoule also contains a single dose of drotaverine - 40 milligrams. This form of the drug is dispensed from pharmacies by prescription only, and is used widely mainly in medical institutions.
Side effects
The drug may cause the following undesirable effects:
- cardiopalmus;
- lowering pressure;
- fever and sweating;
- dizziness, insomnia;
- nausea, constipation;
- allergic reactions.
More dangerous is the intravenous administration of "No-shpy."It can cause arrhythmia, pressure drop and even respiratory depression. Therefore, more often for use outside the medical institution is administered orally "No-shpa" (pills).
Instructions for use
Tablets "No-shpy" need to drink 2-3 times a day.The duration of treatment depends on the recommendation of the doctor. If you had to take the drug without the appointment of a specialist, you should not drink it for more than two days. And it's not even that it can cause side effects. No-shpa very effectively relieves pain, which can be a symptom of a serious illness.
Who should not take the drug
"No-shpu" does not recommend the use of such patients:
- patients with severe renal and hepatic insufficiency;
- women during breastfeeding;
- children up to 6 years;
- patients with individual intolerance to drotaverine;
- With severe heart failure;
- with bronchial asthma;
- people with low blood pressure;
- to those who have a history of lactose intolerance.
"No-shpa" during pregnancy
Now quite often, many doctors usedrugs based on drotaverine during pregnancy. Mainly by obstetric care to accelerate cervical dilatation. But at any time during pregnancy you can take the drug "No-shpa" (pills). The instruction recommends doing this only under medical supervision, although it is believed that the drug does not bring any negative consequences for the development of the child.
What can replace the "No-shpu"
Not everyone has access to this medicine, although it is notvery expensive - the packaging of tablets costs about 200 rubles. But many use cheaper drugs. Moreover, not everyone and not with any pain helps "No-shpa." Analogs are cheap sometimes more effective. But in order to choose the right anesthetic drug, you need to know the features of its action, as well as the origin and nature of the pain. All drugs based on drotaverine help only with spasms of blood vessels or muscles. They will be useless for headaches of vascular origin and migraines. In these cases, special drugs are prescribed. It can be "Paracetamol" or "Analgin". For pain caused by inflammation, it is best to take non-steroidal anti-inflammatory drugs: Ibuprofen, Pentalgin, and others. Toothache relieves Ketoprofen better. But the question of what can be replaced by "No-shpu" can only be solved with a doctor. If the specialist prescribed this particular drug, it means that the pain is caused by spasms of blood vessels or smooth muscles. In this case “No-shpa” will be the best to help. Analogue can be taken instead of it, but these drugs are not always effective, and their action may not be as long. This may be caused by additional substances in the composition, manufacturers' bad faith or dosage of drotaverine.
"No-shpa" - analogues
The price of various drugs ranges from 50 to 200rubles, depending on the popularity of the manufacturer, the number of tablets in the package and the form of release of the drug. The most expensive products from this group are No-shpa Forte and No-shpa itself. Analogs are cheap - these are mainly Russian-made drugs based on drotaverine or papaverine. These include:
- "Drotaverine hydrochloride";
- "Drotaverin Forte";
- "Papaverine";
- "Spasmol";
- Spasmonet;
- “Nosh-Bra.”
In addition, another Indian drug is produced."Spazoverin" and a stronger anesthetic - "No-spalgin." The last drug, in addition to drotaverine, contains codeine and paracetamol and is sold only by prescription.
What you need to know when taking painkillers
one.All such drugs, such as "No-shpa", "Analgin" and others, do not cure diseases, but only mask the symptoms. This is especially true for drugs based on drotaverine. They relieve cramps and quickly help with severe pain. But it can be evidence of the development of a tumor or the onset of a serious disease. Therefore, it is not recommended to drink "No-shpu" for more than two days without consulting a doctor.
2. Before taking any drugs based on drotaverine, you need something to eat. This substance is absorbed worse on an empty stomach, and in this case there is more possibility of side effects.
3. If after taking “No-shpy” pain did not diminish after 20-30 minutes or nausea, weakness and dizziness appeared, it is worth refusing to take the drug.
4. Some drugs, such as "Phenobarbital" and other antispasmodics, can enhance the effect of "No-shpy", but the joint use of different drugs is possible only by prescription.
