Spasmex tabs 15mg #30

Spasmex instruction

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Composition

Tablets contain in their composition the active substance trospium chloride in an amount of 5, 15 or 30 mg.

Form of issue

Tablets of 5 mg and tablets coated with a film coat of 15 and 30 mg.

pharmachologic effect

Antispasmodic.

Pharmacodynamics and pharmacokinetics

The active component is trospium chloride. The action of the drug is based on the blocking of m-holinoretseptorov. In addition to the spasmolytic effect, the drug has a ganglion-blocking effect. The active substance is an antagonist of acetylcholine in the receptors of smooth muscle tissue.
Drug Spasmex copies the detrusor hyperactivity (muscle plexus of the bladder). The medication does not have a central effect.

Indications for use

Spasmex is prescribed for a hyperactive bladder, with frequent urge to urinate (against the background of inorganic and non-hormonal etiology).
The medication is used for nocturia, pollakiuria, with detrusive-sphincter-dissynergy against the background of concomitant intermittent catheterism.
The drug is prescribed for mixed forms of urinary incontinence, with neurogenic spastic dysfunctional pathology of the bladder (with hyperreflexia or hyperactivity detrusor against the background of spinal trauma, multiple sclerosis, stroke, spinal cord disease, Parkinsonism).
Spasmex tablets can be used in the complex treatment of cystitis accompanied by imperative clinical symptoms.

Contraindications

With intolerance to chloride, trospas do not prescribe Spasmex. The instruction for use contains an indication of the undesirability of using the medication in patients with cardiovascular pathology: mitral stenosis (valve pathology), arterial hypertension, atrial fibrillation, tachycardia, heart failure.
With reflux esophagitis, with achalasia (insufficient relaxation of the sphincter), stenosis of the pylorus (narrowing of the lumen), with intestinal atony, with intestinal paralysis obstruction, ulcerative colitis, open-angle glaucoma, dry mouth, marked renal system pathology, autonomic neuropathy , hypertrophy of the prostate, gestosis, Down's disease, with central paralysis in children, Spasmex tablets are administered with caution.
It is not recommended to prescribe medication to nursing and pregnant patients.

Side effects

Rarely, dry mouth and dyspepsia are noted. From the side of the nervous system, confusion is possible.
A small part of patients (less than 1%) recorded acute necrosis (death) of skeletal muscles and a violation of accommodation.

Overdose

Redness of the skin, pronounced dry mouth, visual impairment, increased heart rate.
It is required the appointment of m-holinomimetikov, the instillation of pilocarpine in patients with diagnosed glaucoma.
In severe poisoning, beta-blockers are introduced (blood pressure and ECG are mandatory).

Spasmex, instructions for use (Method and dosage)

It should be eaten before eating with plenty of water. Do not chew.
The dose is prescribed individually by the attending physician.
Usually the drug is applied three times a day, observing a time interval of 8 hours, the daily dose is 45 mg. It is possible to independently adjust the dosage regimen in the form of reducing the single dose by ½ tablets with a deterioration of well-being. Only a doctor can increase the single dosage.
The duration of the course is three months on average.
In case of problems with the kidneys, no more than 15 mg of medication per day should be used.

Interaction

Chloride trospium enhances the action of quinidine, tricyclic antidepressants, beta-adrenostimulyatorov, antihistamines and amantadine.

Terms of sale

To buy Spasmex you don't need a prescription.

Storage conditions

In a dry, dark place inaccessible to children at a temperature of 15-25 degrees Celsius.
Shelf life - five years.

special instructions

With detrusor or sphincter dysfunction, a catheterization of the bladder is mandatory.
In patients with vegetative disorders of the bladder, the main cause of dysfunctional disorder should be established even before the start of Spasmex therapy.
It is necessary to exclude oncological pathology (carcinoma) and infectious disease, which require appropriate etiotropic therapy.
The active substance causes paralysis of accommodation, which must be taken into account by persons who manage motor transport.

Reviews about Spasmex

Reviews about Spasmex on the forums indicate a good tolerability of tablets. The drug is effective according to the indications.