Action
No-spa contains a substance called drotaverine, which can relieve spasm of the smooth muscles of internal organs. Thanks to this action, the substance can have a beneficial effect on the following body systems:
- Digestive - has a positive effect on intestinal motility.
- Blood - dilates blood vessels and normalizes blood circulation.
- The biliary and genitourinary system - relieves spasm of the smooth muscles of the biliary and urinary organs.
Among other things, the effect of using no-shpa is to normalize the processes of supplying tissues and organs with oxygen and relieve pain.
The timing of the onset of action of the drug depends on the form of its administration to the body. 5 minutes - if an intravenous injection was given. 30 minutes - if the medicine was administered intramuscularly. 60 minutes - if the tablet was taken.
Noshpa is produced in different packaging.
Antispasmodic agent No-shpa - review
This method was recommended by a nurse at a children's clinic. Seeing my gloomy face, she gave me a recipe for a simply magical remedy for baby colic.
Since my baby was diagnosed with lactase deficiency at the age of 2 weeks, we had plenty of tummy problems. At 3-4 weeks THEY came, colic. Nothing helped us, we didn’t sleep for a month, barely ate, and mostly howled. The medications used to save the older child did not produce results; there was not even a hint of improvement.
When my strength was running low, I finally decided to try this remedy.
A quarter of noshpa plus smecta (about a pinch to drown out the taste of noshpa). It turned out that the bitter taste of noshpa, which cannot be drowned out by anything except smecta, was added drop by drop and apple puree and juice, then pear and so on and so forth. I'll try it, it's bitter. But for some reason it’s normal with smecta. Miracles…
The result appeared after 20 minutes, the child pressed against his father’s shoulder and hung like a rag. It was 12 o'clock at night, he slept until 7 am! This is how they were saved, of course, not every day. But when a child cries for 3 hours, I don’t think it’s normal. At 4 months the colic went away, in total we ate 4-5 tablets.
And after 2 weeks the TEETH arrived, but that’s a completely different story and I’ll tell it in another review.
Advantages
- Inexpensive
- Relieves severe attacks of spasms
- Effective
Flaws
- For me there are no shortcomings in it.
Read all reviews 146
Other reviews
Read all reviews 146
see also
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- Antispasmodic agent JSC Pharmaceutical Plant EGIS Halidor Effective Antispasmodic! Wide spectrum of action! BUT the list of side effects is also very wide!!! Galidor. My treatment story and results! Instructions for use! Due to the huge amount of new information at work and the more intense rhythm of work, I often began to have headaches in the forehead and back of my head. When I went to a neurologist for a sedative, I complained about these symptoms too. He prescribed me to take Halidor.
- Antispasmodic drug Arterium Drotaverine (Drotaverine) It is beneficial for everyone that we work for pharmacy chains. My fellow doctors never buy expensive drugs for themselves. Cheap drugs are suddenly discovered under the counter in pharmacies. About generics and analogues or whether it is worth paying for advertising and a big name Most of my friends do not like analogues and generics of many popular drugs. The myth has been spread around the World Wide Web many times that original drugs contain purer active ingredients. As for me, this is an unfounded and unproven theory.
- Antispasmodic agent MosPharma Zelenin drops Zelenin drops are my experience of using them for insomnia and nervous excitability. Cheap sedative that really works Hello! Women who have small children want to sleep all the time. I'm one of those people. For 1.5 years I only dreamed of sleep, and as soon as my daughter began to sleep all night, my sleep disappeared. I could sleep here and sleep, but no. I can not. At first I wrote reviews at night, then I read books.
- Antispasmodic BERLIN-CHEMIE Spasmomen A good, German drug that helps with CRACING abdominal pain and bloating! No side effects! Hi all! Due to very unpleasant side effects from the drug “Gazospazam”, I was prescribed “Spasmomen” as a replacement. This drug was prescribed to me for 10 days, it helped relieve intestinal spasms and severe pain.
- Antispasmodic drug Astellas VESIKAR A delicate question or How we struggled with frequent urination and came to a compromise. I will not retell the instructions and describe the packaging, but I will tell you when and how we used VESIKAR, and what came of it. For young readers, let me remind you that menopause in women and problems with the prostate gland in men are inevitable.
- Antispasmodic agent CJSC “Canonpharma Production” Sparex Sparex or Duspatalin?! Why pay more?! I recommend Sparex for pain and spasms in the intestines and other organs of the gastrointestinal tract! Hi all! Today we will talk about the most valuable thing, health! After maternity leave, I got a job and then off we go: cakes, pies, sausage, coffee and all sorts of other junk food, all the time, sometimes it’s a holiday, sometimes there are sweet tooth lovers who constantly buy and treat something, and when there’s...
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When to give Noshpa
First of all, parents should familiarize themselves with the list of diseases for which no-spa will help their child. To do this, you should look at the instructions for use of the drug. Unfortunately, many people ignore this point. So, you can give No-shpa to children if they have the following ailments:
Cystitis. If a child gets a cold in the genitourinary system during a walk or under any other circumstances, the drug will ease his suffering and relieve spasm of the smooth muscles of the urinary tract
Stones in the kidneys. Doctors prescribe no-shpa in these cases also to relieve spasms.
Diseases of the gastrointestinal tract: gastritis, colitis, enteritis, rare spasms of the stomach or duodenum, constipation and flatulence.
Headache and fever. No-spa will alleviate the patient’s condition by dilating the blood vessels, due to which the pain will subside.
It must be remembered that the drug only temporarily relieves the symptoms of the disease, but does not treat the underlying disease, so it can only be used as an adjunct to therapy. For targeted and effective treatment of the disease, mandatory consultation with a specialist is necessary. However, before using No-shpa, it would also be a good idea to consult with your doctor.
Nuances of using No-shpa: at what age and how many tablets can a child be given?
Spasms and pain cause a lot of extremely unpleasant sensations for children. To stop them, No-shpu is usually used. The drug effectively relaxes the smooth muscles of internal organs, thereby improving well-being.
This medicine is approved for children. But you need to know how much No-shpa can be given to a child in order for the treatment to be effective and safe.
All parents worry about the health of their child. If the baby’s health worsens, signs of some kind of illness appear, then the question arises regarding treatment. Therapy must be approached competently and responsibly, because not all drugs are approved for children.
No-shpa tablets
No-spa is a popular antispasmodic drug that affects muscle tissue and blood vessels. The main substance that has a therapeutic effect is drotaverine.
No-shpa is available in three forms:
- tablets;
- capsules;
- injection solution.
Oral forms of the drug have an identical composition, but differ in dosage.
It is advisable to take No-shpa in the following cases:
- spasm of the smooth muscles of the biliary tract. The drug relieves discomfort in cholangiolithiasis, cholecystitis, papillitis, cholangitis;
- spasms of the muscles of the urinary tract. This condition is often observed with nephro- and urolithiasis, cystitis;
- increased tone of the stomach muscles during peptic ulcer disease;
- flatulent form of spastic colitis;
- headache due to narrowing of the arterial lumen;
- spasmodic pain due to gastritis;
- white fever. The main symptom of the disease is high body temperature with cold feet and hands;
- spasms due to stenosis or bronchitis, causing severe coughing.
Tablets are used for mild symptoms. Capsules should be used for severe discomfort.
The injection form is suitable for the following cases:
Many people think that No-Spa is ineffective for toothache, because the main property of drotaverine is antispasmodic, and discomfort in the oral cavity is caused by inflammation and damage to dentin, enamel, and gums. But sometimes pills can help. For example, if you put the drug under your tongue, it and nearby tissues will quickly begin to go numb.
Therefore, No-shpu can be used as an analgesic when it is not possible to visit a dentist. The tablet should be applied to the diseased tooth and placed in the carious cavity. No-spa is a fairly strong drug. But not everyone is allowed to use it.
The drug is prohibited for children who have the following conditions:
- individual intolerance to drotaverine and other components of the drug;
- severe form of liver and kidney failure;
- impaired absorption of galactose and glucose (for oral forms of the drug);
- low cardiac output.
No-shpa should be used with caution in the presence of hypotension.
At what age can a child be given medicine?
No-spa is quite actively used in pediatrics. This is due to the drug being well tolerated and having a short list of adverse reactions. But there is an age limit in treating children with this remedy.
The instructions indicate that No-shpa should be given after the child reaches 6 years of age. But in pediatrics they treat children older than one year with this medicine.
In this case, you need to monitor the condition of the small patient.
The use of the drug in newborns and infants can provoke disruption of the functioning of the cardiovascular system. Therefore, this drug is prescribed to infants extremely rarely.
Dosage and recommendations for use
Parents often ask pediatricians how much No-shpa can be given to a child in order to get the maximum therapeutic effect and not cause harm to the child’s body. The doctor selects the dosage individually in each case.
The instructions give the approximate amount of the drug that can be given to children of different ages. If the baby has colic or pain due to muscle spasm, then the nursing mother should take one No-shpa tablet and apply the baby to the breast after some time.
Drotaverine in this case will enter the baby’s body in a minimum amount sufficient to relieve discomfort.
If the child is on an artificial type of feeding, then he is given the drug in the indicated dosage, dissolved in boiled water. Children 1-6 years old are prescribed the drug in the amount of 1/3 tablet 1-2 times a day. The frequency of taking the medication depends on the severity of the condition.
The maximum dose of No-shpa for children of this age is 1-2 tablets per day. Children 6-12 years old are given 0.5-1 tablets 2 times a day. No more than two tablets are allowed per day. Pediatricians recommend that children over 12 years old take no more than four tablets, divided into 2-4 doses per day.
It is important to remember that drotaverine is an artificially created substance. Therefore, this component can cause allergies and intolerance reactions.
What can replace the drug?
No-Spa is not always well tolerated. There are cases of side effects. The drug can cause hypotension, nausea, insomnia, headache, tachycardia, allergies, dizziness, constipation.
In such cases, you need to use another medication to relieve the spasm. It happens that No-Spa is not available at home or in the nearest pharmacy, but it is necessary to quickly provide assistance to the child.
It should also be noted that No-shpa is not cheap, so it is useful to know analogues of this medicine.
No-shpu can be replaced with the following medications with an antispasmodic effect:
- Drotaverine Forte;
- Papaverine;
- Spasmonet;
- Spazoverine;
- Drotaverine hydrochloride;
- Spasmol;
- Nosh-Bra;
- No-shpalgin.
About the use of No-shpa for stomach pain in children and adults in the video:
Thus, No-shpa is an effective antispasmodic drug. It is allowed to be given to children from 6 years of age. But pediatricians sometimes prescribe this medication to one-year-old babies and newborns. In order for the medicine to help and not cause adverse reactions, you need to take it according to the instructions, in the doses recommended by the doctor.
Source: https://momjournal.ru/zdorove-rebenka/lekarstva/skolko-no-shpy-mozhno-dat.html
Contraindications
No-spa, like any other medicine, has a number of contraindications. You need to pay special attention to them to avoid complications and side effects. If a child has certain diseases, no-spa will not only not help, but will also worsen his condition. Among such diseases are:
- renal, liver or heart failure;
- hypotension (low blood pressure);
- intestinal obstruction, acute pancreatitis, peritonitis, appendicitis;
- angle-closure glaucoma;
- atherosclerosis of the coronary arteries;
- bronchial asthma.
In addition to these diseases, contraindications include:
- age up to one year (in relation to taking pills);
- individual intolerance to drotaverine, which is often observed in children;
- poor absorption of lactose and galactose if the body is intolerant to them.
Brief instructions for Noshpa
How to help a baby with colic: massage, No-spa, folk remedies
Colic in infants is observed quite often. This can happen for many reasons, but most often they are associated with immaturity of the intestinal tract. The child becomes restless, sleeps and eats poorly. Parents need to find an effective and suitable remedy to relieve their child from discomfort and pain.
What you can do at home
Typically, colic in babies begins to subside by four months of age. Until this time, they bring a lot of anxiety to the child and his parents.
What needs to be done to make colic go away? There are known folk remedies that can help fight the problem . These include infusions and decoctions of medicinal herbs.
- After eating, the baby should be carried in an upright position for several minutes.
- When the child is worried, you should pick him up and press his stomach to his body.
- You can apply a warm diaper to his stomach.
- Buy a gas outlet tube at the pharmacy - it helps relieve the condition in a short time.
- Massage will help relieve some of the child’s unpleasant symptoms. It is enough to make circular movements in the area around the navel several times a day.
- Bathing with the addition of mint, lemon balm or motherwort can help. These herbs have a sedative effect. You just need to prepare a decoction and add it to the bathing water.
Before feeding, the baby should be placed on his stomach and his legs bent. In this position, gases escape easily.
Fennel seeds are an effective remedy for colic in children. To prepare a decoction, you need to take one teaspoon of seeds and add boiled water (250 ml). After this, simmer for about 20 minutes in a water bath.
The resulting medicine should be left for one hour, then filtered. Give your child one teaspoon a few minutes before meals three times a day. You can add the medicine to a bottle of milk or formula.
It’s worth trying pouring boiling water over carrot seeds. You can treat with a decoction of chamomile and immortelle. This decoction helps fight increased gas formation. Both medicinal plants are taken in the same ratio and filled with water, allowed to brew for some time and offered to the child 50 g three times a day.
All folk remedies should be used with caution so as not to harm the child’s health. Children often develop allergic reactions to medicinal plants.
How to do massage exercises correctly
Regular massage helps eliminate pain and discomfort in the abdomen.
How to properly massage a child? Massage can be done with the use of baby cream, which is applied to the hands. This will provide better grip on your baby's skin.
- You need to start with light stroking of the abdomen. Gradually the pressing force should increase. Then, using the edges of your palms, you can make motor presses from right to left.
- The next exercise involves rubbing movements in the central part of the abdomen from top to bottom. Then one palm is placed on the stomach, and the other is stroking the oblique muscles.
- The child is placed on his back and his legs are bent one by one, pressing him tightly to his stomach.
- Massage with a large ball brings relief to the child. He is placed on his stomach on the ball and rolled back and forth.
Massage should not be done if:
For massage to be beneficial, you need to follow a few tips
- Massage should be done every day. In this case, the child will get used to the procedures and stop being capricious.
- The first session of procedures should take little time. Gradually the time can be increased.
- You can ask a specialist to perform the massage once.
Pharmacy medicines
Infants have unformed intestinal microflora, weak production of enzymes, and the process of digestion and absorption of food is not established. All this leads to increased gas formation. The child's stomach begins to hurt, regurgitation and belching appear.
Pharmacies offer a large selection of medications that can help get rid of stomach problems in a short time. Treatment with such drugs should be under the strict supervision of a doctor. This is especially true for antispasmodics (No-spa, papaverine).
Medicine Bobotik. Available in the form of drops with a pleasant taste. The active substance is simethicone. Should not be given to children under one month of age. Frequency – up to four times a day, 8 drops. Just wait a few minutes and the drug will begin to act.
Sub Simplex. The active ingredient is simethicone. The medicine is approved for use from the very birth of the baby. You can give 15 drops three times a day. It is either added to a bottle of liquid, or given separately from a spoon a few minutes before meals. You will have to wait several hours for the drug to take effect.
Espumisan. The main substance is simethicone. It does not contain sugar or lactose, so the medicine can be safely given to children prone to allergic reactions. For newborns it is available in the form of an emulsion with a pleasant smell and taste.
It is necessary to give 5 ml. The maximum number of allowed uses is 5 times. It copes well with gases in the intestines, has no side effects on the digestive organs and is excreted from the body along with feces. Helps alleviate the baby's condition.
Baby Calm. Available in the form of an emulsion. The composition includes oils from anise seeds, mint and dill. The product is given before meals, 10 drops. The drug can cause allergies, so the initial dose should be a few drops.
Bifiform Baby. Contains prebiotics and probiotics that restore normal intestinal microflora. It is necessary to take one dose once a day with food. This drug does not fight colic, but helps alleviate the condition.
Plantex. Available in powder form, which contains fennel fruits. The medicine can be taken from two weeks of the child’s life. Contraindication is the presence of lactose intolerance in the child. You need to take 1 pack, dividing it into 2 or 3 doses.
No-spa is prescribed by a doctor when other remedies do not help, and the child suffers from colic and severe abdominal pain.
No-spa is able to cope with gas bubbles in the intestines. The instructions contain a warning that No-shpa is contraindicated for children under one year of age due to its negative effect on cardiac activity.
In extreme cases, No-shpu is allowed to be given ¼ or 1/8 tablet once a day. No-spa relieves spasms and eliminates pain. The tablet is crushed into powder and diluted with a small amount of water.
No-spa begins to act within 15-20 minutes.
Preventative measures for the problem
Sometimes you can relieve unpleasant symptoms without medications, for which you should adjust your lifestyle.
- It is necessary to eliminate all kinds of conflicts and quarrels in the family. The mother's anxiety is quickly transmitted to the child, and as a result, the baby stops sleeping well, colic and constipation occur.
- A nursing mother should have proper nutrition - no salty, spicy, or fried foods in her diet. You should exclude foods that cause increased gas formation (legumes, grapes, cabbage, cucumbers).
- Be outdoors more often.
- Mom should have a restful sleep.
- You can do gymnastics with your baby.
To choose the right, effective and quick remedy that will relieve abdominal colic in a baby, you need to use them all one by one. However, the best way to combat the problem is prevention.
Source: https://grudnichky.ru/uxod/sredstva-ot-kolikov-dlya-grudnichkov.html
Side effects
Taking the medicine incorrectly or violating the dosage will cause side effects. Among them:
- indigestion: nausea, vomiting or constipation;
- headache, dizziness;
- sleep disturbance;
- rapid heartbeat or drop in blood pressure;
- allergic reaction: rashes on the body, tearing, sneezing.
Any of these manifestations signals the need to discontinue the drug and replace it with another medicine with a similar effect.
In what dosage should Noshpa be given to children?
The dosage of the drug for children depends on the age of the child and the form of the drug.
0-1 year
We have already mentioned that children under one year old should not be given No-shpa tablets. In some cases, you can give your baby a medication solution from an ampoule, but only on the recommendation of a pediatrician.
1-6 years
At this age, No-shpa is rarely prescribed, only in the absence of an alternative. The daily dosage is 1-3 tablets, which are distributed evenly throughout the day:
- you can give one third of the tablet every 2-3 hours;
- It is permissible to offer the baby half a tablet at an intermediate interval of 4 hours.
The drug must be given to the child at the time of spasm without reference to food intake: it can be done before or after it. The tablet tastes bitter, so you can crush it and add it to sweet syrup.
6-12 years
Schoolchildren can be given no-shpa in recommended doses without fear. During the day, a child 6-12 years old can take 2-5 tablets, also evenly distributed throughout the day. The optimal single dosage is half a tablet. The whole one is given only in extreme cases and exclusively with the permission of the pediatrician.
After 12 years
Upon reaching 12 years of age, children can take the drug in a dosage close to adult levels: 3-6 tablets per day. However, the maximum possible single dose for adults - 2 tablets - is prescribed only for severe spasms. The best option is 1 tablet.
For moderate spasms, it is enough to drink 1 tablet 3 times a day.
No-spa for children: dosage and instructions for use for fever, abdominal pain
“No-spa” is an effective antispasmodic drug that has been tested for decades. Most people are familiar with this drug and keep it in their home medicine cabinet “just in case.”
However, not many people know whether No-shpu can be used to treat children and how to do it correctly.
In order not to harm the baby, before using any medications, you should consult a specialist and carefully read the instructions for use of the drug.
No-spa - general description of the drug
"No-spa" (drotaverine) is a myotropic antispasmodic.
In terms of composition and pharmacological action, the drug is close to papaverine, but, unlike it, it has a longer and more effective antispasmodic effect.
The substance drotaverine was obtained by synthesis in 1961 in Hungary, a year later it was patented under the trade name “No-shpa”. From 1970 to the present, the drug has been widely used in Russia, as well as in 50 other countries around the world.
“No-spa” relieves excessive tension in blood vessels, relaxes the smooth muscle tissue of internal organs and reduces intestinal motor activity. Does not affect the autonomic nervous system.
When taken orally, it is well absorbed and evenly adsorbed into smooth muscle tissue.
Drotaverine hydrochloride is effective when the pain is provoked by muscle or vascular spasm; the drug does not have an independent analgesic effect (like, for example, analgin).
Composition and release form
In the production of No-shpa, the following substances are used, calculated per tablet: drotaverine hydrochloride - 40 mg (in No-shpa Forte - 80 mg). Additional substances: magnesium stearate, talc, povidone, corn starch, lactose. 2 ml (1 ampoule) of solution contains 40 mg of drotaverine and auxiliary components: sodium metabisulfite, ethanol, distilled water.
Through the pharmacy chain, “No-shpa” is sold in the form of:
- Tablets of a yellow or orange hue, having a biconvex shape with the inscription “spa” on one side and a smooth surface on the other. The drug is available in the following dosages: “No-shpa” – 0.4 g and “No-shpa Forte” – 0.8 g. The tablets are packaged in plastic-aluminum or aluminum blisters and packed in a cardboard box of 6, 12, 24, 60, 100 pieces including instructions for use. Manufacturers also produce tablets packaged in PVC containers.
- Solutions for intramuscular and intravenous administration (20 mg/ml). The medicine appears to be a yellow liquid with a greenish tint. Available in 2 ml brown glass ampoules, which are packaged in a cardboard pack of 5 or 25 pieces.
How does No-shpa work?
“No-spa” is a fairly effective remedy in the treatment of many diseases, but it does not treat the cause of the disease, but only relieves pain caused by spasm. Most often, doctors prescribe the drug as an adjuvant in combination with the main therapy, including for headaches, fever and severe cough.
In the case when a child’s temperature exceeds 39 degrees, accompanied by chills and spasm of peripheral vessels (characterized by hands and feet that are pale and cold to the touch), drotaverine helps to quickly improve the patient’s condition.
It is also advisable to give the child “No-shpu” if the baby has a severe fever or there is a risk of febrile seizures. It should be remembered that the drug itself does not have antipyretic properties, so to reduce high fever it must be used in combination with non-steroidal anti-inflammatory drugs (paracetamol, analgin, ibuprofen).
For pain in the abdominal cavity, the antispasmodic relaxes the stiff muscles of the internal organs. “No-Spa” also helps well with headaches caused by spasm of blood vessels.
Experts have different opinions when answering the question: “Does No-Spa help with a child’s cough?” Some consider the drug useless in the treatment of cough, but most doctors are of the opinion that with a strong spasmodic cough, No-Spa relaxes the smooth muscles of the respiratory tract and dilates the blood vessels of the lungs, which, in combination with expectorants, significantly facilitates the discharge of sputum. The drug also has a positive effect on laryngitis, relieving and preventing the recurrence of laryngeal spasm.
Instructions for use for children
No-shpu should be given to preschool children only on the recommendation of a doctor, since the drug has contraindications for use and possible undesirable effects. In addition, self-administration of the drug may blur the symptoms of the disease, which will complicate the diagnosis.
The effect of the drug does not depend on the time of food intake. The tablets have a bitter taste, so it is advisable to crush them, then mix them with a small amount of some sweet syrup, and offer the child to drink the medicine with a sufficient amount of water.
To achieve an antipyretic effect, No-shpu is taken in combination with non-steroidal anti-inflammatory drugs. For inflammatory diseases, drotaverine is an adjuvant and is taken in combination with the main treatment.
Taking No-shpa for severe vomiting helps to alleviate the patient’s condition and reduce the urge. However, vomiting can be a symptom of dangerous diseases (for example, appendicitis) - self-administration of antispasmodics in this case is contraindicated.
Indications
Pediatricians prescribe No-shpa in the following cases:
- “white” fever is a condition in which, against the background of a high temperature, the child experiences a spasm of the blood vessels in the extremities, they become pale and cold to the touch;
- body temperature above 39 degrees, history of febrile convulsions;
- headache caused by spasm of blood vessels;
- bronchitis or laryngitis, accompanied by a severe cough;
- intestinal colic;
- stool retention due to intestinal spasm;
- spasm of smooth muscles in inflammatory diseases of the abdominal organs (gastritis, colitis, pyelitis) and pelvis (cystitis).
Dosage
“No-spa” is a strong antispasmodic of synthetic origin, so the doctor prescribes it for children under 6 years old only in case of urgent need. Do not exceed recommended dosages, as this may lead to undesirable consequences.
Only a doctor can prescribe a dosage for children under 6 years of age.
In this case, the medication is distributed evenly throughout the day, 1/3 of a tablet (the interval between doses is at least 2-3 hours) or 1/2 of a tablet (no more than 1 time in 4 hours).
The medicine is given as needed if the baby experiences a spasm, if the indicated dosage is enough for, for example, 6 hours, there is no need to take drotaverine more often.
How to use the drug in ampoules?
Sometimes pediatricians recommend giving children No-shpa in the form of a solution for infusion instead of tablets. In this case, 1 ml of the drug (20 mg) per dose is sufficient. Self-prescription and administration of drotaverine solution to children intramuscularly and intravenously is prohibited and can only be prescribed by a doctor in exceptional cases.
Contraindications
It is prohibited to give No-shpa to children in the following cases:
- age up to 6 years;
- allergy to the components included in the composition;
- arterial hypotension;
- atherosclerosis of heart vessels;
- acute abdominal pain of unknown etiology (perhaps the child has appendicitis or intestinal obstruction);
- status asthmaticus;
- glaucoma;
- renal or liver failure.
Side effects and overdose
Taking drotaverine may cause side effects from the gastrointestinal tract: nausea, vomiting, changes in stool. The following symptoms are also possible: dizziness, headache, increased sweating, allergic manifestations. If any adverse reactions occur, you should stop taking the drug and consult a doctor.
If you take the drug in large quantities uncontrolledly, serious changes in the functioning of the body are possible, so you should carefully calculate the dose and store the medicine out of the reach of children.
If the permissible dosage has been exceeded, it is necessary to call an ambulance and rinse the child’s stomach before the doctor arrives.
An overdose is dangerous due to possible disruption of the heart muscle, up to cardiac arrest, so the patient requires specialist supervision.
What do you need to remember?
“No-spa” is an artificially synthesized drug (that is, not on a natural basis), so you should take precautions and not prescribe treatment to children yourself.
To eliminate pain of spastic origin in preschool children, weaker drugs are usually used and only if they are ineffective, No-shpu is prescribed.
Before giving your child medications containing drotaverine hydrochloride, you should consult your doctor. He will make a diagnosis, assess the patient’s condition and prescribe the correct treatment.
Analogs: Drotaverine or No-shpa?
A complete analogue of “No-shpa” in terms of chemical components and pharmacological action is “Drotaverine”, but the cost of these drugs differs significantly.
Whether it makes sense to overpay - everyone decides for themselves. “No-spa” is an imported medicine, therefore it undergoes stricter pharmacological control.
On the other hand, expensive drugs are often counterfeited and there is a risk of buying a “dummy”.
The drugs are absorbed into the bloodstream at the same rate and relax the smooth muscles of the internal organs. They have the same contraindications for use and side effects.
Shelf life and storage conditions
The duration and storage conditions of No-shpa depend on the type of packaging in which it is produced by the manufacturer:
- tablets in all-aluminum blisters are stored at a temperature not exceeding 30 degrees for 5 years;
- tablets in aluminum + PVC blisters can be used within 3 years from the date of production, stored at room temperature;
- tablets packaged by the manufacturer in PVC bottles remain usable at temperatures up to 25 degrees, shelf life is 5 years;
- the solution for intramuscular and intravenous infusions in ampoules is stored in a dark place at a temperature of 15 - 25 degrees for 5 years.
Source: https://www.OldLekar.ru/apteka/detskaya/no-shpa-detyam-dozirovka.html
Is it possible to replace the noshpu
If treatment with No-shpa is impossible for some reason, various analogues can be used. The most popular are the following budget options for Russian drugs based on drotaverine or papaverine:
- Nosh-Bra;
- Spasmol;
- Papaverine;
- Spasmonet;
- Drotaverine Forte;
- Drotaverine hydrochloride.
Among the foreign analogues of No-shpa, Spazoverin and No-shpalgin can be distinguished.
Do not forget that before using any of the drugs you should consult your doctor. Only a specialist can prescribe the medicine that is suitable for your child. Do not neglect the pediatrician’s recommendations, treat your baby correctly, and then he will certainly be healthy! Be sure to read the complete instructions for the drug.