Three-step algorithm for treating abdominal pain


The drug "No-Shpa" refers to antispasmodic medications. It relieves pain from smooth muscle spasms. The drug is taken to relieve pain in diseases of the stomach, intestines, liver, kidneys and other internal organs. The product rarely causes side effects and is effective.

"No-Shpa": composition and other characteristics

The drug belongs to the category of antispasmodics. Available in the form of tablets (6, 10, 24 pieces in one package) or in the form of injections (25 ampoules of 2 ml each).

The active ingredient is drotavertin (represented as hydrochloride). Each tablet contains 40 mg, each ampoule solution contains 20 mg. In the No-Shpa Forte variety (dosage doubled - 80 mg).

The tablets may have a yellowish, greenish or orange color. The shape of the tablets is round, both surfaces are convex. On one side there is a fault line in the middle, on the other there is a monolithic surface with the inscription “NOSPA”. The solution in the ampoules is also colored in shades of yellow and green.

The shelf life depends on the form of release. Tablets can be stored for 5 years, and ampoules - 3 years from the date of release. The drug is protected from light and stored at room temperature in the range from 15 to 25 degrees.

Attention!

Tablets can be purchased without a doctor's prescription, but injections can only be purchased with a prescription.

What other means can relieve pain?

Still, No-spa does not have the desired effect for acute toothache. It will not be able to help either with mild pain or with intense pain.

In order to quickly eliminate discomfort, you can use other stronger analgesics:

  • Medicines containing the active ingredient ibuprofen. These drugs include Ibufen, Nurofen, Solpadeine
  • Medicines with the active ingredient ketorolac - Ketonol, Ketanov, Ketorol
  • Tablets with nimesulide – Nimesil, Nise

If pain occurs, preference should be given to the drugs listed above. No-shpa is best left in case of stomach cramps, headaches, or menstruation. Even regular Analgin will be much more effective than No-shpa.

What do No-Spa tablets help with?

The drug is taken in tablets, as well as in the form of injections (both intramuscularly and intravenously) to quickly relieve spasms of smooth muscles. This is necessary to relieve pain that manifests itself against the background of such diseases:

  • pyelitis;
  • cystitis;
  • cholecystitis;
  • papillitis;
  • pnephrolithiasis;
  • cholecystolithiasis;
  • Urolithiasis

“No-Shpu” is also used to relieve spasms associated with pathologies of the stomach and intestines. Such symptoms may occur due to constipation, ulcers, colitis, IBS and other disorders. Another indication for use is headache and dysmenorrhea. However, in this case, the drug will only work if the pain is associated with vasospasm (felt like tension in the head).

In ordinary cases, the “No-Shpa” form is used. An increased concentration in the composition of the drug “No-Shpa Forte” is used if necessary to ensure a lasting long-term effect (for days, weeks in advance). Forte is also taken if it is necessary to reduce the frequency, for example, to 1 time per day.

Causes of toothache

Unpleasant sensations can occur in children and adults. They can be associated with dental diseases or caused by other reasons. Let's take a closer look at the causes of toothache.

Why does it hurt?

  • Pulpitis is an acute inflammatory process in the pulp.
  • Complications after installation of a filling.
  • Gingivitis is an inflammatory process in the gums.
  • Complications after tooth extraction.
  • Periodontitis is the appearance of throbbing pain that intensifies when touched.
  • Periodontitis is an inflammation of the tissue at the root, which causes a cyst.
  • Thin tooth enamel, cracks on the surface.

A tooth may hurt due to a blood disease, problems with the nervous or vascular system. The true cause is determined by the doctor during the examination. To relieve discomfort before a consultation, a person can look at home or in a pharmacy for something that helps with toothache. Painkillers allow you to sleep at night or finish important tasks and then visit the dentist.

Contraindications for use

Contraindications to the use of the drug are the following diseases and features:

  • low cardiac output;
  • severe kidney and liver diseases (failure);
  • hypersensitivity to the active substance (drotaverine) or to other components in the tablet;
  • lactase deficiency (metabolism disorders of galactose and glucose).

During pregnancy (any period), the drug is taken with caution; similar recommendations are for children and people with low blood pressure. It is recommended to consult your doctor first.

Main features of the medicine

The main feature of No-shpa, for which many buyers value it so much, is that it is an absolutely safe medicine. It contains plant components of natural origin.

In addition, No-shpa has a very small list of contraindications, and they are quite insignificant.

This remedy is used to relieve spasms in almost any condition. As a rule, after application, the effect of the medicine occurs within 15 minutes.

Side effects from taking No-Shpa tablets

In most cases, no side effects are observed. But with long-term use, as well as due to the individual characteristics of the body and human condition, the following consequences may appear:

  • increased heart rate;
  • sleep disorders;
  • headaches;
  • dizziness;
  • decreased blood pressure;
  • nausea;
  • bowel dysfunction (constipation);
  • allergic reactions.

If an injection is administered, a local reaction (redness, foreign sensations) may additionally be observed.

Emergency help

All parents are advised to have painkillers approved for their child on hand; they should be prescribed by the attending physician. Ibuprofen, Paracetamol or Nurofen are suitable for many. It is imperative to use children's analogues of medicines, since adults have too high a concentration and may be unsafe at an early age.

The following folk remedies can be used: prepare a decoction of sage tincture with the addition of regular soda. It is important to note that the liquid should not be too cold and not too hot. If there is a carious cavity in the tooth, you can insert a not very large cotton ball, previously soaked in mint oil, into it. Another popular way to reduce pain is to give a light massage of the ear from the side of the diseased tooth.

Until the very moment of visiting the dentist or the arrival of an ambulance, it is not recommended to place the baby in a horizontal position in order to reduce blood flow to the sore spot. It is preferable to sit the child up, this will also help reduce discomfort. There is no need to warm the cheek or wrap the child tightly in warm clothes, this will only lead to the pain intensifying.

Instructions for use "No-Shpa"

Dosage and rules of administration depend on the form of the drug and the age of the person:

  1. The daily dosage of the active substance for an adult is in the range of 120-240 mg, which corresponds to 3-6 tablets of the regular drug and 2-3 tablets of the “Forte” variety. In this case, it is allowed to consume no more than 40 mg at a time, i.e. maximum 2 tablets.
  2. For children under 11 years of age inclusive, the optimal dose is 80 mg - this amount is taken 2 times a day.
  3. For older children, a dose of 160 mg is indicated, divided into 2-4 times.

The general course of therapy (with self-treatment) is no more than 2 days. If during this time your health does not improve, you need to contact a specialist for a possible replacement of the drug and diagnostics. If No-Shpa is used as an additional medication as part of complex therapy, then the course without consulting a specialist can last up to 3 days.

Are painkillers harmful during pregnancy?

18.10.2018

Every pregnant woman should take her medications responsibly. Naturally, many expectant mothers wonder whether it is possible to take painkillers during pregnancy . Indeed, during this period pains of various origins may bother you, and it often happens that the pain is simply impossible to endure. Let's figure out which drugs are allowed during pregnancy and which ones should be avoided.

What painkillers are allowed during pregnancy?

A woman should know that severe pain in the position cannot be tolerated. Therefore, it is necessary to take analgesics in order not to suffer from pain for a long time. But along with the emergency use of an analgesic, it is necessary to remember that pain is a signal of trouble. So when women experience pain, they should consult a doctor to find out the cause.

So, pregnant women can use (do not forget that taking medications must first be discussed with your doctor!):

  • Paracetamol. WHO has recognized that this drug is the safest drug during pregnancy . It has no long-term side effects. At the same time, paracetamol is also an effective dental pain reliever during pregnancy , which has a lasting effect;
  • Nurofen. It can be taken until the 30th week;
  • Papaverine. The product quite effectively eliminates pain by relieving spasms;
  • No-shpa. It is a safe and effective antispasmodic, eliminating pain of various origins.
  • Ibuprofen. The product effectively fights pain.

When anesthetizing your teeth , you must remember that pregnant women should not keep them unhealthy, and therefore if you have a toothache, you should consult a dentist .

When are pain relievers prohibited for pregnant women?

There are a number of medications that pregnant women should not take if they have pain. So, if you don’t know what painkillers you can take during pregnancy , you need to consult your doctor .

So, the following drugs are prohibited during pregnancy:

  • Analgin. It is not without reason that he received a kind of “palm” among unwanted drugs. And not by chance. It has been proven that regular use of this drug during pregnancy threatens irreversible changes in the blood . This negatively affects the condition of the fetus. There may also be disturbances in the functioning of the liver and kidneys .
  • Baralgin and spasmalgon. They can also cause changes in kidney .
  • Ointments based on bee or snake venom. They are prohibited because they can cause allergies , and some of their components are harmful to the fetus.
  • Dimexide-based ointments are also prohibited for use by pregnant women.
  • You should not take products based on essential oils, as some of them can cause miscarriage.

In addition, there are a number of diseases for which painkillers cannot be taken. These include:

  • ulcerative pathologies of the gastrointestinal tract;
  • asthma ;
  • liver diseases ;
  • kidney dysfunction ;
  • allergic reactions.

Pregnant women should know that if side effects, in particular allergies , occur while taking analgesics, they should be discontinued and consult a doctor . This is a must.

Published in Pregnancy and pregnancy management Premium Clinic

special instructions

No-Shpa contains lactose, so patients with impaired absorption of glucose and galactose should take the tablets with caution and only after the doctor’s approval.

If the solution is administered intravenously, the patient should lie down for several minutes at rest. If you have high blood pressure, use is allowed only in consultation with your doctor.

The injection solution contains sodium metabisulfite, which can cause an allergic reaction. In rare cases (especially in the presence of bronchial asthma, chronic allergies), bronchospasm and the onset of individual signs of anaphylactic shock are possible.

What absolutely should not be done if you have a toothache?

  • Heat the sore spot, because heat intensifies the inflammatory process and discomfort increases several times. When the ternary nerve is inflamed, heat is needed. The patient cannot diagnose this disease on his own.
  • You should not lie down to rest on the sore side. But if the pain strikes late at night, you should take a painkiller and lie down on the healthy side.
  • Chew food while affecting the aching tooth. This can lead to increased inflammation and a general worsening of the situation.
  • Don't brush your teeth. Insufficient oral hygiene leads to the proliferation of bacteria and increased inflammation.
  • Keep the tooth cold. Dentists recommend that patients avoid drafts and walks in windy or frosty weather.

"Do no harm!" – this is the main principle of independent struggle with pain. It is worth adhering to in order to filter the advice of well-wishers for the presence of common sense in them.

IMPORTANT: all of the above tips on how to get rid of toothache are temporary solutions. You can resort to them only under one condition, if we are talking about a subsequent visit to the dentist and complex treatment.

Try not to let the situation get worse and not to self-medicate, so as not to harm your health and not waste valuable time treating a complicated disease. The dentists of the Nurimed clinic will help you get rid of pain and restore the health of your teeth. To make an appointment at a convenient time in St. Petersburg, just call and you will be scheduled for a consultation, at which the clinic’s dentist will choose an effective treatment.

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