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Spasmo Forte (50/20 mg) Injection
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Spasmo Forte (50/20 mg) Injection

Manufactured byWockhardt Ltd.
ContainsDiclofenac (50 mg/ml) + Dicyclomine (20 mg/ml)
Description
Spasmo Forte (50/20 mg) Injection is a combination medicine used to treat acute abdominal pain with spasm in adults.
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Side effectsConcernsUsageRelated products

Side effects

Major & minor side effects for Spasmo Forte (50/20 mg) Injection

  • Dizziness
  • Dry mouth
  • Blurred vision
  • Nervousness
  • Skin rash
  • Constipation
  • Diarrhea
  • Nausea and vomiting
  • Tinnitus

Uses of Spasmo Forte (50/20 mg) Injection

What is it prescribed for?

  • Acute abdominal pain with spasm
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time required for this medicine to show its action is not clinically established.
  • How long do the effects of this medicine last?
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of serious side effects such as severe gastrointestinal bleeding, dizziness, fatigue, weakness, etc.
  • Is this a habit forming medicine?
    No habit forming tendency has been reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women due to the increased risk of undesired side effects in the infants.

Obstructive conditions

This medicine is not recommended for use in conditions like obstructive uropathy and obstructive gastrointestinal diseases due to the increased risk of worsening of the patient's condition.

Gastrointestinal disease

This medicine is not recommended for use in gastrointestinal conditions such as severe ulcerative colitis, gastrointestinal bleeding, and reflux esophagitis due to the increased risk of severe adverse effects.

Allergy

This medicine is not recommended for use in patients with a known allergy to dicyclomine, diclofenac, or any other NSAIDs.

Coronary Artery Bypass Surgery (CABG)

This medicine is not recommended for relieving pain before, during, or after a coronary artery bypass graft (CABG) procedure.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women due to the increased risk of undesired side effects in the infants.
General warnings

Tardive dyskinesia

This medicine is not recommended for use in patients with tardive dyskinesia characterized by involuntary movements of the tongue, lips, and face due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.

Coronary Artery Bypass Surgery

This medicine should not be taken to relieve pain before, during, or after a coronary artery bypass graft surgery due to the increased risk of severe adverse reactions.

Gastro-intestinal bleeding

This medicine may cause severe gastrointestinal bleeding and perforation after prolonged usage. These adverse events may occur with or without warning symptoms. This risk is especially higher in the elderly population and in patients with a history of gastrointestinal diseases. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Route of Administration

This medicine should only be administered intramuscularly.

Missed Dose

Since this medicine is administered by a qualified healthcare professional on an as-needed basis, the likelihood of missing a dose is very low.

Overdose

Since this medicine is administered in the hospital or clinical setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of serious side effects such as severe gastrointestinal bleeding, dizziness, fatigue, weakness, etc.
Interaction with Medicine

Atenolol

Methotrexate

Ramipril

Adefovir

Apixaban

Ketorolac

Ipratropium

Potassium Chloride

Disease interactions

Arrhythmias

This medicine should be used with caution in patients with heart diseases due to an increase in the risk of irregular heartbeats (arrhythmias). Close monitoring of heart function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Gastrointestinal Disorders

This medicine is not recommended for use in patients with obstructive diseases of the gastrointestinal tract such as an esophageal stricture or stenosis, stenosing peptic ulcer, pyloric obstruction, etc. due to an increase in the risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered based on the clinical condition.

Prostatic Hypertrophy

This medicine is not recommended for use in patients with urinary tract obstruction disorders such as prostatic hypertrophy due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered based on the clinical condition.

Asthma

This medicine is not recommended for use in patients with a known history of NSAID-sensitive asthma. Replacement with a suitable alternative should be done under your doctor's supervision.

Fluid retention and Edema

This medicine may cause fluid retention and edema in some patients. Close monitoring of blood pressure, electrolyte levels, and heart function may be required based on the clinical condition. Appropriate dose adjustments or replacement with a suitable alternative may be necessary in some cases.

Gastro-Intestinal toxicity

This medicine may cause damage to the stomach, intestines, liver, etc., especially on prolonged use. Report any symptoms such as chronic indigestion, blood in stool or vomit, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Skin rash

This medicine may cause fatal skin allergies without any warnings in some patients. Signs and symptoms such as rashes, hives, fever, or other allergic symptoms should be reported to the doctor without any delay. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.

Impaired kidney function

This medicine should be used with caution in patients with a history of kidney diseases due to the increased risk of severe adverse effects. Close monitoring of the renal function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Heart attack and stroke

This medicine may cause a heart attack, stroke, or other associated symptoms after a prolonged use. This risk is especially higher in patients with a history of heart diseases. Close monitoring of heart function is recommended for such patients. Report any symptoms such as a chest pain, shallow breathing, speech slurring, weakness, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
This medicine should be administered only by a qualified healthcare professional. Carefully follow all the instructions given by your doctor. Consult the doctor if you experience any undesirable side effects. Report to the doctor all your current medicines as well as your medical conditions before receiving this medicine.
Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

May cause sleepiness

How it works
Diclofenac works by reducing the formation of certain substances in the body that cause pain and swelling. Dicyclomine works by blocking the action of a chemical substance in the body and relieves the symptoms such as stomach and intestinal cramping. The combination thus becomes effective in treating acute abdominal pain with spasms.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Antispasmodics, Nonsteroidal anti-inflammatory agents

Schedule

Schedule H

Diclofenac: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 6 March 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a689002.html

Dicyclomine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 10 July 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a684007.html

DailyMed - Dicyclomine Hydrochloride capsule, tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 10 July 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ac145b81-5f26-4914-b47f-6c4958e94146

[Internet]. 2017 [cited 22 September 2017]. Available from:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/008370s032lbl.pdf

[Internet]. 2017 [cited 22 September 2017]. Available from:

http://www.cdsco.nic.in/writereaddata/approved%20FDC%20list%20till%20%2031%20aug%202017.pdf
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Information on this page was last updated on 25 Sep 2017

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