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Ultraspas Tablet
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Ultraspas Tablet

Manufactured byARISTO PHARMACEUTICALS PVT LTD
ContainsDicyclomine (20 mg) + Paracetamol (325 mg) + Tramadol (37.5 mg)
Description
Ultraspas Tablet is a combination medicine which may be used for relieving moderate to severe pain in conditions such as renal colic, biliary colic, uterine colic, stomach, and intestinal cramping, etc. It may also be used to relieve severe pain and cramps associated with menstruation. This medicine should be used with caution in patients with liver diseases due to the increased risk of severe adverse effects.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Ultraspas Tablet

  • Nausea and Vomiting
  • Gastric / Mouth Ulcer
  • Bloody and Cloudy urine
  • Anemia
  • Unusual tiredness and weakness
  • Dizziness
  • Dry mouth
  • Blurred vision
  • Nervousness
  • Skin Rash

Uses of Ultraspas Tablet

What is it prescribed for?

  • Moderate to severe pain associated with muscle spasm
  • Menstrual Cramps
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within an hour of administration.
  • How long do the effects of this medicine last?
    The effect of this medicine lasts for an average duration of 4-6 hours.
  • 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, rashes, nausea, joint pain, fever, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
  • Is this a habit forming medicine?
    No habit-forming tendencies were 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 unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients with a known allergy to tramadol, paracetamol, dicyclomine or any other inactive ingredients present along with the formulation.

Severe Hepatic impairment

This medicine is not recommended for use in patients with severe liver diseases due to the increased risk of worsening of the patient's condition.

Obstructive conditions

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

Analgesic Nephropathy (Kidney Disease)

This medicine is not recommended for use in patients suffering from kidney diseases associated with the excessive use of painkillers due to the increased risk of worsening of the patient's condition.

Gastrointestinal bleeding

This medicine is not recommended for use in patients with a known history of gastrointestinal bleeding due to the increased risk of worsening of the patient's condition.

Severe asthma and breathing problems

This medicine is not recommended for use in patients suffering from breathing difficulties which may be caused due to various conditions such as asthma, hypercapnia, etc. since it may worsen the patient's condition.
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 unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Liver Disease

This medicine should be used with extreme caution in patients suffering from liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver 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.

Chronic Malnutrition

This medicine should be used with extreme caution in patients suffering from malnourishment due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Increase in the blood pressure

This medicine should be used with caution in patients with high blood pressure due to an increase in the risk of very high blood pressure. Close monitoring of blood pressure 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.

Infectious diarrhea

This medicine is not recommended for use in patients with infectious diarrhea due to the risk of worsening of symptoms. An alternative treatment option should be considered in some cases based on the clinical condition.

Tardive dyskinesia

This medicine is not recommended for use in patients with Tardive dyskinesia characterized by involuntary movement of the tongue, lips, and face. Inform the doctor if you are receiving any antipsychotic medications before receiving this medicine. An alternative treatment option should be considered in some cases based on the clinical condition.

Driving or Operating machinery

This medicine may cause dizziness, fainting, and drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Drug dependence and abuse

This medicine has a high potential for addiction and abuse even at recommended dosages, especially with prolonged use. Appropriate patient monitoring, safety precautions, and management of dose quantity are recommended to reduce the risk of drug abuse.

Acute abdominal conditions

This medicine should be used with caution in patients with acute abdominal conditions due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Reduced fertility

Prolonged use of this medicine can reduce fertility in males and females in the reproductive age group. Patients should be informed about the potential effect on reproductive capabilities before beginning treatment with this medicine.

Suicidal Tendencies

This medicine should be used with extreme caution in patients exhibiting suicidal tendencies 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.

Withdrawal symptoms

Abrupt withdrawal of this medicine may cause withdrawal symptoms. Withdrawal of this medicine should be undertaken gradually using a dosage-tapering schedule. Symptoms of withdrawal may include tremors, nausea and vomiting, chills and fever, diarrhea, and even hallucinations in some cases.

Elderly patients

This medicine should be administered with caution in elderly patients since the risk of severe adverse effects is significantly high. Suitable adjustments in dose quantity and safety monitoring may be required in such cases.

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.

Missed Dose

Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
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, rashes, nausea, joint pain, fever, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
Interaction with Medicine

Sodium Nitrite

Leflunomide

Prilocaine

Antihypertensives

Codeine

Amitriptyline

Carbamazepine

Theophylline

Warfarin

Ketoconazole

Disease interactions

Kidney Disease

This medicine should be used with caution in patients with kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.

Liver Disease

This medicine should be used with extreme caution in patients with liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Report any symptoms such as nausea, fever, rashes, dark urine, etc. to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Alcoholism

This medicine should be used with extreme caution in chronic alcoholics due to the increased risk of serious liver injuries. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

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.

Arrhythmias

This medicine should be used with caution in patients with heart diseases due to an increase in the risk of irregular heartbeats. Inform the doctor if you have any heart diseases before receiving this medicine. An alternative treatment option should be considered in some cases 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 esophageal stricture or stenosis, peptic ulcer, and pyloric obstruction due to an increase in the risk of worsening of the conditions. An alternative treatment option should be considered based on the clinical condition.

Bleeding disorders

This medicine should be used with extreme caution in patients with any bleeding disorders due to the increased risk of excessive bleeding. Report any unusual bruising or bleeding to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Food interactions
Information not available.
Lab interactions

5-HIAA Urine Test

You may get a false-positive result for this test while taking this medicine. It is advised that you inform the doctor and lab technician about all your current medicines including herbs and supplements before undergoing any lab tests.
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.
Take this medicine exactly as prescribed by the doctor. Do not take in larger or smaller quantities than recommended. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

To be taken with food

To be taken as instructed by doctor

May cause sleepiness

How it works
Dicyclomine works by blocking the action of a chemical substance in the body and relieves the symptoms like the stomach and intestinal cramping. Paracetamol increases the pain threshold and decreases swelling. Tramadol acts on the brain and nervous system by changing the perception and response to pain.
Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Anti-inflammatory agents, Miscellaneous analgesics, Narcotic analgesics, Anticholinergics/antispasmodics

Schedule

Schedule H

Tramadol: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 15 September 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a695011.html

Acetaminophen: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2019 [cited 15 MAY 2019]. Available from:

https://medlineplus.gov/druginfo/meds/a681004.html

Dicyclomine - DrugBank [Internet]. Drugbank.ca. 2019 [cited 15 MAY 2019]. Available from:

https://www.drugbank.ca/drugs/DB00804

Acetaminophen [Internet]. Pubchem.ncbi.nlm.nih.gov. 2019 [cited 14 May 2019]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/1983
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Information on this page was last updated on 26 Jun 2019

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