A-Spasm Tablet

Introduction

A-Spasm Tablet 5 mg is an anticholinergic medication used primarily to manage symptoms of peptic ulcer disease, irritable bowel syndrome, and other gastrointestinal disorders. It works by blocking the action of acetylcholine, a neurotransmitter involved in muscle contraction and glandular secretion.

Uses

A-Spasm Tablet 5 mg is used to treat:

• Peptic ulcer disease
• Irritable bowel syndrome (IBS)
• Gastric hypersecretion
• Other gastrointestinal disorders associated with excessive gastric acid or motility issues

Brand Name	A-Spasm
Type	Tablet
Weight	5 mg
Generic	Oxyphenonium Bromide
Manufacturer	ACME Laboratories Ltd.
Available in	English বাংলা

Mechanism of Action

A-Spasm Tablet 5 mg functions as a competitive antagonist of acetylcholine at muscarinic receptors. By blocking these receptors, it inhibits the parasympathetic nervous system’s stimulation of gastrointestinal smooth muscle and glandular secretions, leading to reduced gastric acid secretion and decreased bowel motility.

How Long Does It Take to Work?

The onset of action for A-Spasm Tablet 5 mg is typically within 30 to 60 minutes after oral administration. The duration of its effects can last several hours, depending on the dose and individual response.

Absorption

A-Spasm Tablet 5 mg is well absorbed from the gastrointestinal tract following oral administration. Peak plasma concentrations are usually reached within 1 to 2 hours. The drug’s bioavailability may be affected by food intake and gastrointestinal conditions.

Route of Elimination

The drug is metabolized primarily in the liver and excreted in the urine. A small portion of the drug may be excreted unchanged, while the majority is eliminated as metabolites.

Dosage

Average adult dosage is 10 mg (2 tablets) 4 times daily for several days. Dosage may be reduced depending on patient's response or as directed by the physician.

Adults:

• The typical starting dose is 5 mg taken 3 to 4 times a day before meals. The dose can be adjusted based on the patient’s response and tolerance.
• For severe cases, the dose may be increased to 10 mg taken 3 to 4 times a day, but this should be done under strict medical supervision.

Geriatric Use:

• Older adults may require a lower starting dose due to increased sensitivity to anticholinergic effects. It is advisable to start with the lowest effective dose and adjust as needed.

Dosage Adjustments:

• Dosage adjustments may be necessary in patients with liver impairment or those on concurrent medications that affect hepatic function.

Administration

A-Spasm Tablet 5 mg should be taken orally with a full glass of water. It is typically administered before meals to maximize its effectiveness in reducing gastrointestinal symptoms. The tablets should be swallowed whole and not crushed or chewed.

Side Effects

Common side effects include dry mouth, blurred vision, constipation, urinary retention, and dizziness. Other potential side effects may include confusion, tachycardia, and skin rash. Long-term use may increase the risk of anticholinergic side effects.

Toxicity

Overdose of A-Spasm Tablet 5 mg can lead to severe anticholinergic effects such as dry mouth, dilated pupils, flushed skin, hallucinations, and urinary retention. In severe cases, it may cause cardiovascular symptoms like tachycardia or arrhythmias. Immediate medical attention is required in case of overdose.

Precautions

A-Spasm Tablet 5 mg should be used with caution in patients with pre-existing conditions such as glaucoma, prostatic hyperplasia, or urinary tract obstruction. It should also be used cautiously in elderly patients due to the increased risk of anticholinergic effects.

Interaction

Drug interactions may occur with other medications that have anticholinergic properties or those that affect hepatic metabolism. Caution should be exercised when using A-Spasm Tablet 5 mg with other anticholinergics, antihistamines, or tricyclic antidepressants.

Disease Interaction

Patients with conditions such as glaucoma, urinary retention, or gastrointestinal obstruction should use A-Spasm Tablet 5 mg with caution. The drug can exacerbate symptoms of these conditions due to its anticholinergic effects.

Drug Interaction

Potential drug interactions include:

• Increased anticholinergic effects when used with other anticholinergic medications
• Altered metabolism with drugs that affect hepatic enzyme activity
• Potential interactions with drugs that affect gastrointestinal motility

Food Interactions

There are no significant food interactions with A-Spasm Tablet 5 mg. However, taking the medication with food may help reduce gastrointestinal discomfort. Alcohol consumption should be limited as it can enhance the sedative effects of the drug.

Pregnancy Use

A-Spasm Tablet 5 mg should be used during pregnancy only if the potential benefits justify the risks to the fetus. There is limited data on its safety in pregnancy, so it should be used under the supervision of a healthcare provider.

Lactation Use

It is not known whether A-Spasm Tablet 5 mg is excreted in breast milk. Use during lactation should be approached with caution, and it is advisable to consult a healthcare provider to weigh the benefits and risks before use.

Acute Overdose

In the case of acute overdose, symptoms may include severe anticholinergic effects such as confusion, hallucinations, severe dry mouth, and tachycardia. Treatment involves supportive care and symptomatic management. Immediate medical attention is required for severe cases.

Contraindication

A-Spasm Tablet 5 mg is contraindicated in individuals with known hypersensitivity to the drug, as well as those with glaucoma, severe gastrointestinal obstruction, or urinary retention.

Use Direction

A-Spasm Tablet 5 mg should be taken exactly as prescribed by a healthcare provider. Follow the dosage instructions on the medication label and report any side effects or adverse reactions to your healthcare provider promptly.

Storage Conditions

Store A-Spasm Tablet 5 mg at room temperature, away from moisture and direct sunlight. Keep the medication out of reach of children and in its original packaging to maintain its stability.

Volume of Distribution

The volume of distribution of A-Spasm Tablet 5 mg is not widely documented, but it is expected to be distributed throughout the body, particularly in tissues where anticholinergic effects are exerted.

Half-Life

The plasma half-life of A-Spasm Tablet 5 mg is approximately 1 to 3 hours. The duration of its therapeutic effects may last longer due to the cumulative effects of blocking acetylcholine receptors.

Clearance

A-Spasm Tablet 5 mg is primarily cleared through hepatic metabolism and renal excretion. The clearance rate can be influenced by liver and kidney function, and adjustments may be necessary in patients with impaired organ function.

See in details version A-Spasm Tablet 5 mg also A-Spasm Tablet 5 mg in bangla

Some Frequently Asked Questions About A-Spasm Tablet 5 mg

1. What is A-Spasm Tablet 5 mg?

A-Spasm Tablet 5 mg is an anticholinergic drug used to treat gastrointestinal disorders, particularly those involving smooth muscle spasms, such as peptic ulcers and irritable bowel syndrome (IBS).

2. How does A-Spasm Tablet 5 mg work?

A-Spasm Tablet 5 mg works by blocking the action of acetylcholine, a neurotransmitter that affects smooth muscle contractions, thus reducing spasms and pain in the gastrointestinal tract.

3. What conditions is A-Spasm Tablet 5 mg used to treat?

A-Spasm Tablet 5 mg is mainly used for the treatment of gastrointestinal disorders such as peptic ulcers, irritable bowel syndrome (IBS), and certain types of colic.

4. How is A-Spasm Tablet 5 mg administered?

A-Spasm Tablet 5 mg is typically administered orally in tablet form. It may also be available in injectable forms for more severe conditions.

5. What is the usual dosage of A-Spasm Tablet 5 mg?

The typical oral dosage of A-Spasm Tablet 5 mg is 1-2 tablets taken 2-3 times a day, but your doctor will determine the exact dosage based on your condition.

6. Can A-Spasm Tablet 5 mg be taken with food?

Yes, A-Spasm Tablet 5 mg can be taken with or without food. However, taking it with food may help reduce any potential stomach irritation.

7. What are the common side effects of A-Spasm Tablet 5 mg?

Common side effects of A-Spasm Tablet 5 mg include:

• Dry mouth
• Blurred vision
• Dizziness
• Constipation
• Urinary retention

8. Can A-Spasm Tablet 5 mg cause allergic reactions?

Yes, allergic reactions to A-Spasm Tablet 5 mg are possible, including rashes, itching, swelling, or difficulty breathing. Seek immediate medical attention if you experience any of these symptoms.

9. Can A-Spasm Tablet 5 mg be used for children?

A-Spasm Tablet 5 mg is generally not recommended for children under 12 years old, unless prescribed by a doctor for specific conditions.

10. Can A-Spasm Tablet 5 mg be taken during pregnancy?

A-Spasm Tablet 5 mg should only be used during pregnancy if clearly needed, and the benefits outweigh the risks. Consult your doctor before using this medication while pregnant.

11. Can A-Spasm Tablet 5 mg be used while breastfeeding?

A-Spasm Tablet 5 mg is not recommended during breastfeeding, as it may pass into breast milk and affect the infant. Always consult your doctor before taking any medication while breastfeeding.

12. Is A-Spasm Tablet 5 mg effective for stomach cramps?

Yes, A-Spasm Tablet 5 mg can be effective in reducing stomach cramps caused by gastrointestinal spasms due to its antispasmodic properties.

13. Can A-Spasm Tablet 5 mg be used for urinary problems?

A-Spasm Tablet 5 mg is primarily used for gastrointestinal disorders, but it may also help with urinary retention caused by bladder spasms due to its anticholinergic effects.

14. Can I drink alcohol while taking A-Spasm Tablet 5 mg?

It is advisable to avoid alcohol while taking A-Spasm Tablet 5 mg, as alcohol can increase the sedative effects of the medication and cause drowsiness or dizziness.

15. What should I do if I miss a dose of A-Spasm Tablet 5 mg?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once.

16. What are the contraindications of A-Spasm Tablet 5 mg?

A-Spasm Tablet 5 mg should not be used in patients with:

• Glaucoma
• Myasthenia gravis
• Urinary retention
• Severe gastrointestinal obstruction

17. Can A-Spasm Tablet 5 mg be used for irritable bowel syndrome (IBS)?

Yes, A-Spasm Tablet 5 mg is often used to relieve the smooth muscle spasms associated with irritable bowel syndrome (IBS), helping to reduce abdominal pain and discomfort.

18. Can A-Spasm Tablet 5 mg cause constipation?

Yes, constipation is a common side effect of A-Spasm Tablet 5 mg due to its anticholinergic properties that can reduce bowel movement frequency.

19. How long should I take A-Spasm Tablet 5 mg?

The length of treatment with A-Spasm Tablet 5 mg depends on the condition being treated. Your doctor will determine the appropriate duration of therapy.

20. Can A-Spasm Tablet 5 mg cause dry mouth?

Yes, dry mouth is a common side effect of A-Spasm Tablet 5 mg due to its anticholinergic effects. Drinking water or using sugar-free gum may help alleviate this symptom.

21. Is A-Spasm Tablet 5 mg available over-the-counter?

No, A-Spasm Tablet 5 mg is a prescription medication and should only be taken under the supervision of a healthcare provider.

22. Can A-Spasm Tablet 5 mg be used for bloating?

A-Spasm Tablet 5 mg may help relieve bloating caused by gastrointestinal spasms by reducing the muscle contractions in the digestive tract.

23. Can A-Spasm Tablet 5 mg interact with other medications?

Yes, A-Spasm Tablet 5 mg may interact with other medications, including other anticholinergics, antihistamines, and medications for Parkinson's disease. Always inform your doctor of all medications you are taking.

24. How should A-Spasm Tablet 5 mg be stored?

Store A-Spasm Tablet 5 mg in a cool, dry place, away from direct sunlight and out of reach of children.

25. Can A-Spasm Tablet 5 mg cause dizziness?

Yes, dizziness is a possible side effect of A-Spasm Tablet 5 mg. If you experience dizziness, avoid activities that require full alertness, such as driving or operating heavy machinery.

26. Can I take A-Spasm Tablet 5 mg for menstrual cramps?

A-Spasm Tablet 5 mg is not typically used for menstrual cramps, but it may help reduce abdominal pain caused by muscle spasms if prescribed by a doctor.

27. Can A-Spasm Tablet 5 mg cause blurred vision?

Yes, blurred vision can occur as a side effect due to the drug's anticholinergic properties. This side effect is usually temporary.

28. Can A-Spasm Tablet 5 mg cause urinary retention?

Yes, A-Spasm Tablet 5 mg can cause urinary retention due to its effects on smooth muscle function. If you experience difficulty urinating, consult your doctor.

29. Is A-Spasm Tablet 5 mg safe for long-term use?

A-Spasm Tablet 5 mg should be used only as prescribed by your doctor. Prolonged use may lead to increased side effects, and regular medical reviews are recommended.

30. How soon will I feel better after taking A-Spasm Tablet 5 mg?

Most people experience relief from symptoms within a few hours to a day after taking A-Spasm Tablet 5 mg, but it may vary based on the severity of the condition being treated.

31. Can A-Spasm Tablet 5 mg be used for indigestion?

A-Spasm Tablet 5 mg may be useful for indigestion caused by spasms of the gastrointestinal tract, although it is not the first-line treatment for indigestion.

32. Can A-Spasm Tablet 5 mg cause confusion?

In rare cases, especially in older adults, A-Spasm Tablet 5 mg may cause confusion, memory problems, or hallucinations. Contact your doctor if these symptoms occur.

33. Can A-Spasm Tablet 5 mg cause high blood pressure?

A-Spasm Tablet 5 mg does not typically cause high blood pressure, but it may interact with medications for high blood pressure. Always consult your doctor before taking it if you have hypertension.

34. Can A-Spasm Tablet 5 mg be taken with other antispasmodic drugs?

A-Spasm Tablet 5 mg can interact with other antispasmodics, and it is important to consult your doctor before combining medications to avoid excessive side effects.

35. How does A-Spasm Tablet 5 mg affect the heart?

A-Spasm Tablet 5 mg can affect the heart rate by causing a slight increase in heart rate. People with heart conditions should use this drug cautiously.

36. Can A-Spasm Tablet 5 mg affect memory?

Memory problems, such as short-term memory loss, can occur with A-Spasm Tablet 5 mg, particularly in older adults or with long-term use.

37. Can A-Spasm Tablet 5 mg cause sweating?

A-Spasm Tablet 5 mg can reduce sweating in some individuals due to its anticholinergic effects, leading to dry skin and less perspiration.

38. Can A-Spasm Tablet 5 mg be used for nausea?

A-Spasm Tablet 5 mg is not typically used for nausea unless it is caused by gastrointestinal spasm. Anti-nausea medications are usually more effective for treating nausea.

39. What should I do if I overdose on A-Spasm Tablet 5 mg?

If you suspect an overdose of A-Spasm Tablet 5 mg, seek immediate medical attention. Symptoms may include severe dry mouth, dizziness, and difficulty urinating.

40. Is there a generic version of A-Spasm Tablet 5 mg?

Yes, A-Spasm Tablet 5 mg is available in generic versions under various brand names.

41. Can I take A-Spasm Tablet 5 mg with other anticholinergic medications?

Taking A-Spasm Tablet 5 mg with other anticholinergic medications may increase the risk of side effects like dry mouth, blurred vision, and urinary retention. Always consult your doctor.

42. Can A-Spasm Tablet 5 mg be used for gastric ulcers?

Yes, A-Spasm Tablet 5 mg can be used as part of the treatment for peptic ulcers, as it helps reduce spasms and discomfort in the stomach.

43. Does A-Spasm Tablet 5 mg interact with antibiotics?

A-Spasm Tablet 5 mg may interact with certain antibiotics, especially those that affect the gastrointestinal system. Always inform your doctor if you are on antibiotics.

44. Can A-Spasm Tablet 5 mg be used for acid reflux?

A-Spasm Tablet 5 mg is not typically used for acid reflux, as it does not address the underlying causes like acid production. Other medications are recommended for acid reflux.

45. Can A-Spasm Tablet 5 mg be used for abdominal bloating?

A-Spasm Tablet 5 mg can help relieve bloating caused by smooth muscle spasms in the gastrointestinal tract.

46. What happens if I miss a dose of A-Spasm Tablet 5 mg?

If you miss a dose, take it as soon as you remember unless it's almost time for your next dose. Do not double the dose to make up for the missed one.

47. Can A-Spasm Tablet 5 mg cause dizziness when standing up?

Yes, dizziness upon standing up (orthostatic hypotension) can be a side effect of A-Spasm Tablet 5 mg. Stand up slowly to avoid feeling lightheaded.

48. Can A-Spasm Tablet 5 mg affect your skin?

A-Spasm Tablet 5 mg may cause dry skin and reduced sweating due to its anticholinergic properties.

49. Can A-Spasm Tablet 5 mg be used for stomach ulcers?

A-Spasm Tablet 5 mg may be used to treat symptoms of stomach ulcers, such as pain due to smooth muscle spasms, but it is not the primary treatment for ulcer healing.

50. Can A-Spasm Tablet 5 mg be taken with other GI medications?

A-Spasm Tablet 5 mg can be taken with other gastrointestinal medications, but interactions should be monitored. Consult your doctor to avoid any potential issues.