Baralgan NU Tablet: Comprehensive Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is actispas plus tablet used for?
This medicine is a combination of dicyclomine and paracetamol used to treat abdominal cramps and pain due to irritable bowel syndrome or other spasmodic conditions. It works by relaxing gut muscles and relieving pain.
- Generic Name: Dicyclomine (20mg) + Paracetamol (500mg)
- Manufacturer: Shinto Organics (P) Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 actispas plus tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन और दर्द के इलाज के लिए इस्तेमाल की जाती है, जो आमतौर पर इरिटेबल बाउल सिंड्रोम (IBS) या पेट की मांसपेशियों में ऐंठन के कारण होती है। यह दवा पेट की मांसपेशियों को आराम देकर और दर्द को कम करके राहत पहुंचाती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मुंह सूखना, चक्कर आना, धुंधली दृष्टि, जी मिचलाना और कब्ज शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, पेशाब में कठिनाई, तेज़ धड़कन या लीवर की समस्या हो सकती है। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक से अधिक न लें। यदि आपको चक्कर या धुंधली दृष्टि महसूस हो तो वाहन चलाने या मशीनरी चलाने से बचें। इस दवा के साथ शराब का सेवन न करें। यदि आपको ग्लूकोमा, लीवर या किडनी की बीमारी है तो डॉक्टर को बताएं। बिना डॉक्टर की सलाह के लंबे समय तक इसका उपयोग न करें।
💊 actispas plus tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Relieves abdominal cramps and pain associated with IBS by reducing smooth muscle spasms in the gut.","evidence":"Well-established"},{"condition":"Functional gastrointestinal disorders","description":"Used to manage pain and discomfort due to abnormal contractions of the gastrointestinal tract.","evidence":"Moderate"},{"condition":"Biliary colic","description":"May help relieve pain from spasms of the biliary tract.","evidence":"Limited"},{"condition":"Renal colic","description":"Sometimes used as an adjunct for pain relief in renal colic, though not first-line.","evidence":"Limited"}]
Off-label uses: [{"condition":"Menstrual cramps","description":"Occasionally prescribed off-label to relieve dysmenorrhea due to antispasmodic effects.","evidence":"Limited"},{"condition":"Urinary bladder spasms","description":"May be used off-label to reduce bladder spasms in certain conditions.","evidence":"Limited"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Functional gastrointestinal disorders, Biliary colic, Renal colic
📋 Drug Information
| Generic Name(s) | Dicyclomine (20mg) + Paracetamol (500mg) |
| Brand Name | actispas plus tablet |
| Manufacturer | Shinto Organics (P) Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients. Dicyclomine is a synthetic anticholinergic agent that blocks muscarinic acetylcholine receptors in the gastrointestinal smooth muscle, thereby reducing muscle spasms and motility. Paracetamol acts centrally to relieve pain and reduce fever by inhibiting prostaglandin synthesis in the brain. Together, they provide relief from abdominal cramps and pain.
Mechanism Steps
💡 How to Take actispas plus tablet
Strength: Tablet containing dicyclomine 20 mg and paracetamol 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally up to three times a day, as needed for abdominal cramps and pain. The maximum daily dose should not exceed 3 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the anticholinergic effects of dicyclomine. Use with caution and lower doses may be appropriate. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be needed. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be needed. Consult your doctor. |
| Maximum Daily Dose | Maximum of 3 tablets (60 mg dicyclomine and 1500 mg paracetamol) in 24 hours. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of actispas plus tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Anticholinergics | Major | |
| Alcohol | Major | |
| Metoclopramide | Moderate | |
| Cholestyramine | Moderate | |
| Antacids | Moderate | |
| Caffeine | Minor |
🚨 Major Interactions
- Warfarin
- Other anticholinergic drugs (e.g., antihistamines, tricyclic antidepressants)
- Alcohol
⚡ Moderate Interactions
- Metoclopramide
- Cholestyramine
- Antacids
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver damage from paracetamol and enhance the drowsiness and dizziness caused by dicyclomine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to dicyclomine or paracetamol","Glaucoma (narrow-angle)","Myasthenia gravis","Obstructive uropathy (e.g., bladder neck obstruction)","Severe liver disease","Paralytic ileus","Children under 12 years (unless prescribed by a doctor)"]
⚠️ Warnings & Precautions
["Avoid driving or operating machinery if you experience dizziness or blurred vision.","Avoid alcohol while taking this medicine.","Do not exceed the recommended dose of paracetamol; high doses can cause liver damage.","Use with caution in elderly patients due to increased risk of anticholinergic effects.","Consult your doctor if symptoms persist beyond 7 days.","Inform your doctor if you have liver or kidney disease, glaucoma, or difficulty urinating."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk and could cause anticholinergic effects in the infant. Paracetamol is considered safe during breastfeeding. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose can cause severe liver damage from paracetamol and anticholinergic toxicity from dicyclomine. Seek immediate medical attention. Treatment includes gastric lavage, activated charcoal, and administration of N-acetylcysteine for paracetamol toxicity. Supportive care for anticholinergic effects.
⏰ Missed Dose
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 schedule. Do not double dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose. Avoid driving or operating heavy machinery if you feel dizzy or blurred vision. Avoid alcohol while taking this medicine as it can increase drowsiness and liver risk. Inform your doctor if you have glaucoma, liver disease, kidney disease, or difficulty urinating. Do not use for prolonged periods without medical supervision. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to anticholinergic side effects such as confusion, constipation, and urinary retention. Use with caution and lower doses may be needed.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy or if you become pregnant while taking this medicine. The safety profile is not well established.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have been prescribed other pain medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with other medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or fatigued. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or blurred vision, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, seek medical advice immediately.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged high-dose paracetamol can cause liver damage. Dicyclomine may cause persistent anticholinergic effects. Regular monitoring of liver and kidney function may be advised.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Low-FODMAP diet can help manage IBS symptoms.
Evidence: Well-establishedYoga, meditation, and counseling can reduce stress-related gut symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. Consult your doctor for routine vaccinations.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving cramps within 1-2 hours after taking it.
A: It is best taken with food to reduce stomach upset.
A: Consult your doctor before use. The safety profile in pregnancy is not well established.
🤔 Common Patient Concerns
🔄 Substitutes for actispas plus tablet
View AllAlternative brands with exact same active ingredient:
-
cyclo p 20mg/500mg tabletLaborate Pharmaceuticals India Ltd ₹3.52 63.3% CHEAPER
-
cyclomec 20 mg/500 mg tabletMcW Healthcare ₹3.68 61.7% CHEAPER
-
dispas tabletAgron Remedies Pvt Ltd ₹3.95 58.9% CHEAPER
-
acispam 20mg/500mg tabletAcichem Laboratories ₹4.00 58.3% CHEAPER
-
maxigan d 20mg/500mg tabletTorrent Pharmaceuticals Ltd ₹4.10 57.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure IBS permanently.
Fact: It provides symptomatic relief but does not cure IBS. Lifestyle and dietary changes are also important. - Myth: It is safe to take this medicine for long periods without supervision.
Fact: Prolonged use should be monitored by a doctor due to potential liver and anticholinergic effects.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Paracetamol generic tablets
Brand Alternatives
- Baralgan NU
- Cyclopam
- Meftal Spas