Alspas 10 mg/40 mg Oral Drops: Complete Medicine 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 that does not improve
- Chest pain, palpitations, or difficulty breathing
- Sudden swelling of the face, lips, or throat
- Inability to pass urine or severe lower abdominal pain
- Confusion, hallucinations, or unusual behavior
- High fever with hot dry skin and no sweating
- Yellowing of the skin or eyes
- Excessive drowsiness or poor feeding in an infant
If experiencing severe symptoms, call emergency services immediately.
What is alspas 10 mg/40 mg oral drops used for?
This medicine is a combination of dicyclomine and dimethicone oral drops used to relieve abdominal cramps, colic, and gas-related bloating. Dicyclomine relaxes gut muscles, while dimethicone helps trapped gas pass more easily.
- Generic Name: Dicyclomine + Dimethicone
- Manufacturer: Allenge India
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alspas 10 mg/40 mg oral drops के बारे में (Hindi Summary)
उपयोग: यह दवा डाइसाइक्लोमिन और डाइमेथिकोन का संयोजन है, जो पेट की ऐंठन, दर्द, गैस और सूजन को कम करने के लिए दी जाती है। डाइसाइक्लोमिन आंतों की मांसपेशियों को आराम देता है, जिससे ऐंठन और दर्द कम होता है। डाइमेथिकोन पेट में फंसी गैस के बुलबुले को छोटा करके बाहर निकलने में मदद करता है। यह दवा शिशुओं में पेट दर्द और कोलिक के लिए भी इस्तेमाल की जा सकती है, लेकिन केवल डॉक्टर की सलाह पर। यह दवा एंटीबायोटिक नहीं है और संक्रमण का इलाज नहीं करती। इसे डॉक्टर द्वारा बताई गई मात्रा और समय पर ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुंह सूखना, नींद आना, चक्कर आना, धुंधला दिखना, जी मिचलाना, कब्ज और पसीना कम आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी पेशाब रुकना, दिल की धड़कन तेज होना, भ्रम होना या एलर्जी जैसी गंभीर समस्याएं हो सकती हैं। शिशुओं में अत्यधिक नींद, दूध कम पीना या सांस लेने में तकलीफ हो तो तुरंत डॉक्टर से मिलें। गर्मी में पसीना कम आने से शरीर जल्दी गर्म हो सकता है, इसलिए धूप में ज्यादा देर न रहें।
सुरक्षा सलाह: इस दवा को डॉक्टर की बताई गई मात्रा में ही लें, अपने मन से मात्रा न बढ़ाएं। उपयोग से पहले बोतल को अच्छी तरह हिलाएं और दी गई ड्रॉपर या मापने वाले कप से ही मात्रा लें। छह महीने से छोटे शिशुओं को यह दवा बिना बाल रोग विशेषज्ञ की सलाह के न दें। अगर आपको नींद या चक्कर आ रहे हैं तो वाहन न चलाएं और मशीन न चलाएं। शराब न पिएं क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। दवा को ठंडी और सूखी जगह पर, धूप से दूर, बच्चों की पहुंच से बाहर रखें। गर्भावस्था, स्तनपान या कोई अन्य दवा लेने से पहले डॉक्टर को जरूर बताएं।
💊 alspas 10 mg/40 mg oral drops Uses & Benefits
[{"condition":"Infantile colic","description":"Helps relieve excessive crying and abdominal discomfort linked to gas and intestinal spasm in infants, when prescribed by a pediatrician.","evidence":"Moderate"},{"condition":"Functional gastrointestinal disorders","description":"Used to reduce cramping, bloating, and altered bowel habits in conditions such as irritable bowel syndrome.","evidence":"Moderate"},{"condition":"Abdominal colic and spasm","description":"Relaxes gastrointestinal smooth muscle to ease painful cramps of the stomach and intestines.","evidence":"Well-established"},{"condition":"Gas-related bloating and flatulence","description":"Dimethicone helps trapped gas bubbles merge and pass, reducing abdominal distension and discomfort.","evidence":"Moderate"},{"condition":"Biliary and urinary tract spasm","description":"Sometimes used to relieve smooth muscle spasm in the biliary and urinary tracts under medical supervision.","evidence":"Limited"}]
Off-label uses: [{"condition":"Excessive salivation","description":"Occasionally used off-label to reduce drooling because of its anticholinergic action.","evidence":"Limited"},{"condition":"Pre-procedure abdominal cramping","description":"Sometimes given to reduce cramping during certain gastrointestinal procedures.","evidence":"Limited"}]
Primary treatment for: Infantile colic and functional gastrointestinal disorders
Also treats: Irritable bowel syndrome, Abdominal bloating and flatulence, Biliary tract spasm, Urinary tract spasm
📋 Drug Information
| Generic Name(s) | Dicyclomine + Dimethicone |
| Brand Name | Alspas |
| Manufacturer | Allenge India |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Antispasmodic + Antiflatulent |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from direct sunlight and moisture. Keep the bottle tightly closed when not in use. Do not freeze. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. Do not use after the expiry date. |
| 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 agents with complementary actions. Dicyclomine is a synthetic antispasmodic with anticholinergic properties. It blocks muscarinic acetylcholine receptors on gastrointestinal smooth muscle, reducing calcium-mediated contraction and thereby relaxing spasm. It also has a direct papaverine-like effect on smooth muscle. Dimethicone is a polydimethylsiloxane with low surface tension. It does not reduce gas production; instead, it changes the surface properties of gas bubbles in the gut so that small bubbles coalesce into larger ones that are easier to expel. The combination therefore targets both the muscular spasm and the trapped gas that contribute to abdominal pain and bloating.
Mechanism Steps
💡 How to Take alspas 10 mg/40 mg oral drops
Strength: Oral drops containing dicyclomine 10 mg and dimethicone 40 mg per dose.
Dosage Information
| Adult Dosage | The adult dose of this medicine is individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, and liver and kidney function. It is typically taken two to four times a day, with or without food, using the supplied dropper or a proper measuring device. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing of this medicine is not established from available information for all age groups. It is sometimes prescribed for infants and children under the supervision of a pediatrician, but the dose depends on age, weight, and clinical condition. Do not give this medicine to infants under six months unless specifically prescribed. Consult a pediatrician for exact dosing. |
| Elderly Dosage | Elderly patients are more sensitive to the anticholinergic effects of dicyclomine, including confusion, urinary retention, constipation, and drowsiness. The dose should be individualized by a qualified clinician, often starting at the lower end of the range. Close monitoring is advised. |
| Renal Impairment | Dicyclomine and its metabolites are excreted mainly by the kidneys. Patients with significant renal impairment may have prolonged effects and increased side effects. Dose adjustment or avoidance may be needed, as determined by a qualified clinician. |
| Hepatic Impairment | Dicyclomine is metabolized in the liver. Patients with severe hepatic impairment may have reduced clearance and increased risk of side effects. Dose adjustment or avoidance may be needed, as determined by a qualified clinician. |
| Maximum Daily Dose | The maximum daily dose of this medicine must be determined by a qualified clinician based on the patient's age, weight, indication, and organ function. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alspas 10 mg/40 mg oral drops
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other anticholinergics | Major | |
| Tricyclic antidepressants | Major | |
| MAO inhibitors | Major | |
| Potassium chloride solid forms | Major | |
| Antihistamines | Moderate | |
| Antipsychotics | Moderate | |
| Opioid analgesics | Moderate | |
| Amantadine | Moderate | |
| Antacids | Minor | |
| Levodopa | Minor |
🚨 Major Interactions
- Other anticholinergic drugs
- Tricyclic antidepressants
- Monoamine oxidase inhibitors
- Potassium chloride solid dosage forms
⚡ Moderate Interactions
- Antihistamines
- Antipsychotics
- Opioid analgesics
- Amantadine
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impaired coordination. The combination may also worsen dry mouth and blurred vision. Patients should not drive or operate machinery after consuming alcohol with this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to dicyclomine, dimethicone, or any component of the formulation","Glaucoma (narrow-angle)","Urinary retention or bladder neck obstruction","Myasthenia gravis","Severe ulcerative colitis or toxic megacolon","Obstructive gastrointestinal disease or paralytic ileus","Infants less than six months of age","Breastfeeding without medical advice"]
⚠️ Warnings & Precautions
["May cause drowsiness and blurred vision; avoid driving or operating machinery until effects are known.","Use with caution in elderly patients because of increased risk of confusion, urinary retention, and constipation.","Avoid in hot weather or during strenuous exercise because reduced sweating can lead to overheating.","Use with caution in patients with liver or kidney disease; dose adjustment may be needed.","Do not use in infants under six months unless specifically prescribed by a pediatrician.","Inform your doctor if you have heart disease, high blood pressure, or thyroid problems.","Stop the medicine and seek medical help if you develop signs of an allergic reaction.","Do not share this medicine with others, even if they have similar symptoms."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk in small amounts. Because it can cause anticholinergic effects in a nursing infant, this medicine is generally not recommended during breastfeeding unless clearly needed. Consult a doctor before use while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause severe anticholinergic symptoms such as dry mouth, flushing, dilated pupils, blurred vision, fast heartbeat, fever, urinary retention, confusion, hallucinations, and seizures. If overdose is suspected, stop the medicine and seek emergency medical care immediately. Treatment is supportive and may include activated charcoal if presented early, intravenous fluids, and management of specific symptoms. Do not attempt to induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember, provided there is still a significant amount of time before the next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly in the dose and frequency advised by your doctor. Do not increase the dose on your own, even if symptoms feel severe. Shake the bottle well before each use and measure the drops with the supplied dropper or a proper measuring device. Avoid giving this medicine to infants under six months unless specifically prescribed by a pediatrician. Do not drive or operate heavy machinery if you feel drowsy or have blurred vision. Avoid alcohol because it can increase drowsiness and dizziness. Keep the bottle tightly closed, away from direct sunlight, and out of reach of children. Tell your doctor about all other medicines, especially antihistamines, antidepressants, antipsychotics, and anticholinergics, because they can add to the side effects. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor before using this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the anticholinergic effects of dicyclomine, including confusion, urinary retention, constipation, dry mouth, and blurred vision. The dose should be individualized by a qualified clinician, often starting at the lower end of the range. Close monitoring is advised, especially in those with prostate enlargement, glaucoma, or heart disease. Falls risk may increase due to drowsiness and dizziness.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, consult your doctor before using this medicine. Dicyclomine should be used during pregnancy only when the potential benefit justifies the potential risk. Dimethicone is not absorbed systemically and is considered low risk. Discuss all medicines and supplements with your doctor to ensure the safest approach for you and your baby.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used to relieve abdominal cramping or gas, but only under medical supervision. Inform your surgeon and anesthesiologist about all medicines you are taking before surgery. Dicyclomine can interact with some anesthetic agents and may increase the risk of postoperative urinary retention. Follow your doctor's instructions regarding when to resume this medicine after surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. Dicyclomine can cause dry mouth, which may increase the risk of dental caries and oral discomfort. It may also interact with some medicines used during dental procedures. Your dentist may recommend frequent sips of water or sugar-free chewing gum to manage dry mouth. No major precautions are usually needed for routine dental work, but always disclose your medication list.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine, but avoid strenuous activity in hot weather because the medicine can reduce sweating and increase the risk of overheating. If you feel dizzy, drowsy, or weak during exercise, stop and rest. Drink plenty of water before, during, and after exercise. Consult your doctor before starting any new exercise program, especially if you have heart disease or other chronic conditions.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and blurred vision, which may affect your ability to drive, operate machinery, or perform tasks requiring alertness. Avoid these activities until you know how the medicine affects you. If your work involves heavy machinery or driving, discuss with your doctor about timing the doses or adjusting the treatment. The medicine may also cause dry mouth, which can be managed by sipping water. Overall, most people can continue their daily activities with caution.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if you experience severe side effects such as urinary retention, confusion, fast heartbeat, allergic reactions, or if your symptoms worsen or do not improve within a few days. Do not stop the medicine abruptly if you have been taking it for a long time without consulting your doctor, as the underlying condition may need reassessment. Always follow your doctor's advice regarding the duration of treatment.
📅 Long-Term Use Effects
Long-term use of this medicine should be supervised by a doctor. Prolonged use of dicyclomine can lead to persistent anticholinergic effects such as dry mouth, constipation, urinary retention, and confusion, especially in elderly patients. Regular monitoring of symptoms, bowel and bladder function, and mental status is advised. The underlying condition should be reassessed periodically to determine whether continued treatment is necessary. Dimethicone is generally safe for long-term use because it is not absorbed systemically, but it should still be used only when needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding gas-producing foods and eating smaller meals can reduce bloating and cramping.
Evidence: Well-establishedMay help improve gut flora and reduce symptoms in some functional bowel disorders.
Evidence: ModerateYoga, meditation, and relaxation techniques can reduce stress-related gut symptoms.
Evidence: ModerateGentle abdominal exercises and massage may help relieve gas and improve motility.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you or your child is unwell with fever or an acute illness, consult your doctor before receiving any vaccine. Routine vaccinations can generally continue as scheduled unless advised otherwise by a healthcare professional.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate or freeze unless specified.
✅ DO
Keep the bottle tightly closed in its original container.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label intact. Keep a copy of your prescription or doctor's note, especially for international travel, as some countries may have restrictions on certain medicines. Store the bottle in a cool, dry place away from direct sunlight and do not leave it in a hot car. If you are traveling across time zones, continue with your regular dosing schedule as advised by your doctor, but avoid taking extra doses. For infants, carry the supplied dropper and measure doses accurately during travel. Check customs regulations before carrying this medicine across borders.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Relief of abdominal spasm and gas-related discomfort may begin within 30 to 60 minutes after taking a dose. The full effect may take a few hours, depending on the individual.
A: This medicine is sometimes prescribed for infants under the supervision of a pediatrician, but it is not recommended for infants under six months unless specifically advised. Always follow the pediatrician's dosing instructions.
A: Common side effects include dry mouth, drowsiness, dizziness, blurred vision, nausea, and constipation. These are usually mild and settle with time.
A: This medicine can interact with other anticholinergic drugs, antidepressants, antihistamines, and some other medicines. Always inform your doctor about all medicines you are taking.
A: This medicine should be used during pregnancy only when the potential benefit justifies the potential risk, as advised by a qualified clinician. Limited data are available.
A: If you miss a dose, take it as soon as you remember if there is still enough time before the next dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: Alcohol should be avoided because it can increase drowsiness, dizziness, and impaired coordination.
A: Store at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Keep the bottle tightly closed and out of reach of children.
🤔 Common Patient Concerns
🔄 Substitutes for alspas 10 mg/40 mg oral drops
View AllAlternative brands with exact same active ingredient:
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colinol 10 mg/40 mg injectionNoel Pharma India Pvt Ltd ₹8.65 78% CHEAPER
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spasmover dropCachet Pharmaceuticals Pvt Ltd ₹9.50 75.9% CHEAPER
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spasmokay dropKhandelwal Laboratories Pvt Ltd ₹10.00 74.6% CHEAPER
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Topspas 10 mg/40 mg DropPsychotropics India Ltd ₹11.72 70.2% CHEAPER
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Spasmigon 10 mg/40 mg DropPasteur Laboratories Pvt Ltd ₹11.95 69.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is an antibiotic.
Fact: This medicine is not an antibiotic. It is a combination of an antispasmodic and an antifoaming agent used for abdominal cramps and gas. - Myth: This medicine can be given to any infant with crying.
Fact: This medicine should only be given to infants when prescribed by a pediatrician, and it is not recommended for infants under six months unless specifically advised. - Myth: More drops will give faster relief.
Fact: Taking more than the prescribed dose can increase side effects and does not necessarily give faster relief. Always follow the prescribed dose. - Myth: This medicine can be taken long-term without any risk.
Fact: Long-term use should be supervised by a doctor because of potential anticholinergic side effects and the need to monitor the underlying condition.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine and dimethicone oral drops
Brand Alternatives
- Not established from the available information.