Aurinorm 5 mg/2.5 mg Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe drowsiness, confusion, or difficulty breathing
- Rash, itching, swelling of face, lips, or throat
- Yellowing of skin or eyes, dark urine, or abdominal pain
- Unusual bruising or bleeding
- Fever, sore throat, or mouth ulcers
- Severe abdominal pain or persistent vomiting
- Irregular heartbeat or palpitations
- Difficulty urinating or inability to urinate
If experiencing severe symptoms, call emergency services immediately.
What is alspas forte tablet used for?
This medicine is a combination of chlordiazepoxide (an anxiolytic) and clidinium (an antispasmodic) used to treat irritable bowel syndrome, peptic ulcer disease, and anxiety-related gastrointestinal symptoms. It works by reducing anxiety and relaxing gastrointestinal muscles. It is a prescription medicine and should be used short-term under medical supervision.
- Generic Name: Chlordiazepoxide + Clidinium
- Manufacturer: Allenge India
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alspas forte tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोरडायजेपॉक्साइड और क्लिडिनियम का संयोजन है, जिसका उपयोग चिड़चिड़ा आंत्र सिंड्रोम (IBS), पेप्टिक अल्सर, और चिंता से जुड़े पेट की समस्याओं के इलाज के लिए किया जाता है। यह पेट की मांसपेशियों को आराम देकर ऐंठन और दर्द को कम करती है और चिंता को भी शांत करती है। यह दवा केवल डॉक्टर के पर्चे पर मिलती है और इसे अल्पकालिक उपयोग के लिए ही लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह सूखना, धुंधली दृष्टि, कब्ज, और पेशाब करने में कठिनाई शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, रक्त विकार, पीलिया, और श्वसन संबंधी समस्याएं हो सकती हैं। लंबे समय तक उपयोग से निर्भरता और वापसी के लक्षण हो सकते हैं। यदि कोई गंभीर दुष्प्रभाव हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक को स्वयं न बढ़ाएं या घटाएं। दवा लेने के दौरान वाहन चलाने या मशीनरी चलाने से बचें। शराब का सेवन बिल्कुल न करें क्योंकि इससे गंभीर नींद और सांस की समस्या हो सकती है। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या गर्भधारण की योजना बना रही हैं तो डॉक्टर को बताएं। दवा को अचानक बंद न करें। इसे बच्चों की पहुंच से दूर रखें।
💊 alspas forte tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Helps relieve abdominal cramping, bloating, and anxiety associated with IBS.","evidence":"Well-established for short-term symptom relief"},{"condition":"Peptic ulcer disease","description":"Used as an adjunct to reduce anxiety and gastrointestinal spasm in peptic ulcer patients.","evidence":"Established in combination with acid-suppressing therapy"},{"condition":"Anxiety associated with gastrointestinal disorders","description":"Provides short-term relief of anxiety that exacerbates gastrointestinal symptoms.","evidence":"Established for short-term use"},{"condition":"Gastrointestinal spasm","description":"Relaxes smooth muscle in the gut to reduce spasm and associated pain.","evidence":"Established"}]
Off-label uses: [{"condition":"Preoperative anxiety","description":"Occasionally used off-label for short-term preoperative anxiety reduction.","evidence":"Limited"},{"condition":"Tension headache","description":"Sometimes prescribed off-label for tension-type headaches with muscle spasm.","evidence":"Limited"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Peptic ulcer disease, Anxiety associated with gastrointestinal disorders, Gastrointestinal spasm
📋 Drug Information
| Generic Name(s) | Chlordiazepoxide + Clidinium |
| Brand Name | Aurinorm 5 mg/2.5 mg tablet |
| Manufacturer | Allenge India |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Benzodiazepine + Anticholinergic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a cool, dry place away from direct sunlight. Keep the container tightly closed. Do not refrigerate. Keep out of reach of children and pets. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| 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 with complementary mechanisms. Chlordiazepoxide enhances the inhibitory effect of gamma-aminobutyric acid (GABA) at GABA-A receptors in the brain, producing anxiolytic, sedative, and muscle-relaxant effects. Clidinium is a quaternary ammonium anticholinergic that blocks muscarinic acetylcholine receptors in the gastrointestinal tract, reducing smooth muscle spasm, motility, and secretions. Together, they address both the central anxiety component and the peripheral gastrointestinal spasm component of functional bowel disorders.
Mechanism Steps
💡 How to Take alspas forte tablet
Strength: Each tablet contains chlordiazepoxide 5 mg and clidinium 2.5 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken three to four times daily, before meals and at bedtime. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function, and response to therapy. Do not self-adjust the dose. The maximum recommended daily dose should not be exceeded. This medicine is intended for short-term use only. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to the effects of this medicine, especially sedation, confusion, and anticholinergic effects. The starting dose should be reduced, and the dose should be titrated slowly. Use with caution and monitor closely for falls and cognitive impairment. |
| Renal Impairment | Dose adjustment may be necessary in patients with renal impairment. Chlordiazepoxide metabolites are excreted renally, and accumulation may occur. Consult a clinician for individualized dosing. |
| Hepatic Impairment | This medicine should be used with caution in patients with hepatic impairment. Chlordiazepoxide is extensively metabolized in the liver, and its half-life may be prolonged. Dose reduction may be necessary. Avoid in severe hepatic impairment. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information. The dose should not exceed the prescribed amount. Consult your doctor for guidance. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alspas forte tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Opioids | Major | |
| Alcohol | Major | |
| MAOIs | Major | |
| Anticholinergics | Major | |
| CNS depressants | Moderate | |
| SSRIs | Moderate | |
| Ketoconazole | Moderate | |
| Oral contraceptives | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Opioids (e.g., morphine, codeine)
- Alcohol
- Monoamine oxidase inhibitors (MAOIs)
- Anticholinergic drugs (e.g., atropine, benztropine)
⚡ Moderate Interactions
- CNS depressants (e.g., benzodiazepines, sedatives, hypnotics)
- Antidepressants (e.g., SSRIs, tricyclics)
- Antifungals (e.g., ketoconazole, itraconazole)
- Oral contraceptives
🍷 Alcohol Interaction
Alcohol must be completely avoided while taking this medicine. Alcohol enhances the central nervous system depressant effects of chlordiazepoxide, leading to excessive sedation, respiratory depression, coma, and even death. It also increases the risk of anticholinergic side effects from clidinium. Even small amounts of alcohol can be dangerous.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to chlordiazepoxide, clidinium, or any component of the formulation","Glaucoma (angle-closure)","Urinary retention or prostatic hypertrophy","Severe liver disease","Myasthenia gravis","Severe respiratory insufficiency","Acute narrow-angle glaucoma","Paralytic ileus","Pregnancy (especially first trimester)","Breastfeeding"]
⚠️ Warnings & Precautions
["This medicine can cause dependence and withdrawal symptoms. Use for the shortest duration possible.","Avoid abrupt discontinuation after prolonged use to prevent withdrawal syndrome.","May impair ability to drive or operate machinery. Avoid these activities until you know how this medicine affects you.","Do not consume alcohol while taking this medicine.","Use with caution in elderly patients due to increased risk of confusion, falls, and fractures.","Use with caution in patients with hepatic or renal impairment.","May cause anticholinergic effects; use with caution in patients with benign prostatic hyperplasia, urinary retention, or constipation.","Paradoxical reactions (agitation, excitement) may occur, especially in elderly or psychiatric patients.","Not recommended for children.","Do not share this medicine with others."]
🤱 Lactation Safety
Chlordiazepoxide is excreted in breast milk and may cause sedation and feeding difficulties in the infant. Clidinium may also pass into breast milk. This medicine is not recommended during breastfeeding. Consult your doctor for alternative treatments.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, confusion, respiratory depression, coma, and death. If overdose is suspected, seek emergency medical attention immediately. Treatment includes supportive care, airway management, and monitoring of vital signs. Flumazenil, a benzodiazepine antagonist, may be used with caution in cases of severe benzodiazepine toxicity, but it can precipitate seizures in dependent patients. There is no specific antidote for clidinium; anticholinergic toxicity should be managed symptomatically. Contact a poison control center for guidance.
⏰ 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 take two doses at the same time to make up for a missed dose. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase the dose or take it more frequently than directed. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine because it can cause dangerous sedation. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not stop this medicine suddenly after long-term use, as it can cause withdrawal symptoms. Keep this medicine out of reach of children and store it in a cool, dry place. Tell your doctor about all other medicines you are taking, especially antidepressants, antipsychotics, opioids, and anticholinergics. Regular follow-up is important to monitor for side effects and to assess the continued need for this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at increased risk of sedation, confusion, falls, and fractures when taking this medicine. The starting dose should be reduced, and the dose should be titrated slowly. Regular monitoring for cognitive and motor impairment is recommended. Avoid long-term use in the elderly.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning to become pregnant. Chlordiazepoxide may cause fetal harm, and clidinium may have anticholinergic effects on the fetus. Consult your doctor for alternative treatments if you are pregnant or planning pregnancy. Use effective contraception while taking this medicine.
🏥 Post-Surgery Considerations
This medicine may interact with anesthetics and other medications used during surgery, increasing the risk of sedation and respiratory depression. Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be stopped before surgery, as advised by your doctor.
🦷 Dental Procedures
This medicine can cause dry mouth, which may increase the risk of dental caries and oral infections. Inform your dentist that you are taking this medicine. It may also interact with sedatives used during dental procedures, so your dentist should be aware. Maintain good oral hygiene and stay hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness and dizziness, which can affect your coordination. Avoid strenuous exercise or activities that require alertness until you know how this medicine affects you. Light exercise like walking may be beneficial, but consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and blurred vision, which may impair your ability to drive, operate machinery, or perform tasks requiring mental alertness. It is advisable to avoid these activities until you know how the medicine affects you. Inform your employer if your job involves such tasks. The sedative effects may also affect your productivity, so plan your tasks accordingly.
🛑 When to Stop This Medicine
Do not stop taking this medicine abruptly, especially if you have been taking it for a long time, as it can cause withdrawal symptoms such as anxiety, insomnia, tremors, and seizures. Consult your doctor before stopping. Your doctor will gradually reduce the dose to prevent withdrawal. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, dependence, and withdrawal symptoms upon discontinuation. It may also cause cognitive impairment, especially in elderly patients. Regular monitoring by a doctor is essential to assess the continued need for therapy and to manage any adverse effects. This medicine is not recommended for long-term use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps manage anxiety and stress without medication.
Evidence: Well-establishedAvoiding trigger foods can reduce IBS symptoms.
Evidence: EstablishedMay help balance gut bacteria and reduce symptoms.
Evidence: EmergingYoga, meditation, and deep breathing can reduce anxiety and gastrointestinal symptoms.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for any vaccination, inform your healthcare provider that you are taking this medicine. Live vaccines should be avoided if you are immunocompromised, but this medicine does not cause immunosuppression.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate
✅ 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting the dosing schedule. Do not pack it in checked baggage. Check local customs regulations regarding controlled substances before traveling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may start relieving anxiety and abdominal cramping within 30 to 60 minutes after taking a dose. However, full therapeutic effects may take a few days of regular use.
A: You should inform your doctor about all other medicines you are taking, as this medicine can interact with many drugs, including opioids, antidepressants, and anticholinergics. Do not start any new medicine without consulting your doctor.
A: Yes, chlordiazepoxide, a component of this medicine, can cause dependence and withdrawal symptoms, especially with long-term use. It should be used for the shortest duration possible and tapered gradually under medical supervision.
A: Avoid alcohol, driving, and operating heavy machinery until you know how this medicine affects you. Also avoid taking other CNS depressants unless prescribed.
🤔 Common Patient Concerns
🔄 Substitutes for alspas forte tablet
View AllAlternative brands with exact same active ingredient:
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libopil 5 mg/2.5 mg tabletPsychotropics India Ltd ₹5.33 86.7% CHEAPER
-
cromide forte 2.5 mg/5 mg/10 mg tabletLeeford Healthcare Ltd ₹7.50 81.3% CHEAPER
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libnam 5 mg/2.5 mg tabletMankind Pharma Ltd ₹8.20 79.5% CHEAPER
-
libsana 5mg/2.5mg tabletRyon Pharma ₹9.38 76.6% CHEAPER
-
cromide 5mg/2.5mg tabletLeeford Healthcare Ltd ₹11.72 70.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is safe for long-term use.
Fact: This medicine is intended for short-term use only. Long-term use can lead to dependence and withdrawal symptoms. - Myth: This medicine can be taken with alcohol.
Fact: Alcohol must be completely avoided while taking this medicine due to the risk of severe sedation and respiratory depression. - Myth: This medicine is safe to take during pregnancy.
Fact: This medicine is not recommended during pregnancy as it may harm the fetus. Consult your doctor for alternatives. - Myth: This medicine can be stopped abruptly.
Fact: Abrupt discontinuation after prolonged use can cause withdrawal symptoms. Always consult your doctor before stopping.