aquadol spas 20mg/50mg injection - Dicyclomine (20mg) + Diclofenac (50mg) medicine

aquadol spas 20mg/50mg injection - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Themis Medicare Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 27, 2026
๐Ÿคฐ Pregnancy Category A ๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 27, 2026

What is aquadol spas 20mg/50mg injection used for?

Aquadol Spas 20mg/50mg Injection (Dicyclomine + Diclofenac) is used to treat GASTRO INTESTINAL. It contains Dicyclomine (20mg) + Diclofenac (50mg), which Dicyclomine blocks muscarinic acetylcholine receptors, reducing smooth muscle sp. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Dicyclomine + Diclofenac
  • Manufacturer: Themis Medicare Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š aquadol spas 20mg/50mg injection Uses & Benefits

Treatment of smooth muscle spasms associated with gastrointestinal disorders (e.g., irritable bowel syndrome, peptic ulcer disease) and pain.

Off-label uses: Dysmenorrhea, renal colic, biliary colic (not FDA-approved for these indications).

๐Ÿ“‹ Drug Information

Generic Name(s)Dicyclomine + Diclofenac
Brand NameAquadol Spas 20mg/50mg Injection
ManufacturerThemis Medicare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntispasmodic + NSAID
Route of AdministrationIntramuscular injection
StorageStore at room temperature (20-25ยฐC); protect from light.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionRapid after intramuscular injection
DistributionWidely distributed; crosses placenta and enters breast milk
Protein BindingDicyclomine: ~90%; Diclofenac: >99%
MetabolismDicyclomine: Hepatic (CYP450); Diclofenac: Hepatic (CYP2C9)
Half-LifeDicyclomine: 1.8-2.5 hours; Diclofenac: 1.2-2 hours
ExcretionDicyclomine: Urine (80%) and feces; Diclofenac: Urine (65%) and bile
BioavailabilityDicyclomine: ~67% (oral); Diclofenac: ~100% (IM)
Onset of ActionDicyclomine: 1-2 hours; Diclofenac: 30 minutes
Peak Plasma TimeDicyclomine: 1-1.5 hours; Diclofenac: 1-2 hours
Duration of ActionDicyclomine: 4-6 hours; Diclofenac: 4-8 hours

How It Works

Dicyclomine blocks muscarinic acetylcholine receptors, reducing smooth muscle spasms; Diclofenac inhibits cyclooxygenase (COX-1 and COX-2), decreasing prostaglandin synthesis.

Mechanism Steps

1Dicyclomine competitively blocks muscarinic acetylcholine receptors on smooth muscle cells.
2This inhibits parasympathetic nerve impulses, reducing smooth muscle tone and motility.
3Diclofenac inhibits cyclooxygenase (COX-1 and COX-2) enzymes.

๐Ÿ’ก How to Take aquadol spas 20mg/50mg injection

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of aquadol spas 20mg/50mg injection

โœ… Common Side Effects

  • Nausea
  • Dizziness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Headache
  • Injection site pain

๐Ÿšจ Serious Side Effects

  • GI bleeding
  • Peptic ulcer
  • Hepatotoxicity
  • Renal failure
  • Anaphylaxis
  • Stevens-Johnson syndrome

โš ๏ธ Rare Side Effects

  • Agranulocytosis
  • Thrombocytopenia
  • Aplastic anemia
  • Pancreatitis
  • Hearing loss

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Lithium Major Increased lithium toxicity
Methotrexate Major Increased methotrexate toxicity
ACE inhibitors Major Reduced antihypertensive effect
Diuretics Major Reduced diuretic effect, increased nephrotoxicity
Anticoagulants Major Increased bleeding risk
Aspirin Moderate Increased GI side effects
Corticosteroids Moderate Increased GI ulceration risk
SSRIs Moderate Increased bleeding risk
Cyclosporine Moderate Increased nephrotoxicity
Tacrolimus Moderate Increased nephrotoxicity
Antacids Minor Reduced absorption of diclofenac
Cholestyramine Minor Reduced absorption of diclofenac
Digoxin Minor Increased digoxin levels

๐Ÿšจ Major Interactions

  • Warfarin
  • Lithium
  • Methotrexate
  • ACE inhibitors
  • Diuretics
  • Anticoagulants

โšก Moderate Interactions

  • Aspirin
  • Corticosteroids
  • SSRIs
  • Cyclosporine
  • Tacrolimus

โ„น๏ธ Minor Interactions

  • Antacids
  • Cholestyramine
  • Digoxin

๐Ÿฝ๏ธ Food Interactions

Avoid alcohol; may increase GI irritation.

๐Ÿท Alcohol Interaction

Increased risk of GI bleeding and hepatotoxicity.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to any component; active GI bleeding; severe hepatic or renal impairment; history of asthma, urticaria, or allergic reactions to NSAIDs; third trimester pregnancy; coronary artery bypass graft surgery.

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, blood pressure, signs of GI bleeding, and CNS effects.

๐Ÿคฑ Lactation Safety

Use with caution; both drugs excreted in breast milk.

๐Ÿ’Š Overdose Management

Symptomatic and supportive; induce emesis or gastric lavage if oral; monitor for CNS depression, respiratory depression, seizures, and GI bleeding.

โฐ Missed Dose

Administer as soon as remembered; if close to next dose, skip missed dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 27, 2026

๐Ÿ”— View Profile

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