Arispas Tablet: Comprehensive Guide to Uses, Side Effects, and Safety
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
- Unusual bleeding or bruising
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is arispas tablet used for?
This medicine is a prescription combination of Diclofenac (an NSAID) and Fenpiverinium (an antispasmodic) used for short-term relief of painful conditions involving smooth muscle spasm and inflammation, such as renal colic, biliary colic, and menstrual cramps. It works by reducing pain and inflammation and relaxing smooth muscles. It should be taken with food and used only under medical supervision.
- Generic Name: Diclofenac + Fenpiverinium
- Manufacturer: Arrient Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 arispas tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डाइक्लोफेनाक और फेनपाइवेरिनियम का संयोजन है, जिसका उपयोग दर्द और ऐंठन से जुड़ी स्थितियों जैसे गुर्दे की पथरी का दर्द, पित्ताशय की ऐंठन, और मासिक धर्म के दर्द के इलाज के लिए किया जाता है। यह दर्द और सूजन को कम करने के साथ-साथ मांसपेशियों की ऐंठन को भी शांत करती है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और भोजन के साथ लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, अपच, सिरदर्द, चक्कर आना और मुंह सूखना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, यकृत की समस्या, और एलर्जी प्रतिक्रियाएं शामिल हो सकती हैं। यदि आपको काला मल, खून की उल्टी, गंभीर पेट दर्द, पेशाब कम आना, या चेहरे पर सूजन जैसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के निर्देशानुसार ही लें। इसे भोजन या दूध के साथ लें ताकि पेट में जलन न हो। इस दवा के साथ शराब का सेवन न करें। अन्य दर्द निवारक दवाओं का सेवन बिना डॉक्टर की सलाह के न करें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या गुर्दे/यकृत की बीमारी से पीड़ित हैं, तो डॉक्टर को बताएं। चक्कर आने पर वाहन न चलाएं। दवा को बच्चों की पहुंच से दूर रखें।
💊 arispas tablet Uses & Benefits
[{"condition":"Renal colic","description":"This medicine helps relieve severe pain caused by kidney stones by reducing inflammation and relaxing smooth muscle spasms in the urinary tract.","evidence":"Well-established"},{"condition":"Biliary colic","description":"It alleviates pain associated with gallstones by reducing inflammation and relieving spasm of the biliary smooth muscles.","evidence":"Well-established"},{"condition":"Primary dysmenorrhea","description":"This medicine reduces menstrual cramps by decreasing prostaglandin production and relieving uterine muscle spasm.","evidence":"Well-established"},{"condition":"Acute musculoskeletal pain with spasm","description":"It provides relief from pain and spasm in conditions such as acute low back pain or muscle strain.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Postoperative pain with spasm","description":"Sometimes used off-label for short-term management of postoperative pain when smooth muscle spasm is a component.","evidence":"Limited"}]
Primary treatment for: Renal colic
Also treats: Biliary colic, Primary dysmenorrhea, Acute musculoskeletal pain with spasm
📋 Drug Information
| Generic Name(s) | Diclofenac + Fenpiverinium |
| Brand Name | Arispas Tablet |
| Manufacturer | Arrient Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Nonsteroidal Anti-inflammatory Drug (NSAID) + Antispasmodic |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. 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 with complementary mechanisms. Diclofenac, an NSAID, reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), leading to decreased synthesis of prostaglandins, prostacyclin, and thromboxane. This results in analgesic, anti-inflammatory, and antipyretic effects. Fenpiverinium, an anticholinergic quaternary ammonium compound, blocks muscarinic acetylcholine receptors on smooth muscle, reducing spasms in the gastrointestinal, biliary, and urinary tracts. Together, they address both inflammation and spasm, providing more comprehensive pain relief than either agent alone.
Mechanism Steps
💡 How to Take arispas tablet
Strength: Each immediate-release tablet contains Diclofenac 50 mg and Fenpiverinium 0.1 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally 1 to 3 times daily, depending on the severity of the condition and the patient's response. The maximum recommended daily dose is 3 tablets in divided doses. This medicine should be taken with food or milk to reduce gastrointestinal irritation. The duration of treatment should be as short as possible, typically not exceeding 5-7 days for acute conditions. 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 (above 65 years) may be more sensitive to the effects of this medicine, especially gastrointestinal, renal, and cardiovascular side effects. Use the lowest effective dose for the shortest duration. Monitor renal and hepatic function closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. In mild to moderate renal impairment (eGFR 30-89 mL/min), dose adjustment may not be necessary, but monitor renal function. In severe renal impairment (eGFR <30 mL/min), this medicine is contraindicated. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. In mild to moderate hepatic impairment, dose reduction may be considered. In severe hepatic impairment, this medicine is contraindicated. Monitor liver function tests. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (150 mg diclofenac and 0.3 mg fenpiverinium) in divided doses. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of arispas 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 | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Anticholinergics | Moderate | |
| SSRIs | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- Other NSAIDs
- Corticosteroids
- Methotrexate
- Lithium
⚡ Moderate Interactions
- ACE inhibitors
- Diuretics
- Anticholinergics
- SSRIs
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of gastrointestinal bleeding and may worsen liver toxicity associated with diclofenac. It can also enhance the central nervous system effects such as dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active peptic ulcer disease or history of recurrent ulcers.","Severe heart failure (NYHA III-IV).","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["Take with food to reduce gastrointestinal irritation.","Avoid alcohol consumption.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for prolonged periods without medical supervision.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma.","May increase risk of cardiovascular events; use with caution in patients with heart disease.","Anticholinergic effects may worsen conditions like glaucoma, benign prostatic hyperplasia, and urinary retention.","Do not take other NSAIDs concurrently.","Consult your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Diclofenac is excreted in breast milk in small amounts. It is generally considered compatible with breastfeeding, but the safest approach is to consult your doctor. Fenpiverinium safety during lactation is not established. Avoid if possible or use with medical advice.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, abdominal pain, gastrointestinal bleeding, dizziness, drowsiness, and in severe cases, acute renal failure, liver damage, and respiratory depression. If overdose is suspected, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be administered if the patient presents early. Monitor vital signs, renal and hepatic function, and manage complications accordingly.
⏰ 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 a double dose to make up for a missed one.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take it with food or milk to reduce the risk of stomach upset. Avoid alcohol while taking this medicine, as it can increase the risk of gastrointestinal bleeding. Do not take other NSAIDs or pain relievers without consulting your doctor, as this may increase the risk of side effects. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, asthma, or bleeding disorders. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not drive or operate heavy machinery if you feel dizzy or drowsy after taking this medicine. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight. Do not use it after the expiry date. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, renal impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor renal and hepatic function, blood pressure, and for signs of bleeding. Avoid concurrent use with other NSAIDs or anticoagulants.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Diclofenac may affect ovulation and is not recommended during pregnancy, especially in the third trimester. Fenpiverinium safety in pregnancy is not established.
🏥 Post-Surgery Considerations
This medicine may be used for postoperative pain if prescribed by your surgeon. However, it can increase the risk of bleeding and may interfere with bone healing. Use only under medical supervision and for the shortest duration necessary.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase the risk of bleeding. Your dentist may advise you to stop it temporarily before surgery.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may exacerbate pain or spasm while taking this medicine. Gentle stretching and low-impact activities like walking or swimming may be beneficial once acute pain subsides. Consult your doctor before starting any exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause dry mouth, which can be managed by sipping water. Take it with food to minimize stomach upset that could interfere with your daily routine.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if you experience any serious side effects such as black stools, vomiting blood, severe abdominal pain, yellowing of eyes or skin, decreased urine output, or signs of an allergic reaction. Do not stop abruptly if you are on long-term therapy without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of gastrointestinal ulcers and bleeding, kidney impairment, liver toxicity, and cardiovascular events. Regular monitoring of renal and hepatic function, blood counts, and blood pressure is recommended. It should be used for the shortest duration possible and only under medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and muscle spasm.
Evidence: Well-establishedApplying heat to the affected area can help relax muscles and relieve spasm.
Evidence: ModerateMay help reduce pain in some individuals.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking.
📦 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, adjust dosing times gradually to maintain consistent intervals. Check customs regulations for carrying prescription medicines. Always keep it in your carry-on luggage to avoid loss or temperature extremes.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it with food.
A: It is intended for short-term use, typically not exceeding 5 to 7 days, unless otherwise directed by your doctor. Prolonged use requires monitoring.
A: No, alcohol should be avoided as it increases the risk of gastrointestinal bleeding and liver damage.
A: It is contraindicated in the third trimester and should only be used in earlier trimesters if clearly needed and under medical supervision.
A: Take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for arispas tablet
View AllAlternative brands with exact same active ingredient:
-
ketospas 50mg/0.1mg/5mg tabletSeamac Formulations Pvt Ltd ₹23.44 47.9% CHEAPER
-
spastal 50mg/0.1mg/5mg tabletTalson Pharmaceuticals ₹30.94 31.2% CHEAPER
-
spasnac tabletZoic Lifesciences ₹32.81 27.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of pain.
Fact: This medicine is specifically for pain associated with smooth muscle spasm and inflammation. It is not appropriate for all types of pain and should only be used as prescribed. - Myth: It is safe to take this medicine long-term without monitoring.
Fact: Long-term use of this medicine can increase the risk of gastrointestinal, renal, and cardiovascular side effects. Regular monitoring is required. - Myth: This medicine is safe to take during pregnancy.
Fact: This medicine is contraindicated in the third trimester of pregnancy and should be used only if clearly needed and under medical supervision in earlier trimesters.
🔄 Alternative Options
Generic Alternatives
- Diclofenac 50 mg + Fenpiverinium 0.1 mg tablet (various manufacturers)
Brand Alternatives
- Arispas Tablet