Abdospas 20mg/500mg Tablet: 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
- 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
- Fast or irregular heartbeat
If experiencing severe symptoms, call emergency services immediately.
What is avispas 20mg/500mg tablet used for?
This medicine is a combination of dicyclomine and paracetamol used to treat abdominal cramps and pain associated with irritable bowel syndrome and other gastrointestinal spasms. It works by relaxing gut muscles and relieving pain.
- Generic Name: Dicyclomine + Paracetamol
- Manufacturer: Bhavishya Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 avispas 20mg/500mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन और दर्द के इलाज के लिए इस्तेमाल की जाती है, जो अक्सर इरिटेबल बाउल सिंड्रोम (IBS) और अन्य पेट की समस्याओं में होती है। यह पेट की मांसपेशियों को आराम देकर दर्द कम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मुँह सूखना, चक्कर आना, नींद आना, धुंधली दृष्टि, जी मिचलाना और कब्ज शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, पेशाब में रुकावट, तेज़ धड़कन या लीवर की समस्या हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। शराब न पिएं। अगर आपको चक्कर या नींद आती है तो वाहन न चलाएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 avispas 20mg/500mg 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 ease discomfort and cramping in conditions like functional dyspepsia and spastic colon.","evidence":"Moderate"},{"condition":"Biliary colic","description":"May help relieve pain from gallbladder spasms, though definitive evidence is limited.","evidence":"Limited"},{"condition":"Renal colic","description":"Sometimes used as an adjunct for pain relief in kidney stone episodes, but not first-line.","evidence":"Limited"}]
Off-label uses: [{"condition":"Menstrual cramps","description":"Occasionally prescribed to relieve uterine cramps, but evidence is not robust.","evidence":"Limited"},{"condition":"Infant colic","description":"Not recommended due to safety concerns in infants.","evidence":"Not established"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Functional gastrointestinal disorders, Biliary colic, Renal colic
📋 Drug Information
| Generic Name(s) | Dicyclomine + Paracetamol |
| Brand Name | Abdospas 20mg/500mg Tablet |
| Manufacturer | Bhavishya Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Antispasmodic and Analgesic Combination |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| Shelf Life | 24 months from 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
Dicyclomine blocks muscarinic acetylcholine receptors in the gastrointestinal smooth muscle, reducing spasms and motility. Paracetamol acts centrally to inhibit prostaglandin synthesis, thereby reducing pain and fever. Together, they provide antispasmodic and analgesic effects.
Mechanism Steps
💡 How to Take avispas 20mg/500mg tablet
Strength: Each tablet contains dicyclomine 20 mg and paracetamol 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally up to three times daily, or as directed by your physician. The dose may be adjusted based on your condition and response. Do not exceed the recommended dose. 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 anticholinergic effects. Use with caution and lower doses may be needed. Consult your doctor. |
| Renal Impairment | Dicyclomine is excreted renally; dose adjustment may be needed in renal impairment. Consult your doctor. |
| Hepatic Impairment | Paracetamol and dicyclomine are metabolized in the liver; dose reduction may be necessary in hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | Maximum daily dose should not exceed 3 tablets in 24 hours, unless otherwise directed by your doctor. Do not exceed 4 grams of paracetamol per day from all sources. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of avispas 20mg/500mg 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 anticholinergics | Major | |
| Alcohol | Major | |
| Metoclopramide | Moderate | |
| Cholestyramine | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Other anticholinergics (e.g., atropine, antihistamines, tricyclic antidepressants)
- Warfarin
- Alcohol
⚡ Moderate Interactions
- Metoclopramide
- Cholestyramine
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver damage from paracetamol and enhance drowsiness and dizziness from dicyclomine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to dicyclomine, paracetamol, or any component","Glaucoma (narrow-angle)","Urinary retention","Myasthenia gravis","Severe liver disease","Paralytic ileus","Breastfeeding"]
⚠️ Warnings & Precautions
["Avoid in patients with obstructive uropathy.","Use with caution in elderly due to increased risk of anticholinergic effects.","Do not exceed recommended dose of paracetamol; risk of liver damage.","Avoid alcohol.","May impair ability to drive or operate machinery.","Consult doctor if symptoms persist beyond 7 days."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk and could cause anticholinergic effects in the infant. Paracetamol is considered safe in breast milk. Consult your doctor before use.
💊 Overdose Management
Overdose can cause severe liver damage from paracetamol and anticholinergic toxicity from dicyclomine. Seek emergency medical help immediately. Treatment includes activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care.
⏰ 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 exceed the recommended dose. Avoid alcohol while taking this medicine as it can increase the risk of liver damage. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have glaucoma, prostate problems, kidney or liver disease, or if you are pregnant or breastfeeding. Do not use this medicine for more than the recommended duration without consulting your doctor. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to anticholinergic side effects like confusion, dry mouth, and urinary retention. Use with caution and lower doses may be required. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy or are pregnant. The safety of this combination during pregnancy is not well established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with anesthetic agents and affect postoperative recovery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may cause dry mouth, which can affect dental health. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or drowsy. Light activities like walking are generally safe. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also cause dry mouth, which can be managed with frequent sips of water.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects or your symptoms resolve, your doctor may advise tapering or stopping. Abrupt discontinuation is generally not associated with withdrawal, but medical guidance is recommended.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use of paracetamol at high doses can cause liver and kidney damage. Dicyclomine may cause persistent dry mouth, constipation, or urinary issues. 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-establishedCognitive behavioral therapy and relaxation techniques can reduce IBS flare-ups.
Evidence: ModerateMay help restore gut flora balance and reduce symptoms.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. However, consult your doctor before any vaccination if you are unwell.
📦 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 times gradually 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: Dicyclomine starts working within 1-2 hours, and paracetamol within 30-60 minutes. You may feel relief from cramps and pain within a few hours.
A: It is best taken with food to reduce the risk of stomach upset.
A: Do not take additional paracetamol-containing products without consulting your doctor, as this can lead to overdose.
🤔 Common Patient Concerns
🔄 Substitutes for avispas 20mg/500mg tablet
View AllAlternative brands with exact same active ingredient:
-
cyclo p 20mg/500mg tabletLaborate Pharmaceuticals India Ltd ₹3.52 84.2% CHEAPER
-
cyclomec 20 mg/500 mg tabletMcW Healthcare ₹3.68 83.5% CHEAPER
-
dispas tabletAgron Remedies Pvt Ltd ₹3.95 82.3% CHEAPER
-
acispam 20mg/500mg tabletAcichem Laboratories ₹4.00 82.1% CHEAPER
-
maxigan d 20mg/500mg tabletTorrent Pharmaceuticals Ltd ₹4.10 81.6% 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 the underlying condition. - Myth: It is safe to take unlimited doses.
Fact: Exceeding the recommended dose can cause serious liver damage from paracetamol.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Paracetamol generic tablets
Brand Alternatives
- Abdospas 20mg/500mg Tablet