dolokind spas 10 mg/500 mg tablet - Hyoscine butylbromide (10mg) + Paracetamol (500mg) medicine

Buscopan Plus 10 mg/500 mg Tablet: Complete Medicine Guide

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🏭 Mankind Pharma Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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 dolokind spas 10 mg/500 mg tablet used for?

This medicine is a combination of hyoscine butylbromide and paracetamol used to relieve abdominal cramps and pain associated with irritable bowel syndrome and other smooth muscle spasms. It works by relaxing gut muscles and reducing pain.

  • Generic Name: Hyoscine butylbromide + Paracetamol
  • Manufacturer: Mankind Pharma Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dolokind spas 10 mg/500 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पेट की ऐंठन और दर्द के इलाज के लिए इस्तेमाल की जाती है। यह हाइओसीन ब्यूटाइलब्रोमाइड और पैरासिटामोल का संयोजन है। यह आंतों की मांसपेशियों को आराम देकर ऐंठन को कम करती है और दर्द को शांत करती है। इसका उपयोग इरिटेबल बाउल सिंड्रोम, मासिक धर्म की ऐंठन, और पित्त या मूत्र पथ की ऐंठन में किया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, कब्ज, धुंधली दृष्टि, चक्कर आना, नींद आना, मतली और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, त्वचा पर चकत्ते, सूजन, सांस लेने में कठिनाई, और यकृत की क्षति हो सकती है। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। निर्धारित मात्रा से अधिक न लें। इस दवा के साथ शराब न पिएं क्योंकि इससे यकृत को नुकसान हो सकता है। यदि आपको चक्कर या नींद आती है तो वाहन न चलाएं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 dolokind spas 10 mg/500 mg tablet Uses & Benefits

[{"condition":"Irritable bowel syndrome (IBS) associated abdominal cramps","description":"Relieves abdominal pain and cramping by relaxing smooth muscle in the gut.","evidence":"Well-established"},{"condition":"Functional gastrointestinal disorders with spasm","description":"Reduces spasm-related pain and discomfort in the digestive tract.","evidence":"Moderate"},{"condition":"Menstrual cramps (dysmenorrhea)","description":"Helps relieve uterine cramps and associated pain.","evidence":"Moderate"},{"condition":"Biliary and urinary tract spasms","description":"May be used for spasm-related pain in bile ducts or urinary tract.","evidence":"Limited"}]

Off-label uses: [{"condition":"Renal colic","description":"Sometimes used off-label for pain relief in kidney stones, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Irritable bowel syndrome

Also treats: Functional gastrointestinal disorders, Dysmenorrhea, Biliary spasm, Urinary tract spasm

📋 Drug Information

Generic Name(s)Hyoscine butylbromide + Paracetamol
Brand NameBuscopan Plus
ManufacturerMankind Pharma Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntispasmodic + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce the risk of stomach upset.
2
Do not exceed the recommended dose of paracetamol to avoid liver damage.
3
Avoid alcohol completely while taking this medicine.
4
Do not drive or operate machinery if you feel dizzy or drowsy.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Inform your doctor if you have glaucoma, myasthenia gravis, or liver/kidney disease.
7
Do not take other paracetamol-containing products concurrently.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Abdominal cramps
This medicine is commonly prescribed for this.
Likely Use
✅
Menstrual cramps
This medicine can provide relief.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Headache
This medicine is not intended for headache unless associated with spasm.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionHyoscine butylbromide is poorly absorbed from the gastrointestinal tract after oral administration, with only about 10-20% of the dose being absorbed. Paracetamol is rapidly and almost completely absorbed from the gastrointestinal tract.
DistributionHyoscine butylbromide is a quaternary ammonium compound and does not readily cross the blood-brain barrier. It distributes mainly to the gastrointestinal and genitourinary smooth muscle. Paracetamol distributes widely throughout most body tissues, with a volume of distribution of about 0.9 L/kg.
Protein BindingHyoscine butylbromide: Not established from the available information. Paracetamol: Approximately 10-25% bound to plasma proteins.
MetabolismHyoscine butylbromide undergoes limited metabolism, primarily by hydrolysis in the liver. Paracetamol is metabolized in the liver, mainly by glucuronidation and sulfation, with a small fraction metabolized by CYP2E1 to a toxic intermediate (NAPQI) that is normally detoxified by glutathione.
Half-LifeHyoscine butylbromide: Approximately 5 hours. Paracetamol: Approximately 2-3 hours.
ExcretionHyoscine butylbromide is excreted mainly in the feces, with a small amount in urine. Paracetamol is excreted in urine as metabolites.
BioavailabilityHyoscine butylbromide: Low oral bioavailability (approximately 10-20%). Paracetamol: High oral bioavailability (approximately 80-90%).
Onset of ActionHyoscine butylbromide: Onset of antispasmodic effect is within 15-30 minutes after oral administration. Paracetamol: Onset of analgesic effect is within 30-60 minutes.
Peak Plasma TimeHyoscine butylbromide: Approximately 1-2 hours. Paracetamol: Approximately 0.5-1 hour.
Duration of ActionHyoscine butylbromide: Approximately 4-6 hours. Paracetamol: Approximately 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary actions. Hyoscine butylbromide is a quaternary ammonium antimuscarinic agent that blocks muscarinic acetylcholine receptors on smooth muscle, thereby reducing muscle spasm and motility in the gastrointestinal and genitourinary tracts. Paracetamol acts primarily in the central nervous system to reduce pain and fever, though its exact mechanism is not fully understood. Together, they provide relief from spasm-related pain.

Mechanism Steps

1
Antimuscarinic action of hyoscine butylbromide: Hyoscine butylbromide binds to muscarinic receptors on smooth muscle cells, blocking acetylcholine from binding and preventing muscle contraction.
2
Smooth muscle relaxation: Blockade of muscarinic receptors leads to relaxation of gastrointestinal and genitourinary smooth muscle, relieving spasm.
3
Central analgesic action of paracetamol: Paracetamol acts on central nervous system pathways to reduce pain perception and lower fever.
4
Combined symptomatic relief: The antispasmodic and analgesic effects work together to relieve cramping and associated pain.

💡 How to Take dolokind spas 10 mg/500 mg tablet

Strength: Each tablet contains hyoscine butylbromide 10 mg and paracetamol 500 mg.

1Swallow the tablet whole with a glass of water.
2Take with or without food, but taking with food may reduce stomach upset.
3Do not crush or chew the tablet.
4Take at the same times each day if prescribed regularly.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally up to three times a day, as needed for relief of cramps and pain. The maximum daily dose should not exceed 6 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the anticholinergic effects of hyoscine butylbromide. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor.
Maximum Daily DoseThe maximum daily dose is 6 tablets (60 mg hyoscine butylbromide and 3000 mg paracetamol) in 24 hours. Do not exceed this dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of dolokind spas 10 mg/500 mg tablet

✅ Common Side Effects

Dry mouth (Common (5-10%))
Sip water or chew sugar-free gum. Consult doctor if persistent.
Constipation (Common (5-10%))
Increase fiber and fluid intake. Consult doctor if severe.
Blurred vision (Common (5-10%))
Avoid driving if affected. Usually resolves. Consult doctor if persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery. Consult doctor if severe.
Drowsiness (Common (5-10%))
Avoid alcohol and driving. Consult doctor if persistent.
Nausea (Common (5-10%))
Take with food. Consult doctor if persistent.
Headache (Common (5-10%))
Usually resolves. Consult doctor if severe or persistent.

🚨 Serious Side Effects

Allergic reactions (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention.
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Very rare (<0.01%))
Seek immediate medical attention if you notice skin rash, blisters, or peeling.
Liver damage (paracetamol overdose) (Rare (<0.1%))
Seek immediate medical attention if you suspect overdose or experience yellowing of skin or eyes, dark urine, or severe abdominal pain.
Urinary retention (Rare (<0.1%))
Seek medical attention if you cannot urinate.
Palpitations (Rare (<0.1%))
Consult doctor if you experience fast or irregular heartbeat.

⚠️ Rare Side Effects

Confusion
Consult doctor immediately.
Anaphylaxis
Seek emergency medical help immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Tricyclic antidepressants Major
Antihistamines Moderate
Metoclopramide Moderate
Cholestyramine Moderate
Alcohol Major

🚨 Major Interactions

  • Other anticholinergic drugs (e.g., tricyclic antidepressants, antihistamines)
  • Warfarin
  • Alcohol

⚡ Moderate Interactions

  • Metoclopramide
  • Cholestyramine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and may worsen drowsiness or dizziness caused by hyoscine butylbromide.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to hyoscine butylbromide, paracetamol, or any component","Glaucoma","Myasthenia gravis","Pyloric stenosis","Paralytic ileus","Severe liver disease","Severe kidney disease"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose of paracetamol to avoid liver damage.","Avoid alcohol while taking this medicine.","Use with caution in elderly patients due to increased risk of anticholinergic effects.","Use with caution in patients with liver or kidney disease.","May cause drowsiness or dizziness; avoid driving or operating machinery until you know how it affects you.","Do not take other paracetamol-containing products concurrently.","Consult doctor if symptoms persist beyond 7 days."]

🤱 Lactation Safety

Hyoscine butylbromide and paracetamol are excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding.

💊 Overdose Management

Overdose of paracetamol can cause severe liver damage. Seek immediate medical attention even if you feel well. Treatment may include activated charcoal, N-acetylcysteine, and supportive care. Overdose of hyoscine butylbromide may cause anticholinergic symptoms such as dry mouth, blurred vision, palpitations, urinary retention, and confusion. Management is symptomatic and supportive.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid alcohol while taking this medicine because it can increase the risk of liver damage from paracetamol and worsen drowsiness or dizziness. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have glaucoma, myasthenia gravis, liver disease, kidney disease, or any heart condition. Do not take other paracetamol-containing products while on this medicine to avoid overdose. If you are pregnant or breastfeeding, consult your doctor before taking this medicine. Keep this medicine out of the reach of children. Store it at room temperature, away from moisture and direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the anticholinergic effects of hyoscine butylbromide, such as confusion, urinary retention, and constipation. Use with caution and consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy if you are taking this medicine. The safety of this medicine during pregnancy has not been fully established.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, especially if you have been prescribed other painkillers. Paracetamol may interact with other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with anesthetics or other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce abdominal pressure.
🥗
Eat a balanced diet rich in fiber to prevent constipation.
😴
Stay hydrated by drinking plenty of water.
💧
Practice stress-reducing techniques like yoga or meditation.
🧘
Avoid trigger foods that worsen your symptoms.
🌞
Get regular exercise to improve gut motility.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel dizzy or drowsy. Light to moderate exercise is generally safe. Consult your doctor before starting any new exercise routine.

🥗 Diet Recommendations

Include fiber-rich foods like fruits, vegetables, and whole grains.
Avoid spicy and fatty foods that can trigger cramps.
Stay well hydrated.
Limit caffeine and alcohol intake.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness or dizziness, 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.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects. Do not stop abruptly if you have been taking it regularly for a long time without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine should be avoided unless prescribed by a doctor. Prolonged use of paracetamol can increase the risk of liver and kidney damage. Hyoscine butylbromide may cause persistent anticholinergic effects. Regular monitoring of liver and kidney function may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary modifications

Avoiding trigger foods and eating a balanced diet can help reduce cramps.

Evidence: Well-established
Stress management

Yoga, meditation, and counseling can help reduce stress-related gut symptoms.

Evidence: Moderate
Physical therapy

Gentle exercise and stretching can help relieve muscle tension.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. Consult your doctor for routine vaccinations.

📦 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 moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with irritable bowel syndrome
She experienced frequent abdominal cramps and bloating. Her doctor prescribed this medicine. She took it as directed with meals and noticed significant relief within a few days. She also made dietary changes and practiced stress management.
💡 Lesson: Taking this medicine with food and following lifestyle modifications improves both efficacy and tolerability.
👤 A 28-year-old woman with menstrual cramps
She had severe menstrual cramps every month. Her doctor recommended this medicine for symptomatic relief. She took it at the onset of cramps and found relief within 30 minutes. She was advised not to exceed the dose and to avoid alcohol.
💡 Lesson: This medicine can provide effective short-term relief for menstrual cramps when taken as prescribed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving cramps within 15-30 minutes after taking it.

Q: Can I take it on an empty stomach?

A: It can be taken with or without food, but taking it with food may reduce stomach upset.

Q: Is it safe during pregnancy?

A: Consult your doctor before taking this medicine during pregnancy. The safety has not been fully established.

Q: Can I take it with other painkillers?

A: Do not take other paracetamol-containing products concurrently. Consult your doctor before taking any other painkillers.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for dolokind spas 10 mg/500 mg tablet

View All

Alternative brands with exact same active ingredient:

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 cramping and spasm-related pain, not for all types of pain.
  • Myth: It is safe to take extra doses if pain persists.
    Fact: Taking more than the recommended dose can cause serious liver damage from paracetamol.
  • Myth: This medicine is safe to take with alcohol.
    Fact: Alcohol should be avoided as it increases the risk of liver damage and side effects.

🔄 Alternative Options

Generic Alternatives

  • Hyoscine butylbromide + Paracetamol 10 mg/500 mg tablet

Brand Alternatives

  • Buscopan Plus 10 mg/500 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Hyoscine butylbromide 10 mg + Paracetamol 500 mg","uses":"Abdominal cramps, IBS, dysmenorrhea","notes":"Combination product"},{"medicine":"Hyoscine butylbromide 10 mg tablet","composition":"Hyoscine butylbromide 10 mg","uses":"Abdominal cramps, IBS","notes":"Antispasmodic only"},{"medicine":"Paracetamol 500 mg tablet","composition":"Paracetamol 500 mg","uses":"Pain, fever","notes":"Analgesic only"}]

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