Hyocimax Plus Tablet: Complete Information
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
If experiencing severe symptoms, call emergency services immediately.
What is hyocimax plus tablet used for?
This medicine is a combination of hyoscine butylbromide and paracetamol used to treat abdominal cramps and pain. It works by relaxing smooth muscles and reducing pain.
- Generic Name: Hyoscine butylbromide (10mg) + Paracetamol (500mg)
- Manufacturer: Zydus Cadila
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 hyocimax plus tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन, मासिक धर्म के दर्द, और आंतों की समस्याओं में राहत देने के लिए इस्तेमाल की जाती है। यह मांसपेशियों को आराम देकर दर्द कम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मुंह सूखना, कब्ज, धुंधली दृष्टि, चक्कर आना और जी मिचलाना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, लिवर की समस्या, या पेशाब रोकने जैसी स्थिति हो सकती है।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। शराब न पिएं। अगर आपको ग्लूकोमा, मायस्थेनिया ग्रेविस, या लिवर/किडनी की बीमारी है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 hyocimax plus tablet Uses & Benefits
[{"condition":"Abdominal cramps","description":"Relieves spasmodic pain in the gastrointestinal tract by relaxing smooth muscles.","evidence":"Well-established"},{"condition":"Menstrual cramps","description":"Reduces uterine spasms and associated pain during menstruation.","evidence":"Well-established"},{"condition":"Irritable bowel syndrome (IBS)","description":"Helps alleviate abdominal pain and cramping associated with IBS.","evidence":"Moderate"},{"condition":"Biliary colic","description":"Provides relief from pain due to gallstones or biliary spasm.","evidence":"Limited"},{"condition":"Urinary tract spasms","description":"May be used to relieve spasms in the urinary tract.","evidence":"Limited"}]
Off-label uses: [{"condition":"Painful bladder syndrome","description":"Sometimes used to relieve bladder spasms and pain.","evidence":"Limited"},{"condition":"Dysmenorrhea resistant to NSAIDs","description":"May be used when NSAIDs are contraindicated or ineffective.","evidence":"Limited"}]
Primary treatment for: Abdominal cramps
Also treats: Menstrual cramps, Irritable bowel syndrome, Biliary colic
📋 Drug Information
| Generic Name(s) | Hyoscine butylbromide (10mg) + Paracetamol (500mg) |
| Brand Name | hyocimax plus tablet |
| Manufacturer | Zydus Cadila |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) away from direct sunlight and moisture. |
| 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
Hyoscine butylbromide is a quaternary ammonium antimuscarinic agent that blocks muscarinic acetylcholine receptors on smooth muscle cells, leading to relaxation of the gastrointestinal and genitourinary smooth muscles. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which reduces pain and fever. The combination provides both antispasmodic and analgesic effects.
Mechanism Steps
💡 How to Take hyocimax plus tablet
Strength: Tablet containing hyoscine butylbromide 10 mg and paracetamol 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose is 1 tablet taken 2 to 3 times daily, depending on the severity of symptoms and the doctor's recommendation. 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. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the anticholinergic effects of hyoscine butylbromide. Use with caution and consider lower doses. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Paracetamol dose should be reduced or avoided in severe liver disease. Consult a doctor. |
| Maximum Daily Dose | Maximum 6 tablets in 24 hours (3000 mg paracetamol and 60 mg hyoscine butylbromide). |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of hyocimax plus 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 | |
| Alcohol | Major | |
| Antihistamines | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Metoclopramide | Moderate | |
| Cholestyramine | Minor |
🚨 Major Interactions
- Warfarin
- Alcohol
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., antihistamines, tricyclic antidepressants)
- Metoclopramide
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and may worsen anticholinergic side effects such as dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Glaucoma","Myasthenia gravis","Severe liver disease","Hypersensitivity to any component","Urinary retention","Paralytic ileus"]
⚠️ Warnings & Precautions
["Avoid alcohol","Do not exceed recommended dose","Use with caution in elderly","Use with caution in renal or hepatic impairment","May cause drowsiness; avoid driving"]
🤱 Lactation Safety
Hyoscine butylbromide and paracetamol are excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding.
💊 Overdose Management
Overdose may cause severe liver damage from paracetamol and anticholinergic symptoms from hyoscine butylbromide. Seek immediate medical attention. 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 increases the risk of liver damage. Do not drive or operate heavy machinery if you feel dizzy or have blurred vision. Inform your doctor if you have glaucoma, myasthenia gravis, liver or kidney disease, or difficulty urinating. Do not take other paracetamol-containing products simultaneously to avoid overdose. If you are pregnant or breastfeeding, consult your doctor before use. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to anticholinergic side effects such as confusion, dry mouth, and urinary retention. Use with caution and lower doses may be required. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination during pregnancy is not well established.
🏥 Post-Surgery Considerations
Consult your doctor before taking this medicine after surgery, as it may interact with other medications or affect recovery. It may also mask symptoms of complications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may interact with anesthetics or other medications used during dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or fatigued. 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 dizziness or blurred vision, 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 drowsiness; take caution during work.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms persist beyond 7 days, if you experience any serious side effects, or if you develop new symptoms. Do not stop abruptly without medical advice if you have been on long-term therapy.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of liver and kidney damage due to paracetamol. Regular monitoring of liver and kidney function is advised if used for extended periods. It is generally recommended for short-term use only.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Applying a heating pad to the abdomen can help relax muscles and relieve cramps.
Evidence: Well-establishedAvoiding trigger foods and eating a balanced diet can reduce cramping.
Evidence: ModerateYoga, meditation, and deep breathing can help reduce stress-induced cramps.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. However, consult your doctor before any vaccination if you are taking this medicine.
📦 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 avoid extreme heat or moisture. If traveling across time zones, adjust dosing times gradually. 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: This medicine usually starts relieving cramps within 30-60 minutes after taking it.
A: It can be taken with or without food, but taking it with food reduces the risk of stomach upset.
A: Consult your doctor before use during pregnancy. The safety profile is not well established.
🤔 Common Patient Concerns
🔄 Substitutes for hyocimax plus tablet
View AllAlternative brands with exact same active ingredient:
-
dolokind spas 10 mg/500 mg tabletMankind Pharma Ltd ₹23.44 63.9% CHEAPER
-
buscopan plus 10 mg/500 mg tabletZydus Cadila ₹55.70 14.3% CHEAPER
-
betaspas 10mg/500mg tabletBetamax Remedies ₹95.00 46.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Hyocimax plus tablet is a general painkiller for all types of pain.
Fact: It is specifically for spasmodic pain and cramps, not for all types of pain. - Myth: It is safe to take more than the recommended dose for faster relief.
Fact: Exceeding the dose can cause serious liver damage from paracetamol.
🔄 Alternative Options
Generic Alternatives
- Hyoscine butylbromide + Paracetamol tablet
Brand Alternatives
- Buscopan Plus
- Hyospas Plus