ifispas 20mg/50mg tablet - Dicyclomine (20mg) + Diclofenac (50mg) medicine

Aquadol Spas Tablet: Complete Medicine Guide

No reviews yet
🏭 Ifimed Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Consult your doctor if you are pregnant or planning to become pregnant. NSAIDs like diclofenac are generally avoided in the third trimester due to risk of premature closure of the ductus arteriosus. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Sep 26, 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
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is ifispas 20mg/50mg tablet used for?

This medicine is a combination of dicyclomine and diclofenac used to relieve abdominal cramps and pain associated with conditions like irritable bowel syndrome. It works by relaxing gut muscles and reducing inflammation.

  • Generic Name: Dicyclomine (20mg) + Diclofenac (50mg)
  • Manufacturer: Ifimed Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ifispas 20mg/50mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पेट की ऐंठन, दर्द और सूजन को कम करने के लिए इस्तेमाल की जाती है। यह डिसाइक्लोमिन और डाइक्लोफेनाक का संयोजन है। डिसाइक्लोमिन आंतों की मांसपेशियों को आराम देता है, जबकि डाइक्लोफेनाक दर्द और सूजन को कम करता है। यह आमतौर पर इरिटेबल बाउल सिंड्रोम, पेट की ऐंठन और मासिक धर्म के दर्द में उपयोग की जाती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मुँह सूखना, चक्कर आना, नींद आना, जी मिचलाना और पेट दर्द शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, अल्सर, गुर्दे की समस्या और एलर्जी प्रतिक्रिया हो सकती है। यदि आपको काला मल, खून की उल्टी, तेज पेट दर्द, सांस लेने में कठिनाई या चेहरे पर सूजन हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खाने के साथ लें ताकि पेट में जलन न हो। शराब न पिएं क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ सकता है। यदि आपको चक्कर या नींद आती है तो वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं बिना डॉक्टर की सलाह के इसका सेवन न करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 ifispas 20mg/50mg tablet Uses & Benefits

[{"condition":"Irritable bowel syndrome (IBS)","description":"Helps relieve abdominal cramps and pain associated with IBS by reducing smooth muscle spasms and inflammation.","evidence":"Well-established"},{"condition":"Abdominal cramps","description":"Provides relief from painful abdominal cramps caused by various gastrointestinal conditions.","evidence":"Well-established"},{"condition":"Muscle spasms","description":"Used to relieve painful muscle spasms, particularly in the gastrointestinal tract.","evidence":"Moderate"},{"condition":"Dysmenorrhea","description":"May help relieve menstrual cramps due to its antispasmodic and anti-inflammatory effects.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Biliary colic","description":"Sometimes used to relieve pain from gallbladder spasms, though evidence is limited.","evidence":"Limited"},{"condition":"Urinary tract spasms","description":"May be used off-label to relax urinary tract spasms, but not routinely recommended.","evidence":"Limited"}]

Primary treatment for: Irritable bowel syndrome

Also treats: Abdominal cramps, Muscle spasms, Dysmenorrhea

📋 Drug Information

Generic Name(s)Dicyclomine (20mg) + Diclofenac (50mg)
Brand Nameifispas 20mg/50mg tablet
ManufacturerIfimed Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. 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 or milk to reduce stomach upset.
2
Avoid alcohol while taking this medicine as it increases the risk of gastrointestinal bleeding and drowsiness.
3
Do not drive or operate heavy machinery if you experience dizziness or drowsiness.
4
Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma.
5
Do not take other NSAIDs or pain relievers without consulting your doctor.
6
Use the lowest effective dose for the shortest duration possible.
7
Report any unusual bleeding, bruising, or persistent symptoms to your doctor.

🔍 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
✅
Muscle spasms
This medicine helps relax smooth muscles.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDicyclomine is well absorbed from the gastrointestinal tract. Diclofenac is also rapidly absorbed, with peak plasma concentrations occurring within 1-2 hours after oral administration.
DistributionDicyclomine is distributed widely in the body, including the central nervous system. Diclofenac is highly bound to plasma proteins and distributes into synovial fluid.
Protein BindingDicyclomine is approximately 80% bound to plasma proteins. Diclofenac is more than 99% bound to plasma proteins, primarily albumin.
MetabolismDicyclomine is metabolized in the liver. Diclofenac is metabolized in the liver by cytochrome P450 enzymes, primarily CYP2C9, to several metabolites.
Half-LifeThe elimination half-life of dicyclomine is approximately 1.8 hours. The elimination half-life of diclofenac is approximately 1-2 hours.
ExcretionDicyclomine and its metabolites are excreted primarily in urine and feces. Diclofenac metabolites are excreted mainly in urine and bile.
BioavailabilityThe oral bioavailability of dicyclomine is approximately 50-60%. Diclofenac has an oral bioavailability of about 50-60% due to first-pass metabolism.
Onset of ActionThe antispasmodic effect of dicyclomine begins within 1-2 hours. The analgesic effect of diclofenac starts within 30-60 minutes.
Peak Plasma TimePeak plasma concentrations for dicyclomine are reached in about 1-2 hours. For diclofenac, peak levels occur in about 1-2 hours.
Duration of ActionThe effects of dicyclomine last for about 4-6 hours. Diclofenac provides pain relief for about 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Dicyclomine is an anticholinergic and antispasmodic agent that blocks muscarinic acetylcholine receptors in the smooth muscle of the gastrointestinal tract, leading to relaxation and relief of spasms. Diclofenac is a nonsteroidal anti-inflammatory drug that inhibits cyclooxygenase enzymes (COX-1 and COX-2), reducing the synthesis of prostaglandins, which are mediators of pain and inflammation. Together, they address both the spasmodic and inflammatory components of abdominal pain.

Mechanism Steps

1
Dicyclomine blocks muscarinic receptors: Dicyclomine competitively inhibits acetylcholine at muscarinic receptors on smooth muscle cells, preventing muscle contraction and reducing spasms.
2
Diclofenac inhibits cyclooxygenase: Diclofenac reversibly inhibits COX-1 and COX-2 enzymes, decreasing prostaglandin synthesis and thereby reducing inflammation and pain.
3
Combined relief: The antispasmodic action of dicyclomine and the anti-inflammatory action of diclofenac work together to alleviate abdominal pain and discomfort.

💡 How to Take ifispas 20mg/50mg tablet

Strength: Tablet containing Dicyclomine 20 mg and Diclofenac 50 mg.

1Take the tablet orally with a glass of water.
2Take it with food or milk to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Follow the prescribed dose and duration exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally two to three times a day, preferably with food. The exact dose and duration depend on the condition being treated and the patient's response. 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 side effects of this medicine. Use with caution and lower doses may be appropriate. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with kidney disease. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with liver disease. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 3 tablets (Dicyclomine 60 mg + Diclofenac 150 mg) per day. 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 gastrointestinal bleeding and drowsiness.

⏰ 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 ifispas 20mg/50mg tablet

✅ Common Side Effects

Dry mouth (Common (5-10%))
Sip water or chew sugarless gum. Consult doctor if persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Drowsiness (Common (5-10%))
Avoid alcohol and activities requiring alertness. Consult doctor if severe.
Nausea (Common (5-10%))
Take with food or milk. Consult doctor if persistent.
Stomach pain (Common (5-10%))
Take with food. If severe or persistent, consult doctor.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stool, vomiting blood, or severe abdominal pain.
Kidney problems (Rare (<0.1%))
Report decreased urine output, swelling, or fatigue to your doctor immediately.
Allergic reactions (Rare (<0.1%))
Seek emergency help if you experience rash, itching, swelling of face or throat, or difficulty breathing.
Liver damage (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue to your doctor.

⚠️ Rare Side Effects

Blood disorders
Report unusual bleeding, bruising, or infections to your doctor.
Severe skin reactions
Seek immediate medical attention if you develop a rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Corticosteroids Major
Anticholinergics Major
Lithium Moderate
Methotrexate Moderate
ACE inhibitors Moderate
Diuretics Moderate
Antacids Minor
Aspirin Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • Corticosteroids
  • Anticholinergics

⚡ Moderate Interactions

  • Lithium
  • Methotrexate
  • ACE inhibitors
  • Diuretics

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the risk of gastrointestinal bleeding and may enhance drowsiness and dizziness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Active peptic ulcer or gastrointestinal bleeding","Severe kidney disease","Severe liver disease","Heart failure","History of asthma triggered by aspirin or NSAIDs","Third trimester of pregnancy","Breastfeeding","Known allergy to dicyclomine or diclofenac"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Avoid alcohol while taking this medicine.","Do not drive or operate machinery if you feel dizzy or drowsy.","Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma.","Do not take other NSAIDs or pain relievers without consulting your doctor.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for longer than prescribed without medical advice."]

🤱 Lactation Safety

Not established from the available information. Dicyclomine and diclofenac may pass into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe drowsiness, nausea, vomiting, stomach pain, and gastrointestinal bleeding. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of stomach bleeding and drowsiness. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Do not take other NSAIDs or pain relievers without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal, kidney, and cardiovascular side effects. Use with caution and lower doses may be appropriate.

🤰 Pregnancy Planning (TTC)

Consult your doctor if you are planning pregnancy. This medicine is generally avoided during pregnancy, especially in the third trimester.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, as it may affect healing and increase bleeding risk.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may increase bleeding risk during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on your body.
🥗
Regular low-impact exercise like walking or swimming.
😴
Practice stress-reduction techniques such as yoga or meditation.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep.
🌞
Stay well hydrated.

🏋️ Exercise Considerations

Avoid strenuous exercise if you experience dizziness or drowsiness. Listen to your body and rest when needed.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated
Avoid spicy and fatty foods that may worsen abdominal cramps

💼 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.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects, seek medical advice immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulcers, kidney problems, and liver damage. Regular monitoring of kidney and liver function is recommended. Use the lowest effective dose for the shortest duration possible.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Dietary modifications

Avoiding trigger foods can help manage IBS symptoms.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. 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 direct sunlight. If traveling across time zones, adjust dosing schedule 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.

👤 A 45-year-old office worker with chronic abdominal cramps due to irritable bowel syndrome
Started this medicine as prescribed. Within a few days, noticed significant relief from cramping and pain. Emphasized taking it with food to prevent stomach upset. Also made dietary changes and practiced stress management.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 30-year-old woman with severe menstrual cramps
Was prescribed this medicine for dysmenorrhea. Took it at the onset of cramps and experienced relief within an hour. Reported mild drowsiness but was able to manage daily activities. Advised to avoid driving during that time.
💡 Lesson: Taking the medicine early in the course of pain can provide better relief. Be aware of potential drowsiness.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The antispasmodic effect begins within 1-2 hours, and pain relief may start within 30-60 minutes.

Q: Can I take this medicine on an empty stomach?

A: It is best taken with food or milk to reduce stomach upset.

Q: Is it safe to take this medicine with other pain relievers?

A: Do not take other NSAIDs or pain relievers without consulting your doctor, as it may increase the risk of side effects.

🤔 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 ifispas 20mg/50mg 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 abdominal cramps and pain associated with gastrointestinal conditions. It is not a general pain reliever.
  • Myth: It is safe to take this medicine long-term without monitoring.
    Fact: Long-term use requires regular monitoring of kidney and liver function due to potential side effects.

🔄 Alternative Options

Generic Alternatives

  • Dicyclomine + Diclofenac combination generics

📊 Comparison with Similar Medicines

[{"medicine":"Dicyclomine alone","difference":"Lacks anti-inflammatory effect of diclofenac."},{"medicine":"Diclofenac alone","difference":"Lacks antispasmodic effect of dicyclomine."}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory