Spasmonil 20mg/325mg Tablet: Complete Guide to Uses, Dosage, 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
If experiencing severe symptoms, call emergency services immediately.
What is nt spas tablet used for?
This medicine is a combination of dicyclomine (an antispasmodic) and paracetamol (an analgesic) used to relieve abdominal cramps and pain, particularly in irritable bowel syndrome. It works by relaxing gut muscles and reducing pain.
- Generic Name: Dicyclomine (20mg) + Paracetamol (325mg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nt spas tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन और दर्द को कम करने के लिए इस्तेमाल की जाती है, खासकर इरिटेबल बाउल सिंड्रोम (IBS), गैस्ट्रोएंटेराइटिस और अन्य पेट की समस्याओं में। यह मांसपेशियों को आराम देकर और दर्द को कम करके राहत पहुंचाती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मुंह सूखना, धुंधली दृष्टि, चक्कर आना, नींद आना, जी मिचलाना और कब्ज शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सांस लेने में कठिनाई, या पीलिया हो सकता है। इन्हें तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। शराब न पिएं। गाड़ी चलाने या मशीन चलाने से बचें अगर नींद या चक्कर आएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों को बिना डॉक्टर की सलाह के न दें।
💊 nt spas tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Relieves abdominal cramps and pain associated with IBS by reducing smooth muscle spasms.","evidence":"Well-established"},{"condition":"Gastroenteritis","description":"Helps alleviate abdominal cramping and discomfort during infectious or non-infectious gastroenteritis.","evidence":"Commonly used"},{"condition":"Biliary colic","description":"May provide symptomatic relief from pain due to biliary spasms.","evidence":"Limited"},{"condition":"Renal colic","description":"Sometimes used as an adjunct for pain relief in renal colic, though evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May help reduce menstrual cramps by relaxing uterine smooth muscle.","evidence":"Limited"}]
Off-label uses: [{"condition":"Infantile colic","description":"Not recommended due to potential serious side effects in infants.","evidence":"Not recommended"},{"condition":"Motion sickness","description":"Dicyclomine has anticholinergic properties that may help, but not a standard use.","evidence":"Limited"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Gastroenteritis, Biliary colic, Renal colic, Dysmenorrhea
📋 Drug Information
| Generic Name(s) | Dicyclomine (20mg) + Paracetamol (325mg) |
| Brand Name | nt spas tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| 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
Dicyclomine acts as a competitive antagonist at muscarinic acetylcholine receptors, thereby reducing smooth muscle spasms in the gastrointestinal tract. Paracetamol produces analgesia and antipyresis through central inhibition of prostaglandin synthesis, primarily in the brain. The combination provides both antispasmodic and analgesic effects, targeting the dual components of abdominal pain: spasm and pain perception.
Mechanism Steps
💡 How to Take nt spas tablet
Strength: Tablet containing Dicyclomine 20 mg and Paracetamol 325 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken 2 to 4 times daily, as needed for abdominal cramps and pain. The maximum daily dose should not exceed 4 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 dicyclomine. Use with caution and lower doses may be appropriate. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be needed. Consult a doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be needed. Consult a doctor. |
| Maximum Daily Dose | The maximum daily dose of paracetamol should not exceed 4000 mg (12 tablets of 325 mg) from all sources. The maximum daily dose of dicyclomine should not exceed 160 mg (8 tablets of 20 mg). Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nt spas 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 | Moderate | |
| Caffeine | Minor |
🚨 Major Interactions
- Other anticholinergic drugs (e.g., atropine, antihistamines, tricyclic antidepressants)
- Warfarin
- Alcohol
⚡ Moderate Interactions
- Metoclopramide
- Cholestyramine
- Antacids
🍷 Alcohol Interaction
Avoid alcohol consumption while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and enhances the drowsiness caused by dicyclomine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Glaucoma","Urinary retention","Myasthenia gravis","Severe liver disease","Hypersensitivity to dicyclomine or paracetamol","Breastfeeding","Infants less than 6 months old"]
⚠️ Warnings & Precautions
["Avoid driving or operating machinery if you experience drowsiness or blurred vision.","Do not exceed the recommended dose of paracetamol; high doses can cause liver damage.","Use with caution in elderly patients due to increased risk of anticholinergic effects.","Avoid in patients with known allergy to any component.","Consult doctor before use in pregnancy or breastfeeding.","Do not use for prolonged periods without medical supervision."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk and could cause serious side effects in a nursing infant. Paracetamol is considered safe during breastfeeding. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose can cause severe liver damage from paracetamol and anticholinergic toxicity from dicyclomine. Symptoms include nausea, vomiting, abdominal pain, confusion, rapid heartbeat, and difficulty urinating. Seek immediate medical attention. Treatment may include activated charcoal, 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 the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not consume alcohol while taking this medicine as it can increase the risk of liver damage and drowsiness. Inform your doctor if you have glaucoma, urinary retention, liver or kidney disease, or any heart condition. Do not use this medicine for prolonged periods without medical supervision. Keep out of reach of children. Store at room temperature away from moisture and heat. If you are pregnant or breastfeeding, consult your doctor before using this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to anticholinergic effects such as confusion, dry mouth, and urinary retention. Use with caution and lower doses may be needed.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy if you are taking this medicine. It may not be safe during pregnancy.
🏥 Post-Surgery Considerations
Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthesia or other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may cause dry mouth, which can affect dental health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or drowsy. Light to moderate exercise is generally safe and can help with digestion.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or blurred vision, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also cause dry mouth, so keep water handy.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms persist beyond 7 days, if you experience severe side effects, or if you develop signs of an allergic reaction. 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 should be under medical supervision. Prolonged high-dose paracetamol can cause liver damage. Dicyclomine may cause anticholinergic side effects. Regular monitoring of liver and kidney function may be needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding trigger foods and eating a balanced diet can help manage IBS symptoms.
Evidence: Well-establishedYoga, meditation, and counseling can reduce stress-related gut symptoms.
Evidence: ModerateMay help restore gut flora balance and reduce symptoms.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, consult your doctor before any vaccination if you are on 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 protect from moisture. 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.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving cramps within 1-2 hours after taking it.
A: It is best taken with food to reduce stomach upset.
A: Consult your doctor before taking other painkillers, especially those containing paracetamol, to avoid overdose.
🤔 Common Patient Concerns
🔄 Substitutes for nt spas tablet
View AllAlternative brands with exact same active ingredient:
-
spasmover p tabletCachet Pharmaceuticals Pvt Ltd ₹3.72 16.4% CHEAPER
-
spasidex tabletWockhardt Ltd ₹4.69 5.4% COSTLIER
-
coligan 20mg/325mg tabletSalubry Life Sciences ₹9.50 113.5% COSTLIER
-
banalgin 20mg/325mg tabletUni-Pex Pharmaceuticals Pvt Ltd ₹11.00 147.2% COSTLIER
-
spasmak-wh tabletMakers Laboratories Ltd ₹11.34 154.8% COSTLIER
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 IBS. Lifestyle and dietary changes are also important. - Myth: It is safe to take with alcohol.
Fact: Alcohol increases the risk of liver damage and drowsiness. Avoid alcohol. - Myth: It can be taken long-term without any risk.
Fact: Prolonged use requires medical supervision due to potential side effects.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Paracetamol generic tablets
Brand Alternatives
- Spasmonil 20mg/325mg Tablet