Actispas-R Tablet: Complete Information
When to Call Your Doctor IMMEDIATELY
- Fast or irregular heartbeat
- Severe abdominal pain
- Confusion or hallucinations
- Difficulty urinating
- Blood in stool or vomit
- Yellowing of skin or eyes
- Severe allergic reaction (rash, swelling, difficulty breathing)
If experiencing severe symptoms, call emergency services immediately.
What is ranispas ac 10mg/150mg tablet used for?
This medicine is a combination of dicyclomine (an antispasmodic) and ranitidine (an acid reducer) used to treat abdominal cramps and acid-related stomach problems. It is taken orally, usually two to four times daily, and should be used only under medical supervision.
- Generic Name: Dicyclomine (10mg) + Ranitidine (150mg)
- Manufacturer: Mankind Pharma Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ranispas ac 10mg/150mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन, गैस, एसिडिटी और पेट दर्द में राहत देने के लिए इस्तेमाल की जाती है। इसमें डाइसाइक्लोमिन और रैनिटिडीन दो दवाएं होती हैं। डाइसाइक्लोमिन पेट की मांसपेशियों को आराम देती है और रैनिटिडीन पेट में एसिड बनना कम करती है। यह दवा इरिटेबल बाउल सिंड्रोम, अल्सर और गैस्ट्राइटिस में भी फायदेमंद होती है। इसे डॉक्टर की सलाह के बिना नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मुंह सूखना, धुंधला दिखना, नींद आना, कब्ज और जी मिचलाना शामिल हैं। कभी-कभी दिल की धड़कन तेज हो सकती है या पेशाब करने में दिक्कत हो सकती है। अगर कोई भी परेशानी लगातार बनी रहे तो डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे चबाएं नहीं, पूरा निगल लें। दवा लेने के बाद नींद या चक्कर आ सकते हैं, इसलिए गाड़ी चलाने से बचें। शराब न पिएं। अगर आपको ग्लूकोमा, दिल की बीमारी, किडनी या लिवर की समस्या है तो डॉक्टर को बताएं। बच्चों को बिना डॉक्टर की सलाह के न दें।
💊 ranispas ac 10mg/150mg tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Helps relieve abdominal cramps and spasms associated with IBS, while ranitidine reduces accompanying acid symptoms.","evidence":"Moderate"},{"condition":"Peptic ulcer disease","description":"Ranitidine reduces gastric acid secretion, aiding ulcer healing, and dicyclomine relieves associated spasmodic pain.","evidence":"Moderate"},{"condition":"Gastritis","description":"Provides symptomatic relief from stomach inflammation by reducing acid and easing muscle spasms.","evidence":"Limited"},{"condition":"Gastrointestinal spasms","description":"Dicyclomine directly relaxes smooth muscle to reduce cramping and pain.","evidence":"Well-established for dicyclomine component"}]
Off-label uses: [{"condition":"Functional dyspepsia","description":"Sometimes used to relieve upper abdominal discomfort and bloating not explained by organic disease.","evidence":"Limited"},{"condition":"Biliary colic","description":"May be used off-label to ease pain from bile duct spasms, but evidence is weak.","evidence":"Insufficient"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Peptic ulcer disease, Gastritis, Gastrointestinal spasms
📋 Drug Information
| Generic Name(s) | Dicyclomine (10mg) + Ranitidine (150mg) |
| Brand Name | ranispas ac 10mg/150mg tablet |
| Manufacturer | Mankind Pharma 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. |
| 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
This medicine combines two active ingredients with complementary actions. Dicyclomine blocks muscarinic acetylcholine receptors on smooth muscle cells in the gastrointestinal tract, reducing muscle contractions and spasms. Ranitidine competitively blocks histamine H2 receptors on gastric parietal cells, decreasing both basal and stimulated gastric acid secretion. Together, they relieve cramping and reduce acid-related irritation.
Mechanism Steps
💡 How to Take ranispas ac 10mg/150mg tablet
Strength: Tablet containing dicyclomine 10 mg and ranitidine 150 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally two to four times daily, as prescribed by your doctor. The exact dose and frequency depend on your condition and response to treatment. 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 appropriate. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Ranitidine dose should be reduced in patients with renal impairment. Dicyclomine should be used with caution. Consult your doctor for dose adjustment. |
| Hepatic Impairment | Use with caution in hepatic impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 4 tablets (dicyclomine 40 mg and ranitidine 600 mg) in divided doses, but this must be confirmed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ranispas ac 10mg/150mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Atropine | Major | |
| Metformin | Moderate | |
| Warfarin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Ketoconazole
- Atropine
⚡ Moderate Interactions
- Metformin
- Warfarin
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can worsen drowsiness, dizziness, and stomach irritation, and may increase the risk of liver problems.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Glaucoma","Myasthenia gravis","Severe ulcerative colitis","Toxic megacolon","Urinary retention","Severe liver disease","Known hypersensitivity to dicyclomine or ranitidine"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving.","Use with caution in elderly due to increased risk of confusion.","Not recommended for children without specialist advice.","Avoid in patients with obstructive uropathy.","May worsen gastroesophageal reflux."]
🤱 Lactation Safety
Dicyclomine and ranitidine are excreted in breast milk. Use with caution and only if clearly needed. Consult your doctor.
💊 Overdose Management
Overdose may cause severe anticholinergic symptoms such as dry mouth, flushing, tachycardia, urinary retention, and confusion. Seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ 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.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not drink alcohol while taking this medicine, as it can worsen drowsiness and stomach irritation. Inform your doctor if you have glaucoma, heart problems, kidney or liver disease, or difficulty passing urine. Do not use this medicine for longer than recommended without medical review. Keep out of reach of children and store in a cool, dry place.
👴 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 needed.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. The safety profile is not well established, and alternative treatments may be considered.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with anesthetic agents and affect heart rate.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it can cause dry mouth and may interact with certain dental anesthetics.
💚 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 routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness and blurred vision, affecting your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Office work is usually fine.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately. Your doctor will advise on tapering or stopping based on your condition.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent dry mouth, constipation, and rarely, liver enzyme changes. Regular monitoring by your doctor is advised if used for more than a few weeks. Do not continue without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding trigger foods can reduce symptoms of IBS and acid reflux.
Evidence: Well-establishedYoga, meditation, and counseling can help reduce stress-related GI symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. Continue routine vaccinations as advised by your doctor.
📦 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 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 ranitidine within 1 hour. You may feel relief from cramps and acid symptoms within a few hours.
A: It is best taken with food to reduce stomach upset.
A: Consult your doctor. The safety profile is not well established, and use only if clearly needed.
🤔 Common Patient Concerns
🔄 Substitutes for ranispas ac 10mg/150mg tablet
View AllAlternative brands with exact same active ingredient:
-
Rancyl 10mg/150mg TabletHamax Pharmaceuticals ₹4.69 71.4% CHEAPER
-
Ranidic TabletAgron Remedies Pvt Ltd ₹4.96 69.8% CHEAPER
-
ranitas dc 10 mg/150 mg tabletIntas Pharmaceuticals Ltd ₹5.77 64.8% CHEAPER
-
Ranspas 10mg/150mg TabletBanson Pharmaceuticals Pvt Ltd ₹8.44 48.6% CHEAPER
-
reden plus 10 mg/150 mg injectionMedoz Pharmaceutical Pvt. Ltd ₹9.33 43.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Actispas-R can be taken for any stomach pain.
Fact: It is specific for spasms and acid-related conditions; other causes of stomach pain need different treatment. - Myth: It is safe to take Actispas-R daily without a doctor's advice.
Fact: Prolonged use requires medical supervision due to potential side effects.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Ranitidine tablets from other manufacturers
Brand Alternatives
- Actispas-R
- Other brands containing dicyclomine and ranitidine