Axpas M Tablet: Complete Guide to Uses, Side Effects, 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
- Unusual bruising or bleeding
- High fever with sore throat
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is RELAX D TABCAP used for?
This medicine is a combination of dicyclomine (an antispasmodic) and mefenamic acid (an NSAID) used to relieve abdominal cramps and menstrual pain. It works by relaxing gut muscles and reducing inflammation. It is usually taken with food, and common side effects include dry mouth, dizziness, and nausea. It should be avoided in people with ulcers, kidney disease, or during the third trimester of pregnancy.
- Generic Name: Dicyclomine (NA) + Mefenamic Acid (NA)
- Manufacturer: Logos Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 RELAX D TABCAP के बारे में (Hindi Summary)
उपयोग: यह दवा डाइसाइक्लोमिन और मेफेनैमिक एसिड का संयोजन है, जिसका उपयोग पेट की ऐंठन, मासिक धर्म के दर्द (पीरियड्स के दर्द), और इरिटेबल बाउल सिंड्रोम (IBS) जैसी स्थितियों में किया जाता है। डाइसाइक्लोमिन आंतों की मांसपेशियों को आराम देता है, जिससे ऐंठन कम होती है, और मेफेनैमिक एसिड दर्द और सूजन को कम करता है। यह दवा आमतौर पर खाने के साथ ली जाती है। इसे डॉक्टर की सलाह के बिना लंबे समय तक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, चक्कर आना, नींद आना, धुंधली दृष्टि, जी मिचलाना, पेट में जलन और कब्ज शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, एलर्जी प्रतिक्रिया, और खून की बीमारियाँ शामिल हो सकती हैं। यदि आपको काला मल, खून की उल्टी, तेज पेट दर्द, चेहरे या गले में सूजन, या त्वचा का पीला पड़ना दिखे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर खाने के साथ या दूध के साथ। शराब न लें क्योंकि इससे नींद और पेट में रक्तस्राव का खतरा बढ़ सकता है। अगर आपको चक्कर या नींद आती है तो वाहन न चलाएँ और मशीनरी न चलाएँ। अगर आपको अल्सर, गुर्दे या लीवर की बीमारी, दमा, या हृदय रोग है, तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुँच से दूर रखें।
💊 RELAX D TABCAP Uses & Benefits
[{"condition":"Primary dysmenorrhea (menstrual cramps)","description":"Relieves cramping and pelvic pain associated with menstruation by relaxing uterine and gastrointestinal smooth muscle and reducing prostaglandin-mediated inflammation.","evidence":"Well-established"},{"condition":"Irritable bowel syndrome (IBS) with abdominal cramping","description":"Helps reduce abdominal spasm and pain, particularly in diarrhea-predominant IBS, though it does not treat the underlying cause.","evidence":"Moderate"},{"condition":"Gastrointestinal spasm due to gastroenteritis or functional bowel disorders","description":"Provides symptomatic relief from cramping and discomfort associated with increased gut motility.","evidence":"Moderate"},{"condition":"Mild to moderate musculoskeletal pain with associated spasm","description":"Mefenamic acid reduces pain and inflammation, while dicyclomine may help if smooth muscle spasm contributes to discomfort.","evidence":"Limited"}]
Off-label uses: [{"condition":"Biliary colic","description":"Sometimes used to relieve pain from gallbladder spasm, but evidence is limited and it should not replace definitive treatment.","evidence":"Limited"},{"condition":"Renal colic","description":"Occasionally used for pain relief in kidney stones, but NSAIDs may be risky in renal impairment and other options are preferred.","evidence":"Limited"}]
Primary treatment for: Painful menstrual cramps (dysmenorrhea)
Also treats: Irritable bowel syndrome (IBS), Gastrointestinal spasm, Functional bowel disorders
📋 Drug Information
| Generic Name(s) | Dicyclomine (NA) + Mefenamic Acid (NA) |
| Brand Name | RELAX D TABCAP |
| Manufacturer | Logos Pharma |
| Packaging / Form | strip of 10 tabcaps (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. Do not refrigerate unless specified. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| 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 is a synthetic anticholinergic that blocks muscarinic acetylcholine receptors on smooth muscle, reducing calcium influx and inhibiting contractions in the gastrointestinal and genitourinary tracts. Mefenamic acid is an NSAID that reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), decreasing the synthesis of prostaglandins that mediate pain, inflammation, and fever. The combination targets both spasm and inflammation, providing broader relief in conditions like dysmenorrhea and IBS.
Mechanism Steps
💡 How to Take RELAX D TABCAP
Strength: Immediate-release oral tablet. Specific strengths of dicyclomine and mefenamic acid are not provided in the available information. Refer to the product packaging or consult your pharmacist.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to four times daily, depending on the severity of symptoms and the condition being treated. For menstrual cramps, it is often taken at the first sign of pain and continued as needed. For IBS-related cramping, dosing may be scheduled or as needed. The maximum recommended daily dose should not be exceeded. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is generally not recommended for children below 6 months of age due to the dicyclomine component. |
| Elderly Dosage | Elderly patients (above 65 years) are more sensitive to the anticholinergic effects of dicyclomine and the renal and gastrointestinal risks of mefenamic acid. Use with caution, starting at the lowest effective dose. Monitor for confusion, urinary retention, constipation, and signs of gastrointestinal bleeding. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Mefenamic acid can worsen kidney function. Avoid in severe renal impairment (eGFR <30 mL/min). Dose adjustment may be necessary in mild to moderate impairment; consult a clinician. Monitor renal function regularly. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Both dicyclomine and mefenamic acid are metabolized in the liver. Avoid in severe hepatic impairment. Dose reduction may be required in mild to moderate impairment; consult a clinician. Monitor liver function tests if prolonged use. |
| Maximum Daily Dose | The maximum daily dose should not exceed the equivalent of 160 mg dicyclomine and 1500 mg mefenamic acid, but the exact maximum for this fixed-dose combination is not established from available information. Always follow the prescribed dose. Do not exceed the recommended dose without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of RELAX D TABCAP
✅ 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 | |
| Ibuprofen | Major | |
| Aspirin | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Corticosteroids | Moderate | |
| SSRIs | Moderate | |
| Antacids | Moderate |
🚨 Major Interactions
- Warfarin and other anticoagulants
- Other NSAIDs (e.g., ibuprofen, aspirin)
- Anticholinergic drugs (e.g., antihistamines, tricyclic antidepressants)
- Methotrexate
- Lithium
⚡ Moderate Interactions
- ACE inhibitors and angiotensin receptor blockers (ARBs)
- Diuretics (e.g., furosemide, hydrochlorothiazide)
- Corticosteroids
- Selective serotonin reuptake inhibitors (SSRIs)
- Antacids
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can increase drowsiness and dizziness caused by dicyclomine, and it raises the risk of gastrointestinal bleeding and ulceration associated with mefenamic acid. If you consume alcohol regularly, discuss this with your doctor before starting this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to dicyclomine, mefenamic acid, or any component of the formulation","Active peptic ulcer disease or history of recurrent ulcers","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["Use with caution in elderly patients due to increased risk of anticholinergic effects, confusion, and NSAID-related complications.","Avoid in patients with dehydration or hypovolemia due to risk of acute kidney injury.","May cause drowsiness or blurred vision; avoid driving or operating machinery until effects are known.","Do not use for prolonged periods without medical supervision; regular monitoring may be required.","May mask signs of infection by reducing fever.","Can increase risk of cardiovascular events; use lowest effective dose for shortest duration.","May cause gastrointestinal bleeding; consider gastroprotection in high-risk patients.","Avoid concurrent use with other NSAIDs or anticoagulants unless specifically prescribed.","Use with caution in patients with asthma, as NSAIDs may precipitate bronchospasm.","Inform your doctor if you have a history of kidney or liver disease, heart failure, or hypertension."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk and could cause anticholinergic effects in a nursing infant. Mefenamic acid also enters breast milk in small amounts. This combination is generally not recommended during breastfeeding unless the benefit outweighs the risk. Consult your doctor for alternative options.
💊 Overdose Management
Overdose of this medicine may cause severe anticholinergic symptoms (dry mouth, flushing, tachycardia, urinary retention, confusion, hallucinations) and NSAID-related effects (nausea, vomiting, abdominal pain, gastrointestinal bleeding, kidney failure). Management is supportive and symptomatic. There is no specific antidote. If overdose is suspected, seek emergency medical attention immediately. Do not induce vomiting unless instructed by a healthcare professional. Treatment may include activated charcoal if within 1-2 hours of ingestion, intravenous fluids, and monitoring of vital signs and renal function.
⏰ 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 take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually with food or milk to reduce stomach upset. Do not exceed the recommended dose or duration. Avoid alcohol because it can increase drowsiness and the risk of stomach bleeding. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of ulcers, kidney or liver disease, asthma, high blood pressure, or heart problems. Do not take other NSAIDs or pain relievers without consulting your doctor. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine. Keep out of reach of children and store in a cool, dry place.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of anticholinergic side effects from dicyclomine, such as confusion, urinary retention, and constipation. They are also more susceptible to NSAID-related kidney injury, gastrointestinal bleeding, and cardiovascular events. Use with caution, at the lowest effective dose, and monitor closely. Avoid long-term use unless clearly necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. NSAIDs like mefenamic acid may interfere with ovulation and are generally avoided during conception and early pregnancy. Dicyclomine is not recommended during pregnancy unless clearly needed. Discuss alternative pain management options with your doctor.
🏥 Post-Surgery Considerations
This medicine is not recommended for pain management after coronary artery bypass graft (CABG) surgery due to increased risk of cardiovascular events. For other surgeries, consult your surgeon before taking this medicine, as it may increase bleeding risk and interact with other medications. Do not self-medicate for post-surgical pain.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. Mefenamic acid can increase bleeding risk, and dicyclomine may cause dry mouth, which can affect oral health. Your dentist may recommend adjusting your medication or taking extra precautions. Do not stop the medicine without consulting your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may experience dizziness or drowsiness. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. If you have abdominal pain, gentle stretching or walking may help, but avoid high-impact exercises that could aggravate the condition. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, 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 dry mouth, which can be managed by sipping water. If your work involves heavy lifting or prolonged standing, take breaks and listen to your body. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if you experience severe side effects such as gastrointestinal bleeding, allergic reactions, kidney problems, or if your symptoms do not improve within 7 days. Do not stop abruptly if you have been taking it regularly for a long time without medical advice, as some effects may need monitoring. Always follow your doctor's guidance on when to discontinue.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulceration, kidney impairment, and cardiovascular events. Regular monitoring of kidney and liver function, blood pressure, and complete blood count may be required. It is not recommended for prolonged use without medical supervision. If you need pain relief for more than a few days, consult your doctor to evaluate the underlying cause and consider safer alternatives.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Applying a heating pad to the lower abdomen can help relax muscles and relieve menstrual cramps.
Evidence: Well-establishedCan complement medicine for chronic pain and improve muscle function.
Evidence: Well-establishedAvoiding trigger foods and including anti-inflammatory foods may help manage IBS symptoms.
Evidence: ModerateYoga, meditation, and counseling can reduce stress-related exacerbation of symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking. If you have a fever, vaccination may be postponed until you recover.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually to maintain even intervals, but consult your doctor for specific advice. Keep enough supply for your entire trip. Check local customs regulations regarding carrying prescription medicines. Do not leave it in a hot car or checked luggage.
💰 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 to 2 hours after taking it. The effect lasts about 4 to 6 hours.
A: It is best taken with food or milk to reduce the risk of stomach upset. Taking it on an empty stomach may increase the chance of nausea or heartburn.
A: This medicine is generally avoided during the third trimester of pregnancy. Consult your doctor before taking it if you are pregnant or planning pregnancy.
A: No, alcohol should be avoided as it can increase drowsiness and the risk of gastrointestinal bleeding.
A: It is intended for short-term use. Do not take it for more than 7 days without consulting your doctor.
A: 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.
🤔 Common Patient Concerns
🔄 Substitutes for RELAX D TABCAP
View AllAlternative brands with exact same active ingredient:
-
eldospas plus tabletElder Pharmaceuticals Ltd ₹7.42 82.4% CHEAPER
-
mefagan spas tabletMagnachem Pharmaceuticals Pvt Ltd ₹25.00 40.7% CHEAPER
-
axpas m tabletAurz Pharmaceuticals Pvt Ltd ₹38.30 9.2% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of stomach pain.
Fact: It is specifically for cramping and inflammatory pain, not for all abdominal pain. It should not be used for undiagnosed abdominal pain. - Myth: It is safe to take this medicine for long periods without a doctor's supervision.
Fact: Long-term use can increase the risk of kidney, liver, and gastrointestinal problems. It should be used only as prescribed and for the shortest duration necessary. - Myth: This medicine is safe during pregnancy.
Fact: It should be avoided in the third trimester and used only if clearly needed under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Mefenamic Acid (generic versions may be available)
Brand Alternatives
- Not established from the available information.