Koligesic Oral Suspension: Complete Medicine Guide
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 spasmokem tablet used for?
This medicine is a combination of dicyclomine and paracetamol used to treat abdominal cramps and spasms. It works by relaxing gut muscles and reducing pain.
- Generic Name: Dicyclomine (NA) + Paracetamol (NA)
- Manufacturer: Alkem Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 spasmokem tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पेट की ऐंठन, दर्द और सूजन में राहत देने के लिए इस्तेमाल की जाती है। यह आईबीएस और पेट की मरोड़ में भी फायदेमंद है।
साइड इफेक्ट्स: सूखा मुँह, चक्कर आना, नींद आना, धुंधली दृष्टि, जी मिचलाना और कब्ज जैसे दुष्प्रभाव हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। नींद आने पर वाहन न चलाएं। शराब न पिएं। यकृत या गुर्दे की बीमारी हो तो डॉक्टर को बताएं।
💊 spasmokem tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Helps relieve abdominal cramps and pain associated with IBS by reducing smooth muscle spasms.","evidence":"Well-established"},{"condition":"Abdominal cramps","description":"Provides relief from spasmodic pain in the gastrointestinal tract.","evidence":"Well-established"},{"condition":"Gastrointestinal spasm","description":"Relaxes smooth muscles to alleviate spasm-related discomfort.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Menstrual cramps","description":"Sometimes used off-label to relieve dysmenorrhea due to antispasmodic and analgesic effects.","evidence":"Limited"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Abdominal cramps, Gastrointestinal spasm
📋 Drug Information
| Generic Name(s) | Dicyclomine (NA) + Paracetamol (NA) |
| Brand Name | spasmokem tablet |
| Manufacturer | Alkem Laboratories 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. Keep out of reach of children. |
| Shelf Life | 24 months from 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 an anticholinergic and antispasmodic agent that blocks muscarinic receptors in the gastrointestinal tract, leading to relaxation of smooth muscle and reduction of spasms. Paracetamol works centrally to inhibit prostaglandin synthesis, thereby reducing pain and fever. The combination provides both antispasmodic and analgesic effects.
Mechanism Steps
💡 How to Take spasmokem tablet
Strength: Each 5 mL contains dicyclomine hydrochloride 10 mg and paracetamol 250 mg (typical composition; actual strength may vary).
Dosage Information
| Adult Dosage | The usual adult dose is 10-20 mL of the suspension taken 3-4 times daily, as prescribed by a doctor. 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 side effects. Use with caution and adjust dose as needed under medical supervision. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult a doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose reduction may be necessary. Consult a doctor. |
| Maximum Daily Dose | Do not exceed 80 mL in 24 hours for adults, unless directed by a doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of spasmokem tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAO inhibitors | Major | |
| Warfarin | Major | |
| Antihistamines | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- MAO inhibitors
- Warfarin
⚡ Moderate Interactions
- Antihistamines
- Tricyclic antidepressants
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine as it can increase drowsiness and the risk of liver toxicity, especially due to paracetamol.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to dicyclomine or paracetamol","Glaucoma","Myasthenia gravis","Severe liver disease","Urinary retention","Gastrointestinal obstruction"]
⚠️ Warnings & Precautions
["Avoid driving or operating machinery if drowsy.","Do not exceed recommended dose due to risk of liver damage.","Use with caution in elderly patients.","Consult doctor if symptoms persist beyond 7 days.","Avoid alcohol."]
🤱 Lactation Safety
Dicyclomine may pass into breast milk and could affect the infant. Consult your doctor before breastfeeding.
💊 Overdose Management
Seek immediate medical attention. Overdose may cause severe liver damage from paracetamol and anticholinergic symptoms from dicyclomine. Treatment is supportive and may include activated charcoal and acetylcysteine for paracetamol toxicity.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for the 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 driving or operating heavy machinery if you feel drowsy or dizzy. Avoid alcohol while taking this medicine as it may increase drowsiness and the risk of liver problems. Inform your doctor if you have a history of liver or kidney disease, glaucoma, or heart problems. Do not use this medicine for prolonged periods without medical supervision. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to side effects like dizziness, dry mouth, and urinary retention. Use with caution and monitor closely.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy. Dicyclomine is generally avoided in pregnancy unless clearly needed. Paracetamol is considered safe at recommended doses.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, as it may affect bowel movements and interact with other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may cause dry mouth and affect oral health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy or drowsy. Light activities like walking are generally safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness, affecting your ability to drive or operate machinery. Avoid such activities until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, seek medical advice immediately.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use of paracetamol may increase the risk of liver damage, especially with alcohol. Dicyclomine may cause persistent dry mouth or constipation. Regular monitoring of liver and kidney function may be advised.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding trigger foods can help manage IBS symptoms.
Evidence: Well-establishedYoga and meditation can reduce stress-related abdominal cramps.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. Consult your doctor before any vaccination.
📦 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 medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 1-2 hours after taking it.
A: It is best taken with food to reduce stomach upset.
🤔 Common Patient Concerns
🔄 Substitutes for spasmokem tablet
View AllAlternative brands with exact same active ingredient:
-
spasmoban capsuleOverseas Healthcare Pvt Ltd ₹8.80 105.6% COSTLIER
-
spasmodex tabletSynchem Lab ₹14.28 233.6% COSTLIER
-
cyclospaz tabletAGIO Pharmaceuticals Ltd ₹15.00 250.5% COSTLIER
-
cycloceta tabletTheo Pharma Pvt Ltd ₹18.75 338.1% COSTLIER
-
Spasmogip TabletGipla Healthcare ₹20.00 367.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: It can cure IBS permanently.
Fact: It provides symptomatic relief but does not cure IBS. - Myth: It is safe to take with alcohol.
Fact: Alcohol increases the risk of side effects and liver damage.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine + Paracetamol suspension
Brand Alternatives
- Koligesic Oral Suspension