Spasmolar 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
- Severe allergic reaction: rash, swelling of face or throat, difficulty breathing.
- Fast or irregular heartbeat, chest pain.
- Confusion, hallucinations, or severe dizziness.
- Inability to urinate or severe abdominal pain with vomiting.
- Severe eye pain, redness, or vision loss.
- Signs of paralytic ileus: severe constipation, bloating, vomiting.
If experiencing severe symptoms, call emergency services immediately.
What is spasmolar tablet used for?
This medicine is a combination of dicyclomine and clidinium used to treat abdominal cramps and spasms in conditions like irritable bowel syndrome. It works by relaxing the smooth muscles of the gut. It is usually taken three to four times a day, but the dose must be prescribed by a doctor.
- Generic Name: Dicyclomine (10mg) + Clidinium (2.5mg)
- Manufacturer: Lark Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 spasmolar tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डाइसाइक्लोमिन और क्लिडिनियम का संयोजन है, जिसका उपयोग पेट और आंतों की ऐंठन, दर्द, और सूजन को कम करने के लिए किया जाता है। यह इरिटेबल बोवेल सिंड्रोम (IBS), गैस्ट्रोएंटेराइटिस, और पित्त नली की ऐंठन में राहत देती है। यह दवा मांसपेशियों को आराम देकर काम करती है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, धुंधली दृष्टि, नींद आना, चक्कर आना, कब्ज, और पेशाब करने में कठिनाई शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको तेज़ धड़कन, भ्रम, या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे लेते समय गाड़ी चलाने या मशीन चलाने से बचें क्योंकि इससे नींद और धुंधली दृष्टि हो सकती है। शराब का सेवन न करें। पर्याप्त पानी पिएं और फाइबर युक्त भोजन करें। यदि आपको ग्लूकोमा, मायस्थेनिया ग्रेविस, या पेशाब की समस्या है, तो डॉक्टर को बताएं।
💊 spasmolar tablet Uses & Benefits
[{"condition":"Irritable bowel syndrome (IBS)","description":"Helps relieve abdominal pain, cramping, and bloating associated with IBS by reducing smooth muscle spasms in the intestines.","evidence":"Well-established"},{"condition":"Gastroenteritis","description":"Used to reduce abdominal cramps and discomfort caused by inflammation of the stomach and intestines.","evidence":"Moderate"},{"condition":"Biliary colic","description":"May help relieve pain from spasms of the bile ducts or gallbladder.","evidence":"Limited"},{"condition":"Urinary tract spasms","description":"Can be used to relax smooth muscle spasms in the urinary tract, such as in renal colic.","evidence":"Limited"},{"condition":"Peptic ulcer disease","description":"Sometimes used as an adjunct to reduce gastric motility and secretions, though not a primary treatment.","evidence":"Limited"}]
Off-label uses: [{"condition":"Menstrual cramps","description":"Occasionally prescribed off-label to relieve uterine cramps, but evidence is limited.","evidence":"Limited"},{"condition":"Infantile colic","description":"Not recommended due to safety concerns in infants; off-label use is discouraged.","evidence":"Insufficient"}]
Primary treatment for: Irritable bowel syndrome
Also treats: Gastroenteritis, Biliary colic, Urinary tract spasms, Peptic ulcer disease
📋 Drug Information
| Generic Name(s) | Dicyclomine (10mg) + Clidinium (2.5mg) |
| Brand Name | spasmolar tablet |
| Manufacturer | Lark Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| 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. |
| Shelf Life | 24 months from the date of manufacture, or as printed 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 antispasmodic agents with anticholinergic properties. Dicyclomine acts primarily on muscarinic receptors in the smooth muscle of the gastrointestinal tract, reducing muscle spasms by blocking acetylcholine-induced contractions. Clidinium is a quaternary ammonium anticholinergic that also blocks muscarinic receptors, leading to relaxation of smooth muscle and decreased secretions. Together, they reduce hypermotility and spasm in the gut, biliary tract, and urinary tract, providing symptomatic relief.
Mechanism Steps
💡 How to Take spasmolar tablet
Strength: Tablet containing dicyclomine 10 mg and clidinium 2.5 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken three to four times daily, preferably before meals and at bedtime. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, and renal and hepatic function. Do not exceed the prescribed dose. This medicine is for short-term use unless otherwise directed by your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to anticholinergic effects and may require a lower dose. Use with caution and monitor closely for confusion, constipation, and urinary retention. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Dose adjustment may be necessary in patients with renal impairment. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be necessary in patients with hepatic impairment. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 4 tablets (40 mg dicyclomine and 10 mg clidinium) in divided doses, but this must be confirmed by your doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of spasmolar tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Atropine | Major | |
| Benztropine | Major | |
| Amitriptyline | Moderate | |
| Morphine | Moderate | |
| Aluminum hydroxide | Moderate | |
| Levodopa | Minor | |
| Prednisolone | Minor | |
| Warfarin | Minor | |
| Metformin | Minor | |
| Omeprazole | Minor |
🚨 Major Interactions
- Other anticholinergic drugs (e.g., atropine, benztropine, antihistamines)
- MAO inhibitors
- Potassium chloride (solid oral dosage forms)
⚡ Moderate Interactions
- Tricyclic antidepressants (e.g., amitriptyline)
- Opioid analgesics
- Antacids (aluminum or magnesium based)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impair mental alertness. It may also worsen anticholinergic side effects such as dry mouth and blurred vision.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to dicyclomine, clidinium, or any component of the formulation","Glaucoma (angle-closure)","Myasthenia gravis","Urinary retention","Severe ulcerative colitis","Toxic megacolon","Obstructive uropathy","Paralytic ileus","Infants less than 6 months of age"]
⚠️ Warnings & Precautions
["May cause drowsiness and blurred vision; avoid driving or operating machinery until effects are known.","Avoid alcohol and other central nervous system depressants.","Use with caution in elderly patients due to increased risk of confusion, constipation, and urinary retention.","Use with caution in patients with autonomic neuropathy, hyperthyroidism, coronary heart disease, congestive heart failure, cardiac arrhythmias, hiatal hernia, and reflux esophagitis.","May worsen diarrhea in patients with ulcerative colitis; monitor closely.","Do not use for prolonged periods without medical supervision.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
Dicyclomine and clidinium may pass into breast milk and could cause anticholinergic effects in the infant. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose of this medicine can cause severe anticholinergic symptoms such as dry mouth, flushing, dilated pupils, blurred vision, tachycardia, urinary retention, confusion, hallucinations, and seizures. If overdose is suspected, seek emergency medical attention immediately. Treatment is supportive and symptomatic, including gastric lavage if within 1-2 hours of ingestion, activated charcoal, and management of specific symptoms. Physostigmine may be used cautiously in severe cases under medical supervision.
⏰ 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 increase or decrease the dose without medical advice. Avoid driving or operating heavy machinery until you know how this medicine affects you, because it can cause drowsiness and blurred vision. Do not drink alcohol while taking this medicine, as it can increase drowsiness and dizziness. Stay hydrated and eat a high-fiber diet to prevent constipation. Inform your doctor if you have glaucoma, myasthenia gravis, urinary retention, liver disease, kidney disease, or heart problems before taking this medicine. Do not take this medicine for longer than recommended without consulting your doctor. Keep this medicine out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, talk to 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, constipation, and urinary retention. Use with caution and lower doses may be required. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established, and it should only be used if clearly needed.
🏥 Post-Surgery Considerations
This medicine may affect bowel motility and urinary function after surgery. Inform your surgeon and anesthesiologist if you are taking this medicine before any surgery. It may need to be stopped temporarily.
🦷 Dental Procedures
This medicine can cause dry mouth, which may increase the risk of dental problems. Inform your dentist if you are taking this medicine before any dental procedure. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness and blurred vision, so avoid strenuous exercise or activities requiring alertness until you know how it affects you. Light exercise like walking is generally safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness and blurred vision, which may affect your ability to drive or operate machinery. It is advisable to avoid such activities until you know how the medicine affects you. Inform your employer if your job requires alertness.
🛑 When to Stop This Medicine
Do not stop taking this medicine abruptly without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. Your doctor will advise you on whether to stop or adjust the dose.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent anticholinergic effects such as constipation, dry mouth, and urinary retention. It may also mask underlying conditions. Regular monitoring by a doctor is recommended if prolonged use is necessary. Do not use for extended periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding trigger foods and eating a balanced diet can help reduce IBS symptoms.
Evidence: Well-establishedTechniques like yoga, meditation, and counseling can reduce stress-related gut symptoms.
Evidence: ModerateMay help restore gut flora balance and reduce symptoms in some patients.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before any vaccination if you are unwell.
📦 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
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust dosing times gradually to maintain consistent intervals. Check local customs regulations regarding prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving spasms within 1 to 2 hours after taking a dose.
A: It can interact with other anticholinergic drugs, antidepressants, and opioids. Always inform your doctor about all medicines you take.
A: The safety during pregnancy is not well established. Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant.
A: Take the missed dose as soon as you remember, but if it is almost time for the next dose, skip it and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure irritable bowel syndrome.
Fact: This medicine only relieves symptoms like cramps and spasms; it does not cure the underlying condition. - Myth: It is safe to take this medicine for months without a doctor's supervision.
Fact: Prolonged use should be monitored by a doctor due to potential side effects and the need to reassess the condition. - Myth: This medicine is safe for infants with colic.
Fact: It is not recommended for infants under 6 months and should not be used for colic without medical advice.
🔄 Alternative Options
Generic Alternatives
- Dicyclomine 10 mg + Clidinium 2.5 mg tablet
Brand Alternatives
- Spasmolar Tablet