Product image of No-Spa (Drotaverine Hydrochloride) supplied by GNH India

No-Spa

Active Ingredient:
Drotaverine Hydrochloride
Origin:
EU

No-Spa (Drotaverine Hydrochloride)

Drotaverine Hydrochloride, the active ingredient in No-Spa, is a phosphodiesterase inhibitor (smooth muscle relaxant) presented as an injectable solution for intramuscular and intravenous use. It relieves abdominal and visceral smooth‑muscle spasm, biliary colic, renal colic, dysmenorrhea and uterine spasm.

GNH India supplies No-Spa as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Opella Healthcare France Sas

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Indications & Clinical Uses

Drotaverine Hydrochloride is an antispasmodic that relaxes smooth muscle in the gastrointestinal, biliary and urinary tracts.

  • Abdominal colic: reduces intensity and duration of visceral pain.
  • Biliary colic: alleviates gallbladder spasm and associated discomfort.
  • Renal colic: eases ureteral smooth‑muscle spasm, facilitating stone passage.
  • Dysmenorrhea: diminishes uterine muscle contractions and menstrual pain.
  • Uterine spasm (post‑operative): facilitates relaxation of uterine smooth muscle after surgery.

How It Works

  • Drotaverine selectively inhibits phosphodiesterase‑4, leading to an accumulation of intracellular cyclic AMP in smooth‑muscle cells. Elevated cAMP decreases calcium influx, which relaxes visceral smooth muscle and reduces spasm of abdominal, biliary, renal and uterine tissues.

Side Effects

Adverse reactions may occur with any injectable medication.

Common Side Effects

  • Injection site pain.
  • Mild hypotension.
  • Nausea.
  • Dizziness.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reaction.
  • Profound hypotension.
  • Cardiac arrhythmia.
  • Hepatic dysfunction.

Precautions & Warnings

Use of No‑Spa requires careful clinical assessment.

  • Cardiovascular assessment: evaluate blood pressure and heart status before administration.
  • Monitor blood pressure: observe for hypotensive episodes during and after injection.
  • Hepatic impairment: use with caution in patients with liver disease.
  • Hypersensitivity: avoid in individuals with known allergy to drotaverine or excipients.
  • Do not mix with other injectable solutions unless compatibility is confirmed.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Drotaverine may interact with other medicines affecting vascular tone or metabolism.

Major Interactions (Avoid)

  • Concomitant use with potent vasodilators (e.g., nitroglycerin) may cause severe hypotension.
  • Co‑administration with other antispasmodics can lead to additive smooth‑muscle relaxation.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt compensatory tachycardia during hypotension.
  • CYP450 inhibitors: could increase drotaverine plasma levels.
  • Diuretics: may enhance the risk of low blood pressure.

Frequently Asked Questions

No‑Spa contains drotaverine hydrochloride, an antispasmodic indicated for the relief of smooth‑muscle spasm in abdominal and visceral colic, biliary colic, renal colic, dysmenorrhea and uterine spasm. It is administered by injection under medical supervision.

Drotaverine selectively inhibits phosphodiesterase‑4, which raises intracellular cyclic AMP levels in smooth‑muscle cells. The increased cAMP reduces calcium entry, leading to relaxation of visceral smooth muscle and alleviation of spasm.

The specific dose and frequency are determined by the prescribing clinician based on the indication, patient weight, renal and hepatic function, and the chosen route of administration. No‑Spa is supplied as an injectable solution for intramuscular or intravenous use.

Safety data for drotaverine in pregnancy and lactation are limited. It should only be used if the potential benefit outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and necessary import documentation.

Compared with anticholinergic agents such as hyoscine or papaverine, drotaverine has a selective phosphodiesterase‑4 inhibition profile, which may result in fewer anticholinergic side effects like dry mouth or blurred vision. Choice of therapy depends on the specific indication, patient tolerance and physician preference.

No‑Spa must be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Vials should remain in their original packaging until use, and any unused solution should be discarded according to local regulations.

No‑Spa is supplied as a sterile injectable solution and can be given either intramuscularly or intravenously by a qualified healthcare professional. The injection site should be prepared aseptically, and the solution should be used promptly after reconstitution if required.

Serious but uncommon adverse reactions include anaphylactic or severe allergic responses, profound hypotension, cardiac arrhythmias, and hepatic dysfunction. Patients should be monitored for signs of these events, and treatment should be stopped immediately if they occur.

No‑Spa is contraindicated in individuals with known hypersensitivity to drotaverine or any excipients in the formulation. Caution is advised in patients with severe cardiovascular disease, uncontrolled hypertension, or significant liver impairment, and it should be avoided where the risk of severe hypotension outweighs therapeutic benefit.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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