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 (antispasmodic) presented as an injectable solution for intramuscular and intravenous use. It relaxes smooth muscle fibers and is employed to alleviate abdominal, biliary, renal and uterine cramping in adult patients.
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 acts on smooth‑muscle spasm disorders across the gastrointestinal, biliary, renal and reproductive systems.

  • Abdominal and gastrointestinal spasm: Relieves pain by relaxing intestinal smooth muscle.
  • Biliary colic: Reduces gall‑bladder wall tension, easing biliary pain.
  • Renal colic: Facilitates ureteral smooth‑muscle relaxation to lessen kidney‑stone discomfort.
  • Dysmenorrhea: Decreases uterine muscle contractions, improving menstrual pain.
  • Uterine cramping: Alleviates postpartum or procedural uterine spasms.

How It Works

  • Drotaverine inhibits phosphodiesterase‑4, leading to an accumulation of intracellular cyclic AMP. Elevated cAMP reduces calcium influx in smooth‑muscle cells, causing relaxation of vascular and visceral smooth muscle without significant anticholinergic activity.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea: Mild to moderate stomach upset.
  • Dizziness: Transient light‑headedness, especially after rapid administration.
  • Flushing: Warm sensation and reddening of the skin.
  • Headache: Tension‑type headache occurring shortly after dosing.
  • Hypotension: Mild drop in blood pressure, usually asymptomatic.
  • Dry mouth: Reduced salivation during treatment.

Serious or Rare Side Effects

  • Allergic reaction: Rash, itching, or angioedema requiring medical attention.
  • Severe hypotension: Marked blood‑pressure fall with dizziness or syncope.
  • Cardiac arrhythmia: Irregular heartbeat reported in isolated cases.
  • Anaphylaxis: Rapid onset of systemic allergic response, a medical emergency.
  • Blood dyscrasias: Rare reports of leukopenia or thrombocytopenia.

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor for adverse events.

  • Pregnancy: Use only if clearly needed, as safety data are limited.
  • Breastfeeding: Caution advised; limited information on excretion in milk.
  • Hepatic or renal impairment: Dose adjustment may be required; monitor organ function.
  • Concomitant antihypertensives: Observe blood pressure for additive hypotensive effect.
  • Known hypersensitivity: Avoid in patients with documented drotaverine allergy.
  • Store at 2-8°C: Keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Drotaverine may modify the effect of other medicines; interaction severity varies.

Major Interactions (Avoid)

  • Combined use with other potent antispasmodics: Increases risk of profound smooth‑muscle relaxation and hypotension.
  • Co‑administration with strong antihypertensive agents: May cause excessive blood‑pressure reduction.

Moderate Interactions (Monitor Closely)

  • NSAIDs: May mask pain, complicating clinical assessment.
  • Diuretics: Potentially augment hypotensive response.
  • Beta‑blockers: May require closer blood‑pressure monitoring.

Frequently Asked Questions

No‑Spa, containing drotaverine hydrochloride, is prescribed to relieve smooth‑muscle spasms such as abdominal and gastrointestinal colic, biliary colic, renal colic, dysmenorrhea, and uterine cramping. By relaxing the affected muscle layers, it helps reduce pain and discomfort associated with these conditions.

Drotaverine blocks phosphodiesterase‑4, which raises intracellular cyclic AMP levels. The increased cAMP reduces calcium entry into smooth‑muscle cells, leading to muscle relaxation without significant anticholinergic effects. This mechanism eases spasms in the gastrointestinal, biliary, renal and uterine tissues.

The dosage of No‑Spa is determined by the prescribing clinician based on the patient’s condition, severity of symptoms, age, weight and renal or hepatic function. Healthcare professionals select the appropriate dose and route (intramuscular or intravenous) to achieve optimal therapeutic effect.

Safety data for drotaverine during pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant or nursing should discuss the risks and alternatives with their healthcare provider.

To request No‑Spa, 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 any required import documentation.

Compared with anticholinergic agents such as hyoscine, drotaverine provides smooth‑muscle relaxation without significant anticholinergic side effects like dry mouth or blurred vision. Its phosphodiesterase‑inhibiting action offers a distinct mechanism, making it useful when other antispasmodics are contraindicated or poorly tolerated.

No‑Spa should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. Do not freeze the product and keep it in its original packaging until use to maintain stability and potency.

No‑Spa is supplied as an injectable solution for intramuscular or intravenous administration. The healthcare professional selects the appropriate route, prepares the dose under aseptic conditions and administers it slowly to minimize the risk of hypotension or local irritation.

Serious adverse events, although rare, include severe hypotension, allergic reactions such as anaphylaxis, cardiac arrhythmias and blood‑cell abnormalities. Patients should be monitored for signs of these reactions, especially after the first dose or when combined with other hypotensive agents.

No‑Spa is contraindicated in individuals with known hypersensitivity to drotaverine or any of its excipients. Caution is also advised for patients with uncontrolled hypertension, severe cardiac disease, or those taking multiple potent antihypertensive medications, unless a physician determines that benefits outweigh risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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