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 an antispasmodic (phosphodiesterase inhibitor) presented as a tablet for oral use. It relieves smooth‑muscle spasm in the abdomen, biliary system, kidneys, uterus and urinary tract, primarily 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 Romania Srl

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Indications & Clinical Uses

No-Spa (drotaverine) acts on smooth‑muscle disorders, providing relief of spasm and associated pain.

  • Abdominal and gastrointestinal smooth muscle spasm: reduces pain and eases intestinal cramping.
  • Biliary colic: relaxes biliary ducts to alleviate gall‑bladder pain.
  • Renal colic: diminishes ureteral spasm, facilitating stone passage.
  • Menstrual cramps (dysmenorrhea): lessens uterine contractions and menstrual pain.
  • Urinary tract spasm: eases bladder neck and urethral spasm, improving comfort.

How It Works

  • Drotaverine inhibits phosphodiesterase enzymes, leading to increased intracellular cyclic AMP. Elevated cAMP causes smooth‑muscle relaxation by reducing calcium influx and antagonising calcium‑mediated contraction, thereby diminishing spasm in gastrointestinal, biliary, renal, uterine and urinary smooth muscle.

Side Effects

Adverse reactions may occur, ranging from mild to severe.

Common Side Effects

  • Nausea: mild stomach upset.
  • Dizziness: transient light‑headedness.
  • Dry mouth: reduced salivation.
  • Headache: mild to moderate intensity.
  • Flushing: temporary skin redness.
  • Hypotension: mild blood‑pressure drop.

Serious or Rare Side Effects

  • Allergic reaction: rash, itching, swelling.
  • Anaphylaxis: severe, potentially life‑threatening hypersensitivity.
  • Severe hypotension: marked blood‑pressure fall requiring medical attention.
  • Cardiac arrhythmia: irregular heart rhythm.
  • Hepatic dysfunction: abnormal liver enzymes.
  • Hematologic abnormalities: rare blood‑cell changes.

Precautions & Warnings

Before using No‑Spa, consider the following safety measures.

  • Pregnancy: consult a healthcare professional; safety data are limited.
  • Breastfeeding: use with caution; potential excretion in milk is unknown.
  • Renal impairment: dose adjustment may be required; monitor renal function.
  • Elderly patients: increased susceptibility to hypotension; start with lower dose if prescribed.
  • Concomitant medications: review all current drugs to avoid interactions.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Drotaverine may interact with several drug classes; monitoring is advised.

Major Interactions (Avoid)

  • Combined use with other potent antispasmodics: risk of excessive smooth‑muscle relaxation and hypotension.
  • Concurrent antihypertensives: additive blood‑pressure lowering effect.
  • MAO inhibitors: potential for unpredictable cardiovascular responses.

Moderate Interactions (Monitor Closely)

  • Alcohol: may enhance dizziness and hypotensive effects.
  • Anticholinergic agents: increased dry‑mouth sensation.
  • CYP3A4 inhibitors (e.g., ketoconazole): possible increase in drotaverine plasma levels.

Frequently Asked Questions

No‑Spa, containing drotaverine hydrochloride, is used to relieve smooth‑muscle spasm and associated pain in abdominal and gastrointestinal disorders, biliary colic, renal colic, menstrual cramps (dysmenorrhea) and urinary tract spasm. It helps relax the affected muscles, reducing discomfort in these recognized indications.

Drotaverine hydrochloride works by inhibiting phosphodiesterase enzymes, which raises intracellular cyclic AMP levels. The increased cAMP leads to reduced calcium entry into smooth‑muscle cells, causing relaxation of the muscle fibers and decreasing spasm. This mechanism also provides a mild calcium‑antagonist effect, contributing to its antispasmodic action.

The appropriate dose of No‑Spa is determined by a qualified prescriber based on the patient’s condition, age, weight and overall health. Healthcare professionals tailor the regimen to achieve optimal symptom control while minimizing potential adverse effects.

Safety data for drotaverine hydrochloride in pregnancy are limited, so it should only be used if the potential benefit justifies the risk and after consulting a healthcare provider. During breastfeeding, caution is advised because the extent of drug excretion in breast milk is not well established.

To order 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 and any necessary import documentation.

Compared with other antispasmodics such as hyoscine or papaverine, drotaverine offers a phosphodiesterase‑inhibiting mechanism rather than anticholinergic activity, resulting in fewer anticholinergic side effects like dry mouth or blurred vision. Its calcium‑antagonist effect also provides a broader smooth‑muscle relaxation profile.

No‑Spa tablets should be stored at ambient temperature, below 25 °C, in their original packaging. Protect the product from moisture, direct sunlight and extreme heat to maintain stability and potency throughout its shelf life.

No‑Spa is taken orally as a tablet. The tablet should be swallowed whole with a glass of water, preferably after a meal to reduce gastrointestinal irritation, unless otherwise directed by a healthcare professional.

Serious risks, although rare, include severe allergic reactions such as anaphylaxis, marked hypotension leading to dizziness or fainting, and cardiac arrhythmias. Patients should seek immediate medical attention if they experience symptoms like rash, swelling, rapid heartbeat, or a sudden drop in blood pressure.

No‑Spa should be avoided in individuals with known hypersensitivity to drotaverine or any tablet excipients. Caution is also advised for patients with severe cardiovascular disease, uncontrolled hypertension, or those taking medications that may cause additive hypotensive effects, unless a prescriber decides otherwise.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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