Nobel Spas Tablet

Composition of Nobel Spas Tablet

Nobel Spas Tablet contains DROTAVERINE-40MG+NIMESULIDE-100MG. It belongs to the Antispasmodic and Non-steroidal anti-inflammatory drug class of medicines.

Uses of Nobel Spas Tablet

• This medicine is used in the treatment of abdominal cramps
• irritable bowel syndrome
• period pain
• colic
• pain
• inflammation
• arthritis and fever.

Key benefits

• Fast relief of cramping pain
• Useful in irritable bowel syndrome
• Relieves pain and the swelling that causes it
• Effective in arthritis and injury

How Nobel Spas Tablet works

This medicine combines 2 active ingredients: Drotaverine and Nimesulide. Drotaverine relaxes the muscle in the wall of the gut, relieving the cramping pain of a spasm. Nimesulide blocks the chemicals your body makes at a site of injury or inflammation, which reduces pain, swelling and fever.

How to take Nobel Spas Tablet

Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Take it before meals or when cramps begin. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause a racing heart, confusion, blurred vision and difficulty passing urine. It can cause stomach bleeding, kidney failure, drowsiness and fits. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Nobel Spas Tablet

Most side effects of Nobel Spas are mild and settle as the body adjusts. Reported side effects include:

• Dry mouth
• Blurred vision
• Constipation
• Drowsiness
• Difficulty passing urine
• Indigestion
• Stomach pain
• Nausea
• Heartburn
• Dizziness
• Swelling of the ankles and feet

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Nobel Spas Tablet

Warnings and precautions

Severe abdominal pain, particularly with fever or vomiting, needs a doctor rather than a painkiller or antispasmodic. May cause blurred vision and drowsiness — do not drive until you know how it affects you. Tell your doctor if you have glaucoma, an enlarged prostate or difficulty passing urine. Take it with or just after food, and for the shortest time that works. Stop and seek urgent care for black or tarry stools, vomiting blood, or severe stomach pain — this group can cause bleeding from the stomach. Long or high-dose use raises the risk of heart attack, stroke and kidney injury, particularly in older people and those already at risk. Avoid if you are dehydrated or have an illness with vomiting or loose motions — the kidneys are vulnerable then. Must be avoided in the last three months of pregnancy. Nimesulide must not be given to children under twelve, and courses are restricted to a few days because of the risk of liver injury. Stop and see a doctor at once if you notice yellowing of the eyes or skin, dark urine or persistent nausea.

Do not take Nobel Spas if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with glaucoma, urinary retention, or a blockage of the gut. Not for people with an active stomach ulcer, severe kidney or heart failure, or asthma triggered by aspirin or anti-inflammatory painkillers. Not in the third trimester of pregnancy.

Interactions with other medicines

Adds to the dry mouth, constipation and drowsiness caused by antihistamines and some antidepressants. Combining with a blood thinner or aspirin sharply raises the bleeding risk. Reduces the effect of blood pressure medicines and water tablets, and together with them can harm the kidneys. Never take two anti-inflammatory painkillers at the same time.

How to store Nobel Spas Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Nobel Spas Tablet

Take it when the cramps start rather than on a fixed schedule, unless your doctor has said otherwise. A warm compress and regular meals help cramping in irritable bowel syndrome. Use the lowest dose for the shortest period. If you need a painkiller regularly, see your doctor rather than continuing on your own. Paracetamol is the safer choice for simple fever and headache.

Manufacturer and class

Manufacturer:

MANKIND (PHARMA)

Therapeutic class:

Antispasmodic and Analgesic and anti-inflammatory

Drug class:

Antispasmodic and Non-steroidal anti-inflammatory drug