Table LIT spasms. 20 mg. 30 tablets
Table-LIT spasms. 20 mg. 30 tablets
For the treatment of urinary urgency, frequent urination at night, depression and inability to control urinary urgency, continuous leakage of urine (wetting yourself), accompanied by a strong desire to urinate with unstable bladder (involuntary urination and emptying disorders bladder for unknown reasons) or due to certain nerve disorders.
When should you not use the cramps-ref 20 mg?
You should not ref spasms, subject to:
Hypersensitivity to the active substance or to any of the excipients,
Retention of urine due to abnormal leakage from the bladder (eg, benign prostatic hyperplasia - typically benign growth of the prostate tissue in males)
Glaucoma (increased pressure due to the narrowing of iridokornealniya corner called. Glaucoma) - tachyarrhythmias (rapid and sometimes irregular heartbeat)
Myasthenia gravis (a condition characterized by tiredness and weakness of the muscles under load)
Toxic megacolon (enlargement and thickening of the wall of the colon associated with constipation)
Renal failure requiring dialysis (creatinine clearance <10 ml/min/1.72 m2).
There is not enough research on the efficacy and safety of trospium chloride in children under 12 years. Therefore, children should not be treated with it.
What should I keep in mind during pregnancy and lactation?
Experimental animal studies have shown no abnormalities. However, placing the correct diagnosis is mandatory for the use of trospium chloride during pregnancy and lactation, as there is not enough experience to its use in humans.
Precautions for use and warnings
What precautions should be taken?
Trospium chloride should be used with caution in patients with:
Narrowing (obstruction) of the gastrointestinal tract, eg. pyloric stenosis
Obstruction of pouring urine from the bladder, for example. Benign prostatic hyperplasia (see Contraindications), urethral narrowing, uncoordinated pressure of urine as it goes through with concomitant bladder sphincter contractions (detrusor sphincter dissinergiya), accompanied by a threatening formation of residual urine and urinary retention,
Damage to the autonomic nervous system (autonomic neuropathy)
Diaphragmatic hernia with oesophagitis
Where an unwanted increase in heart rate, eg. for overactive thyroid gland, coronary heart disease and congestive heart failure.
Generally require a reduction of dosage to patients with impaired renal function. The daily dose should not exceed 20 mg trospium chloride. Since there are no data in patients with impaired hepatic function, its use in such patients is not preporachva.Predi initiation of therapy should be excluded organic causes of urinary urgency frequent nighttime urination such as heart or kidney disease and infections and neoplasms of urinary organs .
If you suffer from gluten intolerance, you should consider that spasm-ref contains wheat starch as an excipient and therefore you should inform your doctor.
What you should consider when driving or operating machinery or on unstable platforms?
Even when used as prescribed, this medicine may change the visual acuity to the extent that the ability to participate actively in traffic, use machines, or on unsafe sites not be disturbed. This applies to a greater extent at the beginning of treatment when the dose is increased, and in the case of interaction with alcohol.
Research based on other methods to measure the ability to drive (visual orientation, general attention, reaction to stress, concentration and motor coordination) have not shown any influence of trospium chloride
What other drugs affected by cramp-ref 20 mg?
Possible interactions include:
Enhance the anticholinergic effects (see Adverse effects of amantadine (a medicine for Parkinson's disease), tricyclic antidepressants, certain drugs for the treatment of depression characterized by feelings of depression), disopyramide and quinidine (medicines for irregular heart rhythm), antihistamines ( some medicines for allergies)
Strengthening action tachycardia (accelerated heart rate) of beta-sympathomimetics (used as pacemakers, protivoastmatichni and suppressing uterine contractions) and
Mitigate prokinetitsite (metoclopramide, cisapride - commonly used to treat disturbances in gastric emptying or reflux).
Since trospium chloride may affect gastrointestinal motility and secretion, should not preclude the absorption of other concomitantly administered, medications to promeni.Vazmozhno may occur trospium chloride inhibition of absorption of drugs such as gum and cholestyramine colestipol. Therefore, concomitant use of these products it is not recommended.
Please note that this applies to the recently used drugs. Interactions at the level of metabolism have been studied only in vitro, but were there any influences. Therefore, it should not be vzaimodeystviya.Nyama metabolic evidence from clinical trials or observation system of clinically significant drug interactions.
Dosage, method and duration of use
If your doctor advises otherwise, the following applies intsruktsii below. Please observe them, because otherwise spasms, ref 20 mg will have the desired effect.
How many coated tablets and how often to take?
Unless otherwise prescribed, take one coated tablet twice daily (equivalent to 40 mg daily trospium chloride). Recommended dose for patients with severe impairment of renal function is 1-coated tablet spasms ref 20 mg once daily in the morning and 1 coated tablet spasms, ref 10 mg twice daily, or 1-coated tablet spasms ref 20 mg every other day.
How to make cramps, ref 20 mg?
The tablets should be swallowed whole, chewed along with a glass of water before meals.
How long does it take spasms, ref 20 mg?
Your doctor will determine the duration of treatment. The need for continued treatment should be reassessed at regular intervals of 3-6 months.
Overdose and misuse
What should I do if cramps, ref 20 mg was approved in incredibly large amounts (intentionally or unintentionally)?
It has never reported symptoms of poisoning in humans.
Signs of overdose Anticholinergic are manifest as visual disturbances, accelerated heartbeat, dry mouth and skin redness. These symptoms should be treated with parasympathomimetics as neostigmine. For patients with glaucoma should be applied topically pilocarpine eye.
What should you do if you take more tablets spasms, ref 20 mg or if you miss a dose?
Continue with your usual dose as prescribed.
What should I keep in mind if you interrupt or stop treatment prematurely?
In the event of some unpleasant effects, discuss with your doctor what countermeasures can be taken whether or not to consider any other means of treatment.
What side effects may occur while taking spasms, ref 20 mg?
Anticholinergic events (side effects due to the specific mechanism of action of trospium chloride) may occur during treatment with trospium chloride, for example. dry mouth, indigestion and constipation.
Common (> 1%):
Gastrointestinal system: dry mouth, dyspepsia, constipation, intestinal pain, nausea.
Urinary system: difficulty in urinating (eg, formation of residual urine)
Cardiovascular system: accelerating heartbeat
Eye disorders: impaired ability of the eye to see clearly over short distances (accommodation), this is especially true for patients who are farsighted and whose vision has not been adequately corrected
Gastrointestinal System: flatulence (gas accumulation in the abdomen)
Respiratory: shortness of breath
Total: feeling of weakness (asthenia), chest pain
In isolated cases (<0.1%):
Urinary system: retention
Skin: allergic swelling of the skin and mucosa (angioedema)
Liver and gallbladder: mild to moderate increases in serum transaminases (liver enzymes) Body as a whole: severe generalized allergic reactions (anaphylaxis) Please tell your doctor or pharmacist about any side effects that you notice.
What measures should be taken in case of adverse reactions?
Please consult your doctor about the measures to be taken.
The deadline date printed on the box and blister. Do not use after data.Pazete all medicines out of the reach of children.
1 coated tablet contains:
Trospium chloride 20 mg
Sucrose, wheat starch, microcrystalline cellulose, talc, lactose monohydrate, calcium carbonate (E170), titanium dioxide (E171), stearic / palmitic acid, croscarmellose natrium, povidone, macrogol 8000, colloidal silicon dioxide, iron oxide hydrate (E 172), croscarmellose natrium, white wax, carnauba wax.
Note for diabetics: 1 coated tablet corresponds to 0.06 g carbohydrate (0.005 BU).
Original packs of 30, 50 or 100 coated tablets.
Urology antispasmodic (for relaxation of the muscles of the bladder)