Nobel Spas 40 mg/100 mg Tablet is a combination medicine used in the treatment of abdominal pain. It works effectively to reduce abdominal pain, bloating, discomfort and cramps by relaxing the muscles of the stomach and gut. It also blocks certain chemical messengers that cause pain, inflammation and fever.
Nobel Spas 40 mg/100 mg Tablet is taken with food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your healthcare team know about all other medications you are taking as some may affect, or be affected by this medicine.
The most common side effects are diarrhea, nausea, vomiting, dryness in the mouth, feeling thirsty, and increased liver enzymes. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your dizziness.
Before taking this medicine, you should tell your doctor if you are pregnant, planning pregnancy or breastfeeding. You should also tell your doctor if you have any kidney or liver diseases so that your doctor can prescribe a suitable dose for you.
USES OF NOBEL SPAS TABLET
Abdominal pain
SIDE EFFECTS OF NOBEL SPAS TABLET
Common
Nausea
Vomiting
Diarrhea
Dryness in mouth
Feeling thirsty
Dizziness
Increased liver enzymes
HOW TO COPE WITH SIDE EFFECTS?
The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.
Coping with Nausea
You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
Coping with Vomiting
You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
Coping with Diarrhea
Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
Coping with Dryness in mouth
Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.
Coping with Dizziness
This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
Coping with Increased liver enzymes
There may be no symptoms, so your doctor should carry out a blood test and give you advice. Some lifestyle changes can bring down levels of liver enzymes. In general, you will need to stop drinking alcohol or limit the amount you drink, lose weight and keep active. Drink plenty of fluids to avoid dehydration. Eat a healthy diet. Some particular foods like nuts, fatty fish, coffee, tea, olive oil, sprouts and bananas may be beneficial. Try to control stress as this can make your symptoms worse.
HOW TO USE NOBEL SPAS TABLET
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nobel Spas 40 mg/100 mg Tablet is to be taken with food.
HOW NOBEL SPAS TABLET WORKS
Nobel Spas 40 mg/100 mg Tablet is a combination of two medicines: Drotaverine and Nimesulide, which relieves abdominal pain. Drotaverine is an anti-spasmodic medicine which relieves spasms associated with smooth muscles. Nimesulide is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling).
SAFETY ADVICE
warnings
Alcohol
UNSAFE
It is unsafe to consume alcohol with Nobel Spas 40 mg/100 mg Tablet.
warnings
Pregnancy
CONSULT YOUR DOCTOR
Nobel Spas 40 mg/100 mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
warnings
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Nobel Spas 40 mg/100 mg Tablet during breastfeeding is unavailable. Please consult your doctor.
warnings
Driving
UNSAFE
Nobel Spas 40 mg/100 mg Tablet may cause side effects which could affect your ability to drive.
As Nobel Spas 40 mg/100 mg Tablet may cause vertigo.
warnings
Kidney
CAUTION
Nobel Spas 40 mg/100 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nobel Spas 40 mg/100 mg Tablet may be needed. Please consult your doctor.
Use of Nobel Spas 40 mg/100 mg Tablet is not recommended in patients with severe kidney disease.
warnings
Liver
UNSAFE
Nobel Spas 40 mg/100 mg Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.
