The popularity of the drug "No-Shpa" is explained by high painful, soothing and diuretic effect. The root of clinical action lies with the removal of spasms of smooth muscles. There are several forms of production "but-shops" - in a tableted form or in capsules, which are covered with a special intestinal-soluble shell. There is a solution for intravenous and intramuscular boiling. Regardless of the form, the active ingredient is drootserin.
Pharmacological action No-shops like a diuretic
"But-shpa" acts quickly, and the effect lasts for a long time, in comparison with similar preparations. The principle of action is: the medicine does not allow the CA + substance to the cells of the smooth muscle, thereby expanding blood vessels. All this causes a strong antispasmodic effect. Due to the acceleration of blood flow, reinforced kidney work occurs, which has a diuretic effect. The speed is achieved by lowering the products of the FDE4 enzyme with a drootaverine in the composition of "but-shops". This allows you to level the side effects relatively cardiovascular. It is important that the medicine does not penetrate the CNS. In some cases, a diuretic action is considered a side effect.
How to apply "but-shlu"?
Indications for reception
The drug is used to cure any pain. The main states requiring use:
- menstruation in women;
- cystitis, kidney stones;
- ulcer, gastritis, aggravated cholecystitis (diuretic effect is useful);
- total pains in the gastrointestinal tract;
- average intensity headaches.
Dosing mode
Before taking medication, you need a preliminary consultation of the doctor. The use of injection (in the form of a solution) accelerates action. The drug almost instantly removes the unpleasant feeling. But uncontrolled reception Not recommended - a preliminary consultation of the doctor needs, which will prescribe a reception and dose of "but-shops". Dosing mode varies depending on the illness. The average one-time dose is 40-80 mg, per day - no more than 240 mg (8 tablets). Depending on the situation, the medicine should be taken 3-6 times a day. The tablet "But-Shpi" will work after half an hour after the reception, and after three hours the action will reach the peak. Against the background of the diuretic effect, it is recommended to drink more water.
Contraindications
Strong pain during menstruation
Women often buy "No-Shpu" in the period critical daysTo remove pain and discomfort. Nevertheless, it should be considered if the pains are very strong and do not leave, then choose another, more radical means. In other words, if the pain after taking "no-shops" do not care, it is better not to increase the dosage, but to accept another drug.
Migraine and reduced pressure
Such medical preparations are often used at headaches. But drinking medicine is not under all my pains. With migraine, the character of pain is completely different: the vessels are expanding, and not narrow. If you have a spasmolytic to drink, then the symptoms can worse. The medicine is able to reduce pressure. This can manifest itself in the form of nausea, weakness, dizziness and in extreme cases - loss of consciousness.
Unknown abdominal pain, pregnancy and feeding period
Pain in the abdomen - are suspicious, so it is better to immediately go to the doctor. Often, the admission of an anesthetic prevents specialists to properly diagnose. In particular, the patient falls into the hospital with suspicion of appendicitis, but due to diarrhea (as a result of the admission of medication) doctors diagnose it as intestinal infection. During pregnancy, "No-Shpu" should be taken only on the appointment of a doctor. During the period breastfeeding The drug is prohibited.
One of the unpleasant diseases arising in the form of inflammation of the bladder is.
With such a disease, and also observed cutting pain in the bladder area.
For treatment, antibiotics appointed by the doctor are used. However, how to be with a pain that is a symptom of the disease?
The but-shp is used here at cystitis, which is considered good painful, not changing their composition dozens of years. For more information about the use of the drug and reviews, let's talk later in the article.
But-SPAP refers to antispasmodic agents with hypotensive and vasodilatory properties. Apply it not only for prevention or thickening pain, but also for treatment.
Helps the drug for anesthesia in the following cases:
- various spasms, such as uterine, arterial, smooth muscle spasms internal organs;
- intestinal or;
- with headache;
- the course of treatment is prescribed during gastritis, ulcer of the stomach, colitis, gastroduodenitis, duodenal ulcer;
- for diseases, including cystitis, pelitis.
But-shpa with cystitis used for a very long time. Its fast and strong action allows you to get rid of owl syndrome in short time.
If the disease occurs, the bladder inflammation occurs, as a result of which its walls are squeezed and cause pain. The drug helps to relax muscles and establish blood circulation, as a result of which the pain retreats.Release form, composition
The release of the drug is carried out in the form of tablets and injection solutions. Tablets have a round shape and yellow. Their composition includes 40 mg of hydrochloride doll, as well as various auxiliary substances.
In quantity they are 6 pieces, 20 and 24 pieces. At the same time they are produced in cardboard boxes. If their number is 60 or 100 pieces, then plastic bottles placed in metal blisters are used.
Tablets and solutions for I-SPAP injections
But-shpa in the form of a solution has a greenish yellow color. A drug in ampoules of dark glass is produced, their volume is 2 ml. The composition of such an ampoule is identical with tablets. The number of pieces in the package can be 5 or 25 pieces. There are ampoules in plastic pallets, packed cardboard boxes.
Dosage
The use of but-sleeves is allowed as an painful agent and independently. To do this, use the instructions for use.
The maximum daily dose is 240 mg, and one-time 40-80 mg. You can take the drug 2-3 times a day.
But-shpa is used for children. Under the age of 6 day dose It should not exceed 40-120 mg, up to 12 years old - 80-200 mg.
After 12 years, the dosage corresponds to the one that is provided for adults, that is, up to 240 mg per day.
At the same time, it is not recommended to use his children without appointing a doctor.
When cystitis, the dosage and number of techniques most often appoints a doctor with antibiotics. It is mainly the norm per day 120-240 ml with a reception of 2-3 times. The main thing is that at times the dose does not exceed 80 mg. In addition, the intervals between the receptions are desirable to do the same.
If no improvement has happened during two or three days and the thorough of pain has a short-term effect, then you need to contact the doctor.Mode of application
Regardless of the packaging, the dosage of the drug does not change. If you are using tablets, you should see in the instructions how many pieces must be used at a time, and squeeze them from the plate.
In the standard package in the form of a PE bottle, a dispenser is installed, the actions in this case are the following:
- first remove the protective strip located on top of the bottle. Together with it removes the sticker on the bottom of the bottle;
- next, the bottle is taken in hand so that the dosage hole does not rest in the palm;
- you must click on the top of the bottle, after which from the bottom where the dispenser is located, the tablet will fall. To get another pill anesthetic, you need to click on the top of the bottle again.
Side Effects and Contraindications
The adverse reactions after taking but-shts are rarely manifested, but nevertheless possible. If the drug is administered intravenously, then many notice a decrease in pressure, a sense of helping or headache. However, the form of their usually small and for everyone can have an individual character.
There are such side effects as:
- heartbearance;
- dizziness;
- allergic reactions, for example, itching, redness;
- fire and increased sweating.
But-shpa can affect the concentration of attention.
It is impossible to take the drug yourself for a long time. This can serve as an overdose, as a result of which not only complications are likely, but also heart attacks, up to the stop of the heart or paralysis.But-shpa during pregnancy and breastfeeding
Pregnant women in the treatment of cystitis will admit the reception of but-shops as an painful, as the drug does not affect the course of pregnancy and the development of the fetus.
However, with caution, it is necessary to take an anesthetic in the second and third trimester, since it contributes to the disclosure of the cervix, which can be the result of premature birth.
If the treatment of cystitis occurs during breastfeeding period, it is allowed to apply the drug one-time, but not as long-term use.
This is due to the penetration of but-shops in milk, which can be dangerous for the child in large quantities. In this situation, it is worth either picking up another drug, or stop breastfeeding for the period of use of this medication.
Compatible with alcohol
By itself, but SPAP belongs to those medicinal preparationswhich can be used with alcohol.
However, in the use of anesthetic with alcohol, certain consequences are possible:
- improving the degree of muscle relaxation;
- reducing the degree of suction to the blood of alcohol;
- reducing the antidepressant effect inherent in the use of alcoholic beverages;
- increase the likelihood of side effects.
But-shp.
The content of the article:But-shp is an effective antispasmodic agent, widely used in gastroenterology, gynecology and urology. Produced in the form of tablets. The main active substance is drootaverin. The concentration of this component in the blood plasma reaches the maximum mark after 45 minutes. After receiving the antispasmodics. The first signs of improved well-being are celebrated after 7-10 minutes. Full removal of 1 tab. The drug occurs in 72 hours from the moment of reception. For the acquisition of a doctor's prescription drug is not required.
Indications for the use of but-shops
The drug contributes to relaxation of the smooth muscles of the organs of the digestive and urogenital tract. The medicine effectively eliminates muscle or neurogenic spasms. Has an extension property blood vesselsthat increases blood supply to fabrics.
Basic indications for the use of but-shops:
Urolithiasis disease. The drug is prescribed to facilitate well-being when promoting stone on the departments of the urinary tract.
Cholelithiasis, cholecystitis (gallbladder inflammation).
Pain during pregnancy (2 and 3 trimester).
Spasms accompanying pyelonephritis (kidney inflammation), cystitis (urinary bubble inflammation).
Tenses (false beings for defecation, arising within the rectum, but not concerned by the evacuation of carts).
But-shp is not contraindicated with pains accompanying peptic disease Stomach and 12 pans. The drug is prescribed wide spectrum Diseases of the digestive tract. The number includes colitis (inflammation of the large intestine), enteritis (defeat thin gut), irritable bowel syndrome.
The spasmolitic is actively used to normalize the well-being patients during dismenorial (painful periods). In this case, the NO-SPU is prescribed simultaneously using non-steroidal anti-inflammatory drugs - drugs are combined.
Contraindications for the use of but-shops
Antispasmodic is contraindicated, if the patient is:
1. The intolerance to the corn starch, lactose (these substances are included in the composition of but-shts as auxiliary components).
2. Lack of functional activity of the liver - direct contraindication. But-shpa is 98% decomposed in this body, and the instability of its activity leads to the deposit of substance, hepatotoxicity.
3. DROTAVERINA only 5% penetrates through the placental barrier. But even this concentration is enough to pose a threat developing fetas. Therefore, in 1 trimester of pregnancy, the drug is strictly contraindicated.
4. Heart diseases in the decompensation stage.
5. Heavy violations of the functional activities of the kidneys, the need for hemodialysis.
6. Age under 6 years old.
Since the doll is freely saturates maternal milk, at the time of lactation you need to abandon the reception of but-shops. The presence of an individual intolerance of the drug is a direct indication to replace this spasmolytic analogue. The patient has a confirmed arterial hypotension involves even more careful use of the drug.
Instructions for the use of but-shops
Before applying the means, you should get the approval of the doctor, to first get acquainted with the accompanying instruction. Tablets are not recommended to rush.
For adult patients, the average daily dosage of the medication should not exceed 240 mg (divided by 2-3 reception).
Safe dosage for children 6-12 years old is 80 mg (distribute 2 receptions), over 12 years old - 160 mg (80 mg 2 times a day).
Preservation of soreness for 3 days, despite the reception of but-shts, is the basis for addressing the doctor.
Side Effects from the application of but-shops
From the whole group of SPASMOLITY NO-SPAP is considered to be the most gentle drug in terms of the risk of negative impact on the patient's body. But even when positive qualities, It is impossible to forget about the likelihood of side effects from the use of medication. The most common complications:
Violation of the digestion process. Manifest unpleasant sensations In the oral cavity, constipation. Dyspsic disorders are often limited to nausea, do not go into vomiting. The phenomenon occurs after staying in transport. Often requires only fresh air access without use additional drugs. If a similar reaction occurred in the process of therapy, you need to inform the doctor - the specialist will appoint analogue.
Austhenovegetative disorders - dizziness, rare headache episodes, drowsiness, weakness, apathy. Rarely occurs a violation of the quality and duration of sleep. Periodic darkening in front of the eyes indicates blood suspension by the drug.
Violations of the activity of the heart, the state of blood vessels. But-SPAP helps to reduce the level arterial pressureTherefore, it is often not recommended to use this spasmolitic. Related signs of hypotension - nausea, dizziness, weakness.
Entry of the eyelid, finedness of the face. Symptoms are eliminated without the use of diuretics immediately after the cessation of the NO-SHAPE reception.
Appearance on skin Covers Specific rashes and irritation by the type of urticaria.
To prevent the development of tremor (trembling) of the hands, it is impossible to combine the reception of but-shops and medicinesused to relieve Parkinson's disease. Especially if it is a levodopa preparation.
The simultaneous admission of but-shts and another representative of this pharmaceutical group leads to a mutual gain of properties.
The overdose of the drug causes blocking the blood supply of the heart, which determines the complete cessation of its activities. At the first signs of increasing the blood concentration of drootserin arises sharp nausea. The reaction serves as a signal for an immediate challenge of ambulance, carrying the stomach, a sorbent reception.
Composition tablet: 40 mg dROTAVERINA (in the form of hydrochloride), magnesium stearate, povidone, talc, corn starch, lactose (in the form of a monohydrate).
Tablets Forte Have an identical composition. The only difference is the higher concentration of the active substance (80 mg / tab.).
Composition But-shts in ampoules: drootaverine hydrochloride At a concentration of 20 mg / ml, 96% ethanol, sodium metabisulphite, water d / and.
Form release
Forms of the drug:
- nO-SPAP Tablets, 6 or 24 pcs. In blisters, 1 blister in the package, 60 pieces in the polypropylene bottles equipped with a piece dispenser, 1 bottle in a pack;
- but-shpa forte tablets №20, 10 pcs. in blisters, 2 blisters in a cardboard pack;
- ships but-shp, No. 25 (5 × 5), 2 ml in ampoule, 5 ampoules (located in the pallet), in cardboard box 5 pallets.
40 mg dual-type tablets, round, yellow with orange or greenish colors. Each tablet engraved " sPA”.
But-shpa forte is a binary, the oblong shape of a yellow tablet with an orange or greenish tint of color. On one side there is a felt line, on another engraved " NOSPA”.
The drug in the injection form has the form of a transparent liquid of yellow-green.
pharmachologic effect
Spasmolytic.
Pharmacodynamics and pharmacokinetics
DROTAVERIN - this is motropic spasmolytic. . The effect of the drug is aimed at reducing the tone and motor activity Smooth muscles of internal organs. At the same time, these effects are accompanied by a moderate expansion of blood vessels.
When taking inside absorption dROTAVERINA one hundred percent. From the digestive tract, the substance is absorbed very quickly. At the first pass (passage), only 65% \u200b\u200bof the dose comes through the liver in the blood flow. TCMAX - from 45 minutes to 1 hour.
In tissues dROTAVERIN it is distributed evenly, penetrates smooth muscle cells. Not passes through the BC. The substance and / or products can be carried out in minor concentrations through a placental barrier.
T1 / 2 - from 8 to 10 hours. For 72 hours, the substance is almost completely excreted from the body. More than half of the drug is displayed - mainly in the form of kidney, about a third - through the gastrointestinal tract (excretion in bile). In the unchanged form of drootaverin in the urine is not detected.
Indications for the use of but-shops
What do but-shop pills help?
Indications for the use of but-shops:
- smooth muscle spasms caused by biliary tract diseases ( , cholangit , cholangolyatiasis , cholecystolithiasis , pericholecystitis , papillit );
- spasms of the smooth muscles of the urinary tract when , uro- and nephrolithiase , pelite , tensums of the bladder .
As an addition to the principal, the drug can be used to remove smooth muscle spasm caused by which diseases of the stomach and intestines . Indications for use are: , meteoric forms of spastic colitis as well as CPT C, spasms of gatekeeper and cardia .
In addition, it is advisable to take but-shlu for and for . But-ship from headache is effective if the cause of pain is the spasm of blood vessels ( headache Voltage or tension pain).
Tablets Forte are prescribed when it is necessary to provide a longer effect and reduce the multiplicity of applications.
Why but-shp in injecting form?
But-shap in ampoules is used mainly in situations when the reception of the tablets is impossible.
The tablet includes lactose. Its content in one tablet is 40 mg - 52 mg, and in one tablet 80 mg - 104 mg. In this regard, patients with lactose intolerance may appear complaints from the digestive system.
People with glucose / galactose suction syndrome lactase insufficiency and galaktelease Only but-shops should be prescribed.
The parenteral administration of the drug is also shown at pancreatitis : The disease is often accompanied by exhausting vomiting, due to which the receiving tablets does not give the desired effect.
Does the but-ship help from dental pain?
- damage to enamel or dentin tooth;
- inflammation of the root of the tissue tooth;
- inflammation of the pulp.
The smooth muscles in the development of pain syndrome are not playing, therefore, the reception of but-shops during dental pain does not have. However, in some cases, the tablets are still able to help. If we put a tablet into the language, you can feel that the language begins to quickly completely in place of contact with it.
Contraindications
Contraindications on No-Shpu:
- hypersensitivity K. dROTAVERINE or any other substance in the composition of the solution / tablets;
- heavy forms renal and liver failure ;
- low Heart Emission Syndrome;
- lactase insufficiency , Galactose intolerance, glucose / galactose absorption syndrome (for tablets).
With caution, the medicine prescribe pregnant women, children and persons suffering from arterial hypotension.
Side effects
The drug usually does not side effectsNevertheless, it must be borne in mind that against the background of treatment can sometimes be celebrated:
- reduction;
- heartbearance;
- headache;
- nausea;
- hypersensitivity reactions.
If the drug is introduced intramuscularly or intravenously, possible local reactions In place of the injection
Instructions for the use of but-shops
NO-SPAP Tablets: Instructions for use
An adult person to facilitate the state during the day is recommended to receive from 120 to 240 mg of dartwell. Thus, the daily dose is from 3 to 6 but-shop tablets. It is recommended to share it for 2-3 receptions.
Maximum permissible one-time dose - 2 tablets of 40 mg, daily 240 mg.
Standard dose for a child up to 12 years old - 80 mg / day. (Dosage is distributed on 2 receptions), for a child over 12 years old - 160 mg / day. (Dose is distributed on 2-4 receptions).
Recommended reception duration without consultation with a doctor - no more than 2 days. If within 48 hours the condition does not improve, you should consult a doctor to clarify the diagnosis and selection proper scheme Treatment.
In situations where but-shp is used as a supplement to the main therapy, the recommended reception time without consultation with the doctor is 2-3 days.
Instructions on but-shpa forte
Fort pills are taken by the same scheme as 40 mg tablets. Daily dose of the drug - 3-6 tablets, distributed by 2-3 receptions.
NO-SPAP ampoules: instructions for use
Average daily dose dROTAVERINA in ampoules for an adult - from 40 to 240 mg. The drug is introduced intramuscularly for 1-3 separate administration.
But-shpa in / in injected patients with stones in bile or urinary trait for acute colic . One-time dose - from 40 to 80 mg (to enter the solution should be slow).
How much does the medicine act?
The effectiveness of the drug NO-SPAP is three to four times higher than the effectiveness Papaverin . In addition, the preparation is characterized by 100% bioavailability. When taking a tablet dROTAVERIN Very quickly absorbed from the gastrointestinal tract: the semi-boring period of the substance is 12 minutes.
When taking inside the action of but-shts appears after 10-15 minutes, and when intramuscular administration - For 5 minutes.
Dosage for animals
Dosage for dogs - 40 mg (1 tablet) for every 10 kg of weight. If the animal shows the parenteral administration of the medicine, the dose is 1 ml / kg.
Dosage for cats - 0.1 ml / kg, injections make 2 times a day.
Overdose
Strong overdose of but-shts is accompanied by cardiac arrhythmia and violations of the function of the conductivity of the heart, up to full blockade PG legs (beam of His) and stopping hearts which can lead to the patient's death.
The literature indicates that lethal dose DROTAVERINE - 1.6-2.4 grams (from 40 to 60 tablets of 40 mg). Death fell 2-3 hours after the drug was adopted. Wikipedia indicates that the LD50 Dritaverine is approximately 135 mg / kg.
After receiving a large dose dROTAVERINA The victim should be under medical supervision. Treatment is symptomatic, including rising stomach, induction of vomiting and maintaining vital functions of the body.
Interaction
Like other similar papaverine, PDE inhibitors, dROTAVERIN Weakens antio-partyinsonic effect. When taking these LS in combination, rigidity can be enhanced.
In combination with others spasmolitics (including with M-cholinoblockers) there is a mutual increase in antispasmodic action.
A significant part is taken dose dROTAVERINA is in the plasma protein associated with the plasma proteins (mainly with β-, γ-globulin and ).
There are no data on the interaction of a substance with significantly binding with plasma proteins by means, nevertheless, they hypothetically, their interaction at the level of communication with the protein (one of the drugs can be supplied from this connection, as a result of which the concentration of the free fraction of the drug will increase in the patient. Communication with protein is weaker).
It is hypothetically fraught with the appearance of toxic and / or pharmacodynamic effects of such a drug.
Terms of sale
Tablets 40 and 80 mg - without recipe. Injection form - by recipe.
Storage conditions
Store at a temperature of from 15 to 25 ° C. Tablets take care of the light.
Shelf life
Tablets - five years. The solution is three years.
On the nobility, the recipe on Latin looks like this: RP.: TAB. DROTAVERINI HYDROCHLORIDE 0.04 N.10 D.S. 1-3.
special instructions
Lactose is present in the composition of the tablets, which should be remembered when prescribing the drug with people with impaired glucose / galactose suction syndrome, lactase insufficiency and galactosemia.
When in / in the introduction of a solution, due to the risk of the occurrence of the collapse, the patient should be in the lying position.
The drug should be used in patients suffering from arterial hypotension .
The composition of the injectable form of but-shops includes sodium metabisulfit, which is capable of calling Reactions allergic type . Sensitive patients (especially those who have an anamnesis or ) Possible bronchospasm and the appearance of symptoms anaphylactic shock .
Patients with well-known hypersensitivity to sodium metabisulphite It is necessary to avoid the use of but-shts in injections.
Analogs of but-shops
Coincidences on the ATX 4 level code:
The most famous Russian analogue of but-shops is. Other generics of the drug: Vero Drozerin , Biospa , Nos-Bra , Ple Spa , Spasmodet , SPASMOL. , Spiseberry , Spakoving .
What's better : DROTAVERINE or NO-SPAP?
The composition of tablets and a solution of but-shap as an active substance enters drootaverine hydrochloride . Based on this, we can conclude that - This is no-shp, in essence.
The only essential difference between the drugs is the price: DROTAVERIN several times cheaper than its imported analogue.
But-shpa children
According to the annotation, restrictions on the use of the solution for V / M and in / in the introduction in pediatrics are not. Tablets 40 mg children are prescribed from six-year-old age. Clinical researches The safety and effectiveness of the use of Tablets Forte in children were not conducted.
Indications for use in pediatric practice
Children medicine is advisable to give Cystitis and nephrolithiase , sharply arising spasms of a 12 -irtic intestine or stomach, gastritis, enteritis, colitis, constipation, peripheral arterial spa, high temperatures and strong headaches.
Contraindications for children
In children, the use of but-shops is contraindicated at cardiac, renal or liver failure , individual intolerance of the components of the drug, low blood pressure, the absorption of galactose / lactose clothing glaucoma , bronchial asthma , atherosclerosis of coronary arteries .
The use of tablets is categorically contraindicated in children under 12 months, but the most safe is considered to give the drug from the six-year-old age. Very young children so powerful Supratin.
To knock down the temperature, you can use a simple combination "but-shpa + Analgin ”.
The dosage of each drug is calculated depending on the age of the child. So, for example, for a child of 2 years, it is enough ⅓ Tablets analgin and ⅓ but-shop pills.
But-shp and alcohol
Alcohol and but-shp are incompatible. However, the drug can be applied to the treatment of hangover (it is recommended to do this under the supervision of a narcologist).
But-shpa during pregnancy and when breastfeeding
DROTAVERIN It has a relaxing effect on all smooth muscle structures of the organism, while provoking the expansion of blood vessels and contributing to an increase in blood flow to various organs.
During the agent is mainly used with the uterus tone in the early deadlines. Before childbirth, it is not prescribed, this is due to the fact that the reception of but-shts before childbirth will contribute to relaxation and disclosure of the cervix.
Reception of the drug in childbirth promotes normalization contractile activity muscles of the uterus and decrease pain sensations, reduces the risk of injury, and also reduces the period generic activity. Despite this, in many European countries, the appointment of but-shops during childbirth is considered a remnant of an old school.
But-shpa is considered safe for pregnant women. Clinical experience of using funds in pregnant women, as well as the results of reproductive research on animals show that DROTAVERIN there is no embryotoxic, nor teratogenic action.
However, during pregnancy, it is necessary to correlate potential benefits for a woman with possible risks For her future child.
Dosage but-shops during pregnancy
Pregnant women are the form of the drug and the daily dose individually. For increased tons Musks of the uterus early time Pregnancy recommended dose varies from 80 to 240 mg / day.
But-SPAP in ampoules is usually used to prepare for childbirth. Shows dROTAVERINA accelerate the process of opening the cervix. The medicine is introduced into the muscle at a dose of 40 mg. After a few hours, the injection is repeated if necessary.
Women who took the drug during pregnancy - reviews are this confirmation - they assure that but-shpa not only copes well with strong spasms in the first months of pregnancy, but also makes a large extent facilitating the flow of labor.
But-shp with breastfeeding
Due to the fact that the necessary clinical data of the application of but-shops with little, with the GW, the drug is not recommended.
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