Tispas 20mg/50mg/325mg Tablet is a combination medicine used to relieve pain and discomfort associated with intestinal colic, biliary colic, renal colic and spasmodic dysmenorrhoea (menstrual cramps). Additionally, Tispas 20mg/50mg/325mg Tablet is also used to reduce pain and inflammation associated with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, backache, strain, and sprain. 
 
Tispas 20mg/50mg/325mg Tablet is a combination of three drugs, namely: Diclofenac, Paracetamol and Dicyclomine. Diclofenac and Paracetamol work by blocking the effect of chemical messengers that cause pain and inflammation at the injured or damaged site. Dicyclomine works by relieving contractions associated with the smooth muscles of the abdomen. Together, Tispas 20mg/50mg/325mg Tablet helps in providing relief from pain.
 
You are advised to take Tispas 20mg/50mg/325mg Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, Tispas 20mg/50mg/325mg Tablet may cause common side-effects such as nausea, vomiting, heartburn, dizziness, and diarrhoea. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Consult your doctor if you are pregnant or breastfeeding. Tispas 20mg/50mg/325mg Tablet may cause dizziness, so drive with caution. Tispas 20mg/50mg/325mg Tablet should not be given to children as safety and efficacy have not been established. Avoid consuming alcohol with Tispas 20mg/50mg/325mg Tablet as it could lead to increased dizziness; it might also increase the risk of stomach bleeding. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Tispas 20mg/50mg/325mg Tablet is a combination of three drugs, namely: Diclofenac (NSAID), Paracetamol (Analgesic) and Dicyclomine (Anti-cholinergic). Tispas 20mg/50mg/325mg Tablet is used to relieve pain and discomfort associated with intestinal colic, biliary colic, renal colic and spasmodic dysmenorrhoea (menstrual cramps). Additionally, Tispas 20mg/50mg/325mg Tablet is also used to reduce pain and inflammation associated with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, backache, strain, and sprain. Diclofenac and Paracetamol work by blocking the effect of chemical messengers known as cyclo-oxygenase (COX) enzymes that make other chemical prostaglandins which are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, lesser prostaglandins are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. Dicyclomine works by relieving contractions associated with the smooth muscles of the abdomen. Together, Tispas 20mg/50mg/325mg Tablet helps in providing relief from abdominal spasms.

• Nausea
• Vomiting
• Diarrhoea
• Heartburn
• Dizziness

Do not take Tispas 20mg/50mg/325mg Tablet if you are allergic to any of its contents; if you have/had severe heart problems, stomach ulcer or perforation, and bleeding problems such as bleeding from the stomach. Inform your doctor if you have/had high blood pressure, heart problems, high cholesterol, diabetes, asthma, bypass surgery, heart attack, blood circulation problems, inflammation of intestines, liver or kidney problems. Consult your doctor if you are pregnant or breastfeeding. Tispas 20mg/50mg/325mg Tablet may cause dizziness, so drive only if you are alert. Tispas 20mg/50mg/325mg Tablet is not recommended for children as safety and effectiveness have not been established. Avoid consuming alcohol along with Tispas 20mg/50mg/325mg Tablet as it could lead to increased dizziness and can increase the risk of stomach bleeding. Stop taking Tispas 20mg/50mg/325mg Tablet and consult your doctor immediately if you have stomach pain or any signs of bleeding in the intestine or stomach, such as blood in stools. Do not take any other NSAIDs for pain relief along with Tispas 20mg/50mg/325mg Tablet unless prescribed. 

Drug-Drug Interactions: Tispas 20mg/50mg/325mg Tablet may interact with an antihistamine (diphenhydramine), anti-hypertensive (metoprolol), pain killers (aspirin, hydrocodone), and anti-depressant (duloxetine).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform your doctor if you have stomach ulcer or perforation, bleeding problems, heart attack, blood circulation problems, asthma, fluid retention, thrombosis, porphyria, anaemia, high blood pressure, kidney or liver problems.

• DIPHENHYDRAMINE
• METOPROLOL
• ASPIRIN
• HYDROCODONE
• DULOXETINE

• Exercising regularly helps in muscle stretching so that they are less likely to spasm, tear and sprain. Mild exercises such as jogging and walking are helpful for muscle stretching.
• Massages can also be helpful.
• Avoid freezing and hot temperatures.
• Avoid wearing tight-fitting clothes; instead, wear loose garments.
• Rest well, and get plenty of sleep.
• To avoid developing pressure sores, change your position every two hours.
• Hot or cold therapy can help treat muscle spasms. Apply an ice-pack or hot-pack on the muscle for 15-20minutes.
• Stay hydrated, drink plenty of water.

Abdominal pain and cramps: Abdominal pain occurs between the chest and pelvic region, generally known as stomach or tummy pain. Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Muscle spasm is the sudden involuntary contractions of the muscle, which can be painful and uncomfortable. When the nerve impulses that control the muscle movements are damaged or interrupted, it could lead to muscle spasms. The common causes of abdominal pain include inflammation, infections, intestinal disorders and obstruction/blockage. Abdominal pain could be generalised, localised, cramps or colicky pain.

Musculoskeletal pain: Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It could occur due to arthritis, osteoporosis, fractures, dislocations, problems with the bone structure or injury to the bones, joints, tendons, muscles and ligaments. Symptoms of musculoskeletal pain include stiffness, swelling, redness, weakness, muscle spasms or twitching, trouble moving the affected area, and soreness.