BUT NII and SPASMALGON: what is better and what is the difference (difference of compositions, doctors' opinions)

When pain occurs, most people use drugs such as No-spa or Spasmalgon to relieve discomfort.

These medicines are good for headaches and severe pains, which are of paroxysmal character.

No-shpu or Spazmalgon is used when pain occurs to relieve discomfort.
No-shpu or Spazmalgon is used when pain occurs to relieve discomfort.

Similarities of compositions

The common between Spazmalgon and No-Shpoi is only their purpose. Both drugs are used to relieve pain spasms. These remedies relieve spasms of the smooth muscle muscles.

The similarity in the compositions of drugs is only in components that perform auxiliary functions.

The following substances are present in the composition of both drugs as additional compounds:

  • magnesium stearate;
  • talc;
  • lactose monohydrate.

Both drugs are produced both in tablet form and in the form of injections for intramuscular or intravenous administration.

No-shpa is a strong antispasmodic and contains drotaverine as an active ingredient. Pitofenone is included in spasmalgon; this substance also has pronounced antispasmodic properties. Both of these components are myotropic antispasmodics that have a direct effect on smooth muscle tissue.

What is the difference?

Application of No-shpy, in contrast to Spasmalgona, relieves spasms, but does not stop the pain.

No-shpa due to its content, Drotaverine is a strong antispasmodic, but despite this, the drug approved for use in children, it can be used to relieve spasms for pregnant women and nursing mothers. The drug is good for spasms of blood vessels of the circulatory system, which provoke the appearance of pain.

Like No-shpa, Spasmalgon relieves spasms, but is forbidden to receive during pregnancy without the consent of the doctor.

The use of No-shpy does not allow to stop the pain in case they have an inflammatory or infectious nature of origin.

Spazmalgon relieves spasms, but is forbidden to receive during pregnancy without the consent of the doctor
Spazmalgon relieves spasms, but is forbidden to receive during pregnancy without the consent of the doctor.

Difference spazmalgona is an extensive action. The drug due to the presence in its composition of 3 active ingredients is an antispasmodic - an agent that shows not only antispasmodic properties, but also the qualities of a strong analgesic. The drug is capable of removing fever in a small range and fighting pain resulting from the development of inflammatory or infectious processes.

Spasmalgon can be used in case of tooth and headache, in case of colic in the liver and kidneys, the appearance of pain in the intestines and pain resulting from the effects on the body of inflammatory or infectious processes.

Despite the large list of indications for use, Spazmalgon has a large number of contraindications. The presence of a large number of contraindications requires taking the drug with great caution.

But-shpa has a minimum number of contraindications to the appointment.

Which is better: But shpa or spazmalgon?

Given the mechanism of action of the active components, there are some preferences in the appointment of these funds.

Preference But-spé recommended to give:

  • in case of pain to the intestines;
  • in the event of gallstone disease;
  • with renal colic;
  • chronic gastritis;
  • in case of an attack of cholecystitis and pancreatitis.

No-shpu can be used to alleviate the condition of the patient during exacerbation of hemorrhoids in the early stages. The drug relaxes well vascular smooth muscle, which reduces the intensity of the painful manifestations of pathology.

An antispasmodic is more effective when an analgesic and anti-inflammatory action is required, in addition to the antispasmodic effect. These situations are:

  • condition after surgery;
  • bouts of renal colic with the development of urolithiasis;
  • limb injuries;
  • headaches;
  • migraine attacks.
No-shpu can be used to alleviate the condition of the patient during exacerbation of hemorrhoids in the early stages
No-shpu can be used to alleviate the condition of the patient during exacerbation of hemorrhoids in the early stages.

No-shpa recommended for appointment in case of problems in the internal organs, which are not associated with the appearance of pain.

When choosing a drug should be guided by what effect from the use of funds to achieve.

What is stronger?

It is difficult to determine which drug is stronger. This is due to the different mechanisms of their action. These drugs, having a similar antispasmodic effect on the body, are used in different situations. For this reason, one should not compare the strength of their effects on the body of a sick person.

Can I take along?

Drugs have good compatibility, their main components belong to different pharmacological groups, so they can be taken simultaneously. Joint administration of drugs does not provoke an overdose of any of the components.

But-shpa has a selective effect on the smooth muscles of the intestinal vessels, stomach and various glands. Spasmalgon is a combination drug. From a combination of these drugs, there may be a drop in blood pressure, but this situation is not typical for all patients.

If after taking Spazmalgona there is no relief after a few minutes, then you can use the No-shpy pill to enhance the effect.


When using medications, the patient should have possible contraindications and restrictions.

The main contraindications to the appointment of Spasmalgon are the following:

  • allergic to components of the drug, pyrazolone derivatives;
  • stable, unstable angina;
  • oppression of bone marrow hematopoiesis;
  • chronic heart failure;
  • severe pathology in the kidneys, liver;
  • tachyarrhythmia;
  • prostatic hyperplasia, accompanied by urinary retention;
  • angle-closure glaucoma;
  • granulocytopenia;
  • pregnancy;
  • breastfeeding period.

It is forbidden to use the medicine for patients under 6 years of age; when prescribing, caution should be exercised if the patient has diseases of the renal and hepatobiliary systems, and lowered blood pressure. A categorical contraindication is the patient's tendency to bronchospasm.

Contraindications to the use of No-shpy are the following situations:

  • the presence of hypersensitivity to drotaverin or any other component of the drug;
  • severe forms of renal and hepatic failure;
  • low cardiac output syndrome;
  • lactase deficiency, intolerance to galactose, syndrome of impaired glucose absorption or galactose.

Caution is required when prescribing medication to pregnant women, pediatric patients, and patients who suffer from arterial hypotension.

Side effects

When conducting therapy with the use of Shpy, adverse reactions occur rarely, but the likelihood of their occurrence should be considered when implementing treatment.

The main side effects of taking the drug are:

  • decrease in blood pressure;
  • increase in heart rate;
  • insomnia;
  • headache;
  • feeling of dizziness;
  • constipation;
  • bouts of nausea;
  • hypersensitivity reactions.

When using the injection form of a drug, local reactions may occur at the site of the injection.

When conducting therapy with the use of Spasmalgone in a patient, the following side effects may occur:

  • dry mouth;
  • burning sensation in the epigastrium;
  • dizziness;
  • headaches;
  • reduced sweating intensity;
  • difficulty urinating;
  • cyanosis;
  • tachycardia;
  • decrease in blood pressure;
  • oliguria;
  • impaired kidney function;
  • anuria;
  • interstitial nephritis;
  • polyuria.

The drug may be accompanied by the appearance of urine staining in red. With prolonged use, the patient may develop:

  • agranulocytosis;
  • leukopenia;
  • thrombocytopenia.

The drug can cause allergic reactions in the patient in the form of bronchospasm, urticaria, anaphylactic shock, Stevens-Jones syndrome, Lyell's syndrome, and Quincke’s edema.

How to use?

Spasmalgon in accordance with the instructions for use for adults and children over 15 years old are recommended to take 1-2 tablets after meals 2-3 times a day. The maximum daily dose of medication should not exceed 6 tablets. The maximum duration of treatment should not exceed 5 days.

For children 6-8 years old, the recommended dose is 0.5 tablets; for children 9-12 years old, take ¾ tablets; from 13 to 15 years, take 1 tablet 2-3 times a day.

When using the injectable form of the drug, the dose is 5 ml 3 times a day. The maximum allowable dose of injection is 10 ml. The duration of the course of treatment is 5 days.

An adult patient is recommended to take from 120 to 240 mg of Nog-shpy per day to alleviate the condition. The maximum single dose is 40 mg of the drug or 2 tablets.

For a child under 12, the permissible dosage is 80 mg per day. For a patient over 12 years old - 160 mg per day, while the daily volume is divided into 2-4 doses. The duration of therapy is not more than 2 days. More accurate doses of drugs are determined by the attending physician taking into account the results of analyzes and individual features of the physiology of the patient's body.

Pharmacy sales terms

No-spa and spazmalgon in the form of tablets are dispensed in a pharmacy without presenting a prescription. Injectable form of drugs is realized after the presentation of the prescription of the attending physician.


The cost of No-shpy in pill form has a cost of 55 to 200 rubles. depending on the volume of packaging and the concentration of the active component. Solution for injection costs from 99 to 447 rubles. Cost Spasmalgona tablets - 130 rubles., In the solution - 240 rubles.


Valeria, 40 years old, St. Petersburg

The effectiveness of Spazmalgona proven over the years. From him there are no side effects, good portability. The desired result comes in a few minutes. In case of premenstrual pain or during inflammation of the pelvic organs, this medication helps to forget about discomfort for a while.

Anna, 36 years old, Evpatoria

No-shpa is a good antispasmodic, relieves pain immediately after taking 10-15 minutes.

Tatiana, 39 years old, Rostov-on-Don

Spazmalgon buy for the whole family. There has never been a side effect. Always acts fast. It is relative to other drugs cheap.

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