ESTESPAS M Tablet 10's

Introduction About ESTESPAS M TABLET

ESTESPAS M TABLET is a combination of Drotaverine and Mefenamic acid which
belongs to the group of medicines called Anti-spasmodic agents and Non-Steroidal
Anti-inflammatory drugs (NSAIDs). It is used to manage pain in the stomach,
intestine, urinary tract and pain due to irritable bowel syndrome, pain due to
gall stones or kidney stones or liver and kidney disease, pain after surgery or
child birth, painful periods (dysmenorrhea), heavy bleeding during periods
(menorrhagia). It is also used for fever, muscle pain, inflammation and migraine
headache.

ESTESPAS M TABLET is not recommended for use in patients with severe kidney,
liver or heart diseases and asthma. Contact your doctor before taking.

ESTESPAS M TABLET is not recommended for use in pregnancy. Contact your doctor
before taking. ESTESPAS M TABLET is not recommended for use in breast feeding
women as it may pass through the breast milk. Contact your doctor before taking.

ESTESPAS M TABLET should be used with caution in children. Contact your doctor
before taking. ESTESPAS M TABLET should be used with caution in elderly patients
aged 65 years or above. Contact your doctor before taking.

The most common side effects of this medicine are nausea, vomiting, diarrhea,
stomach pain, constipation, dry mouth, lack of appetite, feeling thirsty and
heartburn, dizziness and sleepiness. Contact your doctor if any of the above
symptoms worsen.

Uses Of ESTESPAS M TABLET

Used to manage:

• muscle pain
• migraine headache
• functional bowel disorders
• fever
• heavy bleeding during periods
• abdominal pain
• pain after surgery
• pain in renal colic
• pain during periods

How ESTESPAS M TABLET Works

ESTESPAS M TABLET is a combination of two medicines, Drotaverine and Mefenamic
acid, which relieves abdominal pain and cramps. Drotaverine relieves
contractions (spasms) associated with smooth muscles in the abdomen. Mefenamic
acid works by blocking the release of certain chemical messengers that cause
abdominal pain and inflammation (swelling).

How to use ESTESPAS M TABLET

Take ESTESPAS M TABLET as advised by your physician.

For Tablet: Swallow ESTESPAS M TABLET with a glass of water. Do not crush or
chew the medicine.

For Dispersible Tablet: Disperse ESTESPAS M TABLET in the specified quantity
of water as mentioned in the label. Consume the mixture immediately after
reconstitution.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and disease condition. Continue to take
ESTESPAS M TABLET for the stipulated duration prescribed by your doctor to
achieve better results.

Side Effects Of ESTESPAS M TABLET

Common

• nausea
• vomiting
• diarrhea
• stomach pain
• heartburn
• constipation
• dry mouth
• feeling thirsty
• rashes and itching
• sweating
• hypotension
• headache
• tachycardia
• dizziness
• sleep disorders
• flushing
• allergic dermatitis

Rare

Stop taking ESTESPAS M TABLET and contact your doctor immediately if you
experience any of the following side effects:

• appearance of blood clots in the body
• allergic reactions such as swelling of face and lips causing difficulty in breathing
• skin discolouration on the face or neck

How To Manage Side Effects

Headache:

Rest and relax. Drink plenty of fluids such as water or electrolytes and apply a
pain-relieving balm on the head if necessary. Do not consume alcohol. Contact
your doctor if the symptom did not improve.

Nausea or Vomiting:

Take this medicine with, or just after meals. Stick to simple meals. Avoid
eating oily or spicy foods.

Diarrhoea:

Drink lots of fluids, such as water or fruit juices to keep you hydrated. Do not
take any medicine on your own for managing diarrhea. Contact your doctor if the
symptom did not improve.

Constipation:

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals.
and drink plenty of water. Exercise more regularly.

Stomach pain:

Try to rest and relax. Eat small meals but take frequently. Keep a heat pad on
your stomach. Contact your doctor if the symptom did not improve.

Dizziness:

Get enough sleep. Avoid driving or operate any machines while you are feeling
dizzy. Do not consume alcohol, as it can aggravate your dizziness. Contact your
doctor if the symptom did not improve.

Itchy skin:

Avoid hot showers because hot water can irritate the skin. Do not scratch the
affected area. Use sunscreen and protective clothing when outdoors. Regularly
use unscented moisturizers to soothe and hydrate the affected area. Contact your
doctor if the symptom did not improve.

Warning & Precautions

!### Pregnancy

ESTESPAS M TABLET is not recommended for use in pregnant women. Contact your
doctor before taking.

!### Breastfeeding

ESTESPAS M TABLET is generally not recommended for use in breastfeeding women as
it may pass through the breast milk. Consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any machines if you feel dizziness or sleepiness after
taking [GBNEYWORD].

!### Alcohol

Avoid consum
risk of stomach bleeding.

!### Kidney

ESTESPAS M TABLET is not recommended for use in patients with severe kidney
disease. Contact your doctor before taking.

!### Liver

ESTESPAS M TABLET is not recommended for use in patients with severe liver
disease. Contact your doctor before taking.

!### Allergy

Do not take ESTESPAS M TABLET if you are allergic to Drotaverine, Mefenamic acid
or to any other ingredients of this medicine.

!### Lungs

ESTESPAS M TABLET is not recommended for use in patients with lung diseases such
as asthma. Contact your doctor before taking.

!### Heart Disease

ESTESPAS M TABLET is not recommended for use in patients with severe heart
diseases. Contact your doctor before taking.

Others

ESTESPAS M TABLET is not recommended for use if you have:

• pe
• porphyria
• active bleeding disorders
• to undergo surgery
• bedridden for a long time or immobility
• depression
• diabetes

Use in geriatrics:

ESTESPAS M TABLET should be used with caution in elderly patients (aged 65 years
or above). Contact your doctor before taking.

Interactions

A. Drug-Drug interactions:

Before taking ESTESPAS M TABLET inform your doctor if you are taking the
following medicines:

• analgesics (medicines used for pain Ex. diclofenac, celecoxib)
• medicines used to manage diabetes mellitus (Ex. glipizide, glibenclamide)
• atropine (medicine used to manage bradycardia and used during eye examination)
• alprazolam, clobazam, diazepam (medicines used to manage seizures, anxiety and insomnia)
• medicine used to manage high blood pressure (Ex. captopril)
• cyclosporine (medicines acting on the immune system)
• medicine used to manage Parkinson’s disease (Ex. levodopa)

Overdosage:

If you or anyone else accidentally took too much of this medicine, consult your
doctor immediately. Symptoms of overdose are nausea, vomiting, severe stomach
pain, tiredness, coffee ground-like vomit, dark stool, ringing in the ears,
change in amount of urine, unusually fast or slow heartbeat, muscle weakness,
difficulty in breathing, confusion and severe headache.

Synopsis

Drug	:	Drotaverine, Mefenamic acid
Pharmacological Category	:	Phosphodiesterase 4 inhibitors, NSAIDs
Therapeutic Indication	:	Manages Pain
Dosage Forms	:	Tablet, Capsule

More Information

• Keep out of reach of children
• Store ESTESPAS M TABLET below 25°C

FAQs About ESTESPAS M TABLET

For what conditions ESTESPAS M TABLET is used?

ESTESPAS M TABLETis used for the management of pain in stomach, intestine,
urinary tract, pain due to irritable bowel syndrome, pain due to gall stones or
kidney stones or liver and kidney disease, pain after surgery or childbirth,
painful periods (dysmenorrhea) or heavy bleeding during periods (menorrhagia).
It is also used for fever, muscle pain, inflammation, and migraine headache.

Can I drink alcohol while using ESTESPAS M TABLET?

No. Avoid consum
the risk of stomach bleeding.

Can I use ESTESPAS M TABLET in pregnancy?

No.ESTESPAS M TABLET is not recommended for use in pregnant women. Contact your
doctor before taking.

Can I use ESTESPAS M TABLET in asthma?

No. ESTESPAS M TABLET is not recommended for use in patients with lung diseases
such as asthma. Contact your doctor before taking.

Does ESTESPAS M TABLET cause sleepiness?

Yes. ESTESPAS M TABLET may cause sleepiness.Avoid driving or operate any
machines while you are feeling sleepy. Do not consume alcohol, as it can
aggravate your dizziness or sleepiness. Contact your doctor if the symptom did
not improve.