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Nobel Spas Injection 2 ml is used to treat Irritable bowel syndrome (IBS) and Dysmenorrhea (pain during menses periods). It contains Dicyclomine (antispasmodic) and Diclofenac (Non-steroidal anti-inflammatory disease/ pain killer), which relieves abdominal pain and cramps. It prevents sudden muscle contractions (spasms), thus reducing cramps, bloating, pain and discomfort.
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Written By Lakshmithulasi Yarragunta ,
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Mankind Pharma Pvt Ltd

Consume Type :

Parenteral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nobel Spas Injection 2 ml

Nobel Spas Injection 2 ml is a combination drug primarily used to treat Irritable bowel syndrome (IBS) and abdominal cramps due to dysmenorrhea (painful irregular periods). Irritable bowel syndrome (IBS) is a chronic disease that affects the large intestine and will require long-term management. Signs and symptoms involve abdominal pain, cramping, gas, bloating, constipation, diarrhoea, or both. Dysmenorrhea (Menstrual cramps) is throbbing, aching pain and cramps in your lower belly before and during your period.

Nobel Spas Injection 2 ml contains two medications: dicyclomine (antispasmodic) and diclofenac (nonsteroidal anti-inflammatory drugs), both of which reduce abdominal pain and cramps. Dicyclomine works by relaxing the stomach and intestinal muscles (intestine). It reduces cramps, bloating, pain, and discomfort by preventing abrupt muscle contractions (spasms). They efficiently alleviate pain when used together.

A qualified healthcare doctor will administer Nobel Spas Injection 2 ml. Sometimes, you may experience common side effects, such as nausea, diarrhoea, vomiting, loss of appetite, sleepiness, dry mouth, weakness, dizziness, nervousness, heartburn, and blurred vision. These side effects do not require medical attention and subside over time. However, consult your doctor if the side effects persist for longer.

Inform your doctor if you are allergic to any contents present in this medication. If you have heart problems, high blood pressure, or asthma, discuss this with your doctor before taking this. Nobel Spas Injection 2 ml is not recommended for children under the age of 12. If you are breastfeeding, inform your doctor right away. To avoid undesirable side effects, you should not drink alcohol while using the Nobel Spas Injection 2 ml.

Uses of Nobel Spas Injection 2 ml

Nobel Spas Injection 2 ml is used in the treatment of Irritable bowel syndrome (IBS) and Dysmenorrhea (pain during menses periods). The detailed uses of Nobel Spas Injection 2 ml are as follows:

  • Relieve abdominal pain and cramps: Nobel Spas Injection 2 ml combines Dicyclomine, an antispasmodic, and Diclofenac, a non-steroidal anti-inflammatory drug (NSAID), to relax intestinal muscles and reduce inflammation, easing discomfort from conditions like irritable bowel syndrome (IBS) and colic.
  • Treat dysmenorrhea-related pain: Nobel Spas Injection 2 ml helps alleviate menstrual cramps by targeting uterine spasms and inflammation, offering fast relief during painful periods.
  • Manage gastrointestinal disorders: Nobel Spas Injection 2 ml is effective in controlling spasms and pain associated with digestive conditions such as gastritis or post-operative abdominal discomfort.

Key Benefits

Nobel Spas Injection 2 ml is a combination drug primarily used to treat Irritable bowel syndrome (IBS) and abdominal cramps occurring due to dysmenorrhea (painful irregular periods). Nobel Spas Injection 2 ml is composed of two medicines: Dicyclomine (antispasmodic) and Diclofenac (Non-steroidal anti-inflammatory disease/ pain killer) which relieves abdominal pain and cramps. It prevents sudden muscle contractions (spasms), thus, relieving cramps, bloating, pain and discomfort.

Directions for Use

  • Your doctor will determine the dosage and frequency depending on your condition.
  • Nobel Spas Injection 2 ml will be administered by a healthcare professional.
  • Do not self-administer.

How Nobel Spas Injection 2 ml Works

Nobel Spas Injection 2 ml contains two medications: dicyclomine (antispasmodic) and diclofenac (nonsteroidal anti-inflammatory drugs), both of which reduce abdominal pain and cramps. Dicyclomine works by relaxing the stomach and intestinal muscles (intestine). It reduces cramps, bloating, pain, and discomfort by preventing abrupt muscle contractions (spasms). They efficiently alleviate pain when used together.
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Alcohol

Unsafe

Consumption of alcohol should be avoided during treatment with Nobel Spas Injection 2 ml as it contains diclofenac which causes unpleasant side effects like gastric bleeding.

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Pregnancy

Caution

Nobel Spas Injection 2 ml should not be used when pregnancy unless clearly necessary. So, inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Nobel Spas Injection 2 ml.

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Breast Feeding

Caution

Nobel Spas Injection 2 ml should not be used in nursing mothers unless clearly necessary. So, inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Nobel Spas Injection 2 ml.

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Driving

Caution

Nobel Spas Injection 2 ml may cause dizziness, drowsiness and visual disturbances, affecting their ability to drive or operate machinery. Hence avoid driving or operating machinery after receiving Nobel Spas Injection 2 ml.

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Liver

Caution

Caution should be exercised during treatment with Nobel Spas Injection 2 ml if you have any history of Liver diseases/conditions. Depending on your LFT tests, your physician may make a dose adjustment.

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Kidney

Caution

Caution should be exercised during treatment with Nobel Spas Injection 2 ml if you have any history of kidney diseases/conditions. Depending on your RFT tests, your physician may make a dose adjustment.

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Children

Unsafe

Nobel Spas Injection 2 ml is not to be used in children below 12 years of age as the safety and efficacy for Nobel Spas Injection 2 ml are not established.

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Heart

Caution

Nobel Spas Injection 2 ml is not advised for heart patients due to increased cardiovascular risks. Always consult your doctor for safer alternatives and proper evaluation before use.

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Geriatrics

Caution

Geriatric patients should use Nobel Spas Injection 2 ml with caution due to increased risks of gastrointestinal, kidney, and heart side effects. Medical supervision and dose adjustments are essential for safe use.

What if I have taken an overdose of Nobel Spas Injection 2 ml

Since Nobel Spas Injection 2 ml is given in a controlled medical setting by a healthcare professional, an overdose is not likely to occur. If you think there has been an overdose or experiencing any adverse events, get medical care right away. In a medical setting, an overdose would be treated quickly.

Diet & Lifestyle Advise

  • Include more glucosamine, chondroitin sulphate, Vitamin D, and calcium-enriched supplements. Besides this, turmeric and fish oils can help reduce inflammation in the tissue.
  • Do not do heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching, low-impact aerobic exercise (like walking on a treadmill, bike riding, and swimming), and simple forms of yoga. 
  • In chronic conditions of arthritis or joint pain, add fish (like salmon, trout, tuna, and sardines) to your diet, as they are enriched with omega-3 fatty acids that minimize chemical cytokines, which increase inflammation.
  • Your sitting posture is important, especially when you have pain and inflammation. Try to sit as little as possible and only for a short time (10-15 min). Use back support like a rolled-up towel to minimise pain at the back of your curve. Keep your knees and hips at a right angle. Besides this, you can use a footrest if required.

Have a query?

How Soon It Starts Working

The time required for Nobel Spas Injection 2 ml to start to work: The exact onset time of Nobel Spas Injection 2 ml has not been clinically established. The time for which the effects of Nobel Spas Injection 2 ml last: The duration of Nobel Spas Injection 2 ml’s effect is clinically not established.

What if you forget to take Nobel Spas Injection 2 ml

As this medicine will be administered by a healthcare professional, the chances of missing a dose are less. However, consult your doctor if you have any concerns.

Storage

• Store in a cool and dry place away from sunlight. • Keep Nobel Spas Injection 2 ml out of the sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

Inform your doctor if you are allergic to any contents present in this medication. If you have heart problems, high blood pressure, or asthma, discuss this with your doctor before taking this. Nobel Spas Injection 2 ml is not recommended for children under the age of 12. If you are breastfeeding, inform your doctor right away. To avoid undesirable side effects, you should not drink alcohol while using the Nobel Spas Injection 2 ml.

Drug-Drug Interactions

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Drug-Drug Interactions: Nobel Spas Injection 2 ml interacts with other pain relievers (e.g., ketorolac, pentazocine, paracetamol), anticancer medications (e.g., methotrexate, altretamine, busulfan), a blood thinner (e.g., apixaban), medicines for joint swelling (e.g., celecoxib), medicines for lowering blood pressure (e.g., ramipril), and urinary alkalinizer (e.g., potassium citrate)

Drug-Food Interactions: Avoid consuming alcohol during treatment with Nobel Spas Injection 2 ml to avoid unpleasant side effects.

Drug-Disease Interactions: Nobel Spas Injection 2 ml may interact with conditions, including liver disease, bleeding disorder, myasthenia gravis, asthma, gastrointestinal toxicity, high blood pressure, or alcoholism.

Drug-Drug Interactions

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How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of dicyclomine and diclofenac with meloxicam can increase the risk or severity of bleeding.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac, and meloxicam they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, red or black, tarry stools, severe headache, and weakness. Do not stop any medication without a doctor's advice.
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of dicyclomine and diclofenac with potassium chloride can increase the risk of stomach ulcers.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac, and potassium chloride they can be taken together if prescribed by a doctor. However, consult a doctor if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools. Do not discontinue the medication without consulting a doctor.
Dicyclomine + DiclofenacPotassium citrate
Critical
How does the drug interact with Nobel Spas Injection 2 ml:
Taking dicyclomine and diclofenac with potassium citrate can increase the risk of stomach ulcers, and bleeding.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac and potassium citrate, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools. Do not discontinue any medications without a doctor's advice.
Critical
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of Pramlintide with dicyclomine and diclofenac can increase the effects of both medications.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac and pramlintide, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Dicyclomine + DiclofenacOmacetaxine mepesuccinate
Severe
How does the drug interact with Nobel Spas Injection 2 ml:
Taking dicyclomine and diclofenac with omacetaxine mepesuccinate can increase the risk of bleeding complications.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac, and omacetaxine mepesuccinate, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, or severe headaches. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Nobel Spas Injection 2 ml:
Taking dasatinib with Nobel Spas Injection 2 ml may increase the risk of bleeding.

How to manage the interaction:
Although there is an interaction between Nobel Spas Injection 2 ml and dasatinib, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headaches. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of Nobel Spas Injection 2 ml with zonisamide can cause increased body temperature and sweating.

How to manage the interaction:
Although there is an interaction between Nobel Spas Injection 2 ml and zonisamide together, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, or sleepiness. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of Nobel Spas Injection 2 ml with celecoxib may increase the risk of stomach bleeding and ulcers.

How to manage the interaction:
Although there is an interaction between Nobel Spas Injection 2 ml and celecoxib, it can be taken if your doctor has advised it. However, consult a doctor if you experience severe bruising, prolonged nosebleeds, feeling dizzy or lightheaded, weakness or severe headache, vomiting blood or coughing up blood, heavy menstrual bleeding (in women), difficulty breathing, or chest pain. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of dicyclomine and diclofenac with tacrolimus may cause kidney problems.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac, and tacrolimus, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, less desire to eat, increased or decreased urination, sudden weight gain or weight loss, weakness, or dizziness. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nobel Spas Injection 2 ml:
Co-administration of dicyclomine, and diclofenac with deferasirox may increase your risk of developing stomach bleeding.

How to manage the interaction:
Although there is an interaction between dicyclomine, diclofenac, and deferasirox, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience severe abdominal pain, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), less desire to eat. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[GASTROINTESTINAL AGENTS]

FAQs

Nobel Spas Injection 2 ml is used to treat Irritable bowel syndrome (IBS) and Dysmenorrhea (pain during menses periods).

Nobel Spas Injection 2 ml contains two medications: dicyclomine (antispasmodic) and diclofenac (nonsteroidal anti-inflammatory drugs), both of which reduce abdominal pain and cramps. Dicyclomine works by relaxing the stomach and intestinal muscles (intestine). It relieves cramps, bloating, pain, and discomfort by preventing abrupt muscle contractions (spasms). They efficiently alleviate pain when used together.

Because injectables are usually administered by a healthcare professional, there will be no missed or forgotten doses. However, if a dose is missed, inform your doctor on a priority basis.

Yes, the use of Nobel Spas Injection 2 ml can cause diarrhea in some cases. In the case of diarrhea, increase the intake of fluids like drinking plenty of water. If still, diarrhea persists, inform your doctor and do as advised.

Yes, the use of a Nobel Spas Injection 2 ml can cause dry mouth. If you feel excessively thirsty, increase fluid intake and avoid spicy and salty food.

Nobel Spas Injection 2 ml should be used with caution in patients with glaucoma (an eye condition that affects the optic nerve) as it may worsen the symptoms and be used only when prescribed by a doctor.

No, you should not stop taking Nobel Spas Injection 2 ml if your pain is relieved. Complete the duration of treatment advised by the doctor to treat your condition effectively.

Nobel Spas Injection 2 ml may cause kidney damage if used for a longer duration. Inform the doctor if you have a history of kidney disease or related conditions. Based on your renal function , the doctor may adjust the dosage accordingly.

No, you should not take higher than the prescribed dose of Nobel Spas Injection 2 ml as it may cause unpleasant side effects. However, as Nobel Spas Injection 2 ml will be administered by the doctor, it is unlikely for you to exceed the recommended dosage.

Nobel Spas Injection 2 ml should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.

The side effects of Nobel Spas Injection 2 ml include dizziness, nausea, diarrhoea, heartburn, vomiting, loss of appetite, sleepiness, dryness of the mouth, weakness, nervousness, and blurred vision. Consult the doctor if any of these symptoms persist or worsen.

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Author Details

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Country of origin

India

Manufacturer/Marketer address

208, Okhla Industrial Estate, Phase III, New Delhi - 110020
Other Info - NOB0032
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