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  1. Home
  2. Medicine

  3. Tispas 20mg/50mg/325mg Tablet

Prescription drug
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Tispas 20mg/50mg/325mg Tablet, Pack of 1 Tablet
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Extra 15% Off with Bank Offers

Composition :

DICLOFENAC-50MG + DICYCLOMINE-20MG + PARACETAMOL-325MG

Consume Type :

ORAL

Return Policy :

Not Returnable

About Tispas 20mg/50mg/325mg Tablet

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.

Uses of Tispas 20mg/50mg/325mg Tablet

Tispas 20mg/50mg/325mg Tablet used in the treatment of Abdominal pain, cramps, muscle and joint pain. The detailed uses of Tispas 20mg/50mg/325mg Tablet are as follows:

  • Abdominal Pain Relief: Tispas 20mg/50mg/325mg Tablet effectively relieves abdominal muscle spasms and cramps.
  • Pain and Inflammation Management: Tispas 20mg/50mg/325mg Tablet reduces pain and inflammation in arthritis and musculoskeletal conditions.
  • Fever Relief: Tispas 20mg/50mg/325mg Tablet also reduces fever and provides relief from associated discomfort.

Have a query?

Directions for Use

  • Tispas 20mg/50mg/325mg Tablet can be taken with food to prevent stomach upset or as prescribed by your doctor.
  • Follow your doctor,s instructions on the dosage and timing of this medication to ensure safety.
  • Swallow it as a whole with a glass of water.
  • Do not chew, crush, or break it.

Medicinal Benefits

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.

How Tispas 20mg/50mg/325mg Tablet Works

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.

Storage

• Store in a cool and dry place away from sunlight.• Keep Tispas 20mg/50mg/325mg Tablet out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Tispas 20mg/50mg/325mg Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Consume more fruits, vegetables, and cruciferous foods like cabbage, kale, and broccoli.
  • Reduced alcohol intake can enhance liver enzyme function.
  • Oxidative stress can be managed by eating foods rich in antioxidants, such as vitamins C and E.
  • Liver function tests regularly can help manage increased levels of AST.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
  • Talk to your doctor about oral potassium supplements.
  • Eat potassium rich foods such as bananas, avocados, oranges, dark leafy greens, beans and peas, fish, spinach, milk and tomatoes.
  • Gently massage the affected area using your hands or a massager.
  • Light exercises such as walking or climbing stairs may help the muscles return to normal.
  • Apply heat/ice to the affected area.
  • Drink electrolyte-rich fluids.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

What if I have taken an overdose of Tispas 20mg/50mg/325mg Tablet

Take Tispas 20mg/50mg/325mg Tablet only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

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

verifiedApollotooltip
DiclofenacMeloxicam
Critical
DicyclominePotassium chloride
Critical

Drug-Drug Interactions

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DiclofenacMeloxicam
Critical
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Co-administration of Tispas 20mg/50mg/325mg Tablet with Meloxicam can increase the risk or severity of gastrointestinal side effects.

How to manage the interaction:
Taking Meloxicam with Tispas 20mg/50mg/325mg Tablet is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not stop any medication without doctor's advise.
DicyclominePotassium chloride
Critical
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Co-administration of Tispas 20mg/50mg/325mg Tablet with Potassium chloride can increase the risk of stomach ulcers.

How to manage the interaction:
Taking Tispas 20mg/50mg/325mg Tablet with Potassium chloride is not recommended, as it can lead to an interaction, it can be taken if a doctor has prescribed it. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, dark, tarry stools, consult the doctor immediately. Do not discontinue the medication without consulting a doctor.
DicyclominePramlintide
Critical
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Co-administration of Pramlintide with Tispas 20mg/50mg/325mg Tablet can increase the risk of reduced gastrointestinal movement.

How to manage the interaction:
Taking Tispas 20mg/50mg/325mg Tablet with Pramlintide is not recommended, please consult your doctor before taking it. Do not discontinue the medication without consulting a doctor.
DicyclominePotassium citrate
Critical
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Taking Tispas 20mg/50mg/325mg Tablet and Potassium citrate together can increase the risk of stomach ulcers, bleeding, and gastrointestinal injury.

How to manage the interaction:
Taking Tispas 20mg/50mg/325mg Tablet with Potassium citrate is not recommended, as it may lead to an interaction, it can be taken if prescribed by the doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
DiclofenacOmacetaxine mepesuccinate
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Taking Tispas 20mg/50mg/325mg Tablet with Omacetaxine mepesuccinate can increase the risk of bleeding complications.

How to manage the interaction:
There may be a possible interaction between Tispas 20mg/50mg/325mg Tablet and Omacetaxine mepesuccinate but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any unusual bleeding or have other signs of bleeding like 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 your doctor.
DiclofenacEnoxaparin
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Taking Tispas 20mg/50mg/325mg Tablet with Enoxaparin can increase the risk of bleeding complications.

How to manage the interaction:
There may be a possible interaction between Tispas 20mg/50mg/325mg Tablet and Enoxaparin, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, dizziness, or weakness. Do not discontinue any medications without consulting a doctor.
DiclofenacIbrutinib
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Taking Tispas 20mg/50mg/325mg Tablet with Ibrutinib can increase the risk of bleeding tendencies.

How to manage the interaction:
There may be a possible interaction between Tispas 20mg/50mg/325mg Tablet and Ibrutinib, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you experience any unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, or severe headaches. Do not discontinue any medications without consulting a doctor.
DiclofenacNaproxen
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Coadministration of Tispas 20mg/50mg/325mg Tablet and Naproxen can increase the risk or severity of side effects.

How to manage the interaction:
Taking Tispas 20mg/50mg/325mg Tablet and Naproxen together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you notice any unusual bleeding or bruising, other signs of bleeding, dizziness, lightheadedness, red or black tarry stools, coughing up or vomiting blood, severe headache, and weakness, you should contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
DiclofenacMipomersen
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Co-administration of Tispas 20mg/50mg/325mg Tablet with Mipomersen may cause liver problems.

How to manage the interaction:
Co-administration of Tispas 20mg/50mg/325mg Tablet and Mipomersen can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of hunger, fatigue, nausea, vomiting, abdominal pain, dark urine, pale stools, and/or yellowing of the skin or eyes. Do not discontinue any medications without consulting a doctor.
DiclofenacDabigatran etexilate
Severe
How does the drug interact with Tispas 20mg/50mg/325mg Tablet:
Concomitant use of Tispas 20mg/50mg/325mg Tablet with dabigatran may increase the risk of stomach bleeding.

How to manage the interaction:
Taking Tispas 20mg/50mg/325mg Tablet with dabigatran together possibly results in an interaction, it can be taken if your doctor has advised it. You should consult a doctor immediately if you experience any unusual bleeding or bruising or have other signs and symptoms of bleeding such as dizziness, light headedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache and weakness. Do not stop using any medications without first talking to your 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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Diet & Lifestyle Advise

  • 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.

Habit Forming

No

Therapeutic Class

ANALGESICS

Tispas 20mg/50mg/325mg Tablet Substitute

Substitutes safety advice
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Tispas 20mg/50mg/325mg Tablet as it may increase dizziness. It can also increase the risk of stomach bleeding.

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Pregnancy

Caution

Please consult your doctor if you are pregnant; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor before taking Tispas 20mg/50mg/325mg Tablet; your doctor will decide whether Tispas 20mg/50mg/325mg Tablet can be taken by breastfeeding mothers or not.

bannner image

Driving

Caution

Tispas 20mg/50mg/325mg Tablet may cause dizziness. Do not drive or operate machinery unless you are alert.

bannner image

Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

bannner image

Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

bannner image

Children

Unsafe

Tispas 20mg/50mg/325mg Tablet should not be given to children as the safety and effectiveness were not established.

FAQs

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, it is also used to reduce pain and inflammation associated with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, backache, strain, and sprain.

Tispas 20mg/50mg/325mg Tablet contains Diclofenac, Paracetamol and Dicyclomine. Diclofenac and Paracetamol work by blocking the effect of chemical messengers that cause 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.

Diarrhoea might be a side-effect of Tispas 20mg/50mg/325mg Tablet. Drink enough fluids and eat non-spicy food if you experience diarrhoea. Consult your doctor if you experience severe diarrhoea or if you find blood in stools.

Do not take any other pain killer medicines along with Tispas 20mg/50mg/325mg Tablet unless prescribed as it might lead to unpleasant side-effects and can increase the risk of stomach bleeding associated with NSAIDs.

Dry mouth could be a side-effect of Tispas 20mg/50mg/325mg Tablet. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Tispas 20mg/50mg/325mg Tablet should be taken for longer durations only if prescribed by the doctor. Avoid taking Tispas 20mg/50mg/325mg Tablet for longer durations as it might increase the risk of heart problems and stomach bleeding.

Tispas 20mg/50mg/325mg Tablet may be used to treat dysmenorrhea (period pain), pain due to heavy bleeding during periods and menstrual cramps. Take Tispas 20mg/50mg/325mg Tablet only as prescribed, and do not overdose.

Tispas 20mg/50mg/325mg Tablet can be used for abdominal (stomach) pain. However, it is best to consult your doctor before taking the medication if you have stomach pain. Always follow the doctor’s instructions.

Take Tispas 20mg/50mg/325mg Tablet as directed by your doctor typically with food to avoid stomach upset. Follow the prescribed dose and duration as advised by the doctor.

No, Tispas 20mg/50mg/325mg Tablet may not help treat headache and toothache as it is intended to treat abdominal pain, cramps, muscle and joint pain. However, if you are suffering from headache or toothache consult your doctor for the best treatment.

No, Tispas 20mg/50mg/325mg Tablet is not an antibiotic. Tispas 20mg/50mg/325mg Tablet is a combination medication used to relieve pain and discomfort associated with intestinal colic, biliary colic, renal colic, and spasmodic dysmenorrhoea (menstrual cramps).

No, do not stop taking Tispas 20mg/50mg/325mg Tablet without consulting your doctor, even if your pain is relieved. Complete the prescribed course for optimal results. Always follow the doctor’s instructions while taking Tispas 20mg/50mg/325mg Tablet.

Tispas 20mg/50mg/325mg Tablet is not suitable for people allergic to any of its ingredients, or those with severe heart issues, stomach ulcers, or bleeding disorders. Consult your doctor if you have concerns.

It is unknown whether Tispas 20mg/50mg/325mg Tablet affects the kidney or not. However, dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

No, do not take more than the recommended dose of Tispas 20mg/50mg/325mg Tablet. Taking an excessive dose of Tispas 20mg/50mg/325mg Tablet can lead to unpleasant side effects. Always stick to the recommended dose as prescribed by your doctor.

It is unknown whether Tispas 20mg/50mg/325mg Tablet affects the liver or not. However, dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

Tispas 20mg/50mg/325mg Tablet should be stored in a cool and dry place away from sunlight. Keep away from the children’s reach. Dispose of unused or expired medicine as advised by your doctor or pharmacist.

Take Tispas 20mg/50mg/325mg Tablet exactly as prescribed by your doctor. Swallow Tispas 20mg/50mg/325mg Tablet as a whole with a glass of water; do not chew or break it.

If you miss a dose of Tispas 20mg/50mg/325mg Tablet, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Consult your doctor if you are unsure about it.

Tispas 20mg/50mg/325mg Tablet should not be given to children as safety and effectiveness were not established. Consult your doctor if you have concerns regarding it.

The common side effects of Tispas 20mg/50mg/325mg Tablet may include 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.

Country of origin

India

Manufacturer/Marketer address

21 Cellar Neptune Tower, Opposite Nehru Bridge, Ashram Road,Ahmedabad-380009
Other Info - TI21947

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Sep 8, 2025 | 8:42 AM IST

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Reference

  1. https://www.sanofi.in/-/media/Project/One-Sanofi-Web/Websites/Asia-Pacific/Sanofi-IN/Home/science-and-innovation/for-healthcare-professionals/product-information/Baralgan-NU.pdf?la=en
  2. https://www.medicines.org.uk/emc/files/pil.4515.pdf
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