Europe — EMA
No-Spa (Drotaverine Hydrochloride)
GNH USA supplies No-Spa (Drotaverine Hydrochloride), a phosphodiesterase inhibitor antispasmodic for abdominal, biliary and renal colic, dysmenorrhea
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What is Drotaverine Hydrochloride?
Drotaverine Hydrochloride, the active ingredient in No-Spa, is a phosphodiesterase inhibitor (smooth muscle relaxant) presented as an injectable solution for intramuscular and intravenous use. It relieves abdominal and visceral smooth‑muscle spasm, biliary colic, renal colic, dysmenorrhea and uterine spasm.
GNH USA supplies No-Spa as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Drotaverine Hydrochloride used for?
Drotaverine Hydrochloride is an antispasmodic that relaxes smooth muscle in the gastrointestinal, biliary and urinary tracts. - Abdominal colic: reduces intensity and duration of visceral pain. - Biliary colic: alleviates gallbladder spasm and associated discomfort. - Renal colic: eases ureteral smooth‑muscle spasm, facilitating stone passage. - Dysmenorrhea: diminishes uterine muscle contractions and menstrual pain. - Uterine spasm (post‑operative): facilitates relaxation of uterine smooth muscle after surgery.
What are the side effects of Drotaverine Hydrochloride?
Adverse reactions may occur with any injectable medication.
Common Side Effects: - Injection site pain. - Mild hypotension. - Nausea. - Dizziness.
Serious or Rare Side Effects: - Anaphylactic or severe allergic reaction. - Profound hypotension. - Cardiac arrhythmia. - Hepatic dysfunction.
What precautions apply to Drotaverine Hydrochloride?
Use of No‑Spa requires careful clinical assessment. - Cardiovascular assessment: evaluate blood pressure and heart status before administration. - Monitor blood pressure: observe for hypotensive episodes during and after injection. - Hepatic impairment: use with caution in patients with liver disease. - Hypersensitivity: avoid in individuals with known allergy to drotaverine or excipients. - Do not mix with other injectable solutions unless compatibility is confirmed. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.
What does Drotaverine Hydrochloride interact with?
Drotaverine may interact with other medicines affecting vascular tone or metabolism.
Major Interactions (Avoid): - Concomitant use with potent vasodilators (e.g., nitroglycerin) may cause severe hypotension. - Co‑administration with other antispasmodics can lead to additive smooth‑muscle relaxation.
Moderate Interactions (Monitor Closely): - Beta‑blockers: may blunt compensatory tachycardia during hypotension. - CYP450 inhibitors: could increase drotaverine plasma levels. - Diuretics: may enhance the risk of low blood pressure.



