Hyospan Forte 20

Description

Hyospan Forte 20 Tablet: Detailed Overview

Hyospan Forte 20 Tablet is a medication containing Hyoscine Butylbromide 20mg, manufactured by Omnica Laboratories Pvt. Ltd. It’s available in Nepal, typically in a pack size of 200 tablets, with a retail price of NPR 23.00.

What is Hyospan Forte 20 Used For?

Hyospan Forte 20 Tablet is primarily used to relieve spasms and associated pain in various parts of the body. Its main indications include:

• Gastrointestinal tract spasm
• Abdominal pain
• Genitourinary spasm

Dosage Information

Always follow your healthcare provider’s instructions when taking Hyospan Forte 20.

Adult Dosage

• Oral (by mouth) for Gastrointestinal/Genitourinary Spasms:
  • The usual adult dose is 20 mg (one tablet) taken 4 times daily.
• Parenteral (Injection – IM/IV) for Gastrointestinal/Genitourinary Spasms:
  • 20 mg can be administered via intramuscular (IM) or intravenous (IV) injection.
  • This dose may be repeated after 30 minutes if necessary.
  • Maximum Daily Dosage: Do not exceed 100 mg in a 24-hour period.

Child Dosage

• Oral (by mouth) for Gastrointestinal/Genitourinary Spasms:
  • For children aged 6 to 12 years: 10 mg taken three times daily (tid).

Note: Specific information regarding renal (kidney) dose adjustments is not provided here. If you have kidney impairment, consult your doctor.

Important Considerations

Do Not Take Hyospan Forte 20 if You Have:

• Narrow-angle glaucoma
• Acute hemorrhage (severe bleeding)
• Paralytic ileus (a condition where bowel movement stops)
• Tachycardia (fast heart rate) due to cardiac insufficiency (weak heart)
• Myasthenia gravis (a chronic autoimmune disease causing muscle weakness)

Use with Caution if You Have:

• Hepatic/renal disease (liver or kidney disease)
• Pyloric stenosis (narrowing of the stomach’s opening to the small intestine)
• Urinary retention or prostatic hyperplasia (enlarged prostate)
• Psychosis or seizure disorders
• Ulcerative colitis
• Coronary artery disease, tachyarrhythmias (fast, irregular heartbeats), heart failure, or hypertension (high blood pressure)
• Elderly individuals, children, pregnant, or lactating (breastfeeding) women should use this medication with caution and under medical supervision.

Pregnancy and Lactation

If you are pregnant or breastfeeding, discuss the use of Hyospan Forte 20 with your doctor.

Drug Interactions

It’s vital to inform your doctor about all other medications you are currently taking to avoid potential interactions.

• Additive Sedative Effects: Combining Hyospan Forte 20 with alcohol or other CNS depressants (medications that slow brain activity, such as sedatives or tranquilizers) can increase drowsiness.
• Reduced Effects: The effectiveness of Hyospan Forte 20 may be reduced if taken with acetylcholinesterase inhibitors (e.g., donepezil, galantamine, rivastigmine, tacrine), which are often used to treat Alzheimer’s disease.
• Potentially Fatal Interactions: The effects of Hyoscine Butylbromide can be significantly potentiated (strengthened) by other anticholinergic drugs and TCAs (tricyclic antidepressants), potentially leading to severe or life-threatening side effects.

Possible Side Effects

Like all medications, Hyospan Forte 20 can cause side effects. Contact your doctor if you experience any bothersome or severe symptoms.

Common Side Effects of Hyoscine Butylbromide:

• General: Flushing, postural hypotension (dizziness when standing), tachycardia (fast heart rate), fibrillation (irregular heart rhythm). Rarely, psychotic reactions.
• Neurological: Dizziness, drowsiness, fatigue, headache, memory loss.
• Skin: Dry skin, erythema (redness), increased sensitivity to light, rash.
• Gastrointestinal: Bloatedness, constipation, dry throat, dysphagia (difficulty swallowing), nausea, vomiting, xerostomia (dry mouth).
• Urinary: Dysuria (painful urination), urinary retention.
• Muscular: Tremor, weakness.
• Ophthalmic (Eye-related): Impaired accommodation (difficulty focusing), blurred vision, cycloplegia (paralysis of eye muscles), dryness, narrow-angle glaucoma, increased intraocular pressure (eye pressure), itching, photophobia (light sensitivity), pupil dilation.
• Other: Dry nose, decreased diaphoresis (sweating), heat intolerance. Specific ophthalmic side effects can also include somnolence (drowsiness), dermatitis (skin inflammation), oedema (swelling), exudate (discharge), follicular conjunctivitis (eye inflammation), local irritation, photophobia, and vascular and respiratory congestion.

Potentially Fatal Side Effects (Rare but very serious):

• CNS depression (severe slowing of brain activity), coma, circulatory and respiratory failure.

How Hyospan Forte 20 Works (Mechanism of Action)

Hyoscine Butylbromide works by competitively blocking muscarinic receptors in the body. This action has both central (brain and spinal cord) and peripheral (outside brain and spinal cord) effects. By relaxing smooth muscles, it effectively reduces gastric (stomach) and intestinal motility (movement), which in turn alleviates spasms and pain.

Disclaimer: This information about Hyospan Forte 20 Tablet is provided for general knowledge and informational purposes only. It is not intended for diagnosis, medical advice, or treatment, and should not be used as a substitute for the exercise of professional medical judgment. Always consult your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or before starting any new treatment.