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Spasfon belongs to the family of musculotropic antispasmodics. It can be used from the age of 6 in the treatment of spasmodic pain in the intestine (abdominal spasms = stomach ache), bile ducts, bladder and uterus (contractions especially during menstruation).
Spasfon tablet contains 80 mg of hydrated phloroglucinol and 80 mg of trimethylphloroglucinol. Other components that are in Spasfon tablets are lactose monohydrate, sucrose, polyvinyl acetate, wheat starch, stearic acid, magnesium stearate. Finally Spasfon's characteristic pink coating is made up of polyvinyl acetate, talc, sucrose, gum arabic, gelatin, titanium dioxide (E 171), erythrosine (E 127), carnauba wax.
Dosage of Spasfon tablet
In adults, take 2 tablets of Spasfon per dose, 3 times a day, respecting a minimum interval of 2 hours between each dose and without exceeding 6 per day.
In children over 6 years old, give 1 tablet of Spasfon per dose, twice a day, respecting a minimum interval of 2 hours between each dose without exceeding 2 per day.
The tablets are simply swallowed with a little water. If the symptoms persist despite taking Spasfon, it will be necessary to see your doctor.
Please read the following full disclosure.
Precautions with Spasfon stomach ache
It is best not to use phloroglucinol while breastfeeding. During pregnancy, Spasfon tablets should only be used on medical advice.This antispasmodic should not be used if you are allergic to one of the components of Spasfon, in particular wheat starch (gluten).
Spasfon contains sucrose therefore it should be avoided in people intolerant to glucose or galactose, fructose, with lactase deficiency or sucrase.
Packaging : box of 30 coated tablets
ANSM - Updated on: 25/09/2020
- NAME OF THE MEDICINE
SPASFON, coated tablet
- QUALITATIVE AND QUANTITATIVE COMPOSITION
Hydrated Phloroglucinol ............................................................................................................ 80.000 mg
Quantity corresponding to anhydrous phloroglucinol ............................................................. 62.233 mg
Trimethylphloroglucinol .......................................................................................................... 80.000 mg
For one coated tablet.
Notable excipients: Each tablet contains 23.77 mg of wheat starch, 140 mg of monohydrated lactose, and 206.5 mg of sucrose.
For the complete list of excipients, see section 6.1.
- PHARMACEUTICAL FORM
Coated tablet, round in shape with convex faces, smooth and shiny, pink in color.
- CLINICAL DATA
4.1. Therapeutic indications
· Symptomatic treatment of pain related to functional disorders of the digestive tract and bile ducts.
· Treatment of acute spasmodic and painful manifestations of the urinary tract: nephritic colic.
· Symptomatic treatment of spasmodic painful manifestations in gynecology.
· Adjunct treatment of contractions during pregnancy in combination with rest.
4.2. Dosage and method of administration
SPASFON is a symptomatic treatment. If symptoms persist, the patient's condition should be reassessed.
Dosage
In adults
The usual dosage is 2 tablets per dose, three times a day, respecting a minimum interval of 2 hours between each dose, not exceeding 6 tablets per 24 hours.
The tablets can be used as a relay of an attack treatment by injectable route.
Pediatric population
This presentation is not suitable for children under 6 years of age.
The usual dosage is 1 coated tablet per dose, twice a day, respecting a minimum interval of 2 hours between each dose, not exceeding 2 tablets per 24 hours.
In children over 6 years of age, it will be necessary to ensure that the tablets can be swallowed, otherwise, the Spasfon Lyoc 80 mg form will be preferred.
Method of administration
Oral route.
The tablets should be swallowed with a glass of water.
4.3. Contraindications
Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.
SPASFON tablet is contraindicated in patients with a wheat allergy (other than celiac disease).
4.4. Special warnings and precautions for use
The combination of phloroglucinol with major analgesics such as morphine or its derivatives should be avoided due to their spasmogenic effect.
Excipient(s)
Wheat starch
This medication contains a very low gluten content (from wheat starch). It is considered "gluten-free" and is therefore unlikely to cause problems in case of celiac disease. One tablet does not contain more than 2.4 micrograms of gluten. Patients allergic to wheat should not take this medication.
Lactose
Patients with galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption syndrome (rare hereditary diseases) should not take this medication.
Sucrose
Patients with fructose intolerance, glucose-galactose malabsorption syndrome, or sucrase/isomaltase deficiency (rare hereditary diseases) should not take this medication.
4.5. Interactions with other medicines and other forms of interactions
Not applicable.
4.6. Fertility, pregnancy, and breastfeeding
Pregnancy
Studies in animals have not revealed a teratogenic effect of phloroglucinol. In the absence of a teratogenic effect in animals, a malformative effect in the human species is not expected. Indeed, to date, the substances responsible for malformations in the human species have been found to be teratogenic in animals during well-conducted studies on two species.
Clinically, the relatively widespread use of phloroglucinol has apparently not revealed any malformative risk to date. However, epidemiological studies are necessary to verify the absence of risk.
As a result, the use of phloroglucinol should only be considered during pregnancy if necessary.
Breastfeeding
In the absence of data, it is advised to avoid the use of this medicine during breastfeeding.
4.7. Effects on the ability to drive vehicles and use machines
SPASFON has no or negligible effect on the ability to drive vehicles and use machines.
4.8. Adverse effects
System Organ Class
Adverse effect-preferred term
Frequency
Skin and subcutaneous tissue disorders
Rash, rarely urticaria, pruritus, exceptionally Quincke's edema anaphylactic shock (hypotension), acute generalized exanthematous pustulosis
Undetermined frequency
Declaration of suspected adverse effects
Reporting of suspected adverse effects after authorization of the medicine is important. It allows continuous monitoring of the benefit/risk balance of the medicine. Health professionals report any suspected adverse effect via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Pharmacovigilance Centers - Website: www.signalement-sante.gouv.fr.
4.9. Overdose
Cases of overdose have been reported without specific symptomatology.
- PHARMACOLOGICAL PROPERTIES
5.1. Pharmacodynamic properties
Pharmacotherapeutic class: MUSCULOTROPIC ANTISPASMODIC, ATC code: A03AX12. (A: digestive system and metabolism) (G: genito-urinary system)
Mechanism of action
Phloroglucinol and trimethylphloroglucinol have a spasmolytic activity on smooth muscles and a visceral anti-nociceptive effect, particularly after episodes of acute pain.
5.2. Pharmacokinetic properties
Absorption
After oral administration, the plasma peak is reached between 40 and 60 minutes.
Distribution
The tissue distribution of phloroglucinol is rapid and substantial.
Biotransformation
Phloroglucinol is metabolized in the liver by glucuroconjugation.
Elimination
Elimination occurs via the urinary route in glucuroconjugated form and via the biliary route in free and conjugated form. The elimination half-life is about 1 hour and 40 minutes.
5.3. Preclinical safety data
Non-clinical data from conventional repeated-dose toxicity, genotoxicity, and reproductive function studies have not revealed any particular risk for humans.
- PHARMACEUTICAL PARTICULARS
6.1. List of excipients
Monohydrated lactose, sucrose, polyvinyl acetate, wheat starch, stearic acid, magnesium stearate.
Coating: polyvinyl acetate, talc, sucrose, gum arabic, gelatin, titanium dioxide (E171), erythrosine (E127), carnauba wax.
6.2. Incompatibilities
Not applicable.
6.3. Shelf life
5 years.
6.4. Special precautions for storage
Store at a temperature not exceeding 30°C.
6.5. Nature and contents of outer packaging
20, 30, or 500 tablets in blister packs (PVC/Aluminum).
All presentations may not be marketed.
6.6. Special precautions for disposal and other handling
No special requirements for disposal.
- MARKETING AUTHORIZATION HOLDER
TEVA SANTE
100-110 ESPLANADE DU GENERAL DE GAULLE
92931 PARIS LA DEFENSE CEDEX
- MARKETING AUTHORIZATION NUMBER(S)
· 34009 379 934 0 1: 20 tablets in blister packs (PVC/Aluminium).
· 34009 309 860 8 0: 30 tablets in blister packs (PVC/Aluminium).
· 34009 352 432 4 9: 500 tablets in blister packs (PVC/Aluminium).
- DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
[to be completed later by the holder]
- DATE OF REVISION OF THE TEXT
[to be completed later by the holder]
- DOSIMETRY
Not applicable.
- INSTRUCTIONS FOR THE PREPARATION OF RADIOPHARMACEUTICALS
Not applicable.
PRESCRIPTION AND SUPPLY CONDITIONS
Over-the-counter medicine. Not subject to a medical prescription.