CALM SPAS TABLET has the following salts in its composition
1) Clidinium (2.5mg) 2) Chlordiazepoxide (5mg) 3) Dicyclomine
Uses Of CALM SPAS TABLET
Chlordiazepoxide, a sedative and hypotonic medication, is used in the following conditions:
- To treat anxiety in case of several cases like depression, anxiety before surgery.
- To manage acute alcohol withdrawal syndrome.
Dicyclomine is used to treat Irritable bowel syndrome, a problem that arises due to cramps in stomach and intestines. It works by relaxing the muscles in stomach and intestines and slowing down their movement.
Side Effects Of CALM SPAS TABLET
The most common side effects of chlordiazepoxide are:
- Nausea/dizziness, constipation.
- Drowsiness, headache, blurred vision, confusion.
- Skin rash.
Sometimes severe (but rare) side effects are:
- Mental / mood changes, clumsiness.
- Kidney problems (urination)
- Slurred speech, trouble walking.
- Tremor, sleep disturbances.
- Facial (or) muscle twitching.
- Yellowing of eyes and skin.
- Menstrual irregularities.
Please consult a physician if the symptoms are persistent.
As a common side effect patient may feel as if the abdomen is bloated while constipation, blurred vision, dizziness, weakness and nausea are other side effects.
Contraindications Of CALM SPAS TABLET
Please inform your doctor if you have any of the following conditions:
- Hyper sensitivity towards the drug chlordiazepoxide or any other allergies.
- Severe liver problems.
- Acute narrow – angle glaucoma.
- Severe hypoventilation.
- Severe sleep apnea and COPD.
- Kidney diseases.
Contraindications Of Salt: Dicyclomine
Please inform the doctor if you have the medical history of heart and heart beat related ailments, heart burn issues, any liver disease or urinary tract infection.
Alcohol withdrawal is generally known as Alcohol Withdrawal Syndrome (AWS). It is characterized by some typical symptoms when a heavy and regular drinker suddenly reduces or stops the alcohol consumption.
Generalised Anxiety Disorder is a psychiatric condition, and is classified in the DSM-V (Diagnostic and Statistic Manual of Mental disorders, Fifth Edition) by standardised defining criteria.
Generalised anxiety disorder is one of the commonest mental health concerns worldwide, and it is estimated that a significant number of cases are left undiagnosed.
Patients with GAD present with excessive worry and anxiety in usual day-to-day life activities. This worry interferes with their normal functioning and is often regarded as irrational or out of proportion. The worry affects areas such as health, personal relationships, finances, and career.
Diagnosis of GAD may be difficult to make as it is commonly occurs in conjunction with other mental disorders such as depression. Online and easily accessible tools such as the Generalised Anxiety Disorder-7 questionnaire may assist in the diagnosis.
The average age of diagnosis is around thirty years of age.
Irritable Bowel Syndrome is a group of symptoms characterized by abdominal discomfort along with troubled bowel habits. It is not the as inflammatory bowel disease but a more serious condition that causes inflammation in the digestive tract and can result in severe complications. It is a chronic condition and seeks a long-term management. Unlike Inflammatory Bowel Disease, this does not cause changes in bowel tissue. It is classified based on the predominance of diarrhea or constipation or both such as:
- IBS-D: Diarrhoea-Predominant.
- IBS-C: Constipation- Predominant.
- IBS-A: Alternating stool pattern (also IBS-M).
- IBS-U: For those who don’t fit under any of the above categories.
Symptoms Treated With CALM SPAS TABLET
After six hours of alcohol withdrawal, the symptoms may start to appear. The drinker can be associated with at least two signs of the following:
- Tremors, Anxiety
- Nausea, Vomiting
- A headache, Increased Heart Rate, High Blood Pressure
- Irritability, confusion, insomnia
The acute Alcohol Withdrawal Syndrome is termed as Delirium Tremens (DT). Some of its symptoms are as follows:
- Extreme confusion, extreme agitation
- Fever, Seizures
- Tactile hallucinations, where a person can experience a sense of burning, itching, or numbness that isn’t actually happening.
- Auditory hallucinations, where a person can hear peculiar sounds that don’t exist in reality.
- Visual hallucinations or viewing images that don’t exist.
According to the DSM-V criteria, a patient with GAD must present with at least three of the symptoms listed below. The symptoms must be present for a minimum of six months, on most days, rather than at irregular intervals.
- Feeling impatient or on edge
- Getting worn-out quickly
- Struggling to focus or concentrate. The mind seems like it goes "blank."
- Getting annoyed quite quickly
- Muscle tension
- Some disruption of normal sleeping patterns- either having problems falling asleep, waking up at night, or having restless sleep.
The anxiety or worry must interfere with important areas of functioning such as social or employment spheres. It is important to exclude that the symptoms are not caused by other medical conditions e.g. thyroid function disturbances or by a particular substance or medication.
Patient with GAD may also have other physical manifestations of anxiety, along with those already mentioned. These include:
- Trembling, feeling jittery or being startled easily
- Gastrointestinal upsets such as nausea, diarrhoea or irritable bowel syndrome symptoms.
- Recurrent tension headaches
The common symptoms of irritable bowel syndrome are listed as:
- Diarrhea: - People affected with symptoms such as diarrhea are prone to get irritable bowel syndrome with diarrhea. It is characterized by a sudden disturbance in the bowel movement, accompanied with loose stools and frequent stools. Control over bowel is lost in extreme IBS-D cases.
- Constipation: - People who usually suffer from constipation are considered to have irritable bowel syndrome with constipation (known as IBS-C); it is characterized by the passing of lumpy, hard and infrequent stools.
- Bloating or presence of a lot of gas.
- Abnormal stool consistency.
- Sticking out belly.
- Feeling of an early fullness of abdomen.
- Incomplete emptying of the bowel is experienced most of the times.
- Feeling of urgency to rush to a restroom.
- Fatigue, Pain in muscles.
- Pain in lower back, Headache.
- Weight loss, Rectal bleeding.
- Disturbed and improper sleep.
- Sexual de-functioning.
- Heart burn.
- An appearance of white or clear mucus in the stools.
- Abdominal Pain that grows with time and mostly occurs at night.
Causes of diseases where CALM SPAS TABLET is used
Excessive drinking can irritate and excite the nervous system. If a person drinks on a regular basis, then his/her body starts depending on the alcohol day by day. Gradually, the central nervous system becomes alcohol dependent and then it can’t adapt itself to the lack of alcohol environment easily. If a person suddenly reduces or stops drinking the amount of alcohol he/she used to consume regularly, then the Alcohol Withdrawal Syndrome can happen.
Generalised Anxiety Disorder is not linked to a specific aetiology, but different risk and associated factors have been identified, with a primary focus on genetics and environmental causes.
Life stressor may trigger anxiety in genetically predisposed individuals. Life stressors include social issues such as isolation, lack of family support and poor self-esteem. Financial stressors such as inadequate income or debt may also contribute.
Women are more often affected than men. GAD is seen less often in married couples or those in long-term relationships, than those without a life-partner.
Personality types may also play a role in developing GAD. Avoidant, dependent and obsessive-compulsive personalities are most commonly associated with anxiety.
The following are cited as the possible causes for irritable bowel syndrome:
- Abnormal movements of the digestive tract.
- Certain foods: People with irritable bowel syndrome experience worsening of the symptoms due to food sensitivity or allergy from certain foods like spices, fruits, fats, beans, milk, cauliflower, chocolates, broccoli, carbonated and alcoholic drinks, etc.
- Stress: People dealing with stress face more severe or aggravated symptoms of Irritable bowel syndrome.
- Hormones: Women are more prone to Irritable bowel syndrome. During menstrual cycle symptoms of IBS get worsened.
- Small intestinal bacterial overgrowth.
- Overuse of antibiotics.
- Bowel muscle spasm.
- Deficient enzyme where the pancreas doesn’t release required enzymes, and it results in a breakdown of food or improper digestion.
Worst Foods With CALM SPAS TABLET
- Sugar: Sugar is responsible for enhancing the depression.
- Artificial Sweeteners: Artificial sweeteners can elevate the risk of depression and bad for the mental well-being.
- Alcohol: Alcohol works as a depressant that means the central nervous system’s working order can get depressed for alcohol.
- Hydrogenated oil: Hydrogenated oil is linked with depression. Foods with this oil are margarine, packaged snacks, baked foods, etc.
- Fast Food: It can affect one’s mental well-being. Such foods are burgers, pizzas, etc.
- Trans Fats: Trans fats can increase the risk of depression. Such foods are pies, cookies, doughnuts, cakes, chips, etc.
- High-Sodium Foods: They are directly connected to depression.
- Coffee: Coffee can increase the existing anxiety.
- Caffeine- coffee, black tea, chocolate.
- Sugar and artificial sweeteners. Sugar has shown to increase depression and anxiety. Sugar-spikes wreak havoc on your insulin-glucose pathway and induce a "stress-response" in the body that worsens anxiety.
- Foods high in unsaturated fatty acids, that increase neural inflammation.
These are the important foods to combat Irritable bowel syndrome:
- Soda and fizzy drinks: This increase acid-reflux in the stomach and can trigger the symptoms.
- Sulfurous Vegetables: Sulphurous vegetables like onions, garlic, Brussels, cauliflower can produce gas and cause flatulence, distension and bloating.
- Wheat: It contains compounds like gluten and fructans which may be poorly digested in the patients with Irritable bowel syndrome.
- Spicy food: These are found to be triggering factors in the syndrome and can worsen the symptoms.
- Coffee: Caffeine present in coffee is said to stimulate the increase in the movement of intestinal muscles.
- Gas-producing foods: These include beans, cabbage, broccoli, peas, etc which worsen the bloating in the belly.
- Lactose: Reduce the amount of lactose as it increases the symptoms of Irritable Bowel Syndrome. Some lactose containing foods are milkshakes, ice creams, butter, milk, cream sauces, whipping cream, custards, and puddings.
- Artificial sweeteners: These interfere in the normal process of digestion and can severe the symptoms. Few foods containing artificial sweeteners are soft drinks labeled as diet, sugar-free biscuits, sugar-free ice creams, etc.
- Sweet fruits and vegetables: The sugar found in these contains fructose, which may not be digested well. Some such fruits are grapes, bananas, and berries.
Do's With Usage of CALM SPAS TABLET
What Are The Things One Should Do To Manage Alcohol withdrawal
- Sometimes, the heavy drinkers can suffer from malnutrition. So, regular consumption of healthy diet is important.
- Regular sufficient sleep is important in order to overcome the side effects of Alcohol Withdrawal Syndrome.
- If any of the symptoms stated above start to arise, take him/her for a medical check-up as soon as possible.
- Your mental support and motivation will help him/her to overcome this situation.
Exercise. Cardiovascular exercise is a good way to assist with stress relief, as well as managing symptoms of anxiety
Start practicing specific and directed relaxation techniques to help anxiety
Psychotherapy has been proven to be as beneficial as medication and is of additive benefit to patients who are on treatment.
Lower your caffeine intake. Caffeine is a stimulant that releases sympathomimetics (the same chemical neurotransmitters that are released during anxiety or fear
The most effective tips for patients with irritable bowel syndrome are:
- As meals can trigger symptoms, it is recommended to take 5-6 smaller meals instead of 3 large meals.
- Follow regular workout regime to maintain a normal bowel movement.
- Aim to consume at least 6 to 8 glasses of water daily as it will keep things moving in your body and helps you cope with constipation. Also, intake plenty of fluids to reduce constipation.
- Stress is one of the major causes of irritable bowel syndrome hence; consultation is must with a psychiatrist as they can help one to overcome stress by examining how the patient reacts to day to day events that occur in his/her life.
- Do yoga: Yoga and deep breathing help to beat stress and one should breathe from diaphragm rather than chest as it helps in relaxing abdominal muscles. Subsequently, it leads to regular bowel activity.
- Try Biofeedback Therapy as this therapy slows down one’s heart rate and helps in overcoming muscle tension further helping in the improvement of bowel movement.
- One can involve in leisure activities like listening to music, the sport of one’s choice, reading, shopping, etc. as this can help in distressing.
Dont's With Usage Of CALM SPAS TABLET
What Are The Things One Should Avoid To Manage Alcohol withdrawal
- Don’t be afraid or anxious too much.
- Do not stop alcohol suddenly, if you have been a heavy drinker. Reduce the intake slowly. The more preferred thing is to get rid of alcoholism under doctor’s supervision.
- Don’t leave them alone for a longer time.
- Don’t neglect the symptoms.
- Do not smoke. Nicotine is a stimulant that stimulates your cardiovascular system and mimics a stress response. However, anticipated difficulty with quitting smoking may worsen anxiety. It is important to consult a doctor or counsellor to assist you, as well as to ensure that you have a good support structure around you, before attempting to stop.
- Avoid alcohol. It is a sedative but may cause a reflex/ compensatory stimulatory response by your body. Dehydration, impaired cognitive functioning, and memory impairment seen in alcohol use may also contribute to anxiety. Alcohol also lowers serotonin levels, which are important in maintaining mood and anxiety.
- Do not isolate yourself. Pursue meaningful inter-personal relationships and spend time with loved ones, as this has shown to lower anxiety
The following are the things to avoid in the management of irritable bowel syndrome:
- Avoid rush while eating as it can trigger stress.
- Don’t skip breakfast as it is important to stimulate the colon.
- Since anxiety and stress can worsen the situation in Irritable Bowel Syndrome, one should avoid taking any stress.
- Do not drink water while eating the food. Always consume water an hour after or before taking the meals.
- Do not take medication that worsens IBS symptoms. Few such medications are certain antidepressants, antibiotic and medicines containing sorbitol, such as cough syrups.
Other Useful Tips With Usage OfCALM SPAS TABLET
The Alcohol Withdrawal Syndrome should not be taken too lightly. Proper medication and a balanced diet are important to overcome this situation.
- Supplements such as omega-3, as well as magnesium and calcium may be beneficial.
- Aromatherapy, massage therapy, and reflexology may also assist with anxiety and stress reduction in general.
- Make time to eat amid any busy schedule and follow a proper routine.
- Practice meditation to reduce stress and anxiety.
- Have enough sleep to avoid stress.