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Terms Of Use


Brand Name(s) : Spasmonal, Spasmonal Forte
Side Effects


Alverine should be used with caution and a doctor needs to be consulted in: people who have experienced these symptoms for the first time, those aged 40 years or older, those producing bloody stools, patients with severe constipation or fever, people who have recently travelled abroad, those having difficulty or pain passing urine (water), women with abnormal vaginal bleeding or discharge, or who are pregnant or breastfeeding.

It should not be used in: people allergic to alverine or to any other ingredients in the medicine, patients with paralytic ileus (lack of bowel movements, leading to blockage of the gut) or obstruction to the gut.

Also see list of precautions and interactions.


Store in a dry place below 25°C.


What is it used for?

  • Alverine is used to treat a number of problems.
  • It is a direct relaxant of the muscles of the gut (intestinal) and womb (uterus), and is sometimes known as an antispasmodic drug.
  • It is used to relax the muscles of the intestine and to treat symptoms of irritable bowel syndrome and related conditions.
  • In general this drug is used to manage the symptoms of irritable bowel syndrome, a common intestinal condition which causes spasm and pain in the intestine, as well as stomach pain, persistent diarrhoea (sometimes alternating with periods of constipation) and wind (flatulence). It can also be used for painful diverticular disease of the colon (a condition of the large intestine), and to relieve period pains.
  • Benefits of being on this drug include reducing the painful and troublesome symptoms of irritable bowel syndrome.

Listed below are the typical uses of alverine.

  • Relief from the symptoms of irritable bowel syndrome as well as other related conditions such as diverticular disease of the colon (small pouches or bulges of tissue from the colon wall associated with symptoms such as pain or cramps in the lower gut, diarrhoea and/or constipation)
  • Relief from period pains (dysmenorrhoea).

On occasion your doctor may prescribe this medicine to treat a condition not on the above list.


How often do I take it?

  • Take this medication orally usually one- to three-times daily, with or without food.
  • This medication is suitable for adults and children over 12 years old.
  • Use this medication regularly in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
  • It may take some time before the full benefit of this drug takes effect.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • Alverine may cause dizziness, if affected do not drive or operate machinery. Consult your doctor or pharmacist for more details.

When can I stop?

  • It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.


If any of these persist or you consider them severe then inform your doctor.

Tell your doctor immediately if you develop any of the following symptoms: yellowing of the skin or eyes (jaundice), indicating inflammation of the liver (hepatitis).

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.


Before taking alverine, tell your doctor or pharmacist if you are allergic to it; or to other antispasmodic drugs; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: paralytic ileus (lack of bowel movements, leading to blockage of the gut) or obstruction to the gut.

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following: severe constipation, having difficulty or pain when passing urine (water), recently had a fever, bloody stools, or have had abnormal vaginal bleeding or discharge.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Alcohol intake is not known to affect alverine.

The elderly: alverine is suitable for use in the elderly.

Pregnancy and breast-feeding - please ensure you read the detailed information below


Alverine is not safe to take if you are, or are planning to become, pregnant.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.


Alverine is not safe to take if you are breastfeeding.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.


Before using this medicine, tell your prescriber of all the medicines you are taking including prescription medicines and medicines you have bought over the counter without a prescription. Tell your prescriber if you are taking vitamins or complementary remedies such as herbal products, as these can also interact with medicines.

There are no known significant interactions between alverine and other medicines. If you experience any unusual symptoms while using this medicine with other medicines, tell your prescriber.

If you have a question or want to discuss anything about your medicine, speak to your local pharmacist.


Overdoses with this drug can cause low blood pressure (hypotension) and it may have other poisonous effects.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of alverine or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.


If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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