EX Spa M 135mg/5mg Tablet is used to treat irritable bowel syndrome (symptoms include abdominal pain, cramping, bloating, and diarrhea or constipation). It prevents the sudden spasm of muscles to relieve stomach pain and cramps. It also promotes easy passage of gas to reduce stomach discomfort. EX Spa M 135mg/5mg Tablet is taken without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your healthcare team know about all other medications you are taking as some may affect, or be affected by this medicine. The most common side effects are fatigue, confusion, uncoordinated body movements, skin rash, and slurred speech. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness. Lifestyle modifications like having fiber-rich diet, avoiding foods that trigger your symptoms, increasing fluid intake and regular exercise can help you to get better results. Before taking it, you should tell your doctor if you have any kidney or liver diseases. You should also tell your doctor if you are pregnant, planning pregnancy or breastfeeding.

• Drowsiness
• Fatigue
• Confusion
• Uncoordinated body movements
• Abnormality of voluntary movements
• Skin rash
• Slurred speech

If you miss a dose of EX Spa M 135mg/5mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. Can EX Spa M 135mg/5mg Tablet cause withdrawal symptoms??
  Ans: Yes, EX Spa M 135mg/5mg Tablet may cause withdrawal symptoms. Do not stop taking EX Spa M 135mg/5mg Tablet all of a sudden. Stopping EX Spa M 135mg/5mg Tablet suddenly can cause seizures, shaking, stomach and muscle cramps, vomiting and sweating. Consult with your doctor before stopping EX Spa M 135mg/5mg Tablet.
• Q. Q. Can I drink alcohol while taking EX Spa M 135mg/5mg Tablet??
  Ans: No, avoid drinking alcohol while you are taking EX Spa M 135mg/5mg Tablet. Drinking alcohol can increase the risk of side effects like drowsiness or sleepiness.
• Q. Q. Can the use of EX Spa M 135mg/5mg Tablet cause sleepiness or drowsiness??
  Ans: Yes, EX Spa M 135mg/5mg Tablet may make you feel drowsy or sleepy. Avoid driving, operating any machines, working at heights or participating in potentially dangerous activities at the start of your treatment. Inform your doctor if you experience such episodes while taking this medicine.
• Q. Q. What precautions do I need to take while using EX Spa M 135mg/5mg Tablet??
  Ans: EX Spa M 135mg/5mg Tablet should not be taken along with opioid-like substances as it contains chlordiazepoxide. Use of opioids along with chlordiazepoxide may cause excessive sedation (state of calm or sleep), respiratory depression and eventually coma or death. Inform your doctor about all the medicines that you are taking if you are advised to take EX Spa M 135mg/5mg Tablet.
• Q. Q. What are the instructions for storage and disposal of EX Spa M 135mg/5mg Tablet??
  Ans: Keep this medicine in the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
• Q. Q. What are the symptoms of overdose of EX Spa M 135mg/5mg Tablet??
  Ans: Both Mebeverine and Chlordiazepoxide show different symptoms of overdose. Chlordiazepoxide can cause sleepiness, reflexes, confusion and coma. Whereas, Mebeverine can cause CNS excitability which is mild and reversible. Inform the doctor in case you take a higher dose and any of these symptoms appear.
• Q. Q. Can the use of EX Spa M 135mg/5mg Tablet cause constipation??
  Ans: Yes, the use of EX Spa M 135mg/5mg Tablet can cause constipation. Eat high-fiber foods like vegetables, fruits and cereals, and drink plenty of water. Exercise regularly by engaging in activities like swimming, jogging or taking a walk. Consult a doctor if the constipation persists for a long duration.

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