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† Applies to UK only.


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MEDICAL INFORMATION
Alverine Key Facts
Other Related Names or Treatments
Spasmonal, Audmonal
About Alverine citrate
Alverine citrate is a smooth muscle relaxant used to relieve abdominal pain due to irritable bowel syndrome (IBS). Common symptoms of IBS, include stomach and intestinal pain, intense bloating, wind, diarrhoea, and constipation. Alverine relaxes muscles surrounding the intestines and uterus, reducing stomach cramps, a common symptom of irritable bowel syndrome. It can also be used for the treatment of painful diverticular disease of the colon, and period pains.
It is available with a prescription or over the counter from a pharmacy. NowPatient offers Alverine citrate as a treatment for irritable bowel syndrome only, following an online consultation with a prescribing clinician.
Key facts of Alverine citrate
- Alverine is an antispasmodic medicine for the treatment of irritable bowel syndrome
- Alverine may have some side effects which include headaches and dizziness
- It can be dangerous if you take Alverine with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Alverine citrate not suitable for?
Alverine may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Alverine if you:
- Are allergic to the active ingredient Alverine citrate or any of the inactive ingredients such as magnesium stearate, gelatin, or titanium dioxide (E171)
- Are over 40 years of age
- Have blood in your stools
- Have severe constipation
- Have abnormal vaginal bleeding or discharge
- Have difficulty passing urine
How and where to get Alverine citrate?
You can buy Alverine citrate safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of IBS, you can discuss if Alverine citrate is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Alverine citrate for irritable bowel syndrome
Alverine citrate is available as 60mg and 120mg capsules when used for IBS.
Information about how to take Alverine citrate for irritable bowel syndrome
For adults and children over 12 years of age take 1 to 2 capsules up to three times a day for a maximum of 2 weeks. Take Alverine citrate with a glass of water.
Read the patient information leaflet provided with your medication or consult a health care professional if you require further information.
What happens if you take too much Alverine citrate?
If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Alverine citrate and you experience any of the following side effects:
What are the side effects of Alverine citrate?
Possible side effects include:
- Nausea
- Dizziness
- Headaches
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or have shortness of breath (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient
Information about taking Alverine citrate at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Alverine citrate. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.
Can Alverine citrate taken for irritable bowel syndrome be taken long term?
No. If your symptoms do not improve after 2 weeks speak to a doctor for advice.
Is there a herbal Alverine citrate?
No. Herbal Alverine citrate does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Alverine citrate?
Women can take Alverine citrate for IBS, but should not use this medicine if pregnant or breastfeeding.
Should I avoid any particular food or drink when taking Alverine citrate?
You can eat and drink normally when taking Alverine citrate.
What lifestyle changes can I make to help me with irritable bowel syndrome?
- Manage your stress levels
- Eat a balanced diet
- Avoid foods that make your IBS worse
Alternatives to Alverine citrate
Alternatives for the treatment of IBS include medication such as mebeverine.
Sources
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
Related Articles
FAQs
Answers to Popular Questions About Alverine
What is Alverine?
Alverine citrate is an antispasmodic medication used to relieve painful spasms of the smooth muscle in the gut. It is used for the treatment of irritable bowel syndrome (IBS) and other conditions involving intestinal cramps and spasms. Alverine is available as 60 mg capsules and is a prescription-only medicine in the UK, marketed under the brand name Spasmonal. It is one of several antispasmodic options recommended in NICE IBS guidance.
How does Alverine work?
Alverine acts as a smooth muscle relaxant that works directly on the muscle of the gastrointestinal tract. It reduces the strength and frequency of contractions in the intestinal wall without affecting normal bowel motility. Unlike some antispasmodics (such as hyoscine), alverine does not have significant anticholinergic effects, which means it is less likely to cause dry mouth, blurred vision, or urinary retention. This makes it better tolerated for many patients.
Is Alverine effective for IBS?
Yes, alverine is one of the antispasmodics recommended by NICE for the treatment of IBS. Clinical studies have shown it is effective at reducing abdominal pain and cramping associated with IBS. It works best for patients whose IBS is characterised by abdominal cramps and spasms. It does not treat all IBS symptoms — bloating, constipation, and diarrhoea may need additional management. Alverine is most effective when used during symptom flares rather than continuously.
What is the usual dose of Alverine?
The usual dose for adults is 60–120 mg (one to two capsules) taken one to three times daily. Take alverine 20–30 minutes before meals for best results. Swallow the capsules whole with water. The maximum daily dose is 360 mg. Your prescriber will advise on the appropriate dose based on the severity of your symptoms. Start at the lower dose and increase if needed.
Can Alverine be taken long-term?
Alverine can be used on an as-needed basis during IBS flare-ups or as a regular treatment for ongoing symptoms. There is no specific maximum treatment duration. NICE IBS guidance suggests reviewing antispasmodic treatment periodically. Many patients use alverine intermittently when symptoms flare rather than continuously. Discuss your long-term treatment plan with your prescriber.
What are the side effects of Alverine?
Alverine is generally well-tolerated. Uncommon side effects include nausea, headache, dizziness, and allergic skin reactions (rash, itching). Because alverine is not anticholinergic, it does not typically cause dry mouth, blurred vision, constipation, or urinary retention — side effects common with other antispasmodics. Rarely, allergic reactions including anaphylaxis have been reported. If you develop a rash or swelling, stop alverine and seek medical advice.
Can I take Alverine during pregnancy?
There is limited data on alverine use in pregnancy. It is generally advised to avoid alverine during pregnancy unless the benefit outweighs the risk. If you need antispasmodic treatment for IBS during pregnancy, discuss alternatives with your doctor or midwife. Peppermint oil capsules are sometimes considered as a non-prescription alternative.
How can I get Alverine?
Alverine requires a prescription from your GP or through online services like NowPatient. Your prescriber will assess your IBS symptoms and may recommend alverine alongside dietary and lifestyle modifications. NowPatient provides online consultations and home delivery.
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