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Basics
Mebeverine is an antispasmodic drug used for the symptomatic treatment of stomach pain and cramps associated with irritable bowel syndrome and other gastrointestinal disorders. It is a derivative of papaverine, which occurs naturally in the opium poppy, and is classified in the spasmolytic group of substances. Mebeverine is administered orally in the form of sustained-release capsules. It was first approved in 1965.
Pharmacology
Pharmacodynamics
Mebeverine is a spasmolytic whose exact mechanism of action is not well known. However, it acts very selectively directly on smooth muscle in the gastrointestinal tract and may have an anesthetic effect. In addition, it appears to affect calcium channels and muscarinic receptors.
Pharmacokinetics
Mebeverine is metabolized primarily by esterases in the liver. The metabolites are excreted in the urine.
Toxicity
Side effects
Adverse effects include:
- Hypersensitivity reactions
- Immune system disorders
- Skin disorders including hives and rashes
- Edema
- Heartburn
- Digestive disorders
- Fatigue
- Diarrhea
- Constipation
- Loss of appetite
- General malaise
- Dizziness
- Insomnia
- Headache
- Decreased pulse rate
In a urine drug screening test, mebeverine may cause a false positive result for amphetamines.

Author
Markus Falkenstätter, BSc
Pharmacy student
Markus Falkenstätter is a writer on pharmaceutical topics in Medikamio's medical editorial team. He is in the last semester of his pharmacy studies at the University of Vienna and loves scientific work in the field of natural sciences.

Reviewer
Mag. pharm. Stefanie Brandauer
Pharmacist
Stefanie Lehenauer has been a freelance writer for Medikamio since 2020 and studied pharmacy at the University of Vienna. She works as a pharmacist in Vienna and her passion is herbal medicines and their effects.
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