Precautions and warnings

People with asthma, bronchospasm, bleeding problems, heart diseases, a history of stomach ulcers, high blood pressure, infections, or problems with their liver, heart, or kidneys should use this medicine with caution. Drinking more water or lowering the dose may help reduce painful urination. Special care should also be taken in people with heart failure, older adults, and those who are breastfeeding.

Drug Interactions

The body absorbs tolfenamic acid faster when taken with metoclopramide or magnesium hydroxide, but slower with aluminium hydroxide. When used with blood thinners or other NSAIDs, there is a higher risk of bleeding. Tolfenamic acid can make blood pressure medicines like loop diuretics, beta-blockers, and ACE inhibitors less effective. Taking it together with lithium, methotrexate, or heart medications can raise the levels of these drugs in the blood. There is also a higher risk of kidney damage if tolfenamic acid is used with ACE inhibitors, ciclosporin, tacrolimus, or diuretics.

Contraindications

Do not use if you are allergic to aspirin or other NSAIDs. Avoid if you have an active stomach ulcer, severe kidney or liver problems, or if you are in the third trimester of pregnancy.

Mode of actions

Tolfenamic acid is a type of NSAID (non-steroidal anti-inflammatory drug) that comes from anthranilic acid. It helps reduce inflammation, relieve pain, and lower fever.

Dosage & Administration

Adult: PO Acute migraine attacks Initial: 200 mg upon onset of symptoms. May repeat once after 1-2 hr. Mild to moderate pain 100-200 mg 3 times/day.

Renal impairment: Dose adjustments may be needed

Pregnancy & Lactation

Although animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in pregnant women, but during pregnancy, this medicine can be used just when definitely required despite potential risks.

Mothers with a newborn baby who have used this drug during the last 3 months of pregnancy may seldom create symptoms including drowsiness, muscle stiffness or shakiness, feeding or breathing troubles, constant crying. If you notice any of these symptoms of your baby's particularly during their first month, tell the doctor immediately.

This medicine passes into breast milk. Talk to your doctor before breastfeeding.

Pack Size & Price