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Package	Price	Per Pill
500mg x 100 pills	$82.71	US $ 0.83
500mg x 200 pills	$159.84	US $ 0.80
500mg x 300 pills	$228.73	US $ 0.76

Information about Ponstel

Mefenamic Acid is an NSAID that is used to treat mild to moderate menstrual pain. The exact mechanism of Mefenamic Acid action is unknown. Probably, it blocks certain substances in the body that are connected with inflammation. NSAIDs help to decrease pain and inflammation. It is usually administered for short term (not more than 7 days) treatment of mild to moderate pain.

It may also be used for other conditions as determined by your doctor.

You should not use Mefenamic Acid in case you have any condition mentioned below: you are allergic to any ingredient in Mefenamic Acid; you have had a severe allergic reaction (eg, severe rash, hives, trouble breathing, growths in the nose, dizziness) to aspirin or a nonsteroidal anti-inflammatory drug (NSAID) (eg, ibuprofen, celecoxib); you have recently had or will be having bypass heart surgery; you have kidney problems, ulcers, or inflammation of the stomach or bowel; you are in the last 3 months of pregnancy.

In such cases it is obligatory to consult with your doctor or health care provider before taking this drug.

Before using Mefenamic Acid

Before using Mefenamic Acid you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning to become pregnant, or are breast-feeding a baby; you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement; you have allergies to medicines, foods, or other substances; you have a history of liver disease, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers); you have a history of swelling or fluid buildup, asthma, growths in the nose (nasal polyps), or mouth inflammation; you have high blood pressure, blood disorders (eg, porphyria), bleeding or clotting problems, heart problems (eg, heart failure), or blood vessel disease, or if you are at risk for any of these diseases; you have poor health, dehydration or low fluid volume, or low blood sodium levels, you drink alcohol, or you have a history of alcohol abuse.

Be aware that Mefenamic Acid may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: anticoagulants (eg, warfarin), aspirin, corticosteroids (eg, prednisone), heparin, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because the risk of stomach bleeding may be increased; magnesium hydroxide (eg, antacids) or probenecid because they may increase the risk of Mefenamic Acid 's side effects; cyclosporine, lithium, methotrexate, quinolones (eg, ciprofloxacin), or sulfonylureas (eg, glipizide) because the risk of their side effects may be increased by Mefenamic Acid; angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics (eg, furosemide, hydrochlorothiazide) because their effectiveness may be decreased.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Mefenamic Acid

It is recommended to take Mefenamic Acid orally. It is better to take it with food in case of stomach upsets. This may not lower the risk of stomach or bowel problems (eg, bleeding, ulcers). Consult with your doctor or pharmacist in case you experience persistent stomach upset.

In case you miss a dose of Mefenamic Acid, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Mefenamic Acid usage may lead to dizziness or drowsiness. These effects may be worsened by taking alcohol or certain medicines. Prevent driving or performing any other possibly dangerous actions.

Mefenamic Acid usage may lead to serious stomach ulcers or bleeding. These effects may be worsened by using Mefenamic Acid in high doses, for a long period of time, smoking, or drinking alcohol. Using Mefenamic Acid in combination with food will NOT reduce the risk of such effects.

You should know that Mefenamic Acid is an NSAID. Before you start any new medicine, check the label whether it contains an NSAID (eg, ibuprofen). In case it does or you are not sure, consult with your doctor or pharmacist.

You should not take aspirin if you are taking Mefenamic Acid unless your doctor recommends otherwise.

Lab tests, including kidney function, complete blood cell counts, and blood pressure, may be performed while you are using Mefenamic Acid. It is important to control your progress or to check for side effects. Follow all doctor and lab appointments strictly.

The ELDERLY are likely to be more sensitive to its effects, especially stomach bleeding and kidney problems. Use Mefenamic Acid with caution in this group.

Use Naproxen with extreme caution in CHILDREN younger than 14 years old as safety and effectiveness in this group have not been proved.

PREGNANCY and BREAST-FEEDING

Mefenamic Acid may be deleterious to the fetus. You should not use it during the last 3 months of pregnancy. In case you could become pregnant, consult with your doctor and discuss the benefits and risks of using Mefenamic Acid while pregnancy. It is clear that Mefenamic Acid passes into breast milk. Avoid breast-feeding a baby while using Mefenamic Acid.

Possible side effects of Mefenamic Acid

You should consult with your doctor in case you have any of side effects especially bothersome listed below: constipation; diarrhea; dizziness; gas; headache; heartburn; nausea; stomach upset.

Seek emergency immediately in case you have any of these severe side effects: severe allergic reactions (rash; hives; itching; trouble breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black, tarry stools; change in the amount of urine produced; chest pain; confusion; dark urine; depression; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; mental or mood changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe headache or dizziness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath; sudden or unexplained weight gain; swelling of hands, legs, or feet; unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness; vision or speech changes; vomit that looks like coffee grounds; yellowing of the skin or eyes.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.