Clinical data | |
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Pronunciation | mef" e nam' ik[1] |
Trade names | Ponstel, Ponstan, others |
AHFS/Drugs.com | Monograph |
MedlinePlus | a681028 |
Pregnancy category |
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Routes of administration | By mouth, suppositories |
Drug class | NSAIDs[1] |
Legal status | |
Legal status | |
Pharmacokinetic data | |
Bioavailability | 90% |
Protein binding | >90% |
Metabolism | Liver (CYP2C9) |
Elimination half-life | 2 hours |
Excretion | Urine (52–67%), faeces (20–25%) |
Identifiers | |
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Chemical and physical data | |
Formula | C15H15NO2 |
Molar mass | 241.290 g·mol−1 |
3D model (JSmol) | |
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Mefenamic acid is a nonsteroidal anti-inflammatory drugs (NSAIDs) used to treat mild to moderate pain including painful periods.[2][3] Other uses include for inflammation.[3] Such use is recommended for less than a week.[2] It is taken by mouth.[2]
Common side effects include abdominal pain, heartburn, vomiting, kidney problems, fluid retention, and rashes.[2] Other serious side effects may include cardiovascular disease, allergic reactions, stomach ulcers, hemolytic anemia, liver problems, and heart failure.[2][1][4] Use is not recommended in the last third of pregnancy and during breastfeeding.[2] Mefenamic acid works by decreasing the production of prostaglandin by the enzyme cyclooxygenase.[1]
Mefenamic acid was approved for medical use in the United States in 1967.[2] It is available as a generic medication.[3] In the United Kingdom 100 tablets of 250 mg costs the NHS about 23 pounds as of 2020.[3] This amount in the United States costs about 135 USD.[5] It is not widely used in the United States due to concerns of relatively greater side effects compared to some other NSAIDs.[1][4]
References edit
- ^ a b c d e f "Mefenamic Acid". LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. 2012. Retrieved 8 October 2020.
- ^ a b c d e f g "Mefenamic Acid Monograph for Professionals". Drugs.com. Retrieved 8 October 2020.
- ^ a b c d BNF 79 : March 2020. London: Royal Pharmaceutical Society. 2020. p. 1182. ISBN 9780857113658.
- ^ a b Aronson, Jeffrey K. (2009). Meyler's Side Effects of Analgesics and Anti-inflammatory Drugs. Elsevier. p. 334. ISBN 978-0-08-093294-1.
- ^ "Mefenamic Acid Prices, Coupons & Savings Tips". GoodRx. Retrieved 8 October 2020.