Flamic 500 mg Tablet

NSAID for:

• Period pain (dysmenorrhoea) and heavy menstrual bleeding (menorrhagia)
• Mild to moderate pain: toothache, headache, muscle and joint pain, post-operative pain
• Fever in children (some products, short-term)

Adults: 500 mg three times daily after food (initial dose for pain may be 500 mg).

• Period pain/heavy periods: start at the onset of bleeding or pain, continue for the duration (usually 3–5 days).

Children over 6 months (suspension 50 mg/5 ml, specialist/short-term): about 6.5 mg/kg up to three times daily for up to 7 days.

• Maximum 7 days continuous use (except menstrual use each cycle).

• Allergy to mefenamic acid, aspirin or other NSAIDs
• Active or recurrent peptic ulcer/bleeding, inflammatory bowel disease
• Severe heart, kidney or liver failure
• Last 3 months of pregnancy

Common: indigestion, nausea, abdominal pain, diarrhoea (stop if it occurs), drowsiness, dizziness, headache.

Rare but serious: stomach bleeding/ulcer, haemolytic anaemia, kidney injury, severe skin reactions, seizures (overdose), low blood counts, heart attack/stroke with long use.

• Stop if diarrhoea or rash develops.
• Epilepsy, asthma, heart disease, kidney/liver disease, elderly: caution.
• Do not combine with other NSAIDs.

Avoid in the first 6 months unless advised; contraindicated in the last 3 months. Small amounts in milk — short-term use generally acceptable.

• Other NSAIDs, aspirin, steroids (stomach bleeding)
• Warfarin, antiplatelets, SSRIs (bleeding)
• ACE inhibitors, ARBs, diuretics (kidney injury)
• Lithium, methotrexate (toxicity)

Nausea, vomiting, abdominal pain, drowsiness, seizures (more common than with other NSAIDs), kidney failure. Emergency care.

Store below 30°C.