Tolfenamic Acid
Description
Tolfenamic Acid is used to relieve pain and swelling associated with musculoskeletal conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, etc. It also relieves symptoms associated with migraine attacks. This medicine is not recommended for use in patients less than 18 years of age.
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Side effects
Major & minor side effects for Tolfenamic Acid
- Black or tarry stools
- Nausea and Vomiting
- Heartburn and indigestion
- Stomach pain
- Dizziness and Drowsiness
- Diarrhea
- Skin rash
- Fatigue
Uses of Tolfenamic Acid
What is it prescribed for?
- Migraine
- Rheumatoid Arthritis
- Osteoarthritis
- Ankylosing Spondylitis
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Concerns
Commonly asked questions
- Onset of actionThe amount of time required by this medicine to show its action is not clinically established.
- Duration of effectThe amount of time for which this medicine remains active in the body is not clinically established.
- Safe with alcohol?Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
- Is it habit forming?No habit-forming tendencies were reported.
- Usage in pregnancy?This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
- Usage while breast-feeding?This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the medicine based on your clinical condition.
Allergy
This medicine is not recommended for use in patients with a known allergy to tolfenamic acid, other NSAIDs, or any other inactive ingredients present along with it.
Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the medicine based on your clinical condition.
General warnings
Driving or Operating machinery
This medicine may cause dizziness or drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.
Gastrointestinal bleeding and perforations
This medicine may cause severe gastrointestinal bleeding and perforation after prolonged usage. These adverse events may occur with or without warning symptoms. This risk is especially higher in the elderly population and in patients with a history of gastrointestinal diseases. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Use in children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.
Hypertension
This medicine should be used with extreme caution in patients suffering from hypertension (high blood pressure levels) due to the increased risk of worsening of the patient's condition. Close monitoring of blood pressure levels is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Systemic Lupus Erythematosus
This medicine should be used with extreme caution in patients suffering from Systemic Lupus Erythematosus due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Asthma
This medicine should be used with extreme caution in patients suffering from asthma due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Use in elderly
This medicine should be used with extreme caution in elderly patients due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Instructions
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine
Escitalopram
Corticosteroids
Antihypertensives
Ciprofloxacin
Citalopram
Methotrexate
Tacrolimus
Disease interactions
Kidney disease
This medicine should be used with extreme caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Liver Disease
This medicine should be used with extreme caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Heart Disease
This medicine should be used with extreme caution in patients suffering from heart diseases due to the increased risk of worsening of the patient's condition. Close monitoring of heart function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine exactly as advised by your doctor. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous
How it works
It works by reducing the formation of certain substances in the body that are responsible for causing pain and swelling.
Legal Status
Classification
Category
Non-steroidal anti-inflammatory agents, Analgesics
Schedule
Schedule H
Tolfenamic Acid - DrugBank [Internet]. Drugbank.ca. 2018 [cited 26 September 2018]. Available from:
[Internet]. Medicines.org.uk. 2018 [cited 26 September 2018]. Available from:
Clotam Rapid/Tolfenamic Acid 200mg Tablets - Summary of Product Characteristics (SmPC) - (eMC) [Internet]. Medicines.org.uk. 2019 [cited 16 January 2019]. Available from:
Information on this page was last updated on 17 Jan 2019
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.