Do not take ADCO MEFENAMIC ACID 50 mg/5 mL
- If you are hypersensitive (allergic) to mefenamic acid, aspirin or any other NSAIDs or component of ADCO MEFENAMIC ACID 50 mg/5 mL (listed in section 6).
- If you have or have had a stomach ulcer or have a history of inflammation and bleeding in the bowels.
- If you are pregnant, do not use NSAIDs at 20 weeks or later in your pregnancy unless specifically advised to do so by your healthcare professional because these medicines may cause problems in your unborn baby.
- If you are breastfeeding.
- If you have epilepsy (fits).
- If you have liver problems.
- If you have heart failure.
Warnings and precautions
Talk to your doctor or healthcare provider before taking ADCO MEFENAMIC ACID 50 mg/5 mL. Take special care with ADCO MEFENAMIC ACID 50 mg/5 mL:
- If you have or have had any allergies or allergic reactions (including hives, swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing) which required hospital treatment.
- Therapy should be discontinued if diarrhoea or skin rash occur.
- If you are using anti-coagulants (blood thinners). ADCO MEFENAMIC ACID 50 mg/5 mL may enhance the effects of these medicines, affect your blood and cause conditions such as haemolytic anaemia (low red blood cells), agranulocytosis (low white blood cells), pancytopenia (low levels of red blood cells, white blood cells and platelets), thrombocytopenia (low levels of platelets) or thrombocytopenia purpura (decrease of platelets) and bone marrow suppression. Your doctor might want to monitor you if you use ADCO MEFENAMIC ACID 50 mg/5 mL for long periods.
- If you are asthmatic and suffer from bronchoconstriction (coughing, wheezing, and shortness of breath) when taking aspirin.
- If you have heart problems such as high blood pressure (hypertension) and/or heart failure as ADCO MEFENAMIC ACID 50 mg/5 mL may cause fluid retention and swelling.
- If you have high cholesterol (hyperlipidaemia), high blood sugar (diabetes) or if you are a smoker.
- The elderly and patients with a history of stomach ulcers are more susceptible to develop side-effects affecting the bowels when using NSAIDs. Therefore, they should be carefully monitored for stomach ulcers and bleeding as it may be fatal.
- If you have a history of gastrointestinal disease such as ulcerative colitis, Crohn's disease, hiatus hernia, GERD or angiodysplasia as ADCO MEFENAMIC ACID 50 mg/5 mL may exacerbate these conditions.
- If you develop a fever, skin rash, swelling of the lymph nodes and/or swelling of the face. This is known as Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS).
This medicine contains 750 mg sorbitol in each 5 mL. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take or receive this medicine.
Sorbitol may cause gastrointestinal discomfort and mild laxative effect.
This medicine contains 300 mg propylene glycol in each 5 mL. If your child is less than 5 years old, talk to your doctor or pharmacist before giving them this medicine, in particular if they use other medicines that contain propylene glycol or alcohol.
If you are pregnant or breast feeding, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.
If you suffer from a liver or kidney disease, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.
This medicine contains 25 mg sodium benzoate per 5 mL of suspension. Tell your doctor or healthcare provider if you are pregnant or plan to become pregnant. Taking NSAIDs at around 20 weeks of pregnancy or later may harm your unborn baby. If you need to take NSAIDs for more than 2 days when you are between 20 and 30 weeks of your pregnancy, your healthcare provider may need to monitor the amount of fluid in your womb around your baby. You should not take NSAIDs around 30 weeks of pregnancy or later.
Children
No information available.
Other medicines and ADCO MEFENAMIC ACID 50 mg/5 mL
Always tell your healthcare provider if you are taking any other medicine. (This includes all complementary or traditional medicines.) Some medicines may increase or decrease the effects of ADCO MEFENAMIC ACID 50 mg/5 mL, and your doctor may wish to monitor you carefully if you are taking these medicines.
- Anti-inflammatory medicines such as NSAIDs (e.g., aspirin, ibuprofen, etc.): if taken with ADCO MEFENAMIC ACID 50 mg/5 mL may increase your side-effects.
- Corticosteroids (cortisones): May increase the risk of developing stomach ulcers or it may cause existing ulcers to bleed.
- Anticoagulant medicines which thin the blood (e.g., warfarin): if taken with ADCO MEFENAMIC ACID 50 mg/5 mL, you may be at an increased risk of bleeding, therefore your doctor is likely to monitor you more closely.
- Anti-platelet medicines and selective serotonin reuptake inhibitors (SSRIs) used for depression: if taken with ADCO MEFENAMIC ACID 50 mg/5 mL, you may be at an increased risk of bleeding if you suffer from stomach ulcers.
Pregnancy, breastfeeding and fertility
If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, please consult your doctor, pharmacist, or other healthcare provider for advice before taking ADCO MEFENAMIC ACID 50 mg/5 mL. Safety in pregnancy and breastfeeding has not been established.
Driving and using machines
It is not always possible to predict to what extent ADCO MEFENAMIC ACID 50 mg/5 mL may interfere with your daily activities. Patients should ensure that they do not engage in the above activities until they are aware of the measure to which ADCO MEFENAMIC ACID 50 mg/5 mL affects them.