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Mefenamic Acid Coupon - Mefenamic Acid 250mg capsule

mefenamic acid

Generic Ponstel
Used for Pain, Menstrual Pain
Used for Pain, Menstrual Pain

Mefenamic acid (Ponstel) is a prescription non-steroidal anti-inflammatory drug (NSAID). It's used to treat mild-to-moderate pain, including pain from menstrual periods by people ages 14 years and older. Mefenamic acid (Ponstel) is taken by mouth every 6 hours. Treatment can last up to 1 week. Possible side effects of this medication include stomach pain, heartburn, and dizziness. Brand name medication Ponstel has been discontinued.

Last reviewed on March 19, 2024
basics-icon

What is Mefenamic acid (Ponstel)?

What is Mefenamic acid (Ponstel) used for?

  • Treatment of general, mild-to-moderate pain

  • Treatment of pain from menstrual cramps

How Mefenamic acid (Ponstel) works

Mefenamic acid (Ponstel) is a non-steroidal anti-inflammatory drug (NSAID). It lowers inflammation, pain, and swelling by blocking proteins in your body called cyclooxygenase or COX.

Are you looking for information on meclofenamate (Meclomen) instead?

Drug Facts

Common BrandsPonstel
Drug ClassNSAID
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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What are the side effects of Mefenamic acid (Ponstel)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Stomach pain
  • Nausea
  • Upset stomach or indigestion
  • Gas
  • Diarrhea
  • Constipation
  • Heartburn
  • Vomiting
  • Dizziness
  • Headache
  • Rash

Other Side Effects

  • Dry mouth
  • Fast heart rate
  • Fever
  • Infection
  • High blood pressure
  • Anxiety
  • Shortness of breath
  • Blurred vision

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Stomach bleeding: feeling faint, vomiting blood, bloody or dark stools, severe stomach pain or discomfort
  • Heart attack: chest pain or tightness, pain that radiates up to your shoulder, arm, neck, or jaw
  • Stroke: chest pain, trouble breathing, weakness in one part of your body or face, slurred speech
  • Heart failure: difficulty breathing, swelling, fast heartbeat
  • Liver problems: swelling of your stomach, yellowing of your skin or the whites of your eyes, confusion, dark or brown urine
  • Kidney problems: tiredness, dry and itchy skin, low appetite, urinating less than usual, foamy or bloody urine, muscle cramps
  • Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing
  • Serious skin reactions: skin reddening, blisters, rash

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Bloody urine

bloody, black, or tarry stools

decreased frequency or amount of urine

heartburn

increased bleeding time

increased blood pressure

increased thirst

indigestion

itching skin

loss of appetite

lower back or side pain

nausea

pale skin

rashes

severe abdominal pain, cramping, or burning

stomach bloating

swelling of the face, fingers, feet, or lower legs

trouble breathing with or without exertion

unusual bleeding or bruising

unusual tiredness or weakness

vomiting

vomiting of material that looks like coffee grounds, severe and continuing

weight gain

weight loss

Less common

Bleeding gums

blood in vomit

blurred vision

burning feeling in the chest or stomach

chest pain

clay-colored stools

cloudy urine

confusion

constipation

cough or hoarseness

dark urine

difficult or labored breathing

difficult, burning, or painful urination

difficulty in swallowing

dilated neck veins

dizziness

extreme fatigue

fainting

fast, pounding, or irregular heartbeat or pulse

fever or chills

frequent urge to urinate

headache

increased volume of pale, dilute urine

irregular breathing

irregular heartbeat

large, flat, blue, or purplish patches in the skin

light-colored stools

lightheadedness

nervousness

noisy breathing

pain or burning feeling in the throat

pinpoint red or purple spots on the skin

pounding in the ears

rapid, slow breathing

redness, swelling, or soreness of the tongue

severe or continuing stomach pain

slow heartbeat

sore throat

sores, ulcers, or white spots on the lips or tongue or inside the mouth

stomach upset

swelling or inflammation of the mouth

swollen glands

tenderness in the stomach area

tightness in the chest

tremors

unpleasant breath odor

upper right stomach pain

yellow eyes and skin

Rare

Blistering, peeling, or loosening of the skin

change in consciousness

chest discomfort

continuing vomiting

cracks in the skin

diarrhea

dizziness, faintness, or lightheadedness when suddenly getting up from a lying or sitting position

drowsiness

fever with or without chills

flushed, dry skin

fruit-like breath odor

general body swelling

general feeling of illness

high fever

hives

increased hunger

irregular, fast or slow, or shallow breathing

joint or muscle pain

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

leg pain

loss of consciousness

loss of heat from the body

no blood pressure

no breathing

no pulse

nosebleeds

painful glands

pain or discomfort in the arms, jaw, back, or neck

pains in the stomach, side, or abdomen, possibly radiating to the back

pale or blue lips, fingernails, or skin

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

racing heartbeat or pulse

red skin lesions, often with a purple center

red, irritated eyes

red, swollen skin

redness or soreness of the skin

scaly skin

seeing, hearing, or feeling things that are not there

seizures

severe headache

sneezing

sores, welting, or blisters

stiff neck or back

sweating

swollen, painful, or tender lymph glands in the neck, armpit, or groin

unexplained weight loss

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Continuing ringing or buzzing or other unexplained noise in the ears

excess air or gas in the stomach or intestines

feeling of fullness

hearing loss

passing gas

stomach discomfort

Less common

Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

discouragement

dry mouth

fear

feeling of constant movement of self or surroundings

feeling sad or empty

hair loss, thinning of the hair

increased sensitivity of the skin to sunlight

irritability

lack of appetite

lack of interest or pleasure

lack or loss of strength

redness or other discoloration of the skin

sensation of spinning

severe sunburn

sleepiness

trouble concentrating

trouble sleeping

Rare

Appetite changes

burning, dry, or itching eyes

change in hearing

discharge, excessive tearing

redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See more Mefenamic acid (Ponstel) side effects
pros-and-cons

Pros and cons of Mefenamic acid (Ponstel)

thumbs-up

Pros

Works well to relieve menstrual cramps and pain

Can be used in children ages 14 years or older

Lower-cost generic is available

thumbs-down

Cons

Can only use for up to 1 week

Can potentially cause serious side effects (e.g., stomach bleeding, kidney problems)

Might need to be taken multiple times per day

pharmacist-tips

Pharmacist tips for Mefenamic acid (Ponstel)

pharmacist
  • Mefenamic acid (Ponstel) shouldn't be used for longer than 7 days. If you're using it for menstrual pain or cramps, your symptoms should get better within 2 to 3 days. Contact your healthcare provider if you're still having symptoms after using mefenamic acid (Ponstel) for 7 days.

    • Take mefenamic acid (Ponstel) with or without food. But taking it with food or milk can help prevent getting an upset stomach.

      • Don't crush, chew, or open the mefenamic acid (Ponstel) capsules. If you're having trouble swallowing the capsules, contact your provider. You might need to be switched to a different medication.

        • Don't take mefenamic acid (Ponstel) with other NSAIDs, such as ibuprofen (Motrin, Advil). Doing so puts you at higher risk for stomach bleeds. NSAIDs are commonly found in over-the-counter pain and cold medications. Talk with your healthcare provider or pharmacist if you're not sure whether you're already taking an NSAID.

          • Mefenamic acid (Ponstel) can make your skin more sensitive to the sun or ultraviolet (UV) light. This means you can get more sunburns than usual. To protect your skin, make sure to wear sunscreen when going outside and wear long-sleeved clothing. Also avoid being exposed to light or sun for a long time.

            • Store mefenamic acid (Ponstel) up and away from children and pets so they're less likely to reach and accidentally take the medication. If you think your child accidentally took the medication, call a Poison Control Center right away at 1-800-222-1222.

              faqs

              Frequently asked questions about Mefenamic acid (Ponstel)

              How long does it take for mefenamic acid (Ponstel) to work?
              You should expect pain relief within the first few hours after taking a mefenamic acid (Ponstel) dose. Talk to your healthcare provider if you're concerned about how well mefenamic acid (Ponstel) is working for you.
              How many mefenamic acid (Ponstel) capsules can I take in a day?
              Mefenamic acid (Ponstel) comes as 250 mg capsules. After the first day of treatment, the typical dose is to take one capsule every 6 hours, for a total of 4 capsules a day. But depending on your risk for certain side effects, such as bleeding or stomach problems, your pain specialist might a different dose. Make sure to follow their instructions and take mefenamic acid (Ponstel) as prescribed. Don't change your dose without asking your care team first.
              Can I take mefenamic acid (Ponstel) and acetaminophen (Tylenol) together?
              Mefenamic acid (Ponstel) doesn't have any direct interactions with acetaminophen (Tylenol). But acetaminophen (Tylenol) might not be a safe option for everyone, especially if you have liver problems or drink alcohol regularly. Before you take any additional pain medications, it's best to check with your primary care provider or pain specialist to see if there are any interactions.
              Can you take ibuprofen (Advil) with mefenamic acid (Ponstel)?
              No, don't take ibuprofen (Advil) or other NSAIDs, including over-the-counter (OTC) NSAIDs, with mefenamic acid (Ponstel). Taking more than one NSAID can raise your risk for severe side effects, such as heart problems, kidney problems, or bleeding. If you need additional pain relief while taking mefenamic acid (Ponstel), talk with your pain specialist. Depending on what medical condition you have, they can recommend appropriate treatment options.
              Can I take mefenamic acid (Ponstel) for headache?
              NSAIDs, like mefenamic acid (Ponstel), are among the recommended treatment options for migraine headaches. But don't take mefenamic acid (Ponstel) for headaches unless it's prescribed to you by headache specialist. Headaches can be caused by different medical conditions, including dehydration or injuries; mefenamic acid (Ponstel) isn't always a safe choice for some of these situations.
              Can mefenamic acid (Ponstel) cause miscarriage?
              More research is needed to understand whether taking mefenamic acid (Ponstel) raises the risk of a miscarriage. But in general, the FDA recommends that you avoid taking mefenamic acid (Ponstel) and other NSAIDs during the second half of pregnancy (week 20 of pregnancy or later). This is because doing so might cause harm to your unborn baby or complications during delivery. In addition, it's unclear whether NSAIDs are safe to take during early pregnancy. If you're pregnant, speak with obstetrician about safer options for pain.
              Can mefenamic acid (Ponstel) stop periods?
              No, mefenamic acid (Ponstel) doesn't stop periods from happening; it only treats certain symptoms of periods, such as cramping and pain.
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              What are the risks and warnings for Mefenamic acid (Ponstel)?

              Mefenamic acid (Ponstel) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

              risk-warning

              Heart attack and stroke

              • Risk factors: History of heart problems, including heart attack | Taking high doses of mefenamic acid (Ponstel) | Taking mefenamic acid (Ponstel) for a long time | History of heart bypass surgery

                Mefenamic acid (Ponstel) can raise your risk of having blood clots, heart attacks, or strokes. That’s why your pain specialist will recommend that you take it for the shortest possible time. If you have heart problems, talk to your care before starting this medication. Don't take mefenamic acid (Ponstel) if you've had or will be having heart bypass surgery. Call 911 or get immediate medical help if you experience chest pain, trouble breathing, weakness on one side of your body, or trouble speaking or walking.

                risk-warning

                Stomach bleeding and ulcers

                • Risk factors: History of stomach bleeding or ulcers | Older adults | Taking other medications that raises the risk of bleeds | Drinking alcohol | Smoking | Having poor health | Bleeding problems | Liver problems

                  Mefenamic acid (Ponstel) can cause stomach bleeding and ulcers, which can be dangerous. There are many conditions and medications that raise your risk of this problem, so speak with your provider before starting this medication. Stomach bleeding and ulcers can occur without warning or symptoms, so it's best to take the lowest possible dose for the shortest possible time to minimize your risk. If you notice blood in your vomit, stool that looks like black coffee grounds, or if you have pain in your stomach that doesn't go away, stop taking mefenamic acid (Ponstel) and talk to your care team right away.

                  risk-warning

                  Liver damage

                  • Risk factors: History of liver damage | Taking other medications that can cause liver damage

                    Very rarely, mefenamic acid (Ponstel) can cause life-threatening liver damage. Your risk is higher if you take mefenamic acid (Ponstel) with other medications that can also cause liver damage, such as acetaminophen (Tylenol). Liver damage can happen with or without symptoms. Stop mefenamic acid (Ponstel) and talk to your healthcare provider right away if you experience symptoms, such as fever, chills, fatigue, nausea, vomiting, yellowing of the skin or whites of the eyes, clay-colored stool, and dark urine.

                    risk-warning

                    High blood pressure and heart failure

                    • Risk factors: Heart problems

                      Mefenamic acid (Ponstel) can cause your body to hold onto extra fluid, which can raise your blood pressure or put you at risk for heart failure. Tell your provider if you have a history of heart problems or are taking blood pressure medications before starting mefenamic acid (Ponstel) to make sure it's safe for you. Your provider will check for heart problems before they prescribe this medication to you. If you experience unexplained fainting, chest pain with physical activity, or irregular heartbeat while taking mefenamic acid (Ponstel), contact your care team.

                      risk-warning

                      Kidney damage and high potassium levels

                      • Risk factors: Kidney or liver problems | Heart failure | Taking other medications that can cause kidney problems| Older adults | Loss of body fluid through conditions such as severe vomiting, bleeding, or diarrhea

                        Mefenamic acid (Ponstel) can damage your kidneys by slowing down blood flow to the kidneys. The risk is higher if you're taking certain blood pressure medications (like ACE inhibitors, ARBs, or water pills), or have certain conditions (like kidney or liver problems and heart failure). Kidney damage is usually reversible once you stop taking mefenamic acid (Ponstel). This medication isn't recommended if you have very severe kidney problems, so discuss the risks and benefits of taking it with your pain specialist. Let your care team know if you notice a change in how often you urinate after starting mefenamic acid (Ponstel) as this can be a sign of kidney damage.

                        In addition, kidney damage from mefenamic acid (Ponstel) can also lead to high potassium levels. Sometimes, this medication can cause high potassium levels even in people with normal kidneys. If you experience signs of high potassium levels, such as nausea, muscle weakness, or tingling sensations in your muscles, tell your care team right away because it might be dangerous.

                        risk-warning

                        Severe asthma attack

                        • Risk factors: Asthma and stuffy nose with or without nasal polyps | Allergic reaction to aspirin or other NSAIDs

                          Mefenamic acid (Ponstel) can cause your airways to tighten, which might lead to severe asthma attacks. Be careful using this medication if you have asthma. People who've experienced asthma attacks triggered by aspirin (Aspir-Low) or other NSAIDs in the past should avoid mefenamic acid (Ponstel). Get medical help right away if your throat tightens and you can't breathe.

                          risk-warning

                          Severe allergic reactions

                          • Risk factors: Aspirin allergy | NSAID allergy

                            Severe allergic reactions to mefenamic acid (Ponstel) are possible, including life-threatening reactions like facial swelling, shock, and anaphylaxis. Let your provider know if you have an allergy to aspirin or other NSAIDs before starting mefenamic acid (Ponstel). If you notice hives, rash, red skin, swelling of the lips or tongue, or difficulty breathing after using mefenamic acid (Ponstel), call for medical help as soon as possible.

                            Although rare, mefenamic acid (Ponstel) can cause serious skin reactions, such as rash, blisters, skin reddening, or skin peeling. If you notice changes in your skin, stop using mefenamic acid (Ponstel) and get medical attention right away.

                            risk-warning

                            Not for use during pregnancy or while breastfeeding

                            If you're pregnant or breastfeeding, talk to your obstetrician or pain specialist first about the risk and benefits of mefenamic acid (Ponstel) before using this medication. Mefenamic acid (Ponstel) can cause harm to your unborn baby or complications during delivery, especially if taken during the second half of pregnancy.

                            risk-warning

                            Anemia (low red blood cell count)

                            • Risk factors: Taking with other blood thinners (e.g. aspirin, warfarin) | Taking with selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs)

                              Mefenamic acid (Ponstel) can raise your risk of bleeding, especially if you take other medications that cause bleeding. This can lead to anemia (low red blood cells). If you experience fatigue, weakness, pale skin, shortness of breath, or dizziness after taking this medication, let your care team know.

                              dosage

                              Mefenamic acid (Ponstel) dosage forms

                              The average cost for 30 capsules of 250mg of Mefenamic acid (Ponstel) is $42.08 with a free GoodRx coupon. This is 89.83% off the average retail price of $413.82.
                              capsule
                              Capsule
                              DosageQuantityPrice as low asPrice per unit
                              250mg30 capsules$42.08$1.40
                              See more Mefenamic acid (Ponstel) dosage
                              interactions

                              Interactions between Mefenamic acid (Ponstel) and other drugs

                              Mefenamic acid (Ponstel) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Mefenamic acid (Ponstel). Please note that only the generic name of each medication is listed below.

                              Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                              Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                              Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                              See more Mefenamic acid (Ponstel) interactions
                              drug-cost

                              How much does Mefenamic acid (Ponstel) cost?

                              To access savings, use a GoodRx coupon and pay just a fraction of the retail price.View prices & coupons
                              contraindications-icon

                              Mefenamic acid (Ponstel) contraindications

                              Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Mefenamic acid (Ponstel) will not be safe for you to take.
                              • Allergy to other NSAIDs

                              • History of asthma, hives, or other allergic reactions after taking aspirin or another NSAID

                              • Use of mefenamic acid (Ponstel) after coronary artery bypass graft surgery (CABG)

                              alternatives

                              What are alternatives to Mefenamic acid (Ponstel)?

                              There are a number of medications that your doctor can prescribe in place of Mefenamic acid (Ponstel). Compare a few possible alternatives below.
                              Mefenamic acid (Ponstel)
                              Used for:
                              • Treatment of general, mild-to-moderate pain

                              • Treatment of pain from menstrual cramps

                              $42.08 Lowest GoodRx priceView Prices
                              Used for:
                              • Fever in adults

                              • Mild-to-moderate pain in adults

                              • Pain from menstrual cramps

                              • Juvenile arthritis

                              • Rheumatoid arthritis

                              • Osteoarthritis

                              • Ankylosing spondylitis

                              • Tendinitis and bursitis

                              • Gout

                              $59.97 Lowest GoodRx priceView Prices
                              Used for:
                              $8.92 Lowest GoodRx priceView Prices
                              images

                              Mefenamic acid (Ponstel) images

                              Yellow Pad 195 - Mefenamic Acid 250mg Capsule
                              This medicine is Yellow Capsule Imprinted With "Pad 195".Yellow Pad 195 - Mefenamic Acid 250mg Capsule
                              Yellow Pad 195 And Ml 250 - Mefenamic Acid 250mg Capsule
                              This medicine is Yellow Capsule Imprinted With "Pad 195" And "Ml 250".Yellow Pad 195 And Ml 250 - Mefenamic Acid 250mg Capsule
                              White B 839 - Mefenamic Acid 250mg Capsule
                              This medicine is White Capsule Imprinted With "B 839".White B 839 - Mefenamic Acid 250mg Capsule
                              Yellow Logo Fhpc 400 Ponstel - Mefenamic Acid 250mg Capsule
                              This medicine is Yellow Capsule Imprinted With "Logo Fhpc 400 Ponstel".Yellow Logo Fhpc 400 Ponstel - Mefenamic Acid 250mg Capsule
                              White Lu R31 - Mefenamic Acid 250mg Capsule
                              This medicine is White Capsule Imprinted With "Lu R31".White Lu R31 - Mefenamic Acid 250mg Capsule

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                              References

                              Best studies we found

                              American Kidney Fund. (2024). High potassium (hyperkalemia): Causes, prevention, and treatment.

                              Lupin Pharmaceuticals, Inc. (2024). Mefenamic acid capsule [package insert]. DailyMed.

                              Moll, R., et al. (2011). Single dose oral mefenamic acid for acute postoperative pain in adults. The Cochrane Database of Systematic Reviews.

                              View All References (3)

                              National Heart, Lung, and Blood Institute. (2022). What is anemia?

                              National Heart, Lung, and Blood Institute. (2022). What is coronary artery bypass grafting?

                              U.S. Food and Drug Administration. (2020). Nonsteroidal anti-inflammatory drugs (NSAIDs): Drug Safety Communication - Avoid use of NSAIDs in pregnancy at 20 weeks or later.

                              GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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