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Molecule

Mefenamic acid

Anti-Inflammatory Agents
Available on requestRheumatology
Presentations
1
Brands
0
Manufacturers
0
Available from stock
0

Mefenamic acid is a nonsteroidal anti-inflammatory drug indicated for for management of mild to moderate pain in patient 14 years of age and older, when therapy will not exceed one week (7 days). MedsAcross supplies Mefenamic acid for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Anti-Inflammatory Agents, Nonsteroidal Anti-inflammatory Drug, Cyclooxygenase Inhibitors
ATC classification
M01AG01 Mefenamic acid · Fenamates
US FDA first approval
28 March 1967
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 367589PJ2CRxCUI 6693CAS 61-68-7DrugBank DB00784Q284321

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Mefenamic acid capsules are nonsteroidal anti-inflammatory drug indicated for: For management of mild to moderate pain in patient 14 years of age and older, when therapy will not exceed one week (7 days). For treatment of primary dysmenorrhea.

Source: US FDA prescribing information

How it works

Mefenamic acid has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of mefenamic acid, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2). Mefenamic acid is a potent inhibitor of prostaglandin synthesis in vitro. Mefenamic acid concentrations reached during therapy have produced in vivo effects. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in inducing pain in animal models. Prostaglandins are mediators of inflammation. Because mefenamic acid is an inhibitor of prostaglandin synthesis, its mode of action may be due to a decrease of prostaglandins in peripheral tissues.

Source: US FDA prescribing information

Dosing overview

Adults and adolescents 14 years of age and older: 500 mg given orally as an initial dose followed by 250 mg every 6 hours as needed. For the treatment of primary dysmenorrhea: 500 mg given orally as an initial dose followed by 250 mg every 6 hours

Source: US FDA prescribing information

Contraindications

Mefenamic acid capsules are contraindicated in the following patients: Known hypersensitivity (e.g., anaphylactic reactions and serious skin reactions) to mefenamic acid or any components of the drug product. History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Severe, sometimes fatal, anaphylactic reactions to NSAIDs have been reported in such patients. In the setting of coronary artery bypass graft (CABG) surgery. Known hypersensitivity (e.g., anaphylactic reactions and serious skin reactions) to mefenamic acid or any components of the drug product.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (risk of serious cardiovascular and gastrointestinal events): Cardiovascular Thrombotic Events Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use. Hepatotoxicity: Inform patients of warning signs and symptoms of hepatotoxicity. Discontinue if abnormal liver tests persist or worsen or if clinical signs and symptoms of liver disease develop. Hypertension: Patients taking some antihypertensive medications may have impaired response to these therapies when taking NSAIDs. Monitor blood pressure. Heart Failure and Edema: Avoid use of mefenamic acid in patients with severe heart failure unless benefits are expected to outweigh risk of worsening heart failure.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in greater detail in other sections of the labeling: Cardiovascular Thrombotic Events GI Bleeding, Ulceration and Perforation Hepatotoxicity Hypertension Heart Failure and Edema Renal Toxicity and Hyperkalemia Anaphylactic Reactions Serious Skin Reactions Hematologic Toxicity Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The following adverse reactions associated with the use of mefenamic acid were identified in clinical studies or post- marketing reports.

Source: US FDA prescribing information

Interactions

Drug Interactions See Table 1 for clinically significant drug interactions with mefenamic acid. Table1: Clinically Significant Drug Interactions with Mefenamic Acid Drugs That Interfere with Hemostasis Clinical Impact: Mefenamic acid and anticoagulants such as warfarin have a synergistic effect on bleeding. The concomitant use of mefenamic acid and anticoagulants have an increased risk of serious bleeding compared to the use of either drug alone. Serotonin release by platelets plays an important role in hemostasis. Case-control and cohort epidemiological studies showed that concomitant use of drugs that interfere with serotonin reuptake and an NSAID may potentiate the risk of bleeding more than an NSAID alone.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Mefenamic acid, sorted by availability.

MedicineManufacturerRegisterAvailability
Mefenamic acid 250 mg capsuleOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 28 March 1967Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Mefenamic acid in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Mefenamic acid available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Mefenamic acid and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Mefenamic acid approved by the US FDA?

Yes. The US FDA first approved Mefenamic acid on 28 March 1967, according to Drugs@FDA.

Does Mefenamic acid need cold chain shipping?

No listed presentation of Mefenamic acid is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Mefenamic acid in?

Mefenamic acid is classified under ATC code M01AG01 (Mefenamic acid).

References

  1. Mefenamic Acid prescribing information (Lupin). U.S. National Library of Medicine, DailyMed. Retrieved 20 April 2026

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