Mefenamic Acid Tablets

£24.99

  • Heavy and painful period relief
  • Pack of 28 tablets
  • NSAID pain relief medication
  • Buy online from a licensed UK pharmacy
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Pharmacy, clinic and prescribers based in Greater Manchester.

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About Mefenamic Acid Tablets

Medication Name Mefenamic Acid Tablets
Active Ingredient Mefenamic Acid
Type and Form of Medicine Film-coated NSAID Tablet
Used to Treat Heavy periods, period pain, inflammation, arthritis pain
Available Dosage 500mg
Common Side Effects Stomach upset, nausea, dizziness
Prescription Required Yes
How to Take 3 times daily with food
Patient Information Leaflet Mefenamic Acid Patient Information Leaflet

What is Mefenamic Acid?

Mefenamic acid is a prescription-only medicine that belongs to a group of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). It’s specifically designed to reduce inflammation, pain, and discomfort.

Mefenamic acid is the same active ingredient found in the brand-name medication Ponstan, and it’s been used safely for decades to help women manage problematic periods.

What is mefenamic acid used to treat?

Mefenamic acid is prescribed to treat mild to moderate pain and inflammatory conditions.

The medication is commonly used to treat:

  • Heavy or painful periods
  • Period-related pain
  • Arthritis and joint pain
  • Muscle and soft tissue injuries
  • Post-surgical pain
  • Dental pain
  • Headaches and migraines
  • General inflammation

For period problems specifically, mefenamic acid is often prescribed when regular painkillers aren’t strong enough, or when heavy bleeding is significantly impacting your quality of life.

How does Mefenamic Acid work?

Mefenamic acid works by blocking enzymes in your body called cyclooxygenases (COX enzymes). These enzymes produce chemicals called prostaglandins, which are responsible for causing pain and fever.

For heavy periods specifically, mefenamic acid helps in several ways:

  • Reduces heavy bleeding: By blocking prostaglandins, it can reduce the amount of blood lost during your period by up to 30-50% in some women.
  • Relieves menstrual pain: It targets the chemicals that cause the painful cramping and discomfort during menstruation.
  • Reduces inflammation: The anti-inflammatory effects help with the swelling and tenderness during your menstrual cycle.
  • Quick pain relief: Unlike some treatments, mefenamic acid starts working within a few hours of taking it, providing relatively fast relief from period symptoms.

The medication is most effective when taken at the first sign of your period starting, rather than waiting until symptoms become severe.

Who can take Mefenamic Acid?

Mefenamic acid is suitable for adults and children over 12 who need help managing heavy or painful periods or other types of pain and inflammation.

For period-related issues, your healthcare provider will typically recommend mefenamic acid if over-the-counter painkillers like paracetamol or ibuprofen haven’t provided enough relief, or if your periods are particularly heavy.

The medication can be used on its own or alongside other treatments for managing heavy periods, depending on what your doctor or pharmacist thinks will work best for your situation.

Who can’t take Mefenamic Acid?

Mefenamic acid isn’t suitable for everyone, and you shouldn’t take it if you have certain medical conditions or are taking specific medications.

You cannot take Mefenamic acid if you:

  • Are allergic to mefenamic acid or any NSAIDs
  • Have inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis
  • Have a history of stomach ulcers, stomach bleeding, or gastritis
  • Have severe heart, liver, or kidney problems
  • Are more than 6 months pregnant
  • Have just had heart bypass surgery

Tell your doctor before taking mefenamic acid if you:

  • Are taking other NSAIDs or anti-inflammatory medicines
  • Take blood-thinning medications like warfarin or aspirin
  • Have kidney or liver problems
  • Are trying to become pregnant or are breastfeeding
  • Are over 65 years old
  • Have asthma, epilepsy, or heart problems
  • Have had stomach problems with painkillers before
  • Are scheduled for surgery
  • Have diabetes, high blood pressure, or high cholesterol

Your doctor will review your medical history and current medications to make sure mefenamic acid is safe and appropriate for you.

Mefenamic Acid Ingredients

Active Ingredient: Mefenamic acid (500mg per tablet)

Inactive Ingredients: Lactose monohydrate, pregelatinised starch, croscarmellose sodium, povidone, microcrystalline cellulose, colloidal silicone dioxide, magnesium stearate, Opadry II Yellow (hypromellose, lactose monohydrate, titanium dioxide, macrogol, iron oxide yellow, talc, iron oxide red)

Mefenamic Acid 500mg Dosage

Mefenamic acid tablets come in one standard strength: 500mg film-coated tablets.

The usual dose is one 500mg tablet taken three times daily with food. This provides a total daily dose of 1,500mg, which is the recommended amount for most conditions, including heavy periods.

Start taking mefenamic acid at the first sign of your period beginning, rather than waiting for symptoms to become severe. Continue taking it regularly throughout your period as directed by your doctor or pharmacist.

Important dosage notes:

  • Never exceed the recommended dose
  • Don’t take more than three tablets (1,500mg) in 24 hours
  • Always take with or immediately after food to protect your stomach
  • If you miss a dose, take it as soon as you remember, but don’t double up if it’s nearly time for your next dose, as this can increase the risk of side effects or overdose.

Mefenamic Acid Side Effects

Like all medications, mefenamic acid can cause side effects, although not everyone experiences them.

Common Side Effects

  • Stomach upset or pain
  • Nausea
  • Dizziness
  • Diarrhea
  • Constipation
  • Bloating
  • Indigestion or heartburn
  • Drowsiness
  • Headache

Uncommon Side Effects

  • Blurred vision or eye problems
  • Ringing in ears (tinnitus)
  • Swelling of hands, ankles, or feet
  • Changes in urination
  • Mood changes or confusion
  • Skin sensitivity to sunlight

Serious Side Effects

  • Severe stomach pain or black, tarry stools
  • Vomiting blood or dark particles
  • Difficulty breathing or swallowing
  • Severe skin reactions or rash
  • Swelling of face, lips, or throat
  • Unusual bleeding or bruising
  • Signs of liver problems (yellowing of skin/eyes, dark urine, pale stools)
  • Chest pain or signs of heart problems

NSAIDs like mefenamic acid may be associated with a small increased risk of heart attack or stroke, particularly with long-term use.

If you experience any side effects not listed here or are concerned about any symptoms, you can report side effects directly through the Yellow Card Scheme and speak to your prescriber.

Important Information

  • Keep this medicine out of sight and reach of children
  • Do not use this medication after the expiry date
  • Store below 25°C in the original package
  • Do not dispose of via wastewater or household waste – ask your pharmacist how to dispose of unused medicines.

Mefenamic Acid Tablets Reviews

Mefenamic Acid Capsules FAQs


Mefenamic acid and ibuprofen are both NSAIDs, but they work slightly differently. For heavy periods, mefenamic acid is often more effective at reducing bleeding than ibuprofen. However, “stronger” depends on the individual and the condition being treated. Your doctor will recommend the most suitable option for your symptoms.

Mefenamic acid should always be taken with or immediately after food. Taking it on an empty stomach can cause stomach irritation, nausea, and increase the risk of stomach ulcers.

Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID), so it reduces inflammation, pain, and fever by blocking certain chemicals in your body that cause these symptoms.

No, they are completely different medications. Mefenamic acid is an NSAID that reduces pain, inflammation, and bleeding. Tranexamic acid targets heavy bleeding by helping blood clot more effectively, but it doesn’t relieve pain.

Drowsiness and dizziness are possible side effects of mefenamic acid, though not everyone experiences them. If you feel sleepy after taking it, avoid driving or operating machinery until you know how it affects you.

Mefenamic acid and naproxen are both effective NSAIDs, but they work differently. Mefenamic acid is particularly effective for heavy periods because it specifically targets the prostaglandins that cause heavy menstrual bleeding. Naproxen is better for general pain and inflammation, but may not be as effective at reducing heavy bleeding. For menstruation-related problems, Mefenamic acid is often the preferred choice.

Mefenamic acid is a prescription-only medicine in the UK. You’ll need to see a doctor or complete an online consultation to get it prescribed.

If you’re trying to become pregnant, you should avoid Mefenamic acid as NSAIDs can make conception more difficult. Speak to your prescriber if you’re trying to get pregnant or having fertility problems.

You should avoid alcohol while taking Mefenamic acid. Alcohol increases the risk of stomach bleeding and can worsen side effects like nausea and stomach irritation.

Mefenamic Acid for Period Pain & Menstrual Cramps

A View From Our Expert

Period pain can be hard to manage, but Mefenamic Acid is one option that works well for many. It’s part of a group of medicines called NSAIDs, which help reduce the inflammation that causes cramping.

I often see patients feel a lot more in control when they take it at the first sign of pain. In most cases, they only need it for a day or two before the worst has passed. Taken as needed, it helps you carry on with your routine without being slowed down by period pain.

Dr Hussain Ahmad

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

Pharmacist
MPharm
GPhC no. 2065469

Pharmacist
MPharm
GPhC no. 2046514

Page content authored by Amjad Khan, last reviewed by Mr Mohammed on 24th June 2025.

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