1. What Tolmic® is and what it is used for?
Tolmic® (Tolfenamic Acid) is an NSAID with anti-inflammatory, analgesic and antipyretic effects. It is a prostaglandin synthesis inhibitor and a leukotriene synthesis inhibitor.
Tolmic® is indicated for the symptoms of migraine.
2. Before you take Tolmic®
Do not take this medicine and tell your doctor if:
Before taking Tolmic®, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
As is the case with other NSAIDs, tolfenamic acid should be used with caution in patients with a history of gastrointestinal ulceration, or impaired liver or kidney function.
Take special care with Tolmic®
Check with your doctor before taking this medicine if:
Active peptic ulceration. Significantly impaired kidney or liver function. Tolfenamic Acid is contraindicated in patients in whom attacks of asthma, urticaria or acute rhinitis are precipitated by aspirin or other non-steroidal anti-inflammatory agents.
Taking other medicines
In patients treated with anticoagulants, close monitoring of blood coagulation is recommended. Diuretics: The effect of loop diuretics may be reduced. Lithium : The effect of lithium may be increased.
Pregnancy and breast-feeding
Reproduction studies in animals have not shown any signs of fetal damage. Controlled studies in pregnant women are not available. As is the case with the use of other NSAIDs, tolfenamic acid should not be given in the last trimester, due to risks of premature closure of the ductus arteriosus and prolonged parturition.
Tolfenamic acid is excreted to such a very small extent in mothers' milk that it should be without risk to the breast-fed baby.
3. How to take Tolmic®?
For acute attacks: 200 mg when the first symptoms of migraine appear. The treatment can be repeated once after 1-2 hours if a satisfactory response is not obtained
If you forget to take Tolmic®
If you forget to take a dose, take it as soon as you remember it. If it is almost time for your next dose, do not take the missed dose. Take the next dose on time
If you stop taking Tolmic®
Do not stop taking this medicine without talking to your doctor. You should not stop taking Tolmic® just because you feel better. This is because the problem may come back or get worse again.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, Tolmic® can cause side effects, although not everybody gets them.
Tolfenamic Acid is well tolerated at the recommended dosage and seldom causes side effects which include diarrhea, nausea, epigastric pain, vomiting, urticaria, allergic skin reactions etc.
5. How to store Tolmic®?
Store in a cool and dry place, away from light.
Keep out of reach of children