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QuickView for Mefenamic acid (compound)


PubChem
Name: Mefenamic Acid
PubChem Compound ID: 4044
Description: A non-steroidal anti-inflammatory agent with analgesic, anti-inflammatory, and antipyretic properties. It is an inhibitor of cyclooxygenase.
Molecular formula: C15H15NO2
Molecular weight: 241.285 g/mol
Synonyms:
Benzoic acid, 2-[(2,3-dimethylphenyl)amino]-; Acidum mefenamicum [INN-Latin]; Mefenamic Acid; N-2,3-Xylylanthranilic acid; D00151; Mefenamic acid (JP15/USP); MLS000069709; Bafhameritin-M; KBio2_003222; Mefedolo.
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DrugBank
Identification
Name: Mefenamic Acid
Name (isomeric): DB00784
Drug Type: small molecule
Description: A non-steroidal anti-inflammatory agent with analgesic, anti-inflammatory, and antipyretic properties. It is an inhibitor of cyclooxygenase.
Synonyms:
Methenamic Acid; Acide Mefenamique; Mefenacid; Mephenamic Acid; Mefenaminsaeure; Mephenaminic Acid; Mefanamic Acid
Brand: Bonabol, Vialidon, Parkemed, Pontal, Ponstel, Mefacit, Tanston, Coslan, Ponstil, Namphen, Bafhameritin-M, Lysalgo, In-M, Ponalar, Bafameritin-M, HL 1, Ponstan, Tamany Bonsan, Ponstan Forte, Ponstyl
Category: Cyclooxygenase Inhibitors
CAS number: 61-68-7
Pharmacology
Indication: For the treatment of rheumatoid arthritis, osteoarthritis, dysmenorrhea, and mild to moderate pain, inflammation, and fever.
Pharmacology: Mefenamic acid, an anthranilic acid derivative, is a member of the fenamate group of nonsteroidal anti-inflammatory drugs (NSAIDs). It exhibits anti-inflammatory, analgesic, and antipyretic activities. Similar to other NSAIDs, mefenamic acid inhibits prostaglandin synthetase.
Mechanism of Action: Mefenamic acid binds the prostaglandin synthetase receptors COX-1 and COX-2, inhibiting the action of prostaglandin synthetase. As these receptors have a role as a major mediator of inflammation and/or a role for prostanoid signaling in activity-dependent plasticity, the symptoms of pain are temporarily reduced.
Absorption: Mefenamic acid is rapidly absorbed after oral administration.
Protein binding: 90%
Biotransformation: Mefenamic acid undergoes metabolism by CYP2C9 to 3-hydroxymethyl mefenamic acid, and further oxidation to a 3-carboxymefenamic acid may occur. The activity of these metabolites has not been studied. Mefenamic acid is also glucuronidated directly.
Route of elimination: The fecal route of elimination accounts for up to 20% of the dose, mainly in the form of unconjugated 3-carboxymefenamic acid.3 The elimination half-life of mefenamic acid is approximately two hours. Mefenamic acid, its metabolites and conjugates are primarily excreted by the kidneys. Both renal and hepatic excretion are significant pathways of elimination.
Half Life: 2 hours
Clearance: Oral cl=21.23 L/hr [Healthy adults (18-45 yrs)]
Toxicity: Oral, rat LD50: 740 mg/kg. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Take with food.
Drug interaction:
TamoxifenMefenamic acid may reduce clearance rate of Tamoxifen. Monitor for changes in therapeutic/adverse effects of Tamoxifen if Mefenamic acid is initiated, discontinued or dose changed.
TolbutamideMefanamic acid, a strong CYP2C9 inhibitor, may decrease the metabolism and clearance of Tolbutamide, a CYP2C9 substrate. Consider alternate therapy or monitor for changes in Tolbutamide therapeutic and adverse effects if Mefanamic acid is initiated, discontinued or dose changed.
TrandolaprilThe NSAID, Mefenamic acid, may reduce the antihypertensive effect of Trandolapril. Consider alternate therapy or monitor for changes in Trandolapril efficacy if Mefenamic acid is initiated, discontinued or dose changed.
WarfarinMefenamic acid, a strong CYP2C9 inhibitor, may decrease the metabolism of warfarin. The antiplatelet effect of mefenamic acid may also increase the bleed risk associated with warfarin. Consider alternate therapy or monitor for changes in the therapeutic and adverse effects of warfarin if mefenamic acid is initiated, discontinued or dose changed.
TrimethoprimThe strong CYP2C9 inhibitor, Mefenamic acid, may decrease the metabolism and clearance of Trimethoprim, a CYP2C9 substrate. Consider alternate therapy or monitor for changes in therapeutic and adverse effects of Trimethoprim if Mefenamic acid is initiated, discontinued or dose changed.
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