dromef 80 mg/250 mg tablet - Drotaverine (80mg) + Mefenamic Acid (250mg) medicine

dromef 80 mg/250 mg tablet

4.5 (11 reviews)
๐Ÿญ Numed ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 21, 2026
โš ๏ธ Hepatotoxicity Risk ๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 21, 2026

What is dromef 80 mg/250 mg tablet used for?

Almefkem-D Tablet (Drotaverine + Mefenamic Acid) is used to treat GASTRO INTESTINAL. It contains Drotaverine (80mg) + Mefenamic Acid (250mg), which Drotaverine inhibits phosphodiesterase IV, causing smooth muscle relaxation; Mef. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Drotaverine + Mefenamic Acid
  • Manufacturer: Numed
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š dromef 80 mg/250 mg tablet Uses & Benefits

Smooth muscle spasms associated with GI, biliary, or urinary tract disorders; dysmenorrhea

Off-label uses: Renal colic, biliary colic, migraine (limited evidence)

๐Ÿ“‹ Drug Information

Generic Name(s)Drotaverine + Mefenamic Acid
Brand NameAlmefkem-D Tablet
ManufacturerNumed
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntispasmodic + NSAID
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture and light
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionWell absorbed orally
DistributionDistributed widely in body tissues
Protein BindingDrotaverine: 95-98%; Mefenamic Acid: 90-98%
MetabolismDrotaverine: Hepatic; Mefenamic Acid: Hepatic (CYP2C9)
Half-LifeDrotaverine: 7-12 hours; Mefenamic Acid: 2-4 hours
ExcretionDrotaverine: Renal and fecal; Mefenamic Acid: Renal (primarily) and fecal
BioavailabilityDrotaverine: ~100%; Mefenamic Acid: ~90%
Onset of ActionDrotaverine: 30-60 min; Mefenamic Acid: 1-2 hours
Peak Plasma TimeDrotaverine: 1-2 hours; Mefenamic Acid: 2-4 hours
Duration of ActionDrotaverine: 4-6 hours; Mefenamic Acid: 6-8 hours

How It Works

Drotaverine inhibits phosphodiesterase IV, causing smooth muscle relaxation; Mefenamic acid inhibits cyclooxygenase (COX) enzymes, reducing prostaglandin synthesis.

Mechanism Steps

1Drotaverine inhibits phosphodiesterase IV, increasing cAMP levels in smooth muscle cells.
2Increased cAMP leads to relaxation of smooth muscle via activation of protein kinase A.
3Mefenamic acid inhibits cyclooxygenase (COX-1 and COX-2) enzymes.

๐Ÿ’ก How to Take dromef 80 mg/250 mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of dromef 80 mg/250 mg tablet

โœ… Common Side Effects

  • Nausea
  • Vomiting
  • Dizziness
  • Headache
  • Drowsiness
  • Dry mouth
  • Diarrhea
  • Constipation

๐Ÿšจ Serious Side Effects

  • GI bleeding
  • Peptic ulcer
  • Renal failure
  • Hepatotoxicity
  • Anaphylaxis
  • Stevens-Johnson syndrome
  • Bone marrow suppression

โš ๏ธ Rare Side Effects

  • Pancreatitis
  • Hepatic necrosis
  • Agranulocytosis
  • Thrombocytopenia
  • Aplastic anemia

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Aspirin Major Increased risk of GI ulceration and bleeding
Lithium Major Increased lithium toxicity
Methotrexate Major Increased methotrexate toxicity
ACE inhibitors Major Reduced antihypertensive effect
Diuretics Major Reduced diuretic effect
Anticoagulants Moderate Increased bleeding risk
Antiplatelets Moderate Increased bleeding risk
Corticosteroids Moderate Increased GI ulceration risk
SSRIs Moderate Increased bleeding risk
Alcohol Moderate Increased GI bleeding and hepatotoxicity
Antacids Minor Reduced absorption of mefenamic acid
Digoxin Minor Possible increased digoxin levels
Phenytoin Minor Possible increased phenytoin levels

๐Ÿšจ Major Interactions

  • Warfarin
  • Aspirin
  • Lithium
  • Methotrexate
  • ACE inhibitors
  • Diuretics

โšก Moderate Interactions

  • Anticoagulants
  • Antiplatelets
  • Corticosteroids
  • SSRIs
  • Alcohol

โ„น๏ธ Minor Interactions

  • Antacids
  • Digoxin
  • Phenytoin

๐Ÿฝ๏ธ Food Interactions

Food may delay absorption; avoid high-fat meals.

๐Ÿท Alcohol Interaction

Increased risk of GI bleeding and hepatotoxicity

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, active GI bleeding, severe hepatic/renal impairment, asthma, history of NSAID-induced reactions, third trimester pregnancy

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, CBC, blood pressure, signs of GI bleeding

๐Ÿคฑ Lactation Safety

Not recommended; excreted in breast milk

๐Ÿ’Š Overdose Management

Symptomatic and supportive; gastric lavage, activated charcoal; monitor for CNS depression, seizures, renal failure

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose; do not double dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 21, 2026

๐Ÿ”— View Profile

โญ User Reviews

Happy Patient Jul 10, 2026

Effective and reliable. Worked as expected.

Regular Customer Jul 10, 2026

Effective and reliable. Worked as expected.

Happy Patient Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

Happy Patient Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Trusted Reviewer Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

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