drotel mf tablet - Drotaverine (NA) + Mefenamic Acid (NA) medicine

Drotel Mf Tablet: Comprehensive Guide To Uses, Dosage, And Safety

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🏭 Life Sciences Inc 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 31, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. Avoid in the third trimester due to risk of premature closure of ductus arteriosus. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 31, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is drotel mf tablet used for?

This medicine is a combination of drotaverine and mefenamic acid used to relieve painful menstrual cramps and abdominal spasms. It works by relaxing smooth muscles and reducing inflammation. Take it with food as prescribed by your doctor.

  • Generic Name: Drotaverine (NA) + Mefenamic Acid (NA)
  • Manufacturer: Life Sciences Inc
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 drotel mf tablet के बारे में (Hindi Summary)

उपयोग: यह दवा ड्रोटावेरिन और मेफेनामिक एसिड का संयोजन है, जिसका उपयोग मासिक धर्म के दर्द, पेट की ऐंठन, और अन्य स्पास्मोडिक दर्द के इलाज के लिए किया जाता है। यह मांसपेशियों को आराम देकर और सूजन को कम करके काम करती है। इसे डॉक्टर के निर्देशानुसार भोजन के साथ लें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में रक्तस्राव, अल्सर, गुर्दे की समस्या और एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि आपको काला मल, उल्टी में खून, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन या दूध के साथ लें ताकि पेट की जलन कम हो। इस दवा के साथ शराब न लें। यदि आपको चक्कर आते हैं तो वाहन न चलाएं। गुर्दे या लीवर की बीमारी, अल्सर, या खून से संबंधित विकार होने पर डॉक्टर को बताएं। 7 दिनों से अधिक इसका उपयोग बिना डॉक्टर की सलाह के न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 drotel mf tablet Uses & Benefits

[{"condition":"Primary dysmenorrhea","description":"Relieves menstrual cramps and associated pain by relaxing uterine smooth muscle and reducing prostaglandin-induced inflammation.","evidence":"Well-established"},{"condition":"Abdominal spasms","description":"Used to relieve spasms of the gastrointestinal tract, biliary tract, and urinary tract.","evidence":"Moderate"},{"condition":"Renal colic","description":"Helps relieve pain from kidney stones by relaxing smooth muscle in the urinary tract.","evidence":"Moderate"},{"condition":"Biliary colic","description":"Used for pain relief in gallbladder spasms.","evidence":"Limited"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine relief due to anti-inflammatory and antispasmodic effects.","evidence":"Limited"},{"condition":"Post-operative pain","description":"Occasionally used for post-operative smooth muscle spasm pain.","evidence":"Limited"}]

Primary treatment for: Dysmenorrhea

Also treats: Abdominal spasms, Renal colic, Biliary colic

📋 Drug Information

Generic Name(s)Drotaverine (NA) + Mefenamic Acid (NA)
Brand Namedrotel mf tablet
ManufacturerLife Sciences Inc
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food or milk to minimize stomach upset.
2
Do not exceed the prescribed dose or duration without consulting your doctor.
3
Avoid alcohol while taking this medicine to prevent gastrointestinal bleeding.
4
Stay well hydrated throughout the day.
5
Do not drive or operate heavy machinery if you experience dizziness or drowsiness.
6
Inform your doctor if you have a history of kidney or liver disease, asthma, or bleeding disorders.
7
Report any unusual bleeding, bruising, or severe abdominal pain immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Menstrual cramps
This medicine is commonly prescribed for this.
Likely Use
✅
Abdominal spasms
This medicine helps relax smooth muscles.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDrotaverine is rapidly absorbed after oral administration, with peak plasma concentrations reached within 1-2 hours. Mefenamic acid is also well absorbed orally, with peak levels occurring in 2-4 hours. Food may slightly delay absorption but does not significantly affect the extent.
DistributionDrotaverine is highly protein-bound (approximately 95-98%) and distributes widely into tissues, including smooth muscle. Mefenamic acid is also highly protein-bound (>90%) and crosses the placenta and appears in breast milk.
Protein BindingDrotaverine: approximately 95-98% bound to plasma proteins. Mefenamic acid: greater than 90% bound to plasma proteins.
MetabolismDrotaverine is extensively metabolized in the liver, primarily by conjugation and oxidation. Mefenamic acid is metabolized in the liver by cytochrome P450 enzymes, mainly CYP2C9, to inactive metabolites.
Half-LifeDrotaverine: approximately 8-10 hours. Mefenamic acid: approximately 2 hours.
ExcretionDrotaverine is excreted mainly in urine as metabolites and in feces. Mefenamic acid is excreted primarily in urine as metabolites and conjugates.
BioavailabilityDrotaverine: approximately 25-30% due to first-pass metabolism. Mefenamic acid: approximately 90%.
Onset of ActionDrotaverine: onset of antispasmodic effect within 30-60 minutes. Mefenamic acid: analgesic effect within 1-2 hours.
Peak Plasma TimeDrotaverine: 1-2 hours. Mefenamic acid: 2-4 hours.
Duration of ActionDrotaverine: 4-6 hours. Mefenamic acid: 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Drotaverine is a selective phosphodiesterase-4 inhibitor that increases cyclic adenosine monophosphate (cAMP) levels in smooth muscle cells, leading to relaxation. It also inhibits calcium influx through voltage-gated calcium channels. Mefenamic acid is an NSAID that reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), reducing the synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. The combination provides both antispasmodic and analgesic-anti-inflammatory effects.

Mechanism Steps

1
Drotaverine inhibits phosphodiesterase-4: Drotaverine selectively inhibits phosphodiesterase-4 in smooth muscle cells, increasing intracellular cAMP levels.
2
Increased cAMP causes smooth muscle relaxation: Elevated cAMP reduces calcium availability and inhibits contractile proteins, leading to relaxation of smooth muscle.
3
Mefenamic acid inhibits cyclooxygenase: Mefenamic acid reversibly inhibits COX-1 and COX-2 enzymes, blocking the conversion of arachidonic acid to prostaglandins.
4
Reduced prostaglandin synthesis: Lower prostaglandin levels decrease pain, inflammation, and uterine contractions.

💡 How to Take drotel mf tablet

Strength: Drotaverine 80 mg + Mefenamic acid 250 mg immediate-release tablet.

1Take the tablet orally with a full glass of water.
2Take it with food or milk to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Follow the prescribed schedule and dose.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally 2 to 3 times daily, preferably with food. The exact dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Use with caution and lower doses may be appropriate. Consult a doctor for individualized dosing.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose is 3 tablets in divided doses. Do not exceed without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of gastrointestinal bleeding.
Caffeine
Limit
May increase nervousness and insomnia.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of drotel mf tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk. If persistent, consult your doctor.
Stomach pain (Common (5-10%))
Take with food. Avoid alcohol. Consult doctor if severe.
Headache (Common (5-10%))
Usually resolves. Rest and hydrate. Consult if persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Drowsiness (Common (5-10%))
Avoid alcohol and activities requiring alertness.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stools, vomiting blood, or severe abdominal pain.
Peptic ulcer (Rare (<0.1%))
Report persistent stomach pain or heartburn to your doctor.
Kidney impairment (Rare (<0.1%))
Monitor urine output. Seek medical help if decreased urination or swelling occurs.
Severe allergic reaction (Rare (<0.1%))
Seek emergency care if you experience swelling of face, lips, throat, or difficulty breathing.
Blood disorders (Rare (<0.1%))
Report unusual bleeding, bruising, or fatigue to your doctor.

⚠️ Rare Side Effects

Hepatotoxicity
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain.
Aseptic meningitis
Seek immediate care for severe headache, stiff neck, fever, and sensitivity to light.
Stevens-Johnson syndrome
Seek emergency care for rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Aspirin Major
Ibuprofen Major
Methotrexate Major
Lithium Major
ACE inhibitors Moderate
Diuretics Moderate
SSRIs Moderate
Corticosteroids Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs (e.g., aspirin, ibuprofen)
  • Corticosteroids
  • Methotrexate
  • Lithium

⚡ Moderate Interactions

  • ACE inhibitors
  • Diuretics
  • Beta-blockers
  • SSRIs

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding, ulcers, and liver toxicity. It may also enhance drowsiness and dizziness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to drotaverine, mefenamic acid, or any component","Active peptic ulcer or history of recurrent ulcers","Severe renal impairment","Severe hepatic impairment","Third trimester of pregnancy","Children under 12 years","Patients with aspirin-sensitive asthma"]

⚠️ Warnings & Precautions

["Take with food to reduce gastrointestinal irritation.","Avoid alcohol consumption.","Do not drive or operate machinery if you experience dizziness or drowsiness.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for prolonged periods without medical supervision.","Inform your doctor if you have a history of kidney or liver disease, asthma, or bleeding disorders.","May increase risk of cardiovascular events; use with caution in patients with heart disease."]

🤱 Lactation Safety

Mefenamic acid is excreted in breast milk. Limited data on drotaverine. Consult your doctor before use during breastfeeding.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, abdominal pain, drowsiness, and gastrointestinal bleeding. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs and electrolytes.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of gastrointestinal bleeding. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, asthma, or bleeding disorders. Do not use this medicine for more than 7 days without medical advice. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal, renal, and cardiovascular side effects. Use with caution and lower doses may be appropriate.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy. This medicine should be avoided during pregnancy, especially in the third trimester.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, as it may increase bleeding risk.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may increase bleeding risk during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints and muscles.
🥗
Practice relaxation techniques to manage stress.
😴
Stay physically active with low-impact exercises.
💧
Get adequate sleep to aid recovery.
🧘
Stay hydrated by drinking plenty of water.

🏋️ Exercise Considerations

Avoid strenuous exercise if you experience dizziness or drowsiness. Listen to your body and rest when needed.

🥗 Diet Recommendations

Include anti-inflammatory foods like omega-3 rich fish.
Reduce intake of processed and spicy foods.
Stay well hydrated.
Avoid alcohol and caffeine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe side effects, allergic reactions, or if your symptoms do not improve within 7 days.

📅 Long-Term Use Effects

Long-term use of this medicine can increase the risk of gastrointestinal bleeding, ulcers, kidney problems, and cardiovascular events. Regular monitoring of renal and hepatic function is advised. Use the lowest effective dose for the shortest duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Heat therapy

Applying a heating pad to the lower abdomen can help relieve menstrual cramps.

Evidence: Well-established
Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. Consult your doctor for individualized advice.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 28-year-old woman with severe menstrual cramps
She was prescribed this medicine for dysmenorrhea. She took it with food as directed and experienced significant relief within 2 hours. She noted that taking it with food prevented stomach upset.
💡 Lesson: Taking this medicine with food improves tolerability and ensures better relief.
👤 A 45-year-old man with renal colic
He received this medicine for kidney stone pain. The combination helped relieve the spasms and pain. He was advised to drink plenty of water and monitor urine output.
💡 Lesson: This medicine can effectively relieve renal colic pain, but hydration and monitoring are important.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain within 1-2 hours after taking it.

Q: Can I take it on an empty stomach?

A: It is best taken with food or milk to reduce stomach upset.

Q: Is it safe during pregnancy?

A: Consult your doctor. It is generally avoided in the third trimester.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for drotel mf tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for any type of pain.
    Fact: This medicine is specifically for spasmodic pain and menstrual cramps. It is not a general pain reliever for all conditions.
  • Myth: It is safe to take this medicine for long periods without a doctor's supervision.
    Fact: Prolonged use can cause serious side effects like gastrointestinal bleeding and kidney problems. Use only as prescribed.
  • Myth: This medicine is safe during pregnancy.
    Fact: It should be avoided in the third trimester and used only if clearly needed under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Drotaverine + Mefenamic Acid tablet

Brand Alternatives

  • Drotel MF Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Drotaverine + Mefenamic Acid","uses":"Dysmenorrhea, abdominal spasms","notes":"Combination provides antispasmodic and anti-inflammatory effects."},{"medicine":"Drotaverine + Paracetamol","composition":"Drotaverine + Paracetamol","uses":"Spasmodic pain","notes":"Paracetamol provides analgesic but not anti-inflammatory effect."},{"medicine":"Mefenamic Acid alone","composition":"Mefenamic Acid","uses":"Pain and inflammation","notes":"Lacks antispasmodic effect."}]

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