pyre mef oral suspension - Mefenamic Acid (100mg) + Paracetamol (250mg) medicine

Avumol MF Plus Oral Suspension: Complete Medicine Guide

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🏭 SanoreX Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for short-term pain and fever relief.
Reviewed by
SaathiMed Expert Panel | Sep 23, 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 bruising or bleeding
  • Severe dizziness or fainting

If experiencing severe symptoms, call emergency services immediately.

What is pyre mef oral suspension used for?

This medicine is a combination of mefenamic acid and paracetamol used for short-term relief of mild to moderate pain and fever. It works by reducing inflammation and pain through mefenamic acid and lowering fever through paracetamol. It should be taken with food and not exceeding the recommended dose.

  • Generic Name: Mefenamic Acid (100mg) + Paracetamol (250mg)
  • Manufacturer: SanoreX Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 pyre mef oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा मेफेनामिक एसिड और पैरासिटामोल का संयोजन है, जिसका उपयोग हल्के से मध्यम दर्द और बुखार से राहत के लिए किया जाता है। यह दांत दर्द, सिरदर्द, मासिक धर्म में होने वाले दर्द, मांसपेशियों के दर्द और सर्जरी के बाद के दर्द में प्रभावी है। यह बुखार को कम करने में भी मदद करती है। इसे भोजन के साथ लेना चाहिए और डॉक्टर द्वारा बताई गई मात्रा से अधिक नहीं लेना चाहिए।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, पेट दर्द, अपच, दस्त या कब्ज शामिल हैं। कुछ लोगों को चक्कर आना या सिरदर्द हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन पेट में अल्सर या रक्तस्राव, एलर्जी प्रतिक्रिया, गुर्दे या यकृत की समस्या हो सकती है। यदि आपको काला मल, उल्टी में खून, त्वचा या आंखों का पीलापन, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं। इसे भोजन या दूध के साथ लें। शराब का सेवन न करें। पैरासिटामोल युक्त अन्य दवाओं के साथ न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के 3 दिन से अधिक बुखार या 5 दिन से अधिक दर्द के लिए न लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 pyre mef oral suspension Uses & Benefits

[{"condition":"Dental pain","description":"Relieves mild to moderate pain following tooth extraction or other dental procedures.","evidence":"Well-established"},{"condition":"Headache","description":"Provides relief from tension headaches and mild migraines.","evidence":"Well-established"},{"condition":"Menstrual cramps","description":"Reduces pain and inflammation associated with dysmenorrhea.","evidence":"Well-established"},{"condition":"Musculoskeletal pain","description":"Eases pain from sprains, strains, and minor injuries.","evidence":"Well-established"},{"condition":"Fever","description":"Lowers elevated body temperature due to infections or other causes.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain after minor surgery.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, but evidence is limited.","evidence":"Limited"},{"condition":"Osteoarthritis pain","description":"May be used for short-term relief of osteoarthritis pain, though not first-line.","evidence":"Limited"}]

Primary treatment for: Pain and fever

Also treats: Dental pain, Headache, Menstrual cramps, Musculoskeletal pain, Post-operative pain

📋 Drug Information

Generic Name(s)Mefenamic Acid (100mg) + Paracetamol (250mg)
Brand Namepyre mef oral suspension
ManufacturerSanoreX Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from direct sunlight and moisture. Keep the bottle tightly closed. Do not freeze.
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
Always take this medicine with food or milk to reduce the risk of stomach upset and bleeding.
2
Do not exceed the recommended dose or duration of treatment without consulting your doctor.
3
Avoid alcohol while taking this medicine as it increases the risk of liver damage and stomach bleeding.
4
If you are taking other medicines, especially blood thinners or painkillers, inform your doctor to avoid interactions.
5
Stay well hydrated throughout the day to help your kidneys process the medicine.
6
Do not use this medicine for more than 3 days for fever or 5 days for pain without medical advice.
7
Keep a record of your doses to avoid accidentally taking too much.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Mild to moderate pain
This medicine is commonly prescribed for this.
Likely Use
Fever
This medicine contains paracetamol which reduces fever.
Likely Use
Inflammation
Mefenamic acid helps reduce inflammation.
Likely Use
Severe pain requiring strong opioids
This medicine is not suitable for severe pain.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionMefenamic acid is absorbed from the gastrointestinal tract, with peak plasma levels occurring about 2 to 4 hours after oral administration. Paracetamol is rapidly absorbed, with peak levels within 30 to 60 minutes. Food may delay absorption slightly but does not significantly reduce the extent.
DistributionMefenamic acid is highly bound to plasma proteins and distributes into synovial fluid and other tissues. Paracetamol distributes widely throughout body fluids and tissues.
Protein BindingMefenamic acid is approximately 90% bound to plasma proteins. Paracetamol is about 10-25% bound to plasma proteins.
MetabolismMefenamic acid is metabolized in the liver, primarily by cytochrome P450 enzymes, to inactive metabolites. Paracetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction metabolized by CYP2E1 to a toxic intermediate that is normally detoxified by glutathione.
Half-LifeThe elimination half-life of mefenamic acid is approximately 2 to 4 hours. Paracetamol has a half-life of about 2 to 3 hours.
ExcretionMefenamic acid metabolites are excreted mainly in urine and feces. Paracetamol metabolites are excreted primarily in urine.
BioavailabilityMefenamic acid bioavailability is approximately 80-90%. Paracetamol bioavailability is about 80-100%.
Onset of ActionPain relief typically begins within 30 to 60 minutes after taking this medicine.
Peak Plasma TimeMefenamic acid reaches peak plasma concentration in 2 to 4 hours. Paracetamol peaks in 30 to 60 minutes.
Duration of ActionThe analgesic and antipyretic effects last for approximately 4 to 6 hours.

How It Works

This medicine combines two active ingredients with different mechanisms. Mefenamic acid is a non-steroidal anti-inflammatory drug that reversibly inhibits the cyclooxygenase enzymes, leading to decreased production of prostaglandins, which are mediators of pain, inflammation, and fever. Paracetamol acts primarily in the central nervous system, where it inhibits prostaglandin synthesis and may also affect the hypothalamic heat-regulating center to reduce fever. The combination provides additive pain relief and fever reduction.

Mechanism Steps

1
Inhibition of cyclooxygenase by mefenamic acid: Mefenamic acid binds to and reversibly inhibits the cyclooxygenase enzymes, reducing the conversion of arachidonic acid to prostaglandin H2.
2
Reduced prostaglandin synthesis: This leads to lower levels of prostaglandins, which are responsible for pain, inflammation, and fever.
3
Central action of paracetamol: Paracetamol acts mainly in the brain and spinal cord to inhibit prostaglandin synthesis and modulate pain perception.
4
Antipyretic effect: Paracetamol affects the hypothalamus to lower elevated body temperature.
5
Combined analgesic effect: The two ingredients work together to provide stronger pain relief than either alone.

💡 How to Take pyre mef oral suspension

Strength: Each 5 mL of oral suspension contains Mefenamic Acid 100 mg and Paracetamol 250 mg.

1Shake the bottle well before each use to ensure the medicine is evenly mixed.
2Use the measuring cup or syringe provided with the medicine to measure the correct dose.
3Take the medicine with food or milk to reduce stomach upset.
4Swallow the suspension directly; do not mix with other liquids unless instructed by your doctor.
5Stay upright for at least 30 minutes after taking the medicine.
6Wash the measuring cup or syringe after each use.
7Close the bottle tightly after use.

Dosage Information

Adult DosageThe usual adult dose of this oral suspension is 5 to 10 mL (providing 100 mg mefenamic acid and 250 mg paracetamol per 5 mL) taken every 6 to 8 hours as needed for pain or fever. Do not exceed 4 doses in 24 hours. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Use the lowest effective dose for the shortest duration possible.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney problems. Use with caution and at the lowest effective dose. Dose must be individualized by a qualified clinician based on renal and hepatic function.
Renal ImpairmentUse with caution in patients with kidney impairment. Dose reduction may be necessary. Consult a doctor for individualized dosing. Avoid in severe kidney disease.
Hepatic ImpairmentUse with caution in patients with liver impairment. Dose reduction may be necessary. Avoid in severe liver disease. Consult a doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose should not exceed 4 doses of 10 mL each (providing 400 mg mefenamic acid and 1000 mg paracetamol) in 24 hours. Do not exceed the recommended dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals or milk
Reduces stomach upset and gastrointestinal irritation.
Alcohol
Avoid
Increases risk of stomach bleeding and liver damage.
Caffeine
Limit excessive intake
May increase stimulant effects and stomach irritation.

⏰ 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 pyre mef oral suspension

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated with small sips of water. If vomiting is severe or persistent, seek medical advice.
Stomach pain (Common (5-10%))
Take with food. Avoid alcohol. If pain is severe or lasts, contact your doctor.
Heartburn (Common (5-10%))
Avoid lying down immediately after taking. If it continues, talk to your doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how this medicine affects you.
Headache (Uncommon (1-5%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black or tarry stools, vomiting blood, or severe abdominal pain.
Stomach ulcer (Rare (<0.1%))
Report persistent stomach pain or indigestion to your doctor immediately.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you experience swelling of the face, lips, throat, or difficulty breathing.
Kidney problems (Rare (<0.1%))
Notify your doctor if you notice decreased urine output, swelling in legs, or fatigue.
Liver damage (Rare (<0.1%))
Seek medical help if you develop yellowing of skin or eyes, dark urine, or severe fatigue.

⚠️ Rare Side Effects

Blood disorders (e.g., agranulocytosis, thrombocytopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor promptly.
Aseptic meningitis
Seek immediate medical attention if you experience severe headache, stiff neck, fever, and sensitivity to light.
Pancreatitis
Go to the emergency room if you have severe upper abdominal pain that radiates to your back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ibuprofen Major
Methotrexate Major
ACE inhibitors Major
Diuretics Major
Corticosteroids Moderate
SSRIs Moderate
Lithium Moderate
Phenytoin Moderate
Probenecid Moderate

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs (e.g., ibuprofen, aspirin)
  • Methotrexate
  • ACE inhibitors and ARBs
  • Diuretics

⚡ Moderate Interactions

  • Corticosteroids
  • SSRIs
  • Lithium
  • Phenytoin
  • Probenecid

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding and can worsen liver damage, especially with paracetamol. It may also increase drowsiness and dizziness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to mefenamic acid, paracetamol, or any other ingredients","Active or history of peptic ulcer or gastrointestinal bleeding","Severe kidney disease","Severe liver disease","Asthma triggered by aspirin or other NSAIDs","Heart failure","Third trimester of pregnancy","Children under 12 years (unless specifically prescribed by a doctor)"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose or duration of treatment.","Avoid alcohol while taking this medicine.","Take with food or milk to reduce stomach upset.","Use with caution in the elderly due to increased risk of side effects.","Consult a doctor before use if you have a history of stomach ulcers, kidney or liver disease, asthma, or heart problems.","Do not use for more than 3 days for fever or 5 days for pain without medical advice.","Keep out of reach of children.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Do not take other medicines containing paracetamol while on this medicine.","Stop use and seek medical help if you experience signs of allergic reaction or severe side effects."]

🤱 Lactation Safety

Mefenamic acid and paracetamol are excreted in breast milk in small amounts. Consult your doctor before using this medicine while breastfeeding. Short-term use at the lowest effective dose is generally considered acceptable, but medical advice is recommended.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage, kidney failure, and blood disorders. Symptoms of overdose may include nausea, vomiting, abdominal pain, confusion, and drowsiness. If you suspect an overdose, seek emergency medical attention immediately. Treatment may include activated charcoal, acetylcysteine for paracetamol toxicity, and supportive care. Do not induce vomiting unless instructed by a healthcare professional.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Before taking this medicine, inform your doctor if you have a history of stomach ulcers, kidney or liver disease, asthma, or heart problems. Do not take this medicine with other products containing paracetamol to avoid exceeding the safe daily limit. Avoid alcohol while taking this medicine, as it increases the risk of stomach bleeding and liver damage. Take this medicine with food or milk to reduce stomach upset. Do not lie down immediately after taking it; stay upright for at least 30 minutes. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use it for more than 3 days for fever or 5 days for pain without consulting a doctor. Keep out of reach of children. Store at room temperature, away from direct sunlight and moisture. Do not use after the expiry date. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events with this medicine. Use the lowest effective dose for the shortest duration. Monitor kidney function and blood pressure regularly. Avoid long-term use unless specifically advised by a doctor.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. NSAIDs like mefenamic acid may affect ovulation and are generally avoided during pregnancy, especially in the third trimester. Paracetamol is considered safer but should still be used only when necessary.

🏥 Post-Surgery Considerations

This medicine may be used for short-term pain relief after minor surgery. However, it can increase the risk of bleeding, so inform your surgeon if you are taking it. It is usually stopped before major surgery. Follow your doctor's instructions regarding its use in the post-operative period.

🦷 Dental Procedures

This medicine is often prescribed for dental pain. Inform your dentist if you are taking it before any dental procedure, as it may increase bleeding risk. It can be taken after dental extraction for pain relief, but follow the dentist's instructions.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints and muscles.
🥗
Engage in regular low-impact exercise such as walking or swimming.
😴
Practice good posture to prevent musculoskeletal pain.
💧
Include anti-inflammatory foods like fruits, vegetables, and omega-3 rich fish in your diet.
🧘
Get adequate sleep to help your body recover.
🌞
Stay well hydrated throughout the day.
🚭
Avoid smoking and limit alcohol consumption.

🏋️ Exercise Considerations

While taking this medicine, you can continue with your normal exercise routine if you feel well. However, if you experience dizziness or fatigue, avoid strenuous activities or exercises that require balance. Listen to your body and rest if needed.

🥗 Diet Recommendations

Include omega-3 rich foods such as fish, flaxseeds, and walnuts.
Reduce intake of processed and fried foods.
Eat plenty of fruits and vegetables.
Stay well hydrated with water and clear fluids.
Avoid alcohol and excessive caffeine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it should not significantly impact your daily work or activities.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 3 days for fever or 5 days for pain, or if you experience any serious side effects such as stomach bleeding, allergic reactions, or signs of liver or kidney problems. Do not stop abruptly if you have been taking it regularly for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine can increase the risk of gastrointestinal bleeding, ulcers, kidney problems, and cardiovascular events. It should only be used for short periods unless specifically directed by a doctor. Regular monitoring of kidney and liver function may be required if prolonged use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can help manage chronic pain and improve mobility without medication.

Evidence: Well-established
Hot and cold compresses

May provide local pain relief for muscle aches and injuries.

Evidence: Well-established
Relaxation techniques

Stress reduction can help manage tension headaches and chronic pain.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you have a fever, it is best to postpone vaccination until you recover, as fever may complicate the assessment of vaccine side effects.

📦 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

✅ DO

Keep the bottle tightly closed

❌ DON'T

Do not use after the expiry date

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case of customs checks. Store it at room temperature and protect it from extreme heat or cold. If crossing time zones, adjust your dosing schedule to maintain the recommended interval between doses. Do not leave it in a hot car or checked luggage. Always pack it in your carry-on bag.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with severe menstrual cramps
She was prescribed this medicine for menstrual pain. She took it with food as directed and experienced significant relief within an hour. She noted that taking it with a meal prevented the stomach discomfort she had experienced with other painkillers.
💡 Lesson: Taking this medicine with food improves tolerability and ensures better pain relief.
👤 A 50-year-old man with dental pain after tooth extraction
He used this medicine for two days after a dental procedure. It effectively controlled his pain and swelling. He was advised not to exceed the dose and to avoid alcohol, which he followed. He experienced no side effects.
💡 Lesson: Short-term use as prescribed is effective and safe for acute pain.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it.

Q: Can I take it on an empty stomach?

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

Q: How many days can I take this medicine?

A: Do not use it for more than 3 days for fever or 5 days for pain without consulting your doctor.

Q: Is it safe during pregnancy?

A: Consult your doctor before using this medicine during pregnancy. It is generally avoided in the third trimester.

Q: Can I take it with other medicines?

A: Inform your doctor about all other medicines you are taking, as this medicine can interact with several drugs.

🤔 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?
  • Is it safe for my child?
  • Can I take it with other painkillers?

🔄 Substitutes for pyre mef oral suspension

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 on an empty stomach.
    Fact: It should be taken with food or milk to reduce stomach upset.
  • Myth: It is safe to take this medicine for long periods without medical supervision.
    Fact: Prolonged use can cause serious side effects like stomach bleeding and kidney problems. Use only as prescribed.
  • Myth: This medicine is safe to take with other paracetamol-containing products.
    Fact: Taking multiple paracetamol products can lead to overdose and liver damage. Always check labels.

🔄 Alternative Options

Generic Alternatives

  • Mefenamic acid + Paracetamol oral suspension

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Mefenamic Acid 100mg + Paracetamol 250mg per 5mL","onset":"30-60 minutes","duration":"4-6 hours","notes":"Combination for pain and fever."},{"medicine":"Ibuprofen + Paracetamol","composition":"Ibuprofen 100mg + Paracetamol 125mg per 5mL","onset":"30-60 minutes","duration":"4-6 hours","notes":"Similar uses but different NSAID."}]

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