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Tolmic

Tablet-(200mg)
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Beximco Pharmaceuticals Ltd.chevron-right

Generic: Tolfenamic Acid

Stock AvailableStock: Available
1 Tablet
৳7.30
৳8.03
9% OFF
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Medicine Overview of Tolmic 200mg Tablet

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Introduction

Tolmic is a pain relieving medicine. It is used for treatment of pain associated with acute attacks of migraine in adults. It may also be used to relief pain associated with joints and muscles. Tolmic can be taken with food, preferably with a glass of water. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. You should keep taking the medicine even if you feel better until the doctor says it is alright to stop using it. The most common side effects of this medicine include mild indigestion, diarrhea, nausea, vomiting, stomach pain, rash, headache, and dizziness. If any of these side effects persist or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms. Before using it, you should let your doctor know if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine. Pregnant and breastfeeding mothers should consult their doctors before using the medicine.

Uses of Tolmic

  • Pain relief

Side effects of Tolmic

Common
  • Vomiting
  • Nausea
  • Indigestion
  • Diarrhea
  • Heartburn
  • Loss of appetite

How to use Tolmic

Take this medicine in the dose and duration as advised by your doctor. Do not chew, crush or break it. Tolmic is to be taken with food.

How Tolmic works

Tolmic is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that cause fever, pain and inflammation (redness and swelling).

Quick Tips

  • It should be taken with food or milk to avoid getting an upset stomach.
  • It can cause serious complications like stomach bleeding and kidney problems if taken for a long time.
  • Tolmic can raise your risk of blood clots, heart attack, or a stroke.
  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.

Brief Description

Indication

Mild to moderate pain, Acute migraine attacks

Administration

Should be taken with food. Take w/ or immediately after meals.

Adult Dose

Oral Acute migraine attacks Adult: 200 mg when 1st symptoms appear, may be repeated after 1-2 hr, if necessary. Mild to moderate pain Adult: 100-200 mg tid. Hepatic impairment: Severe: Avoid.

Renal Dose

Renal impairment: Severe: Avoid.

Contraindication

Hypersensitivity to aspirin or other NSAID. Active or history of GI bleeding or ulceration, severe heart failure, history of GI bleeding or perforation related to previous NSAID therapy. Severe renal and hepatic impairment. Pregnancy (3rd trimester).

Mode of Action

Tolfenamic acid, an anthranilic acid derivative, is an NSAID. It has anti-inflammatory, analgesic and antipyretic effects.

Precaution

Patient w/ or w/ history of bronchial asthma, uncontrolled HTN, CHF, established ischaemic heart disease, peripheral arterial disease, cerebrovascular disease, coagulation defects, SLE, connective tissue disorders, history of GI disease (e.g. Crohn's disease, ulcerative colitis). Hepatic and renal impairment. Pregnancy and lactation. Patient Counselling This drug may cause dizziness, drowsiness, fatigue and visual disturbances, if affected, do not drive or operate machinery. Monitoring Parameters Monitor renal function.

Side Effect

Dysuria esp in males; tremor, euphoria, fatigue, pulmonary infiltration, nausea, vomiting, diarrhoea, flatulence, constipation, dyspepsia, abdominal pain, melaena, haematemesis, ulcerative stomatitis, exacerbation of Crohn's disease and colitis, gastritis, pancreatitis; oedema, HTN, cardiac failure; nephritis, hepatitis, jaundice, abnormal liver function; visual disturbances, optic neuritis, headache, paraesthesia, depression, confusion, hallucinations, tinnitus, vertigo, tremor, dizziness, malaise, drowsiness; thrombocytopenia, neutropenia, agranulocytosis, anaemia. Potentially Fatal: Exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis; GI bleeding, ulceration or perforation.

Interaction

Increased rate of absorption of tolfenamic acid with metoclopramide and magnesium hydroxide. Decreased rate of absorption of tolfenamic acid with aluminium hydroxide. Increased risk of bleeding with anticoagulants and other NSAIDs. Decreased antihypertensive response to loop diuretics, ?-blockers and ACE inhibitors. Coadmin increased plasma concentrations of lithium, methotrexate and cardiac glycosides. Increased risk of nephrotoxicity with ACE inhibitors, ciclosporin, tacrolimus or diuretics.

Buy Tolmic from Arogga

In Bangladesh, you can get the original Tolmic. Select your favorite one from a large collection of Medicine products. Order from App to get more offers and better experience.

What is the price of Tolmic in Bangladesh?

The latest price of Tolmic in Bangladesh is 7.3৳. You can buy Tolmic at the best price from Arogga. Order online through our website or mobile app and get fast home delivery anywhere in Bangladesh. Cash on Delivery (COD) is available all over Bangladesh.

Frequently Asked Questions (FAQ)

Is Tolmic authentic?

Yes. Arogga sources Tolmic products from trusted suppliers, distributors, or manufacturers. Products are verified before delivery.

Does Arogga deliver all over Bangladesh?

Arogga delivers most products across Bangladesh. However, refrigerated or cold-chain medicines are delivered only within Dhaka. Delivery of some other products may also depend on product condition, storage requirements, and delivery location.

Is Cash on Delivery (COD) available for Tolmic?

Yes. Cash on Delivery is available for all products in eligible locations across Bangladesh. Availability may vary depending on the product and delivery location.

How long does delivery take?

Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on product availability, delivery location, and courier load.

Can I return or replace the product?

If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy..

Safety Advices

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UNSAFE
It is unsafe to consume alcohol with Tolmic.
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CONSULT YOUR DOCTOR
Tolmic may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
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CONSULT YOUR DOCTOR
Information regarding the use of Tolmic during breastfeeding is not available. Please consult your doctor.
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UNSAFE
Tolmic may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. http://www.medicines.org.uk/emc/PIL.29405.latest.pdf
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CAUTION
Tolmic should be used with caution in patients with kidney disease. Dose adjustment of Tolmic may be needed. Please consult your doctor. Regular monitoring of kidney function tests is advised in these patients while taking this medicine. Use of Tolmic is not recommended in severe kidney disease patients.
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CAUTION
Tolmic should be used with caution in patients with liver disease. Dose adjustment of Tolmic may be needed. Please consult your doctor.

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Disclaimer

The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.