Menstrual Cramps are no less than a nightmare for women. Some are used to it while others prefer to suppress the pain with painkillers. One such painkiller is Meftal spas. Have you also taken it to relieve yourself from menstrual cramps? If you rely on this medicine to get relief from period cramps then here is a safety alert!
The Indian Pharmacopoeia Commission (IPC) released an advisory stating the severe side effects of Meftal Spas.
Now, the question arises- Weren’t the women aware about the side effects? Didn’t they feel the side effects in their body? If yes, then how despite side effects, Meftal Spas went viral among women?
We will go through a thorough breakdown on Meftal Spas, its viral factor among women, and its side effects. Also we will see whether Meftal Spas are banned in India or not.
Keep reading!
(A) What is Meftal Spas?
Meftal Spas is a combination medicine that helps to provide symptomatic relief from menstrual (period-related) pain and cramps. It is also used to treat abdominal pain by relieving spasms of the muscles in the stomach and intestines.
The following table will give you an overview and the key aspects of Meftal Spas-
| Key Aspects of Meftal Spas | Description |
| Composition | Dicyclomine (10mg) + Mefenamic Acid (250mg) |
| Dosage | The recommended dosage is 1-2 tablets to be taken three times daily. |
| Side Effects | Common side effects include dizziness, dryness in mouth, blurred vision, nausea, and sleepiness. |
| Precautions | Severe side effects. Inform your doctor if you have any kidney or liver problems, or if you are taking any other medicines. Pregnant and breastfeeding women should also consult their doctors before using the medicine |
Let’s look into detailed information on Meftal Spas-
Meftal Spas is a brand name for a medication that typically contains two active ingredients namely mefenamic acid and dicyclomine hydrochloride.
- Mefenamic Acid: It is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce pain, inflammation, and fever. It is often used to alleviate menstrual pain (dysmenorrhea), as well as other types of pain by blocking specific chemical messengers.
- Dicyclomine Hydrochloride: This is an antispasmodic medication that works by relaxing the smooth muscles in the gastrointestinal tract and preventing sudden muscle contractions. It is commonly used to relieve symptoms associated with irritable bowel syndrome (IBS) and other gastrointestinal conditions.
The combination of mefenamic acid and dicyclomine in Meftal Spas aims to provide relief from both pain and spasms, making it effective in conditions where these symptoms coexist. However, it’s essential to use this medication under the guidance of a healthcare professional, as it may have potential side effects and interactions with other medications.
(B) Meftal Spas Uses
Meftal Spas tablet is commonly used for the following purposes-
| Meftal Spas Uses | Details |
| Menstrual Pain (Dysmenorrhea) | Meftal Spas is often prescribed to alleviate the pain and discomfort associated with menstrual cramps. |
| Pain and Inflammation | The medication is used to relieve general pain and inflammation, making it suitable for conditions where a nonsteroidal anti-inflammatory drug (NSAID) is indicated. |
| Abdominal Pain and Spasms | Meftal Spas is effective in managing abdominal pain and spasms, especially in cases of irritable bowel syndrome (IBS) and other gastrointestinal conditions. |
Recently, the Indian Pharmacopoeia Commission (IPC) has issued a warning to the public regarding the utilization of Meftal.
This medication is frequently utilized as a pain reliever for various conditions, including menstrual cramps, rheumatoid arthritis, osteoarthritis, dysmenorrhea, mild to moderate pain, inflammation, fever, and dental pain. But now you must not consume it casually.
(C) How did Meftal Spas go viral among women?
Meftal Spas went viral due to their ability to relieve menstrual cramps. This is a symptom that almost every woman goes through for 3-4 days every month.
How did the women come to know about it?
Mainly due to word of mouth marketing! Let me tell you the whole story of Meftal Spas.
See, physicians used to prescribe this drug for common causes like rheumatoid arthritis, osteoarthritis, dysmenorrhea, mild to moderate pain, inflammation, fever, and dental pain. Later, on testing this drug during menstruation, women felt quite effective relief. That’s how women used to consume it to cramp-pain relief.
Soon, it became synonymous with cramp-pain reliever. However, there was an intense flip side too… The consumers of this medicine went through some serious side effects that were impactful enough that the IPC had to release an advisory on the usage of Meftal Spas.
(D) Why IPC Issued Warning about Meftal Spas?
In a recent advisory, the Indian Pharmacopoeia Commission (IPC) highlighted a potential concern related to Meftal spas, a commonly used over-the-counter pill for relieving menstrual cramps.
The pill contains mefenamic acid, a component that may lead to allergies, specifically triggering a severe allergic reaction called Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome. This significant drug safety alert was issued by the IPC on November 30, 2023.
For those relying on Meftal spas, it’s crucial to be aware of potential side effects. Mefenamic acid, as a non-steroidal anti-inflammatory drug (NSAID), can be associated with severe allergic reactions. Healthcare professionals and patients alike are advised to stay vigilant and monitor for any signs of these suspected side effects.
In response to the advisory, the IPC has facilitated a reporting system, allowing consumers to report any observed side effects of medications, including Meftal spas. This collaborative effort aims to ensure the safety and well-being of those using the medication.
If you’ve been using Meftal spas, it’s recommended to stay informed and, if necessary, consult healthcare professionals for guidance.
(E) DRESS Syndrome: Side Effects of Meftal Spas
In this section, we will understand the DRESS syndrome, a potentially serious medication reaction of Meftal Spas.
DRESS syndrome, which stands for Drug Reaction with Eosinophilia and Systemic Symptoms, is a severe hypersensitivity reaction to certain medications. This reaction, potentially life-threatening, is characterized by clinical symptoms that typically surface 2-8 weeks after initiating the triggering drug.
A study published in The Journal of Clinical and Aesthetic Dermatology provides insights into the classification of DRESS syndrome, involving various skin rashes, fever, inflammation, and an increase in white blood cells known as eosinophils.
(F) Symptoms of DRESS Syndrome
DRESS syndrome manifests as a unique multisystem response to medication, presenting with a range of symptoms. While these symptoms can vary among individuals, they typically emerge a few days to six weeks after starting the medication. Recognizing the common signs is crucial-
| DRESS Syndrome Symptoms | Description |
| Eosinophilia | Excessive eosinophils, a type of white blood cell involved in the immune response, may be present. |
| Fever | Affected individuals often experience high fever. |
| Skin Rashes | DRESS syndrome-associated rashes are typically itchy and red, beginning on the face and spreading to the body. |
| Atypical Lymphocytosis | Unusual responses in lymphocytes, a type of white blood cell often triggered by infections. |
| Swollen Lymph Nodes | DRESS syndrome can lead to noticeable swelling in lymph nodes. |
| Internal Organ Inflammation | The syndrome may cause inflammation in internal organs such as the liver and lungs. |
| Affecting the Kidney Function & Renal Failure | Cause chronic kidney disease with elevated urea and creatinine levels that may lead to renal failure. |
If you observe any symptoms indicative of a medication reaction, prompt consultation with a healthcare professional is essential. It is crucial to be vigilant and responsive to changes, as DRESS syndrome symptoms can be serious.
Additionally, refrain from consuming Meftal spas without the explicit recommendation of a doctor to ensure your safety and well-being. Stay informed and prioritize your health.
Note: Do you know online pharmaceutical companies are booming in India? We have explained a few e-pharma companies. Go through the following articles for detailed information-
(G) Final Thoughts: Is Meftal Spas banned in India?
The Drug Regulatory Department of India has imposed restrictions on the drug. Although it is not banned now, the government may consider a complete ban on Meftal Spas in future. Always remember that painkillers only suppress the pain. They aren’t the cure of the disease or any dysfunction. Therefore, you can’t rely on it unless and until a doctor prescribes it. If Meftal Spas is entirely banned in India, then it shouldn’t be sold in medical stores!
