Namitol 200 | Strip

✔️ Dosage & Administration

Adults:

Acute migraine attacks: 200 mg at onset, may repeat once after 1–2 hours

Mild to moderate pain: 100–200 mg three times daily (tid)

Renal Impairment: Dose adjustment may be needed; avoid in severe renal impairment

Children: Pediatric dosing not established

Administration: Take with food and sufficient water

✔️ Do not use in patients with:

Active gastrointestinal bleeding or ulceration

History of NSAID-related gastrointestinal hemorrhage or perforation

Severe heart failure

✔️ Common and rare reactions may include:

• Dizziness, drowsiness, headache, nausea, diarrhea, dysuria, insomnia, malaise
• Gastrointestinal discomfort, bleeding, or ulceration
• Rash, visual or hearing disturbances, vertigo
• Rare: alveolitis, hepatic damage, pancreatitis, pulmonary eosinophilia, Stevens-Johnson syndrome, angioedema, depression, euphoria

Overdose symptoms: Headache, nausea, vomiting, GI bleeding, drowsiness, dizziness, convulsions; severe cases may cause acute renal failure or liver damage

✔️ Drug Interactions

Absorption: Increased with Metoclopramide and Magnesium hydroxide; decreased with Aluminium hydroxide

Caution with: Anticoagulants, other NSAIDs (increased bleeding risk), lithium, methotrexate, cardiac glycosides, ACE inhibitors, diuretics, ciclosporin, tacrolimus (risk of nephrotoxicity)

May reduce the efficacy of loop diuretics, beta-blockers, and ACE inhibitors

✔️ Pregnancy & Lactation

Avoid during pregnancy unless essential; do not use in the third trimester

NSAIDs may appear in breast milk; avoid if possible during breastfeeding

✔️ Precautions & Warnings

Use cautiously in patients with: asthma, bronchospasm, bleeding disorders, cardiovascular disease, hypertension, liver or renal impairment, peptic ulcer, and the elderly

Increase water intake or adjust dose to reduce risk of dysuria

Seek immediate medical attention if severe reactions or overdose occur

✔️ Storage:

Store in a cool, dry place away from light

Keep out of the reach of children