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Many medicines available over the counter contain medicines similar to generic ponstel such as aspirin, ibuprofen, ketoprofen, or naproxen .

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FDA pregnancy category CIt is not known whether mefenamic acid is harmful to an unborn babyBefore taking this medicationtell your doctor if you are pregnant or plan to become pregnant during treatment.

Anemia has occurred in NSAID-treated patientsThis may be due to occult or gross blood lossfluid retentionor an incompletely described effect on erythropoiesisIf a patient treated with Ponstel has any signs or symptoms of anemiamonitor hemoglobin or hematocrit.

Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury.

Stop taking this medication and seek immediate medical attention if you notice any of the following rare but very serious side effectschest painsevere dizzinesstrouble breathingweakness on one side of the bodysudden vision changesslurred speechblack stoolspersistent stomach/abdominal painvomit that looks like coffee groundsSee also Precautions section

All drugs may cause side effectsHowevermany people have no side effects or only have minor side effectsCall your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

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correct volume status in dehydrated or hypovolemic patients prior to initiating ponstel.

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