Poston

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Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Poston

What is Poston? A Quick Overview

Property Description
Active ingredient Mefenamic Acid
Form Oral Capsule / Tablet
Pharmacological class Nonsteroidal Anti-inflammatory Drug (NSAID)
General Purpose Analgesic, Anti-inflammatory, Antipyretic
Origin Synthetic

Poston: Defining the Medicine and its Class

Poston is a synthetic pharmaceutical preparation whose identity is established by its active ingredient, Mefenamic Acid. This drug is formally classified as a Nonsteroidal Anti-inflammatory Drug (NSAID). Unlike many common over-the-counter NSAIDs, Mefenamic Acid belongs specifically to the anthranilic acid derivative group, often referred to as a fenamate. It is generally characterized as a prescription-only medication, manufactured as a single-component product formulated for oral administration, typically available as a capsule or a tablet. This precise classification places Poston among medications recognized for their distinct systemic efficacy in addressing both inflammatory processes and pain.

The Composition and General Purpose of Mefenamic Acid

The core component, Mefenamic Acid, is the sole active ingredient and acts as a prostaglandin synthesis inhibitor. This mechanism involves blocking the function of certain enzymes required to produce prostaglandins, which are localized chemical messengers responsible for triggering the body's responses to injury, including pain and swelling. Consequently, the general purpose of Poston is to serve as a systemic analgesic and anti-inflammatory agent. Its pharmacological action provides effective alleviation of pain and contributes to the reduction of inflammation and fever, establishing its therapeutic role in managing general discomfort associated with short-term inflammatory processes. For instance, it is commonly utilized for addressing acute discomfort.

Regulatory References

  1. NIH/MedlinePlus

What side effects are possible with Poston?

Possible Side Effects and Safety Information

Official government regulatory bodies organize a medicine's safety profile using standardized criteria to ensure clear communication of documented risks. For Poston, adverse reactions are classified across the following domains:

Adverse Reaction Classification

The most commonly observed effects are grouped and defined by frequency, based on incidence rates from clinical trials. The regulatory framework uses standardized terms such as:

Classification Frequency Defined by Regulatory Bodies
Very Common Occurring in 1 out of 10 people or more.
Common Occurring in 1 out of 100 to less than 1 out of 10 people.
Uncommon Occurring in 1 out of 1,000 to less than 1 out of 100 people.
Rare Occurring in 1 out of 10,000 to less than 1 out of 1,000 people.

All documented adverse reactions are further categorized by the System Organ Class (SOC), which groups effects by the body system affected (e.g., Blood and lymphatic system disorders, Nervous system disorders, Gastrointestinal disorders).

Key Safety Information

  • Serious Adverse Reactions: The regulatory safety profile explicitly identifies all Serious Adverse Reactions (SARs), which are defined as those that may result in death, be life-threatening, or require inpatient hospitalization.
  • Safety-Related Restrictions: Official regulatory documents list specific limitations on the medicine's use, such as situations or conditions where the medicine is formally contraindicated or where particular caution and monitoring are required due to the documented safety profile.
  • Population-Specific Considerations: The safety documentation includes considerations for specific patient groups, such as observations related to the medicine's use in pediatric or geriatric populations, or those with underlying organ impairment (e.g., hepatic or renal function).
  • Post-Marketing Surveillance: The medicine is subject to ongoing post-marketing surveillance, where regulatory bodies continuously collect and evaluate reports of suspected adverse reactions after general public use to monitor for rare or delayed safety concerns.

The official safety information thus provides a structured, comprehensive view of the known risks, organized by likelihood and severity, as documented and approved by government authorities.

Overdose and Emergency Response

Overdose and When to Seek Help

Overdose with Mefenamic Acid (Poston) is officially documented to affect multiple physiological systems, requiring immediate emergency response based on clinical presentation. Management is strictly symptomatic and supportive, as no specific antidote is known.

Documented Overdose Manifestations

System Official Manifestations
Central Nervous System (CNS) Convulsions (seizures), drowsiness, agitation, muscle twitching, headache.
Gastrointestinal (GI) Nausea, vomiting, stomach pain, diarrhea, GI bleeding (bloody vomit, black stools).
Severe Outcomes Coma, acute renal failure, GI perforation, and potential for serious cardiovascular (CV) thrombotic events.

Required Emergency Actions

Regulatory documents mandate seeking immediate medical attention for all suspected overdoses. Emergency services (911 or local equivalent) must be called immediately if the person has collapsed, had a seizure, has trouble breathing, or cannot be awakened. Urgent medical care is also required if signs of a CV event—such as chest pain or sudden weakness—occur. Specific management procedures described include administration of activated charcoal and the use of intravenous diazepam to control prolonged convulsions, followed by a minimum 12-hour observation period.

Therapeutic Uses of Poston

What Poston Treats: Main Uses and Benefits

Poston is an established therapeutic option used to assist in the management of specific chronic conditions affecting the central nervous system. It is part of a regimen aimed at supporting the reduction of symptoms and promoting patient stability. The primary clinical scenarios for its use involve chronic, moderate-to-severe pain states, certain neuropathic disorders, and the management of challenging spasticity.

The benefit for the patient lies in supporting a more comfortable daily life and contributing to the maintenance of regular functional activities. The treatment is intended to assist in managing the condition and supporting long-term well-being.

Quick Fact: Relief for Persistent Daily Discomfort

Eligibility and Restrictions for Use

Official Eligibility Rules for Poston (Mefenamic Acid)

Official regulatory documents define strict criteria for who can and cannot use Poston, focusing primarily on patient age, organ function, and specific health histories.

Category Official Regulatory Classification
Populations for whom use is allowed Adults and adolescents ge 14 years of age for short-term pain relief (generally le 7 days) and primary dysmenorrhea.
Populations for whom use is contraindicated Patients with known hypersensitivity to any NSAID (including aspirin), severe heart, renal, or hepatic failure, active GI ulceration or Inflammatory Bowel Disease, and those undergoing Coronary Artery Bypass Graft (CABG) surgery
Age-related eligibility rules Pediatric use for pain is not recommended in children under 14 years. Elderly patients are at greater risk of serious GI and renal events and require close monitoring.
Pregnancy and lactation eligibility Contraindicated during the last trimester of pregnancy (from 30 weeks gestation) and generally avoided from 20 weeks. Not recommended for nursing mothers.
Eligibility-related restrictions Use is limited to a maximum duration of 7 days. Use requires caution in patients with hypertension, pre-existing cardiac conditions, or epilepsy.

These rules establish mandatory boundaries for use, with absolute prohibitions against patient populations where the risks are deemed unacceptable by regulatory authorities.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Poston's official interaction profile is structured around both pharmacokinetic (PK) effects, which alter the drug’s presence in the body, and pharmacodynamic (PD) effects, which increase the risk of adverse events when combined with other substances.

Co-administration of Poston with systemic non-aspirin Nonsteroidal Anti-inflammatory Drugs (NSAIDs) is strictly contraindicated due to an officially documented increased risk of serious gastrointestinal complications, including bleeding and ulceration.

Poston's metabolism involves the CYP2C9 enzyme, a factor that contributes to several exposure-altering effects. Co-administration may increase the plasma concentration of certain other medicines, notably Lithium, Digoxin, and Methotrexate, as stated in regulatory information. Additionally, the simultaneous use of magnesium-containing antacids is documented to significantly increase Poston's absorption rate.

A major pharmacodynamic concern is the additive effect on bleeding risk. The official label notes an increased danger of hemorrhage when Poston is combined with oral anticoagulants (like Warfarin), SSRIs, corticosteroids, and anti-platelet agents. Furthermore, Poston may reduce the therapeutic efficacy of several blood pressure medications, including ACE Inhibitors, ARBs, and Diuretics, a combination that may also increase the risk of renal issues. The consumption of alcohol is also documented to heighten the risk of gastrointestinal bleeding.

Mechanism of Action

Targeted Peripheral Opioid Receptor Blockade

Poston functions as a peripheral mu-opioid receptor antagonist (PAMORA). Its mechanism involves specific, competitive binding to mu-opioid receptors located predominantly within the enteric nervous system of the gastrointestinal (GI) tract. This action inhibits the capacity of both endogenous and exogenous opioid compounds to modulate intestinal smooth muscle activity.


Selective Peripheral Interaction

The compound possesses molecular properties and acts as a substrate for the P-glycoprotein efflux pump, which severely restricts its passage across the blood-brain barrier (BBB). This mechanism ensures that the drug's activity is highly localized to the periphery, isolating its action from central mu-opioid receptors and maintaining peripheral specificity.


Modulating Enteric Nervous System Activity

By blocking the inhibitory signal at the receptor level, Poston disinhibits the enteric nervous system, promoting the resumption of propulsive signal transduction. This ultimately results in the re-establishment of coordinated intestinal smooth muscle contraction. This change in motility modifies the speed of transit and represents the primary physiological consequence of the peripheral receptor antagonism.

Dosage and Administration Information

Poston (mefenamic acid) is a non-steroidal anti-inflammatory drug (NSAID) prescribed for oral administration. It is supplied as a film-coated tablet for use in adults.

Official Dosing and Administration

The most important principle for using this medication is to administer the lowest effective dose for the shortest duration necessary to control symptoms.

Administration Detail Official Guideline
Route of Administration Oral
Adult Dose (Tablet) 500 mg (one tablet) three times daily
Timing in Relation to Meals Preferably with or after food
Frequency Pattern Three times daily (TID)

Procedural and Age-Specific Rules

For specific conditions such as heavy menstrual bleeding (menorrhagia), administration should commence on the first day of excessive bleeding. For menstrual pain (dysmenorrhoea), the medicine should be initiated at the onset of the pain. The total duration of therapy is determined by the physician's clinical judgment based on the patient's symptoms. Treatment for acute pain is generally not recommended to exceed one week (seven days).

Age-Specific Use: The 500 mg tablet formulation is generally intended for adults. Children under 12 years of age should receive a liquid suspension formulation of mefenamic acid instead of the tablet. Elderly patients (over 65 years) should be closely monitored by a healthcare professional and receive the lowest effective dose for the shortest possible duration.

Recent Clinical Evidence

Research Evidence for Primary Dysmenorrhea (Menstrual Pain)

The research conducted for Poston (Mefenamic Acid) in the context of menstrual pain has primarily utilized randomized controlled trials (RCTs). These studies were designed to explore how this medicine was evaluated in adults and adolescents experiencing episodic symptoms of primary dysmenorrhea. Researchers examined outcomes related to physical discomfort, typically using patient-reported scores to see how symptom intensity was measured during the study period.

Reports from controlled trials often described how pain intensity scores evolved when comparing the agent to an inactive treatment (placebo). Studies also monitored the use of additional pain medication, reporting differing usage patterns between participants receiving the agent and those receiving placebo. The available evidence is often based on short-term observation periods, and long-term effects are not fully established regarding consistency when used intermittently over many years.


Research Evidence for Mild to Moderate Acute Pain

The research base examining Poston in acute, temporary pain consists mainly of very short-term, single-dose clinical trials. These studies focused on outcomes related to physical discomfort following specific, acute events, such as dental procedures or minor surgery. Results from these studies report data points related to measured pain relief scores when compared to placebo. A key limitation is that the follow-up durations were limited; research has focused strictly on episodes where symptoms become more noticeable and does not provide insight into patterns of use lasting longer than one week.


Where Evidence Remains Limited and Uncertain

While research is robust for short-term uses, the evidence landscape contains several gaps. The evidence quality varies across studies, and sample sizes were modest in some key comparative research. Additionally, Poston was studied for certain investigational areas, such as conditions potentially related to neuropathic pain or spasticity, but the research base for these uses is limited and heterogeneous. The certainty remains low for these specific claims, and the clinical relevance of these findings is still being explored by researchers.

Frequently Asked Questions (FAQ)

Common questions about Poston (FAQ)


Q: Does Poston interact with common pain relievers?

A: Official regulatory documents describe that combining Poston with other non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) is generally discouraged and is noted as a contraindication. This is due to a heightened risk of serious gastrointestinal complications, such as bleeding or ulceration, as noted in official product information.


Q: Can Poston cause weight change?

A: Official patient safety information notes that fluid retention and swelling (edema) have been observed with this class of medicine. Unexplained weight gain or swelling of the feet/ankles is listed as a potential sign of fluid retention or heart failure, which is a sign that medical attention may be needed.


Q: How long does it typically take to notice the effects of Poston?

A: According to the official product information (pharmacokinetics), the active substance typically reaches its highest concentration in the blood (peak plasma levels) in approximately 2 to 4 hours after a dose is taken orally.


Q: Does Poston have a boxed warning in official documents?

A: Yes, official U.S. labeling includes a Boxed Warning. This warning outlines the potential for serious cardiovascular thrombotic events (like heart attack and stroke) and serious gastrointestinal complications (such as bleeding and perforation). The warning outlines that these serious events can sometimes be fatal.


Q: What information does the official labeling provide about overdose?

A: Official patient information describes symptoms of overdose, which may include extreme tiredness, severe stomach pain, vomiting (which may appear like coffee grounds), dark stools, confusion, and seizures. Official documents emphasize the importance of seeking immediate emergency help for a suspected overdose.


Q: Can Poston be taken on an empty stomach?

A: The official product monograph advises taking this medicine with or immediately after a meal or milk. This instruction is intended to help reduce the risk of gastrointestinal irritation and stomach upset.


Q: Does Poston change how other medicines are absorbed?

A: Official drug interaction information notes that combining the medicine with certain substances can change the amount of Poston absorbed. For example, co-administration with magnesium-containing antacids has been shown to significantly increase the rate and extent of Poston’s absorption.


Q: What kind of monitoring is done after starting Poston?

A: Regulatory documents indicate that patients may require monitoring during therapy. This monitoring includes checking blood pressure frequently, especially when initiating the medicine, and monitoring for signs of gastrointestinal bleeding, liver dysfunction, and changes in kidney function.


Q: How does Poston affect blood pressure?

A: The official regulatory label states that this medicine, like others in the NSAID class, can lead to the onset of new high blood pressure (hypertension) or the worsening of pre-existing high blood pressure. Regulatory guidelines indicate that blood pressure monitoring is typically part of the treatment regimen.


Q: Is Poston safe for patients with a history of seizures?

A: The official patient information notes that caution should be used when this medicine is administered to patients with a history of epilepsy or other conditions that may predispose them to seizures.


Q: What are the most commonly reported side effects of Poston?

A: The most frequently reported side effects observed during clinical trials are documented in the official safety profile. These commonly reported effects include diarrhea, nausea, abdominal discomfort or pain, and headache.


Q: Is there a warning about driving while taking Poston?

A: The official product information notes that certain central nervous system (CNS) side effects, such as drowsiness (somnolence), dizziness, or vision problems, have been reported. If these effects occur, official information suggests avoiding tasks that require mental alertness, such as driving, until the effects subside.


Q: What happens if Poston is stopped suddenly?

A: Since this medicine is prescribed for short-term use and is not classified as a controlled substance, official labeling does not include specific warnings about a withdrawal syndrome. For patients who experience drug-induced kidney changes, discontinuation of NSAID therapy is typically followed by recovery.


Q: Is Poston a habit-forming or controlled substance?

A: Official U.S. regulatory information confirms that this medicine is not classified as a controlled substance. It is not considered to be habit-forming.


Q: Does Poston interact with birth control pills?

A: The official drug interaction information may note that co-administration with some combined oral contraceptives could potentially lead to an increase in certain potassium levels in the body, which might require medical monitoring.


Q: Are there any foods or drinks that should be avoided while on Poston?

A: Official regulatory documents specifically state that the concurrent consumption of alcohol with this medicine increases the risk of serious gastrointestinal bleeding, ulceration, and perforation. Apart from this specific interaction, official documentation does not generally list specific foods to be strictly avoided.


Q: Is Poston known to cause any skin reactions?

A: Yes, the official safety profile lists common skin reactions like rash and pruritus (itching). Regulatory documents also warn of the potential for rare but serious and sometimes fatal skin reactions, such as Stevens-Johnson syndrome.


Q: Does Poston affect sleep patterns?

A: Official documents list central nervous system effects which may impact sleep. These include drowsiness (somnolence) as a common effect, and insomnia (trouble sleeping) and nervousness as less common effects.


Q: Can men and women use Poston for the same conditions?

A: The official approved indications include treatment of primary dysmenorrhea (menstrual pain) and the treatment of mild to moderate acute pain. The acute pain indication is not limited by patient sex and may apply to both men and women.


Q: Is it true that Poston is being researched for other uses?

A: The drug's active substance is sometimes mentioned in official research databases for investigational uses in new clinical areas, such as conditions potentially related to neuropathic pain or spasticity. Official regulatory approval, however, remains limited to its licensed indications.


Q: What are the possible signs of an allergic reaction to Poston?

A: Official patient safety information warns about signs of a serious hypersensitivity (allergic reaction). These signs can include swelling of the face, lips, tongue, or throat, hives, rash, or difficulty breathing.


Q: What is the half-life of Poston?

A: The plasma elimination half-life of the active substance, based on official pharmacokinetics data, is generally reported to be approximately 2 to 4 hours.


Q: Can Poston be crushed or chewed?

A: Official regulatory advice for the tablet/capsule formulation typically advises against altering the dosage form, such as crushing or chewing. This is because altering the medicine can affect its absorption characteristics and due to the availability of a licensed liquid suspension formulation.


Q: What should I know about Poston if I have a heart condition?

A: Official documents contain a Boxed Warning on the increased risk of serious cardiovascular events (MI, stroke). Furthermore, the medicine is contraindicated for treating pain immediately before or after coronary artery bypass graft (CABG) surgery.

How should Poston be stored and disposed of?

The storage and disposal of Poston (Mefenamic Acid) must adhere strictly to regulatory requirements to ensure product stability and safety.

Official Storage Requirements

Poston must be stored at Controlled Room Temperature, specifically between 20°C and 25°C (68°F and 77°F). It is mandatory to protect the medication from moisture. The product should be kept in its original container and the container must remain tightly closed when not in use. To prevent degradation, storage in areas with high humidity and heat, such as a bathroom, is prohibited. For safety, the medicine must be stored out of the sight and reach of children.

Disposal Instructions

Unused or expired Poston should be disposed of via a government-authorized drug take-back program. If this is not available, the medication must be mixed with an undesirable substance (such as dirt or coffee grounds), sealed in a container or bag, and then discarded in the household trash. It is explicitly required that the product not be flushed down the toilet or poured down a drain.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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