Flamar P Tablet

Flamar P Tablet is a combination medication containing Nimesulide and Paracetamol (Acetaminophen). Nimesulide is a non-steroidal anti-inflammatory drug (NSAID) that functions by inhibiting the synthesis of prostaglandins, which are chemical mediators involved in inflammation, pain, and fever. This action provides anti-inflammatory, analgesic (pain-relieving), and antipyretic (fever-reducing) effects.

Paracetamol is an analgesic and antipyretic that primarily acts on the central nervous system to reduce pain and fever, though its exact mechanism for pain relief is not fully understood. It is believed to inhibit prostaglandin synthesis in the brain. The combination of these two active ingredients is formulated to provide comprehensive relief from various types of pain and to reduce fever.

This medication is typically prescribed for conditions such as headaches, dental pain, menstrual cramps, musculoskeletal pain, and symptoms associated with the common cold or flu where pain and fever are present. It is intended for short-term use to manage acute symptoms.

Dosage

Overdose

• Overdose of this medicine may result in serious liver damage.
• Other symptoms include nausea, vomiting, stomach discomforts, stomach bleed, skin rash, fever and chills
• In case of an overdose, contact your doctor immediately or visit the nearest hospital

Missed a Dose

• If you missed any dose of medicine, take it as soon as you remember
• If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule
• Do not take a double dose of medicine to compensate the missed one

Mode of Action

How Does It Work?

• There are some chemicals in the body called prostaglandins
• These are substances that cause pain, swelling and fever
• This medicine blocks the production of these prostaglandins, thus temporarily controlling fever or pain
• It acts on the area of the brain which is responsible for controlling temperature. Thus, it helps in controlling the fever

Usage Instructions

Consume this tablet whole with an adequate amount of water. It can be taken after food to minimize gastrointestinal discomfort. This medication is intended for short-term use only; prolonged administration is not recommended.

Precautions and Warnings

Pregnancy

Can I take Flamar P Tablet during pregnancy?

This medicine should not be used if you are in the last three months of pregnancy Also, if you are a woman planning to conceive, this medicine can hamper your fertility. Hence it should be avoided by such women. If taken during pregnancy, it can damage the heart or kidney of the foetus or delay your delivery.

Breast Feeding

Can I take Flamar P Tablet while breastfeeding?

It is advised not to use this medicine if you are breastfeeding.

Driving

Can I drive if I have consumed Flamar P Tablet?

You may experience drowsiness and sleepiness after taking this medicine. Thus, it is advised not to drive after taking this medicine.

Alcohol

Can I consume alcohol with Flamar P Tablet?

It is advisable to avoid the consumption of alcohol during the treatment, as it may worsen your liver problems. If you are regularly drinking, then do not take this medicine.

Other General Warnings

Talk to your doctor if

• You experience loss of appetite, nausea, stomach pain and weakness. These could be signs of serious liver damage
• You develop black tarry stools or vomit blood, immediately stop the medicine
• You are an elderly, chances of side effects increases
• You are suffering from any liver or kidney or heart disease
• You have a history of stomach or intestine ulcers
• You are expected to go through any upcoming surgery
• Taking this medicine for long is not advised as it can increase risk of heart disease or stomach bleeds

Contraindications

• If you are allergic to paracetamol, nimesulide, other anti-inflammatory medicines (aspirin) or any of the ingredient of this medicine
• If you have a history of liver damage induced by anti-inflammatory medicines like (Nimesulide)
• If you have existing or history of stomach bleeding, ulcer and inflammation of stomach lining
• If you have problems related to blood clotting and bleeding disorders
• If you have impaired liver or kidney function
• If you have serious heart failure problem
• If you are an alcoholic or drug addict
• Children under 12 years of age
• If you are suffering from symptoms of flu-like fever, chills, shivering
• If you are pregnant or breastfeeding

Side effects

• Nausea
• Vomiting
• Loose stools
• Stomach or intestine ulcers
• Redness of skin
• Allergic symptoms like breathlessness, swelling of face and lips, eyes
• Increased liver enzymes

Interactions

Interactions with other medicines

• No drug interaction reports are available for this combination. However, as this medicine contains Paracetamol & Nimesulide, any interactions seen with these two components when taken alone may occur with this combination
• You may experience stomach bleeding and ulcers if used along with steroids
• This medicine may interfere with working of blood thinners like Warfarin
• Do not take this medicine along with vomiting medicines like Domperidone and Metoclopramide
• Medicines used to treat high blood pressure like water pill and ‎captopril
• Medicines used for mental problems like Lithium, Phenytoin and Phenobarbital
• Medicine used to treat a certain type of cancer or arthritis-like Methotrexate
• Medicine used to modify immune system during organ transplant like cyclosporin
• Medicine used to treat gout-like probenecid
• Medicines used to treat infections like Chloramphenicol and Rifampicin

Storage and disposal

Storage and disposal

• Store it in a cool and dry place and protected from moisture
• Keep it out of reach of the children

Frequently Asked Questions (FAQs)

Can I take this medicine for six months?

No, prolonged use of this medicine can be detrimental for your health Use of this medicine is meant only for short relief of pain Do not use it for more than 15 days Use for a prolonged period may result in stomach and intestine ulcers and increased risk of heart disease

My child has toothache, can I give Flamar P Tablet to him?

No, never give this to your child. This medicine is not meant for children as it can cause liver damage in them.