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If you take Ponstelmefenamic acidon a regular basistake a missed dose as soon as you think about itIf it is close to the time for your next doseskip the missed dose and go back to your normal timeDo not take 2 doses at the same time or extra dosesMany times Ponstelmefenamic acidis taken on an as needed basisDo not take more often than told by the doctor.

The pharmacological activity of Ponstel in reducing inflammationand possibly fevermay diminish the utility of diagnostic signs in detecting infections.

Increases in serum potassium concentrationincluding hyperkalemiahave been reported with use of NSAIDseven in some patients without renal impairmentIn patients with normal renal functionthese effects have been attributed to a hyporeninemic-hypoaldosteronism state.

This medicine may raise the chance of heart and blood vessel side effects like heart attack and strokeIf these happenthey can be deadlyThe risk of these side effects may be greater if you have heart disease or risks for heart diseaseHoweverthe risk may also be raised in people who do not have heart disease or risks for heart diseaseThe risk of these health problems can happen as soon as the first weeks of using Ponstelmefenamic acidand may be greater with higher doses or with long-term useDo not use Ponstelmefenamic acidright before or after bypass heart surgeryThis medicine may raise the chance of very bad and sometimes deadly stomach or bowel side effects like ulcers or bleedingThe risk is greater in older peopleThe risk is also greater in people who have had stomach or bowel ulcers or bleeding beforeThese problems may occur without warning signsTalk with the doctor.

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taking ponstel or other nsaid medicines increases the risk of heart attack or stroke.

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