Uphamol Menstrual Tablet

Uphamol Menstrual Tablet is a combination tablet from the Uphamol range that contains paracetamol, a widely used pain reliever, together with pamabrom, a mild diuretic. The combination is intended for the period pain, cramps and bloating that can come before and during menstruation. The exact strength of each ingredient per tablet is printed on the product packaging, so please check the label for the full composition before use.

Paracetamol relieves pain and lowers fever and is generally gentle on the stomach when taken at the correct dose. Pamabrom is a xanthine (theophylline-type) compound that increases urine output for a short time, which helps the body clear the temporary water retention that some women experience around their period. Because the tablet contains paracetamol, it must never be taken together with other medicines that also contain paracetamol, and the daily maximum must not be exceeded.

DoctorOnCall lists Uphamol Menstrual Tablet in a pack of 20 tablets. According to DoctorOnCall’s product information, it is meant for adults and adolescents aged 12 years and above, for short-term use during the days it is needed. Period pain that is very severe, keeps getting worse or stops you from carrying out daily activities should be assessed by a doctor. You can order Uphamol Menstrual Tablet online from DoctorOnCall for home delivery in Malaysia.

• Swallow the tablet whole with a glass of water.
• According to DoctorOnCall’s product information, it can be taken after food to help prevent stomach upset.
• Take it only when needed and leave at least 4 hours between doses.
• Do not take any other medicine that contains paracetamol while using this tablet.
• Always follow the directions printed on the product packaging or given by your doctor or pharmacist.

According to DoctorOnCall’s product information, adults and adolescents aged 12 years and above may take 1 to 2 tablets every 4 to 6 hours as needed, and must not exceed 8 tablets in 24 hours. Always confirm the dose against the product packaging, as the label instructions take priority.

Never take more than the recommended dose. For adults, total paracetamol from all sources should not exceed 4,000 mg (4 g) a day, and a doctor may advise a lower limit for people with liver problems, low body weight, regular alcohol use or poor nutrition. Not recommended for children under 12 years unless advised by a doctor. Do not use for more than a few days at a time without consulting a doctor.

• Store in a cool, dry place away from direct sunlight, heat and moisture, and keep the tablets in their original packaging until use. Follow any specific storage temperature stated on the pack.
• Keep out of the reach and sight of children. Accidental swallowing of paracetamol tablets by a child can cause serious liver damage, so seek medical help immediately if this happens.

• Common: increased urination, an expected effect of pamabrom.
• Common: nausea, mild stomach discomfort or dry mouth.
• Serious: allergic reactions such as rash, itching, hives, or swelling of the face, lips, tongue or throat, or difficulty breathing. Stop taking the tablets and seek medical help immediately.
• Serious: rare but serious skin reactions with reddening, blistering or peeling of the skin, which have been reported with paracetamol. Stop the medicine and seek urgent medical attention.
• Serious: liver damage from taking more than the recommended dose, or from combining it with other paracetamol-containing products. Early overdose may cause no symptoms, so seek medical help immediately even if you feel well.
• Serious: rarely, unusual bruising or bleeding, or signs of a blood disorder; see a doctor if these occur.

• Do not take if you are allergic to paracetamol, pamabrom, theophylline-type compounds or any other ingredient in the tablet.
• Do not take if you have severe liver disease, unless directed by a doctor.
• Do not take with any other medicine that contains paracetamol, including cold and flu remedies.
• Not for children under 12 years of age, according to DoctorOnCall’s product information, unless advised by a doctor.

• Other paracetamol-containing products: taking them together can lead to accidental overdose and liver damage. Many cold, flu and pain products contain paracetamol, so check every label.
• Alcohol: regular or heavy alcohol use increases the risk of liver damage with paracetamol. Avoid alcohol while taking this medicine.
• Warfarin and other coumarin anticoagulants: regular daily use of paracetamol for several days may increase the blood-thinning effect and the risk of bleeding. Speak to your doctor before use.
• Medicines that affect liver enzymes such as carbamazepine, phenytoin, phenobarbital, rifampicin and isoniazid may increase the risk of liver damage from paracetamol. Ask your doctor or pharmacist before use.
• Metoclopramide or domperidone may speed up the absorption of paracetamol, while colestyramine may reduce it. Ask your pharmacist about timing.
• Diuretics (water pills) and theophylline or caffeine-containing products: pamabrom is a mild diuretic related to theophylline, so combining it with these may add to their effects. Check with your doctor or pharmacist.

• Check the labels of all your other medicines for paracetamol before taking this tablet.
• Write down the time of each dose so you keep at least 4 hours between doses and stay within 8 tablets in 24 hours.
• Take it with water after food if your stomach is sensitive.
• Expect to pass urine more often, and keep drinking water normally.
• Applying a warm compress to the lower tummy and gentle exercise may also help with period cramps.
• See a doctor if your period pain is getting worse each cycle or is not relieved by the recommended dose.

Acetaminophen

Paracetamol

Precautions: Do not exceed 8 tablets in 24 hours or take with any other paracetamol-containing product. Use with caution and speak to a doctor first if you have liver or kidney problems, drink alcohol regularly, have low body weight or poor nutrition, have glucose-6-phosphate dehydrogenase (G6PD) deficiency, are dehydrated, or take regular medicines such as warfarin, epilepsy medicines, diuretics or theophylline. Ask a doctor before use if you are pregnant or breastfeeding. Not for children under 12 years unless advised by a doctor.

When to See a Doctor or Pharmacist: Seek medical help immediately if you have taken more than the recommended dose, even without symptoms, or if you develop a rash, skin blistering, swelling or difficulty breathing. See a doctor if period pain is severe, worsening from cycle to cycle, not relieved at the recommended dose, or comes with very heavy bleeding, fever or bleeding between periods, or if you need pain relief for more than 3 days in a row.