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Sharp Pain In Wisdom Tooth, Prescribed Pontalon, Antibiotics. Will Taking Painkillers Damage Kidney?

Hello, I'm having a sharp pain on my wisdom tooth and the doctor prescribed Pontalon 500mg painkiller to be taken every 8 hours along with some antibiotic. My question is, since the pain sometimes get worse, is it ok to take the painkiller every 4 hours though? Would that caused permanent damage to my kidney? The doctor asked to come back once the antibiotic is finished so that he could remove the wisdom tooth.
Tue, 24 Sep 2013
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Dentist, Pedodontics,  's  Response
Thank you for your query in HCM forum. Pontalon (Mefenamic acid) is an analgesic of a specific group called NSAID. There are several analgesics available in this group which are having same or more potency but less side effects than Mefenamic acid(MA). The use of MA has been reduced worldwide because of its comparatively more side effects than other NSAIDs. The actual dosage of MA is 500 mg 1st dose or maximum 2nd dose after 6 hours then 250 mg every 6 hourly not more that 7 days. Always take MA immediately after a meal,,in full stomach and with a full glass of water. You can not take the medicine every 4 hourly. You could have a severe stomach irritation and have permanent gastritis/ulceration with over dosage MA. Other several side effects may also arise. Practically you are taking higher doses than pharmacologically prescribed. There is no risk of kidney damage with 7 days dosage, But long term intake may damage your kidney. For any dental pain Paracetamol 1gm 4 hourly is enough and safest analgesic to get comfort from pain. Thank you.
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Dentist,  Dr. Neha Sumra's  Response
Hi

Thanks for writing in.

I would like to tell you that wisdom tooth don't have an important role.
Hence if they cause problem,its better to get it extracted. Diclofenac-paracetamol combination along with antibiotic is better in your case.
Moreover prolonged use of pain-killer more than 5 days result in kidney damage.
Also do warm saline rinses 3-4 times a day.
Consult your dentist & get it extracted as early as possible.

Take Care
Regards
Dr.Neha
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Dentist,  Dr. Prachi Mishra's  Response
hello
before removing the wisdom tooth please ask your dentist to please take an x ray of the tooth to avoid any complications during its removal.. for severe dental pain i advice to my patients etodolac 400 mg rather than mefanamic acid( present in pontalon) so i would suggest you the same take etomax p every 12 hourly or in severe cases can be taken 8 hourly...and please see the dentist as soon as you finish up with the antibiotics.. also warm saline rinses will help you.
hope it helps...
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Sharp Pain In Wisdom Tooth, Prescribed Pontalon, Antibiotics. Will Taking Painkillers Damage Kidney?

Thank you for your query in HCM forum. Pontalon (Mefenamic acid) is an analgesic of a specific group called NSAID. There are several analgesics available in this group which are having same or more potency but less side effects than Mefenamic acid(MA). The use of MA has been reduced worldwide because of its comparatively more side effects than other NSAIDs. The actual dosage of MA is 500 mg 1st dose or maximum 2nd dose after 6 hours then 250 mg every 6 hourly not more that 7 days. Always take MA immediately after a meal,,in full stomach and with a full glass of water. You can not take the medicine every 4 hourly. You could have a severe stomach irritation and have permanent gastritis/ulceration with over dosage MA. Other several side effects may also arise. Practically you are taking higher doses than pharmacologically prescribed. There is no risk of kidney damage with 7 days dosage, But long term intake may damage your kidney. For any dental pain Paracetamol 1gm 4 hourly is enough and safest analgesic to get comfort from pain. Thank you.