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Can You Use Feminax Ultra For Gout?


Each tablet of Feminax Ultra contains 250mg of Naproxen as an active ingredient. The licensed use of Feminax Ultra is in the treatment of primary dysmenorrhea. Naproxen is recommended as one of the first-line drugs in the management of acute gout attacks. Is it possible to use Feminax Ultra for gout?

What Is Feminax Ultra Used For?

Feminax Ultra is indicated in the treatment of primary dysmenorrhoea of women aged 15 to 50 years. Primary dysmenorrhoea (period pains) is associated with pain and cramps before or during menstruation.

Feminax Ultra is a pharmacy-only medicine (P). A box of 9 tablets can only be purchased from registered pharmacies operating under the supervision of a pharmacist. Feminax Ultra can also be purchased from registered online pharmacies.

How To Take Feminax Ultra

The dose recommendation of Feminax Ultra in the treatment of a primary dysmenorrhoea:

    • Day 1: two tablets (500mg) in the first instance and then one tablet (250mg) after 6 to 8 hours if still needed
    • Day 2 and 3: One tablet (250mg) every 6 to 8 hours if needed
    • No more than three tablets of Feminax Ultra should be taken in one day
    • The maximum licensed duration of treatment with Feminax Ultra is three days per period

Quick FAQ

How long does it take for Feminax Ultra to work?
Femenix Express's fast-acting composition means it can relieve period pain in as little as 30 minutes, compared to 60 to 90 minutes with conventional Ibuprofen. Dosage. Adults, the elderly, and adolescent girls and boys between the ages of 12 and 18: Take 1 or 2 pills at first, then 1 or 2 tablets every 4 hours if necessary.

Gout: The Management Of Acute Attack

Naproxen (the active ingredient of Feminax Ultra) is recognized as one of the first drugs in the management of acute gout attacks. Other NSAIDs can also be used. Providing there are no contraindications (for example, a history of gastrointestinal bleeding related to NSAIDS use), the following recommended dose of Naproxen is used in acute gout attack:

Quick FAQ

Is Feminax same as naproxen?
The active component in Feminax ultra tablets is naproxen 250mg. Naproxen belongs to the class of drugs known as non-steroidal anti-inflammatory drugs (NSAIDs).

For adults:

  • Initially, 750 mg (3 x 250mg tablets), then 250 mg (1 tablet) every 8 hours until the attack has passed.
  • NICE recommends continuing the treatment to 1-2 days after the attack is resolved (NICE, 2018)

Why is Naproxen used in the management of gout and primary dysmenorrhoea?

How to take Feminax Ultra

Naproxen belongs to a group of drugs called Nonsteroidal anti-inflammatory drugs (NSAIDs).

This class of drugs reduces pain and inflammation.

One of the factors contributing to symptoms of primary dysmenorrhoea is the increased production of prostaglandins in the body (AAFP, 1999).

NSAIDs, such as Naproxen, stop the production of prostaglandins, which is a primary mechanism of action of this class of the group. Similarly, prostaglandins are produced during the acute gout attack and contribute to the presenting symptoms, hence the rationale behind the NSAIDs therapy (Cronstein & Sunkureddi, 2013).

Feminax Ultra For Gout

In theory, Feminax Ultra could be used for the management of gout; however, this product is not licensed for this indication. Each pharmacy operates according to set standard operating procedures (SOPs).

Patients who request medication from a pharmacy are usually asked a set of questions to assess the need for the product. Common questions which are asked include:

  • Who is the medication for?
  • What are the symptoms?
  • How long have the symptoms been present?
  • Do you take any medication?

The sale of Feminax Ultra for gout would be refused based on the product license.

Quick FAQ

Is Feminax safe?
Side effects are quite uncommon. Allergic reactions include severe rashes on the skin, swelling of the lips, tongue, and throat (angioedema), and airway constriction (bronchospasm or asthma attacks). If you encounter any of these side effects, stop taking Feminax express and seek medical help right immediately.

Feminax Ultra For Gout: Alternative Option

Feminax Ultra for gout: alternative option

A patient who is experiencing a gout attack needs to see their GP to get an appropriate diagnosis and assessment.

Patients who are prescribed NSAIDs for treatment of acute gout may also be prescribed a Proton Pump Inhibitor (PPI).

such as Omeprazole or another PPI or H2-antagonist, such as Ranitidine, to protect the stomach from the irritation caused by NSAIDs.

The requirement to use protection whilst on Naproxen or other NSAIDs applies only to certain patient groups; read more. Patients with re-current gout attacks (two or more attacks of gout in 12 months) need a GP review so that urate-lowering therapy may be considered as preventative therapy (NICE, 2018).