Tufnil 200 Tablet: Uses, Dosage, Side Effects – 2026

Tufnil 200 is a potent Non-Steroidal Anti-Inflammatory Drug (NSAID) containing Tolfenamic Acid. It is specifically designed to target the biological pathways of pain and inflammation, making it a “gold standard” treatment for acute migraine attacks in Bangladesh. Manufactured by Eskayef Pharmaceuticals Ltd. (SK+F), it is widely used for its fast-acting relief.

What is Tufnil 200 Used For?

Tufnil 200 contains 200 mg of Tolfenamic Acid and is primarily prescribed for:

• Acute Migraine Attacks: Specifically formulated to stop the throbbing pain, nausea, and light sensitivity associated with migraines.

• Severe Headaches: Management of intense tension-type headaches.

• Post-operative Pain: Relief of pain and inflammation following surgical procedures.

• Fever: Reduction of high body temperature when associated with inflammatory conditions.

• Mild to Moderate Pain: General pain relief for muscle aches or dental pain.

Pharmacologically, it works by inhibiting prostaglandin synthesis and directly blocking prostaglandin receptors, which are the main triggers for migraine pain. For more on its chemical profile, see this MedEx page on Tolfenamic Acid.

Dosage

The dosage for Tufnil 200 is strictly based on the onset of symptoms.

• For Acute Migraine: Adults take one 200 mg tablet as soon as the first symptoms of a migraine appear.

• Repeat Dose: If symptoms are not relieved, the dose may be repeated once after 1 to 2 hours.

• Other Pain: For general pain, 100–200 mg (half to one tablet) may be taken three times daily.

• Administration: Must be taken with food or milk and a full glass of water to protect the stomach lining.

Common Side Effects

While effective, Tufnil can cause some specific side effects:

• Dysuria: A common but harmless “smarting” or burning sensation during urination (especially in males). This is due to a metabolite in the urine.

• Nausea or vomiting

• Diarrhea or stomach pain

• Dizziness or fatigue

• Change in urine color (may become slightly more lemon-colored)

Safety Insight: Drinking plenty of water while taking Tufnil can significantly reduce the risk of urinary burning (dysuria). To understand the gastrointestinal risks common to NSAIDs like Tufnil, see this overview on NSAID-induced GI complications.

Important Warnings & Precautions

• Stomach Ulcers: Avoid use if you have an active peptic ulcer or a history of stomach bleeding.

• Heart/Kidney Health: Use with caution if you have high blood pressure, heart disease, or impaired kidney/liver function.

• Asthma: Patients with “Aspirin-sensitive asthma” should avoid Tufnil as it may trigger a bronchospasm.

• Pregnancy: Do not use during the third trimester of pregnancy, as it can cause complications for the baby’s heart and delay labor.

• Drug Interactions: May interact with blood thinners (Warfarin), Lithium, and Methotrexate.

Price in Bangladesh (January 2026 Approximate)

• Price per Tablet: Approximately ৳10.00.

• Price per Strip (10 Tablets): Typically ৳100.00.

• Manufacturer: Eskayef Pharmaceuticals Ltd. (SK+F).

Frequently Asked Questions (FAQ) About Tufnil 200

Q: Is Tufnil 200 just a regular painkiller?

While it is an NSAID, Tufnil is uniquely effective for migraines because it blocks the specific prostaglandin receptors involved in migraine pathways, which regular paracetamol may not do as effectively.

Q: Why does it burn when I urinate after taking Tufnil?

This is a known side effect called dysuria. It is usually harmless and caused by the way the body breaks down the medicine. Increasing your water intake usually helps.

Q: Can I take Tufnil every day to prevent migraines?

No. Tufnil is for acute treatment (stopping a migraine once it starts), not for daily prevention. Taking NSAIDs too frequently can lead to “medication overuse headaches.”

Q: Are there any alternatives to Tufnil in Bangladesh?

Yes. Common alternatives include Arain (Opsonin), Migrex (Incepta), Tufmig (Pacific), and Namitol (ACI).

Q: Can I take Tufnil on an empty stomach?

No. To prevent stomach irritation or ulcers, always take it with or immediately after a meal.

Disclaimer: This is educational information only (updated January 2026). Not a substitute for professional medical advice. Always consult a qualified physician for migraine management.