AlmefkemD Tablet is a combination medication containing Drotaverine and Mefenamic Acid It effectively treats conditions characterized by muscle spasms and pain It relieves stomach pain associated with spasms and discomfort in the abdominal region It also provides relief from spasms in the gastrointestinal tract for individuals with irritable bowel syndrome Additionally it targets smooth muscle spasms in the uterus alleviating menstrual discomfort During labor it addresses cervical spasms making the process more manageable The medication is prescribed for chest pain caused by muscle spasms and for gallstones and renal colic Drotaverine works by inhibiting the phosphodiesterase enzyme IV while Mefenamic Acid reduces inflammation and provides pain relief Follow the prescribed dosage and consult a healthcare professional if side effects persist Drotaverine is contraindicated in severe renal hepatic and cardiac impairment while Mefenamic Acid is contraindicated in inflammatory bowel disease and peptic ulcer If a dose is missed follow the instructions provided