Ibuprofen 600 Mg Film- Coated Tablets
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Package leaflet: Information for the user You should discuss your treatment with your doctor or pharmacist before taking Ibuprofen if Ibuprofen 600 mg film- you: • have heart problems including heart failure, coated tablets angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral Read all of this leaflet carefully before artery disease (poor circulation in the legs you start taking this medicine because it or feet due to narrow or blocked arteries), or contains important information for you. any kind of stroke (including ‘mini-stroke’ or - Keep this leaflet. You may need to read it transient ischaemic attack “TIA”). again. • have high blood pressure, diabetes, high - If you have any further questions, ask your cholesterol, or have a family history of heart doctor or pharmacist. disease or stroke, or if you are a smoker. - This medicine has been prescribed for you Effects on the kidneys only. Do not pass it on to others. It may Ibuprofen may cause problems with kidney harm them, even if their signs of illness are function even in patients who have not had the same as yours. kidney problems before. This may result in - If you get any side effects, talk to your swelling of the legs and may even lead to heart doctor or pharmacist. This includes any failure or high blood pressure in predisposed possible side effects not listed in this leaflet. individuals. See section 4. Ibuprofen may cause kidney damage especially What is in this leaflet in patients who already have kidney, heart or 1. What Ibuprofen is and what it is used for liver problems, or are taking diuretics or ACE 2. What you need to know before you take inhibitors, as well as in the elderly. Stopping Ibuprofen however generally leads to recovery. Ibuprofen 3. How to take Ibuprofen Aseptic meningitis (inflammation of the brain 4. Possible side effects membrane without bacterial infection) 5. How to store Ibuprofen During treatment with ibuprofen, some cases of 6. Contents of the pack and other information meningitis (presenting as stiff neck, headache, nausea, vomiting, fever or disorientation) 1. What Ibuprofen is and what it is used for have been seen. Although it is probably more likely to occur in patients with existing Ibuprofen belongs to a group of medicines autoimmune disorders such as systemic lupus called NSAID (non-steroidal anti- inflammatory erythematosus or mixed connective tissue drugs) which work by reducing pain and diseases, it has been reported in patients who inflammation. do not have an existing long-term disease. Ibuprofen is used for the symptomatic treatment Other precautions of pain and inflammation in arthritic diseases Very rarely, severe acute hypersensitivity (e.g. rheumatoid arthritis), degenerative arthritic reactions (e.g. anaphylactic shock) have been Half Fold: 320 mm conditions (e.g. osteoarthritis) and in painful observed. Stop treatment immediately at the swelling and inflammation after soft tissues first signs of hypersensitivity reaction after injuries. taking Ibuprofen and tell immediately to your doctor. 2. What you need to know before you take Ibuprofen Ibuprofen can temporarily inhibit blood platelet function (blood platelet aggregation). Patients Do not take Ibuprofen: with blood clotting disorders should therefore be - if you are allergic to ibuprofen or any of the carefully monitored. other ingredients of this medicine (listed in During long-term, high-dose use of pain killers, section 6). headache may occur which should not be - if you have had allergic reactions such treated with high doses of this medicine. as asthma, runny nose, itchy skin rash or The habitual use of painkillers may cause swelling of the lips, face, tongue, or throat permanent damage to the kidneys and a risk of after you have taken medicines containing kidney failure. acetylsalicylic acid (such as aspirin) or other drugs for pain and inflammation (NSAIDs). Ibuprofen may hide the symptoms or signs - if you have suffered from gastrointestinal of an infection (fever, pain and swelling) and bleeding or perforation related to previous temporarily prolong bleeding time. use of drugs for pain and inflammation Ibuprofen may decrease your chance of (NSAIDs) becoming pregnant. You should inform your - if you are suffering from an ulcer or doctor if you are planning to become pregnant bleeding in the stomach or small intestine or if you have problems becoming pregnant. (duodenum) or if you have had two or more Adolescents of these episodes in the past Ibuprofen is contraindicated in children and - if you suffer from severe liver, kidney or adolescents younger than 15 years of age (See heart problems section 3). - if you are in the last 3 months of pregnancy Ibuprofen may cause kidney problems in - if you are suffering from significant adolescents who are dehydrated. dehydration (caused by vomiting, diarrhoea Other medicines and Ibuprofen or insufficient fluid intake) Tell your doctor or pharmacist if you are taking, - if you have any active bleeding (including in have recently taken or might take any other the brain) medicines. - if you suffer from a condition of unknown origin resulting in abnormal formation of The side effects of Ibuprofen may be increased blood cells if certain medicines are taken at the same time. On the other hand, Ibuprofen may increase Do not give Ibuprofen 600 mg and film-coated or decrease the effect of other medicines or tablets to children and adolescents younger increase their side effects when taken at the than 15 years. same time. Warnings and precautions Ibuprofen may affect or be affected by some Talk to your doctor before taking Ibuprofen other medicines. - if you have Systemic Lupus erythematosus For example: (SLE) or mixed connective tissue diseases - other NSAIDs including COX-2 inhibitors, - if you have inherited a disorder of the red since this may increase the risk of blood pigment haemoglobin (porphyria) gastrointestinal ulcers and bleeding - if you have chronic inflammatory intestinal - anticoagulants (against clotting) such as diseases such as inflammation of the colon warfarin or heparin, since the effect of the with ulcers (ulcerative colitis), inflammation anticoagulant may be enhanced affecting the digestive tract (Crohn’s - platelet aggregation inhibitors (against disease) or other stomach or intestinal clotting) such as clopidogrel and ticlopidine diseases - methotrexate (used to treat cancer and auto-immune diseases) - if you have disturbances in the - digoxin (for treatment of various heart formation of blood cells conditions) ) since the effect of digoxin may - if you have problems with normal be enhanced blood clotting mechanism - phenytoin (used in prevention of the - if you suffer from allergies, hay occurrence of epileptic seizures) since the fever, asthma, chronic swelling of effect of phenytoin may be enhanced nasal mucosa, sinuses, adenoids, - lithium (used to treat depression and mania) or chronic obstructive disorders of since the effect of lithium may be enhanced the respiratory tract because the - diuretics (water tablets) since the effect of risk for developing narrowing of the the diuretics may be weakened, airways with difficulty in breathing - potassium-sparing diuretics since this may (bronchospasm) is greater lead to hyperkalaemia - if you have liver, kidney or heart problems - medicines that reduce high blood pressure - if you have just had major surgery (ACE-inhibitors such as captopril, beta- - if you are in the first six months of blockers such as atenolol medicines, pregnancy angiotensi-II receptor antagonists such as - if you are breast-feeding losartan) - if you have an infection - please see - cholestyramine (used in the treatment of heading “Infections” below high cholesterol) - aminoglycosides (medicines against certain Infections types of bacteria) since NSAIDs may Ibuprofen may hide signs of infections such decrease excretion of aminoglycosides as fever and pain. It is therefore possible that - SSRIs (medicines against depression) Ibuprofen may delay appropriate treatment of such as paroxetin, sertralin, citalopram as infection, which may lead to an increased risk these may increase risk of gastrointestinal of complications. This has been observed in bleeding pneumonia caused by bacteria and bacterial - ciclosporine, tacrolimus (for immuno- skin infections related to chickenpox. If you suppression after organ transplant) since take this medicine while you have an infection kidney damage may occur and your symptoms of the infection persist or - zidovudine or ritanovir (used to treat worsen, consult a doctor without delay. patients with HIV) Elderly - mifepristone since NSAIDs can reduce the If you are elderly you will be more prone to side effect of mifepristone - probenecid or sulfinpyrazone (for treating effects, especially bleeding and perforation in gout) since the excretion of ibuprofen may the digestive tract, which may be fatal. be delayed Ulcers, perforation and bleeding in the stomach - quinolone antibiotics since the risk of or intestines convulsions (fits) may be increased If you have earlier had an ulcer in the stomach - sulphonylureas (to treat type 2 diabetes) or intestines, especially if this has been since the blood sugar levels can be affected complicated by perforation or accompanied by - glucocorticoids (used against inflammations) bleeding, you should look out for any unusual since this may increase the risk of symptoms in the abdomen, and report them gastrointestinal ulcers or bleeding at once to your doctor, especially if these -