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IBUPROFEN PERRIGO 400 MG FILM-COATED TABLETS
Active substance(s): IBUPROFEN LYSINE
For adults and adolescents weighing from 40 kg body weight (12 years of age and above)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
Always take this medicine exactly as described in this
leaflet or as your doctor or pharmacist has told you.
• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. See section 4.
• In Adults: You must talk to a doctor if your symptoms worsen or do not improve after 3
days when you are suffering from a fever or 4 days when you are suffering from pain.
In Adolescents between 12 and 18 years: If in adolescents this medicinal
product is required for more than 3 days, or if symptoms worsen, a doctor should be
What is in this leaflet
What this medicine is and what it is used for
What you need to know before you take this medicine
How to take this medicine
Possible side effects
How to store this medicine
Contents of the pack and other information
1. What this medicine is and what it is used for
This medicine contains ibuprofen lysine which is the lysine salt of ibuprofen. Ibuprofen is one of a
group of non-steroidal anti-inflammatory drugs (known as NSAIDS) which work to reduce pain
This medicine is used for the symptomatic treatment of mild to moderate pain, such as headache,
period pain and dental pain, and fever and pain associated with the common cold in Adults, the
elderly and adolescents over 12 years of age.
2. What you need to know before you take this medicine
Do not take this medicine if you:
• are allergic to ibuprofen or any of the other ingredients of this medicine (listed in section 6)
• have ever suffered from shortness of breath, asthma, a runny nose, swelling or hives after
using acetylsalicylic acid (known as aspirin) or other similar painkillers (NSAIDs)
• have (or have had two or more episodes of) a stomach ulcer, or bleeding of the stomach
have a history of gastro-intestinal bleeding or perforation related to previous NSAID
have severe kidney or severe heart failure or severe liver failure
are bleeding, including any bleeding within the brain (cerebrovascular bleeding)
are suffering from blood clotting disorders
suffer from a currently undiagnosed problem with your body’s ability to form blood
are severely dehydrated (caused by vomiting, diarrhoea or insufficient fluid intake)
are in the last 3 months of pregnancy
LOW DOSE ASPIRIN: Do not take this medicine if you are taking aspirin at doses of above
75mg daily. If you are on low-dose aspirin (up to 75mg daily) speak to your doctor or
pharmacist before you take Ibuprofen Perrigo 400mg Film-coated Tablets.
Warnings and precautions
Talk to your doctor or pharmacist before taking ibuprofen tablets if you:
• if you suffer from serious skin reactions such as exfoliative dermatitis, Stevens-Johnson
syndrome and toxic epidermal necrolysis. The use of Ibuprofen Tablets should be stopped
immediately at the first appearance of skin rash, mucosal lesions, or any other signs of
• if you have hereditary blood formation disorder (acute intermittent porphyria)
• if you are elderly because you may be at more risk of having side effects, particularly
• if you have or have suffered from asthma or have allergies as shortness of breath may occur
• if you suffer from hayfever, nasal polyps or chronic obstructive respiratory disorders an
• increased risk of allergic reactions exists. The allergic reactions may present as asthma
attacks (so-called analgesic asthma), Quincke’s oedema or urticaria
• during chickenpox (varicella) it is advisable to avoid use of Ibuprofen Perrigo 400mg Filmcoated Tablets
• if you have reduced liver or kidney function
• directly after major surgery
• if you have stomach or bowel disorders including Crohn’s disease or a condition known as
• if you have Systemic Lupus Erythematosus (SLE) or mixed connective tissue disease –
illnesses which affects your immune system. They cause joint pains, skin changes and
problems with other parts of your body.
• In prolonged administration of Ibuprofen Perrigo 400mg Film-coated Tablets regular
checking of your liver values, the kidney function, as well as of the blood count, is required
• The use with concomitant NSAIDs, including cyclo-oxygenase-2 specific inhibitors,
increases risk of adverse reactions (see section “If you are taking other medicines” below)
and should be avoided.
Anti-inflammatory/pain-killer medicines like ibuprofen may be associated with a small
increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed
the recommended dose or duration of treatment.
You should discuss your treatment with your doctor or pharmacist before taking Ibuprofen
Perrigo 400mg Film-coated Tablets if you:
• have heart problems including heart failure, angina (chest pain), or if you have had a heart
attack, bypass surgery, peripheral artery disease (poor circulation in the legs of feet due to
narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient
ischaemic attack “TIA”).
have high blood pressure, diabetes, high cholesterol, have a family history of heart disease
or stroke, or if you are a smoker.
Undesirable effects are minimised by using the minimum effective dose for the shortest
period of time.
In general the habitual use of (several sorts of) analgesics can lead to lasting severe kidney
problems. This risk may be increased under physical strain associated with loss of salt and
dehydration. Therefore it should be avoided. There is a risk of renal impairment in dehydrated
Prolonged use of any type of painkiller for headaches can make them worse. If this situation is
experienced or suspected, medical advice should be obtained and treatment should be
discontinued. The diagnosis of medication overuse headache (MOH) should be suspected in
patients who have frequent or daily headaches despite (or because of) the regular use of headache
Consult a doctor before using Ibuprofen Perrigo 400mg Film-coated Tablets if any above
mentioned conditions concerns you.
Children and Adolescents
There is a risk of renal impairment in dehydrated children and adolescents.
Other medicines and Ibuprofen Tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
Ibuprofen Tablets may affect or be affected by some other medicines. For example:
medicines that are anti-coagulants (i.e thin blood/ prevent clotting e.g aspirin/
acetylsalicylic acid, warfarin, ticlopidine)
medicines that reduce high blood pressure (ACE-inhibitors such as captopril, betablockers such as atenolol medicines, angiotensin-II receptor antagonist such as losartan).
Some other medicines may also affect or be affected by the treatment of Ibuprofen Tablets. You
should therefore always seek the advice of your doctor or pharmacist before you use Ibuprofen
Tablets with other medicines.
Please tell your doctor or pharmacist if you are taking or have recently taken any other
medicines, including medicines obtained without a prescription. In particular, tell them if you are
acetylsalicylic acid, or other NSAIDs (antiinflammatories and analgesics)
since this may increase the risk of
gastrointestinal ulcers or bleeding
digoxin (for heart insufficiency)
since the effect of digoxin may be enhanced
glucocorticoids (medicinal products
containing cortisone or cortisone-like
since this may increase the risk of
gastrointestinal ulcers or bleeding
since this may increase the risk of bleeding
acetylsalicylic acid (low dose)
since the blood-thinning effect may be
medicines for thinning the blood (such as
since ibuprofen may enhance the effects of
phenytoin (for epilepsy)
since the effect of phenytoin may be
selective serotonin reuptake inhibitors
(medicines used for depression)
as these may increase the risk of
lithium (a medicine for manic depressive
illness and depression)
probenecid and sulfinpyrazones (medicines
since the effect of lithium may be
since the excretion of ibuprofen may be
medicines for high blood pressure and water since ibuprofens may diminish the effects of
these medicines and there could be a possible
increased risk for the kidney
potassium sparing diuretics
since this may lead to hyperkalaemia
methotrexate (a medicine for cancer or
since the effect of methotrexate may be
tacrolimus and cyclosporine
since kidney damage may occur
zidovudine: (a medicine for treating Aids)
since the use of Ibuprofen Tablets may result in
an increased risk of bleeding into a joint or a
bleeding that leads to swelling in HIV (+)
sulfonylureas (antidiabetic medicines)
interactions may be possible
since the risk for convulsions may be increased
Taking Ibuprofen Perrigo 400mg Film-coated Tablets with food and drink
It is recommended that patients with sensitive stomachs take Ibuprofen Perrigo 400mg Film-coated
Tablets with food. Some side effects, such as those affecting the gastrointestinal system can
be more likely whenalcohol is taken at the same time as Ibuprofen Perrigo 400mg Film-coated
Driving and using machines
For short-term use and at normal dosage this medicine has no or negligible influence on the ability
to drive and use machines.
Pregnancy, breast feeding and fertility
Tell your doctor if you become pregnant during intake of this medicine. Do not take this medicine
if you are in the last 3 months of pregnancy. Talk to your doctor before taking Ibuprofen Perrigo
400mg Film-coated Tablets if you are in the first 6 months of pregnancy.
This medicine may be used during breast feeding for a maximum of 3 days (when you are treating
a fever) or 4 days (for the treatment of pain), as only small amounts of this medicine pass into
The product belongs to a group of medicines (NSAIDs) which may impair the fertility in women.
This effect is reversible on stopping the medicine.
3. How to take this medicine
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist
have told you. Check with doctor or pharmacist if you are not sure.
Dose and how often to take
Adults, and adolescents weighing from 40 Take 1 tablet with water, every 6 hours, as
required. Do not take more often than every 6
kg (12 years old and above)
hours. Do not take more than 3 tablets in any
24 hour period.
The tablets are intended for short-term use only. Use them for the shortest time needed to
relieve symptoms. Always use the lowest dose that relieves your symptoms.
In Adults: Talk to your doctor if symptoms worsen or you need to take these tablets for more
than 3 days when you have a fever or 4 days when you are suffering from pain.
In Adolescents between 12 and 18 years: If in adolescents this medicinal product is required
for more than 3 days, or if symptoms worsen, a doctor should be consulted.
Do not give to adolescents weighing under 40 kg or children under 12 years.
For oral use.
Please speak to the doctor or pharmacist if you feel that the effect of this medicine is greater or
less than you expected.
If you take more Ibuprofen Tablets than you should:
Talk to a doctor straight away, or go to your nearest hospital casualty department. Take the
carton and this leaflet with you. The following signs may occur: nausea, vomiting, stomach
pain, diarrhoea, ringing in the ear, headache, gastrointestinal bleeding, dizziness, drowsiness,
confusion, disorientation. Rarely: loss of consciousness.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Ibuprofen Perrigo 400mg Film-coated Tablets can cause side effects, although
not everybody gets them. Side effects may be minimised by taking the lowest dose for the shortest
time necessary to
relieve the symptoms. You may suffer one of the known side effects of NSAIDs (see below).
If you do, or if you have concerns, stop taking this medicine and talk to your doctor as soon as
possible. Elderly people using this product are at increased risk of developing problems associated
with side effects.
The following frequencies are taken as a basis when evaluating side effects:
affects more than 1 user in 10
affects 1 to 10 users in 100
affects 1 to 10 users in 1,000
affects 1 to 10 users in 10,000
affects less than1 user in 10,000
frequency cannot be estimated from the available data.
STOP TAKING this medicine and seek immediate medical help if you develop:
• signs of intestinal bleeding such as: severe pain in the abdomen, black tarry stools,
vomiting blood or dark particles that look like coffee grounds.
• signs of very rare but serious allergic reaction such as worsening of asthma or
shortness of breath, swelling of the face, tongue or throat, difficulty breathing, racing
heart, drop in blood pressure leading to shock. These can happen even on first use of this
• severe skin reactions such as rashes covering the whole body, peeling, blistering or
Tell your doctor if you have any of the following side effects, they become worse or you
notice any effects not listed.
• gastrointestinal complaints, such as heart burn, abdominal pain, feeling sick and
indigestion, vomiting, wind (flatulence), diarrhoea, constipation, and slight blood losses in
stomach and/or bowel that may cause anaemia in exceptional cases.
• stomach or intestinal ulcers, sometimes with bleeding and perforation, inflammation of
the lining of the mouth with ulceration (ulcerative stomatitis), inflammation of the
stomach (gastritis), worsening of colitis and Crohn's disease
• central nervous disturbances such as headache, dizziness, sleeplessness, agitation,
irritability or tiredness
• visual disturbances
• allergic reactions , such as skin rashes, itching and asthma attacks. You must stop taking
Ibuprofen Perrigo 400mg Film-coated Tablets and inform your doctor at once.
• tinnitus (ringing in the ears)
• kidney damage (papillary necrosis) and elevated uric acid concentrations in the blood
• swelling (oedema), high blood pressure (hypertension) and cardiac failure have been
reported in association with NSAID treatment.
• inflammation of the oesophagus or pancreas, formation of membrane-like narrowing in
the small and large intestines (intestinal, diaphragm-like strictures)
• serious infections of the skin and soft-tissue complications have occurred during chicken pox
• passing less urine than normal and swelling (especially in patients with high blood
pressure or reduced kidney function); swelling (oedema) and cloudy urine (nephrotic
syndrome); inflammatory kidney disease (interstitial nephritis) that my lead to acute
kidney failure. If one of the above mentioned symptoms occur or if you have a general
miserable feeling, stop taking Ibuprofen Perrigo 400mg Film-coated Tablets and consult
your doctor immediately as these could be first signs of a kidney damage or kidney failure.
• problems in the blood cell production - first signs are: fever, sore throat, superficial mouth
ulcers, flu-like symptoms, severe exhaustion, nose and skin bleeding. In these cases you must
stop the therapy immediately and consult a doctor. Any self-treatment with pain killers or
medicinal products that reduce fever (antipyretic medicinal products) mustn’t be done.
• psychotic reactions and depression
• exacerbation of infection-related inflammations (e.g. necrotising fasciitis) associated with use
of certain painkillers (NSAIDs) has been described. If signs of an infection occur or get
worse during use of Ibuprofen Tablets, you must go to a doctor without delay. It is to be
investigated whether there is an indication for an antiinfective/antibiotic therapy.
• high blood pressure, palpitations, heart failure, heart attack.
• liver dysfunction, liver damage, especially during long-term treatment, liver failure, acute
inflammation of the liver (hepatitis)
• the symptoms of aseptic meningitis with neck stiffness, headache, feeling sick, being sick,
fever or consciousness clouding have been observed when using ibuprofen. Patients with
autoimmune disorders (SLE, mixed connective-tissue disease) may be more likely to be
affected. Contact a doctor at once, if these occur.
• severe forms of skin reactions such as skin rash with redness and blistering (e.g. StevensJohnson syndrome, toxic epidermal necrolysis/Lyell’s syndrome), hair loss (alopecia).
• severe general hypersensitivity reactions.
• worsening of asthma, bronchospasm, dyspnoea.
Medicines such as Ibuprofen Perrigo 400mg Film-coated Tablets may be associated with a
small increased risk of heart attack ("myocardial infarction") or stroke.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side
effects not listed in this leaflet.
You can also report side effects directly via Yellow Card Scheme at: www.mhra.gov.uk/yellowcard..
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store this medicine
Do not use after the expiry date shown on the pack.
Store in the original container.
Keep out of the reach and sight of children.
6. Contents of the pack and other information
What is in this medicine:
The active ingredient is: Ibuprofen 400 mg (as ibuprofen lysine 684mg) per coated tablet.
The other ingredients are: Crospovidone, copovidone, microcrystalline cellulose and magnesium
stearate. The tablet coating ingredient is: Opadry II White (contains polyvinyl alcohol, titanium
dioxide E171, macrogol and talc).
What this medicine looks like and contents of the pack
Each tablet is a film-coated white tablet, embossed with ‘L684’ on one side.
This product is available in a pack size of 8, 12, 16 or 24 tablets. Not all pack sizes may be
Marketing Authorisation Holder and Manufacturer: Wrafton Laboratories Limited (Trading as
Perrigo), Braunton, Devon, EX33 2DL, United Kingdom.
This medicinal product is authorised in the Member States of the EEA under the following names:
Poland: Ibuprofen Lysine Perrigo, 400 mg, tabletki powlekane
Italy: DOLIPRO400 mg compresse rivestite con film
Hungary: Ibuprofen APC 400 mg filmtabletta
Netherlands: Ibuprofen Wrafton 400 mg, filmomhulde tabletten
The leaflet was revised in: October 2016