UK Edition. Click here for US version.
IBUPROFEN TABLETS BP 400MG (APSIFEN-F)
Active substance(s): IBUPROFEN / IBUPROFEN / IBUPROFEN
Apsifen-F Tablets 400 mg
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 or
nurse 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 or nurse. This includes any
possible side effects not listed in this leaflet. See section 4.
You must talk to a doctor if you do not feel better or if you feel worse after 10 days.
What is in this leaflet:
What Aspifen-F Tablets are and what they are used for
What you need to know before you take Aspifen-F Tablets
How to take Aspifen-F Tablets
Possible side effects
How to store Aspifen-F Tablets
Contents of the pack and other information
What Aspifen-f Tablets are and what they are used for
Apsifen-F tablets contain 400 mg of the active ingredient ibuprofen BP. Ibuprofen belongs to a group of
medicines called Non Steroidal Anti-Inflammatory Drugs (known as NSAIDs), which relieve pain and
reduce inflammation in joints and soft tissues such as muscles and ligaments.
Ibuprofen tablets are used to:
relieve mild to moderate pain e.g.:- post-operative pain, toothache, period pain and soft tissue
injury (muscles and ligaments)
relieve stiffness and pain in the back and other muscles
reduce inflammation in different types of arthritis.
2. What you need to know before you take Aspifen-f Tablets
Do NOT take Ibuprofen if you:
are allergic to ibuprofen or any of the other ingredients of this medicine (listed in section 6).
have or had an allergic reaction to aspirin or any other NSAID (you have ever had asthma,
runny nose, itchy skin or swelling of the lips, face or throat after taking these medicines)
have an increased tendency of bleeding
are suffering from or have a history of repeated stomach ulcers or other gastric complaint
are suffering from heart failure, which can cause shortness of breath or ankle swelling
suffer from kidney or liver problems
are in last 3 months of your pregnancy.
have systemic lupus erythematosus (SLE, sometimes known as lupus) or a connective tissue
disease (autoimmune diseases affecting connective tissue)
Do not take if you have a peptic ulcer (ulcer in your stomach or duodenum) or bleeding in your stomach,
or have had two or more episodes of peptic ulcers, stomach bleeding or perforation.
Page 1 of 8
Warnings and precautions
There is a risk of renal impairment in dehydrated children and adolescents.
Talk to your doctor, pharmacist or nurse before taking Ibuprofen. If you:
are suffering from or have a history of bronchial asthma
have a history of stomach or bowel problems
have problems with your kidneys, heart or liver
suffer from high blood pressure
have systemic lupus erythematosus (SLE, sometimes known as lupus) or a connective tissue
disease (autoimmune diseases affecting connective tissue).
have a history of gastrointestinal disease
are severely dehydrated
have problems conceiving or are in the first 6 months of pregnancy
are taking any non-steroidal anti-inflammatory medicine, including aspirin as this may result
into increased tendency of ulceration or bleeding
have ulcerated colitis or Crohn’s disease
If you suffer from any of the following at any time during your treatment STOP TAKING the medicine
and seek immediate medical help:
Pass blood in your faeces (stools/ motions)
Pass black tarry stools
Vomit any blood or dark particles that look like coffee grounds
STOP TAKING the medicine and tell your doctor if your experience:
Indigestion or heartburn
Abdominal pain (pains in your stomach) or other abdominal stomach symptoms
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 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
have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or
stroke, or if you are a smoker.
Other medicines Aspifen-f
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines of the following:
any other pain-relieving medication, including aspirin
medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic
acid, warfarin, ticlopidine)
a diuretic ('water tablet')
medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers
such as atenolol medicines, angiotensin-II receptor antagonists such as losartan)
medicines for heart problems e.g. digoxin, digitoxin
Page 2 of 8
lithium, a drug used in the treatment of depression
methotrexate, a treatment for leukaemia
medicines known as immunosuppressants such as ciclosporin and tacrolimus (used to
dampen down your immune response)
mifepristone in the last 8 - 12 days, used to end a pregnancy
corticosteroids, (medicines to treat a variety of conditions such as allergies and hormone
imbalances), e.g. aldosterone, hydrocortisone or prednisolone
quinolone antibiotics, e.g. ciprofloxacin, norfloxacin or levofloxacin
zidovudine (an anti-viral drug)
medicines known as selective serotonin reuptake inhibitors (SSRIs), used for the treatment of
any other ibuprofen preparations, such as those you can buy without a prescription
cholestyramine (a drug used to lower cholesterol)
medicines known as sulphonylureas such as glibenclamide and glipizide (used to treat
voriconazole or fluconazole (types of anti-fungal drugs)
Gingko biloba herbal medicine (there is a chance you may bleed more easily if you are taking
this with ibuprofen)
aminoglycosides (a type of antibiotic).
Some other medicines may also affect or be affected by the treatment of Ibuprofen. You should
therefore always seek the advice of your doctor or pharmacist before you take Ibuprofen with other
Pregnancy, breast-feeding and fertility
The use of Ibuprofen whilst pregnant or breast feeding should be avoided.
Ibuprofen should not be used in the last 3 months of pregnancy and should only be taken in the first
six months of pregnancy on the advice of your doctor.
Driving and using machines
Ibuprofen may make you feel dizzy or drowsy. Please do not drive or operate machinery if you
experience this effect.
3. How to take Aspifen-f Tablets
Always take Ibuprofen exactly as described in this leaflet or as your doctor or pharmacist or nurse has
told you. Check with your doctor or pharmacist or nurse if you are not sure.
If you suffer from heart, liver or kidney problems your doctor may lower your dose and carry out regular
tests. If you see another doctor or go into hospital, let the doctor or the staff knows what medicines you
Ibuprofen with food and drink
The tablets should be swallowed preferably with a drink of water. Take with or after food.
The recommended dose is:
Page 3 of 8
Maximum dose of 1200 mg per day in divided doses (200 mg-400 mg, up to three times a day as
required. The maintenance dose will be determined on an individual basis (in the range 600 - 1200 mg
Leave at least four hours between doses and do not take more than 1200 mg in any 24 hours.
To reduce the possibility of side effects if you are older, you should use the minimum dose for the
shortest possible duration. Your doctor may monitor you for bleeding in the stomach.
General sales list
For oral administration and short –term use only.
Adults, the elderly and children over 12 years :
The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. The
patient should consult a doctor if symptoms persist or worsen, or if the product is required for more than
For immediate release preparations: 200mg -400mg, up to three times a day as required.
For prolonged release preparations: 200 mg – 400mg up to twice a day is required.
Leave at least four hours between doses and do not take more than 1200 mg in any 24 hour period.
Do not give to children under 12 years except on the advice of a doctor.
Use in children and adolescents
• in children (age range: ≥ 6 months to < 12 years) and/or in adolescents (age range: ≥ 12 years to < 18
If in children aged from 6 months and in adolescents this medicinal product is required for more than 3
days, or if symptoms worsen a doctor should be consulted.
If you take more Ibuprofen than you should
If you (or someone else) swallow a lot of the tablets all together or if you think a child has swallowed
any of the tablets, contact your nearest hospital casualty department or your doctor immediately. An
overdose is likely to cause stomach pain, feeling sick, being sick, diarrhoea, ringing in the ears,
headache, bleeding in the stomach or intestines.
Please take this leaflet, any remaining tablets and the container with you to the hospital or doctor so
that they know which tablets were consumed.
If you forget to take Ibuprofen
If you forget to take a tablet, take one as soon as you remember, unless it is nearly time to take the next
Do not take a double dose to make up for a forgotten dose. Take the remaining doses at the correct time.
If you stop taking Ibuprofen
Do not stop taking your medicine without talking to your doctor first even if you feel better.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
4. Possible side effects
Page 4 of 8
Like all medicines, Ibuprofen can cause side effects, although not everybody gets them.
If any of the following happen, stop taking the tablets and tell your doctor immediately or go to
the casualty department at your nearest hospital:
an allergic reaction swelling of the lips, face or neck leading to severe difficulty in breathing;
skin rash or hives)
Stevens-Johnson syndrome (severe blisters and bleeding in the mucous membranes of the lips, eyes,
mouth, nasal passage, and genitals) or severe headache, high temperature, stiffness of the neck, a
skin reaction causing blistering and flaking of the skin, intolerance to light
you pass blood in your faeces (stools/motions)
you pass black tarry stools
you vomit any blood or dark particles that look like coffee grounds.
blood disorders such as low numbers of red or white blood cells, reduction in blood platelets
(which may increase the risk of bleeding and bruising), neutropenia (which may cause fever or
chills, sore throat, ulcers in your mouth or throat)
heart problems causing symptoms such as shortness of breath when exercising or lying flat,
wheezing and a cough, weight gain
These are very serious but rare side effects. You may need urgent medical attention or
The following side effects have been reported at the approximate frequencies shown:
Rare: may affect up to 1 in 1,000 people
Stop taking the medicine and tell your doctor if you experience:
abdominal pain (pains in your stomach) or other abnormal stomach symptoms, indigestion,
heartburn, feeling sick and/or being sick
unexplained wheezing, shortness of breath, skin rash, itching or bruising
yellowing of the eyes and/or skin
severe sore throat with high fever
blurred or disturbed vision, or seeing/hearing strange things
fluid retention (e.g. swollen ankles)
Very rare: may affect up to 1 in 10,000 people
Very rarely Ibuprofen Tablets may cause aseptic meningitis (inflammation of the protective
membrane surrounding the brain) especially in patients with an auto-immune disease e.g. Systemic
Lupus Erythematosus (SLE) or mixed connective tissue disease; symptoms may include stiff neck,
headache, nausea, vomiting, fever, disorientation.
Other side effects (Frequency unknown)
Other side effects that have been reported while taking Ibuprofen:
peptic ulcer (ulcer in your stomach or duodenum) or bleeding in your stomach
pancreatitis (inflammation of the pancreas)
inflammation or ulceration of the mouth e.g. mouth ulcers and cold sores (ulcerative stomatitis)
high blood pressure
kidney problems such as inflammation of the kidneys, kidney damage or kidney failure
liver problems such as abnormal liver function test results, inflammation of the liver (hepatitis)
Page 5 of 8
breathlessness and wheezing in patients suffering from or with a previous history of asthma or
allergic disease e.g. allergy to house dust mites, cats or dogs
problems with the senses such as vision problems, inflammation of the optic nerve, pins-andneedles or numbness, ringing in the ears or impaired hearing
headaches, hallucinations, depression, confusion, dizziness and vertigo (a feeling of dizziness or
“spinning, drowsiness and a general feeling of being unwell, lethargy
difficulty in sleeping, anxiety
Ibuprofen has also been shown to sometimes worsen the symptoms of Crohn’s disease or colitis.
Medicines such as ibuprofen may be associated with a small increased risk of heart attack
(“myocardial infarction”) or stroke.
If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.
You can minimize the risk of side effects by taking the least amount of tablets for the shortest amount
of time necessary to control your symptoms.
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 the Yellow Card Scheme at:
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Aspifen-f Tablets
Keep this medicine out of the sight and reach of children.
These tablets should be stored in a dry place, at or below 25° C, protected from light in the package or
container supplied. Do not transfer them to another container.
Do not use Ibuprofen after the expiry date that is stated on the outer packaging. The expiry date refers
to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
What Aspifen-F tablets contain:
The active ingredient is ibuprofen.
The other ingredients are maize starch, colloidal silicon dioxide, sodium starch glycollate and
stearic acid. The tablet film coating contains hydroxypropylmethylcellulose (E464), talc and the
colours erythrosine (E127) and titanium dioxide (E171)
What Ibuprofen tablets look like and contents of the pack:
The Aspifen-F 400 mg tablets are Pink, biconvex film-coated tablets with APS on one side,
plain on reverse
The tablets are available in pack sizes of 7, 10, 14, tablets.
Page 6 of 8
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
The Marketing Authorisation holder and company responsible for manufacture is TEVA UK Limited,
Eastbourne, BN22 9AG England.
This leaflet was last revised: August 2015
Page 7 of 8
THIS IS A REPRESENTATION OF AN ELECTRONIC RECORD THAT WAS SIGNED ELECTRONICALLY AND THIS
PAGE IS THE MANIFESTATION OF THE ELECTRONIC SIGNATURE
Teva Pharmaceuticals Europe B.V
Meaning of Signature
Regulatory Affairs Approval
09-Sep-2015 10:42:19 AM
Page 8 of 8
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.