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Active substance(s): IBUPROFEN

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Ibuprofen 200mg, 400mg and 600mg tablets
Read all of this leaflet carefully before you start taking this medicine.
 Keep this leaflet. You may need to read it again.
 If you have any further questions, ask your doctor, pharmacist or nurse.
 This medicine has been prescribed for you. Do not pass it on to others. It may harm them,
even if their symptoms are the same as yours.
 If any of the side effects get serious, or if you notice any side effects not listed, please tell
your doctor, pharmacist or nurse.
In this leaflet:
What Ibuprofen tablets are and what they are used for
Before you take Ibuprofen tablets
How to take Ibuprofen tablets
Possible side effects
How to store Ibuprofen tablets
Further information
What Ibuprofen tablets are and what they are used for
The ingredient which makes this medicine work is ibuprofen. Ibuprofen belongs to a group of
medicines called non-steroidal anti-inflammatory drugs (NSAIDs), which are used to reduce
inflammation and pain in joints and muscles.
Ibuprofen tablets are for the treatment of:
 symptoms of osteoarthritis, rheumatoid arthritis including juvenile arthritis (pain and
stiffness in joints) or ankylosing spondylitis (pain and stiffness of the backbone)
 muscular pain, stiffness and swelling including frozen shoulder, low-back pain, strains
and sprains
 other mild to moderate pain such as period pains, dental pains, pain after operations and
 fever and pain in children over 8 years old.

Before you take Ibuprofen tablets

Do not take Ibuprofen tablets if you:
 are in the last three months of pregnancy
 are allergic to ibuprofen or to any of the other ingredients of Ibuprofen tablets (see
section 6)
 are allergic to aspirin or other non-steroidal anti-inflammatory medicines (NSAIDs),
or you have developed signs of asthma (wheezing), along with runny nose, swelling of the
skin or rash when taking these medicines
 have or have had recurrent stomach ulcers or gastrointestinal bleeding including those
caused by NSAIDs
 have severe liver or kidney disease
 suffer from severe heart failure.
 Ibuprofen is contraindicated in patients with a history of, or existing gastrointestinal
ulceration/perforation or bleeding, including that associated with NSAIDs (see section
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 Ibuprofen 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 or 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),
Warnings and precautions
Talk to your doctor, pharmacist or nurse before taking Ibuprofen tablets if you:
 use other non-steroidal anti-inflammatory medicines (NSAIDs) or any medication
which may cause bleeding or ulcers in the stomach
 have a history of gastrointestinal disease e.g. stomach ulcer, ulcerative colitis, Crohn's
 are elderly
 have high blood pressure or any liver, kidney, blood or heart problems
 have or have had bronchial asthma
 are a woman trying to become pregnant or undergoing investigation of infertility
 suffer with systemic lupus erythematosus or other connective tissue disorders
 are dehydrated, especially in children and adolescents
Other warnings
 It is very rare, but if you experience skin reactions you must stop taking this
medicine and contact your doctor immediately.
 If you are elderly or you have previously had stomach ulcers, you have a higher risk
of getting side effects, especially from the stomach. Your doctor should therefore
prescribe the lowest dose that gives you sufficient relief. If you experience any unusual
symptoms from the stomach, you must tell your doctor about it. In some cases, your
doctor may prescribe an additional medicine to protect against side effects from the
 Taking a painkiller for headaches too often or for too long can make them worse.
Taking 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. Ibuprofen Tablets may affect
or be affected bysome other medicines. For example:
 other non-steroidal anti-inflammatory drugs e.g. ibuprofen or celecoxib
 medicines that are anti-coagulant (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic
acid, warfarin, ticlopidine)
 corticosteroids (used in many different diseases)
 any diuretic medicine (“water tablets”)
 medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers
such as atenolol medicines, angiotensin-II receptor antagonist such as losartan)
 ciclosporin or tacrolimus, used to prevent and treat the rejection of transplants and also
used in immune diseases
 mifepristone (used for termination of pregnancy). Ibuprofen tablets should not be taken
within 8-12 days of taking mifepristone
 lithium, Selective Serotonin Reuptake Inhibitors (SSRIs) (to treat depression). Your doctor
should check your blood levels of lithium when you start, stop or change your dose of
Ibuprofen tablets
 cardiac glycosides (for some heart conditions)

zidovudine, ritonavir (to treat viral infections)
methotrexate (to treat some types of cancer, for psoriasis or rheumatoid arthritis)
quinolone antibiotics (to treat infections).This may cause fits if taken with Ibuprofen
certain antibiotics (gentamicin, neomycin)
sulfonylureas (for diabetes)
colestyramine (for high cholesterol)
bisphosphonates e.g alendronic acid (for osteoporosis)
herbal preparations containing Gingko biloba

If you are in doubt about any of these medicines, ask your doctor or pharmacist.
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.
Pregnancy, breastfeeding and Fertilty
If you are pregnant, ask your doctor or pharmacist before you use any medication.
Ibuprofen may make it more difficult to become pregnant. You should inform your doctor if
you are planning to become pregnant or if you have problems becoming pregnant.
During the first six months of pregnancy, you should only use Ibuprofen tablets if your doctor
says it is necessary. During the last 3 months of the pregnancy it is important not to use
Ibuprofen tablets, as it may harm the unborn child and it may cause delayed or prolonged
If you are breastfeeding, as a precaution you should not take Ibuprofen tablets.
Ibuprofen may affect the ability to conceive, withdrawal of ibuprofen should be considered if
trying to get pregnant.
Driving and using machines
Ibuprofen tablets may make you feel dizzy or drowsy, and may cause blurred vision. Make
sure you are not affected before you drive or operate machinery.
How to take Ibuprofen tablets
Always take Ibuprofen tablets exactly as your doctor has told you. If you are not sure, check
with your doctor, pharmacist or nurse.
Swallow with a drink of water or other liquid during a meal. The tablet can be halved
Your doctor should prescribe as low a dose as possible. This will reduce any side effects you
may experience.
 Adults and children over 12 years (including elderly): 1200-1800mg a day in divided
doses up to a maximum of 2400mg a day. Some patients may be controlled on 6001200mg a day.

Elderly: If you have kidney or liver disease you may be given a lower dose and your
condition closely monitored by your doctor.
Children aged 11 years and under: 20-30mg per kg of body weight a day in divided
Juvenile chronic arthritis: 30-40mg per kg of body weight a day in divided doses. Not
recommended for children who weigh under 7kg.

If you take more Ibuprofen tablets than you should
It is important not to take too many tablets. Contact your doctor, pharmacist or nearest
hospital casualty department immediately if you have taken more tablets than you should.
Symptoms of overdose are coma, headache, disorientation, excitement, dizziness, fainting,
loss of consciousness, abnormal levels of chemicals in the blood (e.g. potassium, sodium),
ringing in the ears, fits, drowsiness, lethargy, nausea, vomiting, diarrhoea and stomach pain
or bleeding. In cases of significant overdose, kidney failure and liver damage are possible.

If you forget to take Ibuprofen tablets
If you forget to take your tablets, take your next dose as soon as you remember, unless it is
nearly time for your next dose. Do not take a double dose to make up for one you have
Possible side effects
Like all medicines, Ibuprofen tablets can cause side effects, although not everybody gets
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
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 blood or dark particles that look like coffee grounds.
STOP TAKING the medicine and tell your doctor if you experience:
 indigestion or heartburn
 abdominal pains (pains in your stomach) or other abdominal symptoms such as
feeling or being sick, diarrhoea, wind, constipation, inflammation of the stomach lining
(gastritis) causing stomach pain
 aseptic meningitis may occur with symptoms such as headache, fever, stiff neck,
tiredness, feeling ill and your eyes become very sensitive to bright light.
 allergic reaction: an itchy skin rash, blood spots, bruising or discolouring of the skin, red
patches (erythema multiforme), a severe rash with reddening, peeling and swelling of the
skin that resembles burns (epidermal necrolysis), severe skin rash with flushing, fever,
blisters or ulcers (Stevens-Johnson syndrome) or any other severe reactions like swelling
of the face, mouth, tongue or airways, difficulty breathing or wheezing, worsening of
Medicines such as Ibuprofen may be associated with a small increased risk of heart
attack (myocardial infarction”) or stroke (see section 2 for advice).

Tell your doctor if you notice any of the following side effects:
Common (occurs in more than 1 in 10 users):
- headache, dizziness
- stomach ulcers
Uncommon (occurs in less than 1 in 100 users):
- rashes which may be red, itchy or blisters
- kidney failure
Rare (occurs in less than 1 in 1,000 users)
- Inflammatory disease of connective tissue causing large areas of red scaly patches on the face,
hair loss, weight loss, painful joints and fever (lupus erythematosus syndrome)


disturbed vision,

Very rare (occurs in less than 1 in 10, 000 users):
- changes in the numbers and types of blood cells (if you develop sore throats, mouth
ulcers, nose bleeds, flu like symptoms or infections, consult your doctor),
- nervousness, tinnitus (ringing in the ear), a spinning sensation (vertigo)
- heart failure, increased blood pressure, build up of fluid in the body, including the
lower limbs, that results in swelling,
- asthma, difficulty breathing or wheezing
- worsening of colitis and Crohn’s disease, hepatitis and jaundice (yellow skin or eyes),
kidney damage and blood in the urine
- feeling of general discomfort and illness, tiredness

Other (frequency cannot be extimated by the data):
- Low levels of sodium in the blood – causing tiredness, muscle twitching, confusion, fits or


sensing things that are not there, “pins and needles”, tingling, depression, confusion,
fits, drowsiness, insomnia
inflammation of the optic nerve, loss of hearing
increase in blood serum creatinine, inflammation of the pancreas causing severe
abdominal painabnormal liver function, liver failure
problems with your lungs or breathing
mouth ulcers, Inflammation of the stomach lining abdominal pain, feeling or being sick,


diarrhoea, loss of appetite, indigestion
inflammation of the pancreas causing pain and tenderness in the abdomen and back
inflammation of the colon – causes abdominal pain or diarrhoeaworsening of psoriasis, hair


loss, sensitivity of the skin to light
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
How to store Ibuprofen tablets
Keep out of the reach and sight of children.

Keep the tablets stored below 25°C in a dry place, and in the original packaging.
Do not use Ibuprofen tablets after the expiry date which is stated on the carton.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist
how to dispose of medicines no longer required. These measures will help to protect the


Further information

What Ibuprofen tablets contain
 The active substance (the ingredient that makes the medicine work) is ibuprofen. Each
tablet contains either 200mg, 400mg or 600mg of ibuprofen.
 The other ingredients are croscarmellose sodium, colloidal silicon dioxide, macrogol,
sodium lauryl sulphate, titanium dioxide (E171), microcrystalline cellulose (E460),
hydroxypropylcellulose (E463), hypromellose (E464), purified talc (E553b).
What Ibuprofen tablets looks like and contents of the pack
The tablets are white, oval, biconvex film-coated tablets
Pack sizes: 28s, 30s, 56s, 60s, 84s, 90s, 100s, 112s, 120s, 168s, 180s, 250s, 500s, 1000s
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Actavis, Barnstaple, EX32 8NS, UK
Balkanpharma-Dupnitsa AD, 3 Samokovsko Shosse Str., Dupnitsa 2600, Bulgaria
This leaflet was last revised in December 2015

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Further information

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