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NUROFEN EXPRESS 512 MG TABLETS

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NUROFEN
EXPRESS 512mg
TABLETS
Contains Ibuprofen
INFORMATION FOR THE USER
Read all of this leaflet carefully because it contains important information for you. This
medicine is available without prescription.
However, you still need to use Nurofen Express 512mg Tablets carefully to get the best
results from them.
Keep this leaflet. You may want to read it again.
If you have any further questions after you have read it, ask your doctor or pharmacist.
You must contact a doctor if your symptoms worsen or do not improve after 3 days for
children and adolescents between 12 and 18 years and after 10 days for adults.
If any side effects get serious, or if you notice any side effect not listed in this leaflet, please
tell your doctor or pharmacist.
In this leaflet:
1. What Nurofen Express 512mg Tablets are and what they are used for
2. Before you take Nurofen Express 512mg Tablets
3. How to take Nurofen Express 512mg Tablets
4. Possible side effects
5. How to store Nurofen Express 512mg Tablets
6. Further Information
1. What Nurofen Express 512mg Tablets are and what they are used for
The active ingredient (which makes this medicine work) is Ibuprofen. It belongs to a group of
medicines known as non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs provide relief
by changing the body's response to pain, swelling, and high temperature.
Nurofen Express 512mg Tablets are used for the relief of fever and mild to moderate pain,
such as:
• Headaches and migraine pain
• Backache, period pain, rheumatic and muscular pain
• Neuralgia and the pain associated with non serious arthritis
• Cold and Flu symptoms, sore throat
2. Before taking Nurofen Express 512mg Tablets
Do not take Nurofen Express 512mg Tablets if you:
• are allergic to ibuprofen or any of the other ingredients (see section 6) or to aspirin or other
painkillers
• have (or have had two or more episodes of) a stomach ulcer, perforation or bleeding
• have had a worsening of asthma, skin rash, itchy runny nose or facial swelling when
previously taking ibuprofen, aspirin or similar medicines
• have had gastrointestinal bleeding or perforation when previously taking NSAIDs (Nonsteroidal anti-inflammatory drugs)
• are taking other NSAID painkillers or more than 75mg aspirin a day
• have severe liver or kidney problems
• have heart problems, high blood pressure or blood coagulation disorder.
• have breathing difficulties
• have been told by your doctor that you are intolerant to some sugars (e.g, fructose)
• are in the last 3 months of pregnancy
• are under 12 years old.

Check with your pharmacist or your doctor before taking this product if you:
• have or have had asthma
• have kidney, heart, liver or bowel problems
• have high cholesterol or previously have had a heart attack or stroke
• have a history of gastrointestinal disease (such as ulcerative colitis, Crohn's disease)
• have Systemic Lupus Erythematosus (a condition of the immune system causing joint pain
skin changes and other organ disorders)
• are a smoker
• are in the first 6 months of pregnancy.
• are on a diet restricting your salt intake.
Taking other medicines
Some medicines may affect or be affected by treatment with ibuprofen.
Avoid taking this product with corticosteroid tablets, quinolone antibiotics or drugs that are
prescribed
• To thin your blood or prevent clotting (e.g, warfarin),
• To stimulate your heart (e.g, glycosides) or treat high blood pressure.
• To help you passing water (diuretics),
• For the temporary suppression of your immune system (e.g, methotrexate, ciclosporine,
tacrolimus)
• For mania or depression (e.g., Lithium or SSRls)
• For pregancy termination (e.g., mifepristone)
• For HIV treatment ( e.g., zidovudine)
You should therefore always seek the advice of your doctor or pharmacist before you take
Ibuprofen with other medicines.
Other warnings
• Nurofen Express 512mg Tablets belongs to a group of medicines which may impair fertility
in women. This is reversible on stopping the medicine. It is unlikely that Nurofen Express
512mg Tablets, used occasionally will affect your chances of becoming pregnant. However,
tell your doctor before taking this medicine if you have problems becoming pregnant.
• Medicines such as Nurofen Express 512mg Tablets may be associated with a small
increased risk of heart attack or stroke. Any risk is more likely with high doses or prolonged
treatment. Do not exceed the recommended dose.
• If you have heart problems, previous stroke or think that you might be at risk of these
conditions (for example if you have high blood pressure, diabetes, or high cholesterol or are a
smoker), you should discuss your treatment with your doctor or pharmacist.
 There is a risk of renal impairment in dehydrated children and adolescents

Pregnancy and breast feeding
Do not take in the last 3 months of pregnancy or if you are breastfeeding.
Speak to your doctor if you are in the first 6 months of pregnancy.
Important information about some of the ingredients of Nurofen Express 512mg Tablets.
Each tablet contains approximately 2.12mmol of sodium. This quantity is equivalent to
48.6mg of sodium.

3. How to take Nurofen Express 512mg Tablets

This product is for short term use only. You should take the lowest dose for the shortest time
necessary to relieve your symptoms.
Adults, the elderly and children and adolescents between 12 and 18 years:
Take 1 tablet with water, up to three times a day as required.
Leave at least four hours between doses. Do not take more than 3 tablets in 24 hours.
Do not give to children under 12 years.
In children and adolescents between 12 and 18 years:
If in children and adolescents this medicinal product is required for more than 3 days, or if
symptoms worsen a doctor should be consulted.
In adults:
Do not take for longer than 10 days unless your doctor tells you to. If symptoms persist or the
pain worsens, or if any new symptoms occur, consult your doctor or pharmacist.
If you take more Nurofen Express 512mg Tablets than you should, you may feel drowsy or
nauseous. You should seek immediate medical advice in the event of an overdose, even if
you feel well.
If you forgot to take Nurofen Express 512mg Tablets.
Simply refer to the directions above on how to take the medicine and do not take more than
is advised.
4. Possible side effects
Nurofen Express 512mg Tablets are generally well tolerated by most people. However side
effects may occur.
STOP TAKING the medicine and seek immediate medical help if you develop:
• signs of intestinal bleeding such as: bright red faeces (stools/motions), black tarry stools,
vomiting blood or dark particles that look like coffee grounds.
• signs of serious allergic reaction such as:
- difficulties in breathing or unexplained wheezing
- dizziness or faster heartbeat,
- severe skin reaction (rashes, itchiness ... )
- swelling of your face or throat
Tell your doctor if you experience:
• fever, flu-like symptoms, sore throat, mouth ulcers, headache, a stiff neck, vomiting,
unexplained bleeding and bruising, severe exhaustion.
• indigestion, stomach or abdominal pain, constipation, diarrhoea, flatulence or if you feel
sick, chest pain or fast, irregular heart beat.
• liver and kidney problems associated with swelling in your arms and legs.
Medicines such as Nurofen Express 512mg Tablets may be associated with a small
increased risk of heart attack ('myocardial infarction') or stroke. (See Section 2 Other
warnings.)
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: 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 Nurofen Express 512mg Tablets
Keep all medicines out of the sight and reach of children.
Do not use after the expiry date stated on the carton after EXP. The expiry date refers to the
last day of that month.
Store in the original pack.
6. Further information
Each tablet contains the active ingredient Ibuprofen 400mg (as Sodium Ibuprofen 512mg).
Also contains: Croscarmellose sodium, Xylitol, Microcrystalline cellulose, Magnesium
stearate, Colloidal anhydrous silica, Carmellose sodium, Talc, Acacia spray dried, Sucrose,
Titanium dioxide (E 171), Macrogol 6000 powder, and Red ink (contains Shellac, Iron Oxide
Red (E 172), Propylene Glycol, Ammonium Hydroxide (E527), Simethicone).
Nurofen Express 512mg Tablets are available in packs of 12 or 24 white, tablets printed with
an identifying red logo.
Not all packs will be marketed.
Manufactured by Reckitt Benckiser Healthcare International,
1 Thane Road West, Nottingham NG90 2DB.
Product licence number: PL 0063/0412
Licence holder: Reckitt Benckiser Healthcare (UK) Ltd, Hull,
HU8 7DS
Date of revision: June 2014.

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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.

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