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Ibuprofen 200 mg film-coated tablets Very rare:
The ibuprofen dose depends on the patient’s - swelling of the face, tongue or throat (larynx)
age and body weight. The maximum single which can cause great difficulty in breathing
dose for adults should not be greater than (angioedema), rapid heartbeat, severe fall in
800 mg of ibuprofen (4 tablets). The blood pressure or life threatening shock
recommended dose is: - a sudden allergic reaction with shortness
of breath, wheezing and drop of blood
Mild to moderate pain and fever pressure
Adults and adolescents older than 12 years - severe rash with blisters on the skin
(≥40 kg): especially on the legs, arms, hands and
1-2 tablets given as a single dose or 3-4 times feet which can also involve the face and lips
a day with an interval of 6 hours. The maximum (erythema multiforme, Stevens-Johnson´s
daily dose should not exceed 6 tablets (1200 mg). syndrome). This can get even more severe,
Children 6-12 years (>20 kg): the blisters get larger and spread out and
Children 6-9 years (20-29 kg): 1 tablet 1-3 times parts of the skin may slough off (Lyell´s
a day with intervals of 4 to 6 hours as required. syndrome). There may also be severe
The maximum number of tablets should not infection with destruction (necrosis) of
exceed 3 tablets in one day. skin, subcutaneous tissue and muscle
(necrotizing fasciitis)
Children 10-12 years (30-40 kg): 1 tablet 1-4
times a day with intervals of 4 to 6 hours as You should stop taking the medicine and
required. The maximum number of tablets contact your doctor as soon as possible if you
should not exceed 4 tablets in one day. develop the following side effects:
Migraine headache Very common:
Adults and adolescents older than 12 years - heartburn, abdominal pain, indigestion
(>40 kg): Uncommon:
2 tablets given as a single dose, if necessary - visual distrubances
2 tablets with intervals of 4 to 6 hours. - hypersensitivity reactions such as hives,
The maximum daily dose should not exceed itching, purpura, exanthema, asthma attacks
6 tablets (1200 mg). (sometimes with low blood pressure)
- photosensitivity (increased sensitivity to
Period pain
sunlight)
Adults and adolescents over 12 years of age:
1-2 tablets 1-3 times a day, with an interval of Rare:
4-6 hours, as needed. The maximum daily dose - vision loss
should not be more than 6 tablets (1200 mg). Very rare:
Rheumatic diseases - sudden filling of lungs with water resulting
Adults: in difficulty to breathe, high blood pressure,
The recommended dose is 2-3 tablets daily in water retention and weight gain
divided doses. Lower doses may be prescribed Other possible side effects with Ibuprofen are:
by your doctor. Due to the nature and severity
of your condition, the doctor may increase your Very common:
medication to a maximum of 12 tablets - Disturbances in the digestive tract, such
(2400 mg) daily, taken in 3 or 4 divided doses. as diarrhoea, feeling sick, vomiting, wind,
constipation
Adolescents from 15 to 17 years of age:
The recommended dose is 20 mg/kg to a Common:
maximum of 40 mg/kg body weight daily (max - Digestive tract ulcer with or without
perforation
2400 mg daily) in 3 to 4 divided doses.
- Bowel inflammation and worsening of
The tablet should be swallowed with a glass inflammation of the colon (colitis) and
Half Fold: 370 mm
of water, preferably after a meal. Patients digestive tract (Crohn’s disease) and
with sensitive stomach are recommended to complications of diverticula of the large
take Ibuprofen during a meal. For the ease of bowel (perforation or fistula)
swallowing or adjusting of doses the tablets can - Microscopic bleeding from the intestine
be divided in equal halves. which may result in anemia
- Mouth ulcers and inflammation (ulcerative
If a child or adolescent requires this medicine
stomatitis)
for more than 3 days, or if symptoms worsen, a
- Headache, sleepiness, vertigo, dizziness,
doctor should be consulted. fatigue, agitation, insomnia and irritability
Ibuprofen 400 mg film-coated tablets Uncommon:
The ibuprofen dose depends on the patient’s - Inflammation of the stomach lining
age and body weight. The maximum single - Kidney problems including development of
daily dose for adults should not be greater oedema, inflammation of the kidneys and
than 800 mg of ibuprofen (2 tablets).The kidney failure
recommended dose is: - Runny nose
Mild to moderate pain and fever - Difficulty breathing (bronchospasm)
Adults and adolescents ≥40 kg (12 years and Rare:
above): - Depression, confusion, hallucinations
½ (half tablet) to 1 tablet given as a single dose - Lupus erythematosus syndrome
or 3-4 times a day with an interval of 6 hours as - Increase of blood urea nitrogen, serum
required. The maximum daily dose should not transaminases and alkaline phosphatase
exceed 3 tablets (1200 mg). decrease in haemoglobin and haematocrit
Paediatric population values, inhibition of platelet aggregation and
Children ≥20 kg body weight (6-11 years): prolonged bleeding time, decrease of serum
Other preparations may be more suitable for calcium and increase in serum uric acid
this age group. Your doctor will advise you values
accordingly. - Damage of the kidney tissue
Children 20-29 kg (6-9 years): ½ half tablet Very rare:
1-3 times a day with intervals of 6 hours as - Unpleasant awareness of heart beat, heart
required. The maximum number of tablets failure or heart attack
should not exceed 1½ (one and half) tablet in - Disorders of blood cell formation
one day. (anaemia, leucopenia, thrombocytopenia,
pancytopenia, agranulocytosis, neutropenia)
Children 30-39 kg body weight (10-11 years):
The first symptoms or signs may include
½ half tablet 1-4 times a day with intervals of
fever, sore throat, surface mouth ulcers, flu-
6 hours as required. The maximum number of like symptoms, severe fatigue, nasal and
tablets should not exceed 2 tablets in one day. skin bleeding)
Migraine headache - Ringing or buzzing in the ears
Adults and adolescents ≥40 kg body weight (12 - Inflammation of the oesophagus or
years and above): pancreas
1 tablet given as a single dose, if necessary 1 - Narrowing of the bowel
tablet with intervals of 6 hours. - Acute inflammation of the liver, yellowish
The maximum daily dose should not exceed 3 discolouration of the skin or whites of the
tablets (1200 mg). eyes, liver dysfunction, damage or failure
- liver damage especially in long-term use or
Period pain liver failure
Adults and adolescents >40 kg body weight (12 - Hair loss
years of age and above): - Inflammation of the brain membrane without
½ (half tablet) ‑1 tablet 1‑3 times a day, with an bacterial infection (aseptic meningitis)
interval of 6 hours as needed.
The maximum daily dose should not be more Not known:
than 3 tablets (1200 mg). - Tingling of the hands and feet
- Anxiety
Rheumatic diseases - Impaired hearing
Adults: - General feeling of being unwell
The recommended dose is 3‑4½ (four - Inflammation of the optic nerve which may
and half) tablets (1200 mg- 1800 mg) cause vision problems
daily in divided doses. Lower doses may - A severe skin reaction known as DRESS
be prescribed by your doctor. syndrome can occur. Symptoms of DRESS
Due to the severity of your condition, the include: skin rash, fever, swelling of lymph
doctor may increase your medication to nodes and an increase of eosinophils (a
a maximum of 6 tablets (2400 mg) daily, type of white blood cells).
taken in 3 or 4 divided doses. - A red, scaly widespread rash with bumps
Adolescents from 15 to 17 years of age: under the skin and blisters mainly localized
The recommended dose is 20 mg/kg to on the skin folds, trunk, and upper
a maximum of 40 mg/kg body weight extremities accompanied by fever at the
daily (max 2400 mg daily)in 3 to 4 initiation of treatment (acute generalised
exanthematous pustulosis). Stop using
divided doses. Your doctor will advise
Ibuprofen tablets if you develop these
you accordingly.
symptoms and seek medical attention
The tablet should be swallowed with a glass immediately. See also section 2.
of water, preferably after a meal. Patients Ibuprofen may cause a reduction in the number
with sensitive stomach are recommended to of white blood cells and your resistance to
take Ibuprofen during a meal. For the ease of infection may be decreased. If you experience
swallowing or adjusting of doses the tablets can an infection with symptoms such as fever and
be divided in equal halves. serious deterioration of your general condition,
or fever with local infection symptoms such as
Elderly sore throat/pharynx/mouth or urinary problems
If you are elderly you will be more prone to you should see your doctor immediately. A
side effects, especially bleeding ulceration and blood test will be taken to check possible
perforation in the digestive tract, which may be reduction of white blood cells (agranulocytosis).
fatal. Your doctor will advise you accordingly. It is important to inform your doctor about your
Reduced kidney or liver function medicine.
If you suffer from reduced kidney or liver Reporting of side effects
function, your doctor will advise you If you get any side effects, talk to your doctor
accordingly. or pharmacist. This includes any possible side
If you take more Ibuprofen than you should effects not listed in this leaflet. You can also
If you have taken more ibuprofen than you report side effects directly via the national
should, or if children have taken this medicine reporting system listed in Yellow Card Scheme
by accident always contact a doctor or nearest Website: www.mhra.gov.uk/yellowcard or
hospital to get an opinion of the risk and advice search for MHRA Yellow Card in the Google
on action to be taken. Play or Apple App Store. By reporting side
effects you can help provide more information
The symptoms can include nausea, stomach on the safety of this medicine.
pain, vomiting (may be blood streaked), or
more rarely diarrhoea. In addition, headache, 5. How to store Ibuprofen
gastrointestinal bleeding, blurred vision,
ringing in the ears, confusion and shaky Keep this medicine out of the sight and reach of
eye movement, and exacerbation of asthma children.
in asthmatics. At high doses, drowsiness, Do not use this medicine after the expiry date
excitation, disorientation, chest pain, which is stated on the carton after EXP. The
palpitations, loss of consciousness, convulsions expiry date refers to the last day of that month.
(mainly in children), vertigo, weakness and
This medicine does not require any special
dizziness, blood in urine, low blood pressure, storage conditions.
hyperkalaemia, metabolic acidosis, increased
prothrombin time/INR, acute renal failure, liver Do not throw away any medicines via
damage, respiratory depression, cyanosis, cold wastewater or household waste. Ask your
body feeling, and breathing problems have pharmacist how to throw away medicines you
been reported. no longer use. These measures will help protect
the environment.
If you forget to take Ibuprofen
Do not take a double dose to make up for a 6. Contents of the pack and other
forgotten dose. information
If you have any further questions on the use of What Ibuprofen contains
this medicine, ask your doctor or pharmacist. - The active substances isIbuprofen.
Each film-coated tablet contains 200 mg
4. Possible side effects ibuprofen.
Like all medicines, this medicine can cause side Each film-coated tablet contains 400 mg
effects, although not everybody gets them. ibuprofen.
With regard to the following side effects, it must - The other ingredients are:
be considered that they are largely dependent Tablet core: Maize starch, starch,
on the dose and that they vary from patient to pregelatinised (maize starch), silica,
colloidal anhydrous, croscarmellose sodium,
patient.
talc, stearic acid.
The most commonly observed side effects
Film coating: Talc (E553b), polyvinyl
are gastrointestinal in nature. Peptic ulcers,
alcohol, macrogol 3350 (E1521), titanium
perforation or gastrointestinal bleeding, dioxide (E171).
sometimes fatal, particularly in the elderly, may
occur. Nausea, vomiting, diarrhoea, flatulence, What Ibuprofen looks like and contents of
constipation, indigestion, abdominal pain, the pack
melaena, heamatemesis, ulcerative stomatits, Film-coated tablet.
exacerbation of colitis and Crohn’s disease Ibuprofen 200 mg film-coated tablet
have been reported following administration. White to off-white, round shaped, film-coated
Less frequently, inflammation of the stomach tablets with break line on one side and plain on
lining (gastritis) has been observed. the other side. The tablet can be divided into
Medicines such as Ibuprofen may be equal doses.
associated with a small increased risk of heart Ibuprofen 400 mg film-coated tablet
attack (myocardial infraction) or stroke. Water White to off-white, round shaped, film-coated
retention (oedema), high blood pressure and tablets with break line on one side and plain on
heart failure have been reported in association the other side. The tablet can be divided into
with NSAIDs. equal doses.
The side effects are stated according to the Ibuprofen film-coated tablets are available in
frequency they occur. The following convention blister packs
has been used: Pack sizes: 10, 20, 24, 30, 40, 50, 56, 60, 84
Very common: may affect more than 1 in 10 and 100 film-coated tablets
people
Common: may affect up to 1 in 10 people Not all pack sizes may be marketed.
Uncommon: may affect up to 1 in 100 people Marketing Authorisation Holder and
Rare: may affect up to 1 in 1,000 people Manufacturer
Very rare: may affect up to 1 in 10,000 people
Not known: frequency cannot be estimated from Milpharm Limited
Ares Block, Odyssey Business Park
the available data
West End Road
The following side effects are important and Ruislip HA4 6QD
will require immediate action if you experience United Kingdom
them. You should stop taking Ibuprofen and or
see your doctor immediately if the following
symptoms occur: Generis Farmacêutica, S.A.
Rua João de Deus, 19, Amadora, 2700-
P15XXXXX