Nurofen

Nurofen is a well-established, over-the-counter (OTC) analgesic and anti-inflammatory medication, with its active ingredient ibuprofen providing effective relief from a range of mild to moderate pain conditions. As a nonsteroidal anti-inflammatory drug (NSAID), it works by inhibiting the production of prostaglandins, chemicals in the body that cause pain, fever, and inflammation. This makes it a versatile and trusted option for millions seeking fast and effective symptomatic relief. Available in various formulations, including tablets, capsules, and liquid formats, it is designed to meet different patient needs and preferences.

Features

• Active ingredient: Ibuprofen (typically 200mg per standard tablet/caplet, other strengths available)
• Drug class: Nonsteroidal anti-inflammatory drug (NSAID)
• Rapid absorption formula designed for fast relief
• Multiple formulations: coated tablets, liquid capsules, suspension for children
• Targeted action as an analgesic, antipyretic, and anti-inflammatory agent

Benefits

• Provides effective relief from headaches, including tension headaches and migraines.
• Reduces inflammation, making it highly effective for muscular aches, back pain, and sports injuries.
• Rapidly lowers fever associated with colds and flu.
• Alleviates period pain and dental pain.
• Offers a non-opioid option for pain management.
• Available without a prescription for convenient access.

Common use

Nurofen is commonly used for the short-term symptomatic relief of:

• Headache
• Migraine
• Dental pain
• Period pain
• Backache
• Muscular and rheumatic pain
• Neuralgia
• Symptomatic relief of rheumatic and arthritic pain
• Feverishness and symptoms of colds and influenza

Dosage and direction

For Adults and Children over 12 years:

• Take 1 tablet (200mg) up to 3 times a day as required.
• Leave at least 4 hours between doses.
• Do not exceed 6 tablets (1200mg) in any 24-hour period.
• Swallow the tablet whole with water. Do not chew, crush, or break.
• Take with or after food to minimize the potential for stomach upset.
• Use the lowest effective dose for the shortest duration necessary to control symptoms.

For Children: Nurofen for Children is available in different strengths and formulations (e.g., suspension). Dosage is based on the child’s weight and age. Always read the specific product’s Patient Information Leaflet (PIL) carefully and use the measuring device provided. Do not give to children under 3 months of age or under 5kg without consulting a doctor.

Precautions

• Consult a doctor before use if you are asthmatic, as NSAIDs can exacerbate asthma symptoms in some sufferers.
• Use with caution if you have or have had problems with your liver, heart, kidneys, or have high blood pressure.
• Prolonged use of any NSAID can increase the risk of heart attack or stroke.
• Can cause gastrointestinal irritation, bleeding, ulceration, or perforation, which can be fatal. This risk is higher in the elderly and those with a history of stomach ulcers.
• Can cause fluid retention and edema.
• If you are pregnant, think you may be pregnant, or are breastfeeding, consult your doctor or pharmacist before taking this medicine.

Contraindications

Do not take Nurofen if you:

• Have had an allergic reaction (e.g., asthma, wheezing, itchy rash, swelling of the face or throat) to ibuprofen, aspirin, or other NSAIDs.
• Have a history of, or active, stomach ulceration or bleeding.
• Have severe liver, heart, or kidney failure.
• Are in the last trimester of pregnancy (after 28 weeks).
• Have a condition that increases the risk of bleeding.

Possible side effect

Like all medicines, Nurofen can cause side effects, although not everybody gets them. Common (may affect up to 1 in 10 people):

• Gastrointestinal: Indigestion, heartburn, nausea, abdominal pain.
• Nervous system: Headache, dizziness. Uncommon (may affect up to 1 in 100 people):
• Vomiting, diarrhea, gas, constipation.
• Rash, itching.
• Tinnitus (ringing in the ears). Rare/Serious (seek immediate medical attention if experienced):
• Signs of gastrointestinal bleeding: vomiting blood or particles that look like coffee grounds, black tarry stools, severe stomach pain.
• Signs of an allergic reaction: swelling of the face, lips, tongue, or throat; difficulty breathing; severe skin reactions (e.g., blistering and peeling).
• Signs of heart problems: chest pain, shortness of breath, weakness in one part or side of the body.
• Signs of liver problems: yellowing of the skin or eyes (jaundice), dark urine.
• Signs of kidney problems: passing less or no urine, swollen ankles.
• Meningitis-like symptoms (stiff neck, fever, disorientation) in patients with autoimmune disorders.

Drug interaction

Nurofen can interact with other medicines. Tell your doctor or pharmacist if you are taking:

• Other NSAIDs (including high-dose aspirin): Increased risk of side effects.
• Anticoagulants (e.g., warfarin, dabigatran): Increased risk of bleeding.
• Corticosteroids (e.g., prednisolone): Increased risk of gastrointestinal ulcers and bleeding.
• SSRI antidepressants (e.g., citalopram, fluoxetine): Increased risk of bleeding.
• ACE inhibitors and ARBs (e.g., lisinopril, losartan) and diuretics: May reduce the effect of these blood pressure medicines and worsen kidney function.
• Methotrexate: Nurofen may increase the blood levels of methotrexate, increasing its toxicity.
• Lithium: Nurofen may increase blood levels of lithium.

Missed dose

Nurofen is taken on an “as-needed” basis for pain relief. It is not a regular scheduled medication. Therefore, if you miss a dose, take it as soon as you remember unless it is almost time for your next dose. Do not take a double dose to make up for a forgotten one.

Overdose

• Symptoms: Nausea, vomiting, stomach pain, or vomiting blood. Drowsiness, headache, tinnitus. In severe cases, metabolic acidosis, hypotension, respiratory depression, acute renal failure, and coma may occur.
• Action: If you suspect an overdose, even if there are no symptoms, contact a doctor or your local poison control center immediately, or go to the nearest emergency department. Do not induce vomiting unless instructed by a medical professional. Take the medicine packet with you to show the doctor.

Storage

• Store in the original package below 25°C (77°F) to protect from light and moisture.
• Keep all medicines out of the sight and reach of children.
• Do not use this medicine after the expiry date which is stated on the packaging after “EXP.” The expiry date refers to the last day of that month.
• Do not dispose of medications via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here. The information provided may not cover all possible uses, directions, precautions, drug interactions, or adverse effects.

Reviews

• “As a nurse, I find Nurofen to be my go-to for tension headaches after a long shift. It’s fast-acting and reliable without the drowsiness associated with some other pain relievers.” – Sarah T., Healthcare Professional
• “I’ve used Nurofen for years for my chronic back pain. It’s the only OTC medication that effectively reduces the inflammation and allows me to stay mobile.” – Mark D.
• “The liquid capsules work incredibly quickly for my period cramps. The targeted relief means I can get on with my day without being sidelined by pain.” – Chloe P.
• “I always keep Nurofen in the medicine cabinet for fevers. It’s effective for both myself and my older children, and the dosage is straightforward.” – David L., Parent