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NUROFENCAPS 400 MG
Over-the-counter medication

NUROFENCAPS 400 MG

Brand : Reckitt Reckitt
€4.50 EXCL. VAT €4.95 INCL. VAT
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Reference : 3400922133843
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NUROFENCAPS 400 MG soft capsule is a drug indicated for the acute treatment of fever and / or pain, such as headaches, flu symptoms, toothache, menstrual pain and body aches.

NUROFENCAPS 400 MG

All medicines containing ibuprofen (nurofen, advil spedifen) on your online pharmacy without a prescription.

For warnings, precautions for use and contraindications, please see the instructions for use of NurofenCaps 400 mg.

Description Nurofencaps 400 mg

NurofenCaps 400 mg Indications

NUROFENCAPS 400 mg soft capsules is a medication indicated for the short-term treatment of fever and / or pain , such as headache, flu-like conditions, dental pain, muscle aches and periods

painful.

Ibuprofen blocks the production and release of chemicals in the body that cause pain and inflammation. It can also reduce fever by adjusting the body's thermostat located in the brain.
Pain and fever are useful because they act as a warning signal. However, you must be very vigilant and consult a doctor if the pain persists or if the fever increases.

Dosage and route of administration of NurofenCaps 400 mg

NUROFENCAPS 400 mg in soft capsules is recommended for adults and children over 10 years of age. For children from 11 to 12 years old (approximately over 30 kg), 1 capsule of NUROFENCAPS 400 mg, to be renewed if necessary after 6 hours. In any case, do not exceed 3 capsules per day. Oral use.  

Composition of NurofenCaps 400 mg  

IBUPROFENE 400 MG. EXCIPIENTS: MACROGOL 600; POTASSIUM HYDROXIDE SOLUTION; GELATINE; PARTIALLY DEHYDRATED LIQUID SORBITOL; PURIFIED WATER ; RED COCHENILLE A (E 124); SOY LECITHIN ; MEDIUM CHAIN TRIGLYCERIDES; INK OPACODE NSP-78-18022; QSP 1 SOFT CAPSULE.

Noted excipients of NurofenCaps 400 mg  

SOY LECITHIN
RED COCHENILLE A
SORBITOL

Precautions for use

Contraindication and warning of NurofenCaps 400 mg

  • Pregnancy of more than 5 months;
  • history of allergy or asthma triggered by taking ibuprofen or substances of close activity such as other anti-inflammatory drugs, aspirin;
  • history of allergy to other components of the tablet;
  • evolving peptic ulcer;
  • severe hepatocellular insufficiency;
  • severe renal failure;
  • uncontrolled severe heart failure;
  • systemic lupus erythematosus;
  • intolerance to fructose.

NUROFENCAPS 400 mg is not recommended during pregnancy and lactation. NUROFENCAPS 400 mg is not recommended for subjects with gastrointestinal problems (ulcer, gastrointestinal perforation). NUROFENCAPS 400 mg is to be used with caution for patients with heart problems or kidney problems.

NurofenCaps 400 mg packaging  

Blister 10 capsules.

Warnings on pain relievers

Please note, the NurofenCaps 400 mg medication is not like any other product. Read the package leaflet carefully before ordering. Keep medicines out of the reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

  • Please inform your online pharmacist of the treatments in progress in order to identify any incompatibilities. The order validation form contains a personalized message field provided for this purpose.
  • Click here to find the package leaflet for this NurofenCaps 400 mg medication on the website of the National Agency for the Safety of Medicines and Health Products.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Last updated: 10/05/2017

Name of the medicinal product

NUROFENCAPS 400 mg soft capsule

Ibuprofen

framed

Please read this manual carefully as it contains important information for you.

· This medication is given without a prescription. However, you should use NUROFENCAPS carefully to get the best results.

· Keep this leaflet. You may need to review it again.

· For more information, ask your pharmacist for advice.

· If symptoms worsen or persist for more than 3 days in case of fever and after 4 days in case of pain, contact your doctor.

· If any of the side effects get worse or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Review summary

In this notice :

1. What is NUROFENCAPS 400 mg, soft capsule and in which cases is it used?

2. What information should I take before taking NUROFENCAPS 400 mg soft capsule ?

3. How to take NUROFENCAPS 400 mg, soft capsule ?

4. What are the possible side effects?

5. How to store NUROFENCAPS 400 mg, soft capsule ?

6. Additional information.

1. WHAT NUROFENCAPS 400 mg, soft capsule AND IN WHAT CASES IS IT USED?

Pharmacotherapeutic group

Ibuprofen belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). These medications provide relief by altering how the body responds to pain, edema and high temperature.

Therapeutic indications

NUROFENCAPS 400 mg, soft capsule is indicated in adults and adolescents over 40 kg (12 years and older) in the symptomatic treatment of mild to moderate pain, such as headache, painful menstruation, dental pain, flu and fever.

2. BEFORE YOU TAKE NUROFENCAPS 400 mg soft capsule.

List of information needed before taking the medication

Not applicable.

Cons-indications

Never take NUROFENCAPS 400 mg soft capsules in the following cases:

· allergy to ibuprofen, red culvert 4R (E124) or any of the other ingredients of NUROFENCAPS 400 mg soft capsule (see section 6 "Additional Information");

· history of shortness of breath, asthma, runny nose, swelling or urticaria after using aspirin or other similar painkillers (NSAIDs);

· ulcer or bleeding of the stomach or duodenum (peptic ulcer), whether progressive or old (two or more episodes);

· history of bleeding or gastrointestinal perforation related to previous NSAID treatment;

· patients with hematopoiesis disorders.

· bleeding disorders or bleeding disorders (haemorrhage);

· severe cardiac, hepatic or renal failure;

· during the last three months of pregnancy (see below).

· severe dehydration (caused by vomiting, diarrhea or insufficient fluid intake);

· cerebrovascular haemorrhage or other evolving hemorrhage;

· child under 40kg or under 12 years of age.

Precautions for use; special warnings

Take special care with NUROFENCAPS 400 mg soft capsule:

· In case of systemic lupus erythematosus or mixed connective tissue disease (state of the immune system responsible for joint pain, rash and fever).

· If you suffer from hereditary disorders of hematopoiesis (acute intermittent porphyria) or coagulation disorders.

· If you have or have ever had an intestinal disease (ulcerative colitis or Crohn's disease).

· If you have problems with high blood pressure and / or heart failure.

· If your kidney function is reduced

· If you have liver problems.

· Directly after major surgery

· If you have or have had asthma or an allergic condition causing shortness of breath

· If you suffer from hay fever, nasal polyps or chronic obstructive airway disease, there is an increased risk of allergic reactions. These allergic reactions can manifest in the form of asthma attacks (called analgesic asthma). Angioedema or urticaria.

· Taking medicines that may increase the risk of ulceration or bleeding, such as: oral corticosteroids, anticoagulants (eg warfarin), selective serotonin (antidepressant) reuptake inhibitors, or antiplatelet agents (eg, aspirin).

Other Warnings:

· Prolonged use of analgesics for headaches can aggravate them. If this happens or is suspected, stop treatment and contact a doctor.

· Drugs such as NUROFENCAPS 400 mg, soft capsule may be associated with an increased risk of heart attack (myocardial infarction) or stroke. The higher the dose and the longer the duration of treatment, the greater the risk. Do not exceed the recommended dose or treatment time (3 days for fever and 4 days for pain).

· If you have a heart condition, history of stroke, or if you think you may be at risk for these conditions (for example, if you have high blood pressure, diabetes, high cholesterol, or are smoker) you should discuss your treatment with your doctor or pharmacist.

· In case of varicella, it is recommended not to use NUROFENCAPS 400 mg, soft capsule.

· In the case of prolonged administration of NUROFENCAPS 400 mg, soft capsule, regular monitoring of liver and kidney function and blood count is necessary.

· Combination with other NSAIDs, including specific inhibitors of cyclooxygenase-2, increases the risk of adverse reactions (see "Taking other medicines") and should be avoided.

· the usual use of several kinds of analgesics can cause severe and long-lasting kidney problems and should be avoided. This risk may increase as a result of dehydration.

Adverse effects can be reduced by using the lowest effective dose for the shortest possible period of time. Older people are more likely to experience side effects.

Consult a physician before using NUROFENCAPS 400 mg soft capsule if any of the above conditions apply to you.

Interaction with other medicines

Taking other medicines

Contact your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. In particular, inform them if you take:

· Blood coagulation inhibitors (eg acetylsalicylic acid, warfarin, ticlopidine), medicines for high blood pressure (ACE inhibitors, eg captopril, beta-blockers, antagonists of angiotensin II) and even other types of medications that may affect or affect their action may be affected by treatment with ibuprofen. Therefore, you should always seek advice from your doctor before taking ibuprofen in combination with other medicines.

· Do not take NUROFENCAPS 400 mg soft capsule if you are taking acetylsalicylic acid (aspirin) at daily doses greater than 75 mg.

· If you are taking low-dose acetylsalicylic acid (up to 75 mg daily) seek advice from your doctor or pharmacist before taking NUROFENCAPS 400 mg soft capsule.

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Especially if you take:

· other NSAIDs (non-steroidal anti-inflammatory drugs) may increase the risk of gastrointestinal ulceration or bleeding;

· digoxin (for heart failure), because the effect of digoxin may be accentuated;

· glucocorticoids (medicines containing cortisone or cortisone-related substances as these drugs may increase gastrointestinal or bleeding risk;

· antiplatelet agents, as they may increase the risk of gastrointestinal ulcer or bleeding;

· blood thinners (such as warfarin, acetyl salicylic acid or ticlopidine) because ibuprofen may increase the effects of these drugs;

· of phenytoin (for epilepsy), because the effect of phenytoin may be accentuated;

· selective serotonin reuptake inhibitors (drugs used for nerve depression) as they may increase the risk of bleeding;

· lithium (drug for manic depressive illness and depression), because the effect of lithium may be accentuated;

· probenecid and sulfinpyrazone (medication for gout), as excretion of ibuprofen may be delayed;

· medicines for high blood pressure (ACE inhibitors, eg captopril, beta-blockers, angiotensin II antagonists) and diuretics because ibuprofen can decrease the effects of these drugs with increased risk possible for the kidneys;

· potassium-sparing diuretics as this may lead to elevated blood potassium concentration (hyperkalaemia);

· methotrexate (a medicine for cancer or rheumatism) because the effect of methotrexate may be accentuated;

· tacrolimus and ciclosporin (immunosuppressive drugs), as the kidneys may be damaged;

· zidovudine (a drug for the treatment of AIDS) because with the use of NUROFENCAPS 400 mg, soft capsule, there is an increased risk of hemarthrosis and hematomas in hemophiliac patients with HIV;

· sulphonylureas (antidiabetic medicines), because interactions are possible;

· quinolones (antibiotics), since their use may increase the risk of convulsions;

· of mifepristone (use to interrupt pregnancy) because the effect of mifepristone may be reduced.

Always seek the advice of your doctor before taking ibuprofen with other medicines.

Interactions with food and beverages

Food and drinks

Swallow the capsule with a large glass of water. It is recommended for patients with gastric sensitivity, to take NUROFENCAPS 400 mg, soft capsule during a meal. Adverse reactions such as those affecting the gastrointestinal tract may occur when alcohol is taken at the same time as NUROFENCAPS 400 mg soft capsule.

Interactions with Herbal Medicines or Alternative Therapies

Not applicable.

Use during pregnancy and lactation

Pregnancy and breast feeding

Pregnancy

You should tell your doctor if you are pregnant during treatment with NUROFENCAPS 400 mg soft capsule. Do not take this medication during the last 3 months of pregnancy. This medication should not be taken during the first 6 months of pregnancy except on medical advice.

feeding

Small amounts of ibuprofen and its metabolites pass into breast milk. This medication may be used during breast-feeding if the recommended dose is used for the shortest possible period of time.

Female fertility

NUROFENCAPS 400 mg soft capsule belongs to the class of drugs likely to alter female fertility. However, this effect is reversible upon discontinuation of treatment. Avoid taking this medication if you are trying to get pregnant.

Ask your doctor or pharmacist for advice before taking any medicine.

Sport

Not applicable.

Effects on ability to drive or use machines

Driving and using machines

For short-term treatment and at the recommended dosage, this medicine has no or little influence on the ability to drive and use machines.

Patients with dizziness, drowsiness, dizziness or visual disturbances when taking NUROFENCAPS 400 mg soft capsule should avoid driving or using machines. These effects can be accentuated when taking alcohol.

List of excipients with known effect

Important information about some of the ingredients of NUROFENCAPS 400 mg soft capsule

This medicine contains sorbitol. If your doctor has told you about an intolerance to some sugar, contact your doctor before taking this medicine.

This medication contains an azo dye, 4R (E124) culvert red and may cause allergic reactions.

3. HOW TO TAKE NUROFENCAPS 400 mg, soft capsule?

Instructions for proper use

Always take NUROFENCAPS 400 mg, soft capsule strictly following the instructions given in this leaflet. You can check with your doctor or pharmacist in case of doubt.

Dosage, Mode and / or route (s) of administration, Frequency of administration and Duration of treatment

Unless otherwise prescribed by your doctor, the usual dosage is as follows:

Dosage

Adults and adolescents over 40 kg (12 years and over): 1 capsule (400 mg ibuprofen) taken with a large glass of water up to three times daily if necessary. Space the doses of at least 6 hours between each dose.

Do not take more than 3 capsules (equivalent to a total of 1200 mg of ibuprofen) per 24 hours.

Do not give NUROFENCAPS 400 mg, soft capsule to adolescents under 40 kg or children under 12 years of age.

Method and route of administration

Oral use. Do not chew.

Patients with a sensitive stomach are advised to take NUROFENCAPS 400 mg, soft capsule during meals. If you take it shortly after eating, the onset of action of this medication may be delayed. In this case, do not take more NUROFENCAPS 400 mg, soft capsule than the dose that was recommended to you in this section until the exact end of the dose renewal time.

Duration of treatment

This medication should be used only for a short period of time. The occurrence of adverse reactions can be minimized by using the lowest dose possible during the shortest treatment time needed to relieve symptoms.

The duration of treatment should not exceed 3 days in case of fever or 4 days in case of pain. If symptoms worsen or persist, consult your doctor.

Consult your doctor or pharmacist if you think the effect of this medication is stronger or weaker than you thought.

Symptoms and Instructions for Overdose

If you take more NUROFENCAPS 400 mg, soft capsule than you should:

Seek immediate medical attention. Signs of nausea, stomach upset, diarrhea, tinnitus, headache, blood in the stool or blood in the vomit (gastrointestinal bleeding), dizziness, drowsiness, confusion, disorder of orientation. Rarely loss of consciousness.

If you have any further questions on the use of this medication, talk to your doctor or pharmacist.

Instructions for omission of one or more doses

Not applicable.

Risk of withdrawal syndrome

Not applicable.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

Description of adverse reactions

Like all medicines, NUROFENCAPS 400 mg, soft capsule is likely to have side effects, although not everyone is subject to it.

The occurrence of adverse events can be minimized by the use of the minimal dose during the shortest treatment time necessary to relieve symptoms. You may have one of the known side effects of taking NSAIDs (see below). If this is the case, or if you have any concerns about taking this medication, stop the medication and talk to your doctor as soon as possible. Elderly people taking this medication increase their risk of developing health problems related to side effects.

In order to evaluate the side effects, the following frequencies are used:

· Very common: Touch more than 1 user out of 10

· Common: key 1 to 10 users out of 100

· Uncommon: affects 1 to 10 users in 1,000

· Rare: Touch 1 to 10 users out of 10,000

· Very rare: affects less than 1 user in 10,000

· Not known: Frequency is impossible to estimate based on available data

Stop taking this medication and seek immediate medical attention if you develop:

· signs of intestinal haemorrhage such as severe abdominal pain, tarry black stools, vomiting of blood or dark particles resembling ground coffee;

· signs of very rare but severe allergic reactions such as worsening of asthma, wheezing or unexplained breathlessness, swelling of the face, tongue or throat, difficulty breathing, tachycardia or fall in blood pressure leading to collapse. Such reactions may occur even if this is the first time you are using this medication;

· severe skin reactions such as skin rashes covering the entire body, desquamation, vesication or detachment of the skin.

If any of the following side effects occur, or if any of them worsen or if you notice any effects not listed here, please inform your doctor.

Frequent

· Gastrointestinal pain such as heartburn, abdominal pain, nausea and indigestion, vomiting, gas (flatulence), diarrhea, constipation and mild blood loss in the stomach and / or intestine which can cause anemia in exceptional cases.

Rare

· Gastric or intestinal ulcers, sometimes accompanied by hemorrhage or perforation, inflammation of the oral mucosa with ulceration (ulcerative stomatitis), inflammation of the stomach (gastritis), aggravation of colitis and Crohn's disease.

· Central nervous system disorders such as: headache, dizziness, insomnia, restlessness, irritability or fatigue.

· Disorders of vision.

· Allergic reactions, such as rash, itching and asthma attacks. In such cases, you should discontinue the treatment with NUROFENCAPS 400 mg soft capsule and inform your doctor immediately.

Rare

· Tinnitus (ringing of ears).

· Renal involvement (papillary necrosis) and elevated levels of uric acid in the blood.

Very rare

· Swelling (edema), high blood pressure and heart failure have been reported in association with NSAID therapy.

· Inflammation of the esophagus or pancreas, formation of a narrowing of the membrane type in small and large intestines (stenosis intestinal diaphragm type).

· Severe skin infections and complications related to soft tissue during chickenpox appear.

· Less than normal urine and swelling (especially in patients with high blood pressure or reduced renal function); swelling (edema) and urine disorders (nephrotic syndrome); inflammatory kidney disease (interstitial nephritis) that can lead to acute renal failure. If you experience any of the above symptoms, or if you are feeling depressed in general, stop taking NUROFENCAPS 400 mg soft capsule immediately and see your doctor as they may be the first signs kidney disease or impairment.

· Hematopoietic disorders (the first signs are fever, sore throat, superficial oral ulcers, flu-like symptoms, intense fatigue, nosebleed and cutaneous hemorrhage). In such cases, you should immediately stop this treatment and see a doctor. Refrain from any self-medication with analgesics or antipyretics (medicines to reduce fever).

· Psychotic reactions and depression.

· Exacerbation of inflammations associated with an infection (eg, necrotizing fasciitis) associated with the use of certain analgesics (NSAIDs) has been described. If signs of infection develop or if the infection worsens during treatment with NUROFENCAPS 400 mg, soft capsule, you should go to the doctor without delay. It should be investigated whether an anti-infectious / antibiotic treatment is indicated in this case.

· Hypertension, palpitations, heart failure and heart attack.

· Hepatic function abnormalities, hepatic impairment, especially during long-term treatment, liver failure, acute liver inflammation (hepatitis).

· Symptoms of aseptic meningitis accompanied by neck stiffness, headache, nausea, vomiting, fever or obstruction have been observed during treatment with ibuprofen. Patients with autoimmune diseases (SLE, mixed connective tissue disease) are more likely to be affected. If this happens, tell your doctor immediately.

· Severe forms of skin reactions such as rash with redness and ves- tification (eg Stevens-Johnson syndrome, bullous erythrodermia with epidermolysis / Lyell's syndrome), hair loss (alopecia).

· Severe allergic reaction.

· Aggravation of asthma and bronchospasm.

NUROFENCAPS 400 mg, soft capsule contains an azo dye, 4R red pellet (E124) and can cause allergic reactions.

Drugs such as NUROFENCAPS 400 mg, soft capsule may be associated with an increased risk of heart attack (myocardial infarction) or stroke.

Declaration of side effects

If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr . By reporting adverse reactions, you are helping to provide more information about the safety of the drug.

5. HOW TO STORE NUROFENCAPS 400 mg, soft capsule?

Keep out of the reach and sight of children.

Expiration date

Do not use NUROFENCAPS 400 mg soft capsule after the expiry date stated on the carton and the blister. The expiry date refers to the last day of the month indicated.

Storage conditions

Store at a temperature not exceeding 25 ° C.

Store in the original package in order to protect from moisture.

If necessary, warnings against visible signs of deterioration

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist what to do with unused medications. These measures will help protect the environment.

6. ADDITIONAL INFORMATION

Full list of active substances and excipients

What does NUROFENCAPS 400 mg contain, soft capsule?

The active substance is :

Ibuprofen ................................................. .................................................. ................................ 400.00 mg

For a soft capsule.

The other components are :

Macrogol 600, potassium hydroxide, purified water.

Envelope of the capsule : partially dehydrated liquid sorbitol (E420), gelatin, red culvert 4 R (E124)

Printing ink : titanium dioxide (E171), propylene glycol, hypromellose (E464)

Pharmaceutical form and content

What is NUROFENCAPS 400 mg, soft capsule and contents of the pack?

This medication is in the form of a red and transparent oval-shaped soft capsule with a "Nurofen" logo printed in white. Box of 2, 4, 6, 8, 10, 12, 16, 20, 24, 30, 40 or 50 soft capsules.

Not all pack sizes may be marketed.

Name and address of the marketing authorization holder and the holder of the manufacturing authorization responsible for the release of the lots, if different

Holder

RECKITT BENCKISER HEALTHCARE FRANCE

15 RUE AMPERE

91748 MASSY CEDEX

LA FRANCE

exploiting

RECKITT BENCKISER HEALTHCARE France

38 RUE VICTOR BASCH

CS 11018

91305 MASSY CEDEX

Maker

Reckitt Benckiser Healthcare International

Thane Road, Nottingham

NG90 2DB

UK

Names of the medicinal product in the Member States of the European Economic Area

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

In accordance with the regulations.

Date of approval of the notice

The last date on which this leaflet was approved is {date}.

AMM under exceptional circumstances

Not applicable.

Internet Information

Detailed information on this medicine is available on the Ansm website (France).

Information for health professionals only

The following information is intended exclusively for healthcare professionals:

Other

ADVICE / HEALTH EDUCATION

"WHAT TO DO IN CASE OF FEVER":

· The normal temperature of the body is variable from one individual to another and between 36.5 ° C and 37.5 ° C. An increase of more than 0.8 can be considered a fever.

· In adults and children over 40 kg (about 12 years of age and older), if the condition is too troublesome, you may take this medicine which contains ibuprofen at the indicated dosage.

· With this medication, the fever should drop rapidly. However :

o if other signs appear (such as a rash),

o if the fever persists for more than 3 days or if it worsens,

o if the headache becomes violent, or in case of vomiting,

CONSULT YOUR DOCTOR IMMEDIATELY.

"WHAT TO DO IN CASE OF PAIN":

· In the absence of improvement after 5 days of treatment,

· If the pain returns regularly,

· If accompanied by fever,

· If she wakes you up at night.

CONSULT YOUR DOCTOR IMMEDIATELY.

VIDAL OF THE FAMILY

NUROFENCAPS

Non-steroidal anti-inflammatory drug

ibuprofen

. Presentations . Composition . Indications . Contraindications . Warning . Drug Interactions . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

NUROFENCAPS 400 mg: soft capsule (red); box of 10.
-

Laboratory Reckitt Benckiser Healthcare France

COMPOSITION (summary)
p caps
Ibuprofen 400 mg
sorbitol +

INDICATIONS (summary)
This drug is a non- steroidal anti-inflammatory drug ( NSAID ). It combats pain and lowers the fever. Its anti-inflammatory properties manifest in high doses.
It is used in the treatment of fever and pain (headaches, dental pain, painful periods ...).
CONTRAINDICATIONS (summary)
This medication should not be used in the following cases:
WARNING (Contents)
Prolonged treatment or overdosage of NSAIDs may result in serious adverse reactions.
Certain situations must lead to continuation of treatment only after a medical opinion:
  • severe heartburn or black and foul-smelling stools that may indicate irritation or bleeding of the digestive tract;
  • rash without obvious cause;
  • asthma attack ;
  • unusual and intense fatigue, or a sharp and significant decrease in the volume of urine in a person suffering from heart failure , dehydration or diuretic treatment.
The use of NSAIDs is not recommended in children with varicella: it may increase the risk of infectious, exceptional but potentially serious complications.
Precautions are necessary in cases of haemorrhagic risk, especially digestive ( Crohn 's disease , ulcerative colitis ).
NSAIDs have an inhibitory effect on ovulation and are likely to decrease fertility in women. This effect is reversible upon discontinuation of treatment.
Some doctors consider that anti-inflammatories can decrease the effectiveness of intrauterine devices (IUDs) and expose them to an unwanted pregnancy risk. This risk is highly controversial.
Conductor: This medication may be responsible, in rare cases, for dizziness or disturbances of vision.
DRUG INTERACTIONS (summary)
This medication may interact with other medicines, including: Inform your doctor or pharmacist if you are taking a diuretic , an ACE inhibitor , an angiotensin II inhibitor , a beta-blocker, or a medicine containing ciclosporin.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
Adverse effects to the unborn child have been demonstrated when NSAIDs are used during the last 4 months of pregnancy; the risk exists even with a single intake and even if the pregnancy is over term. The use of this medication is contraindicated during this period.
During the first 5 months, the effect of this medication is poorly understood: only your doctor can evaluate the possible risk of its use in your case.

Breastfeeding:
Ibuprofen passes in very low amounts in breast milk: its use at the recommended doses is possible during breastfeeding.
DIRECTIONS FOR USE AND DOSAGE (summary)
In order to limit the occurrence of digestive disorders , this medication can be taken during meals. However, in the case of acute pain, the fasting catch ensures a faster effect.
Soft capsules should be swallowed as is with a glass of water.

Usual dosage:

  • Adult and child over 40 kg (about 12 years): 1 soft capsule, to be renewed if necessary after a minimum of 6 hours, without exceeding 3 soft capsules per day.
    In the absence of medical advice, the duration of treatment should be limited to 5 days in case of pain and 3 days in case of fever.
TIPS (summary)
This 400 mg dosage is intended for use when ibuprofen 200 mg is insufficiently effective. It can nevertheless be used from the outset in the treatment of severe pain.
Do not exceed the recommended dosage or duration of treatment recommended by your doctor or pharmacist to limit side effects.
POSSIBLE ADVERSE EFFECTS (summary)
Nausea, vomiting, gastritis .
Rarely:

GLOSSARY (summary)


NSAIDs
Abbreviation for non-steroidal anti-inflammatory drug. Family of anti-inflammatory drugs that are not derived from cortisone (steroids), and the best known of which is aspirin.


allergy
Skin reaction (itching, pimples, swelling) or general discomfort occurring after contact with a particular substance, use of a medication, or ingestion of food. The main forms of allergy are eczema, urticaria, asthma, angioedema and allergic shock (anaphylactic shock). Food allergy can also result in digestive disorders.


anemia
Reduction in the level of hemoglobin in the blood, which usually results in a decrease in the number of red blood cells. Iron is essential for the synthesis of hemoglobin. Iron deficiency during pregnancy, a vegetarian diet, abundant or repeated haemorrhage (menstruation) is a common cause of anemia. Other causes, more rare, are related to vitamin deficiencies of group B.


antecedent
Affection healed or always in evolution. The antecedent may be personal or family. The background is the history of a person's health.


antiplatelet agents
Medication that prevents the platelets from clumping and therefore the clots from forming. The oldest platelet antiaggregant is aspirin taken in small doses.
Anti-aggregants should not be confused with anticoagulants with a different mechanism of action.


anti coagulants
Medication that prevents blood from coagulating and therefore prevents clots from forming in the blood vessels.
Anticoagulants are used to treat or prevent phlebitis, pulmonary embolism, certain infarcts. They also prevent the formation of clots in the heart during rhythm disorders such as atrial fibrillation or in the case of an artificial heart valve.
There are two main types of anticoagulants:
  • oral anticoagulants, which block the action of vitamin K (antivitamin K, or AVK) and whose effectiveness is controlled by a blood test: INR (formerly TP);
  • injectable anticoagulants derived from heparin, the efficacy of which can be controlled by the blood assay of anti-Xa activity, Howell's Time (TH) or Cephalin Kaolin Time (TCK) depending on the products used. A regular dosage of blood platelets is necessary throughout the life of a heparin derivative.


anti-inflammatory
Medicine that fights against inflammation. It can be either derived from cortisone (steroidal anti-inflammatory), or not derived from cortisone (nonsteroidal anti-inflammatory or NSAID).


asthma
Disease characterized by difficulty breathing, often resulting in wheezing. Asthma, permanent or occurring by crisis, is due to a narrowing and inflammation of the bronchi.


beta blockers
Family of drugs used primarily in cardiology. They block the action of adrenaline (and other related hormones) on the heart, vessels and bronchi.


Crohn
inflammation of the intestine, which can cause ulcers and narrowing. It often becomes chronic and can be accompanied by persistent diarrhea and malnutrition.


diuretic
Medication allowing increased kidney water removal. Most often, this loss of water follows the loss of salts caused by the drug (salidiuretic).
Diuretics are mainly used in the treatment of high blood pressure, while their mechanism of action in this disease is poorly understood. They are also prescribed in acute or chronic heart failure, edema and other rarer ailments.
These drugs cause loss of sodium and potassium (except for some of them called "potassium-sparing"). Their prolonged administration therefore requires regular blood potassium control, to avoid heart problems that may result from hypokalemia (lack of potassium in the blood). Lack of sodium is another possible but less frequent consequence of the prolonged use of diuretics; it is also detected by a blood test.


duodenum
A part of the intestine into which food from the stomach penetrates.


skin rash
Appearance of pimples or plaques on the skin. These lesions can be due to a food, a drug, and translate an allergy or a toxic effect. Many viruses can also cause pimple eruptions: rubella, roseola and measles are the most common.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatory drugs.


hemorrhage
Loss of blood from an artery or vein. Hemorrhage can be external, but also internal and go unnoticed.


angiotensin II inhibitor
These drugs are sometimes called sartans, for the names of the molecules belonging to this family end with sartan (losartan, candesartan, etc.).
This family of drugs blocks the action of angiotensin II, a substance that increases blood pressure and tires the heart.
Angiotensin II inhibitors are used to treat high blood pressure.


ACE inhibitor
This family of drugs blocks the action of an enzyme, which converts angiotensin I (naturally inactive substance) to angiotensin II. This last substance increases blood pressure and fatigue the heart.
ACE inhibitors are used to treat high blood pressure, heart failure or myocardial infarction.


heart failure
Inability of the heart to fulfill its function as a pump. The main symptoms of heart failure are fatigue and shortness of breath during an effort.


Hepatic insufficiency
Inability of the liver to perform its function, which is essentially the elimination of some waste, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


lupus erythematosus
Skin disease causing redness of the central part of the face. There are two main forms: discoid lupus (only cutaneous) and disseminated lupus (associated with lesions of the deep organs).


blood count
The count measures the number of red blood cells (red blood cells), white blood cells (leukocytes) and platelets in the blood. The blood formula specifies the percentage of different white blood cells: neutrophils, eosinophils, basophils, lymphocytes, monocytes.
Abbreviation: NFS.


edema
Accumulation of water or lymph causing localized swelling.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


allergic reaction
Reaction due to hypersensitivity of the organism to a drug. Allergic reactions can take a wide variety of aspects: urticaria, angioedema, eczema, eruption of pimples resembling measles, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort due to a sudden drop in blood pressure.


ulcerative colitis
Inflammatory disease of the rectum and colon, which evolves by flare-ups. Each flare is accompanied by fever, bloody stools.


overdose
Excessive intake of a drug may result in an increase in the intensity of adverse effects or even in the development of specific adverse effects.
This overdose may result from accidental or voluntary poisoning for suicide, so consult your local Poison Control Center (listed in the appendix to the book). However, in most cases, overdose is the result of an error in the understanding of the prescription, or the search for an increase in efficacy by exceeding the recommended dosage. Finally, untimely self-medication may lead to excessive absorption of the same substance contained in different drugs. Some drugs are particularly prone to this risk because they are (wrongly) considered to be harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake helps to remove the disorders associated with an overdose.


transaminases
Enzymes dosed in the blood, which rate rises during some hepatitis. They are included in blood tests as SGOT and SGPT or ASAT and ALAT.


digestive disorders
Set of symptoms indicating irritation or malfunction of the digestive tract. One or more disorders may be present: nausea, vomiting, aerophagia, abdominal pain, heartburn, bloating, flatulence, diarrhea or constipation, etc. Antibiotics can promote candidiasis, often responsible for digestive disorders.


ulcer
Injury of skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: a localized wound in the mucosa of the stomach or duodenum due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).


dizziness
Symptom that can mean an impression of loss of balance (common sense) or, more strictly, a sense of rotation on oneself or the environment (medical sense).

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