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Nurofen Express 200mg Liquid Capsules

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Nurofen 200mg Liquicaps Pharmacy Only 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 200mg Liquicaps Pharmacy Only 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 200mg Liquicaps Pharmacy Only are and what they are used for

2.    Before you take Nurofen 200mg Liquicaps Pharmacy Only

3.    How to take Nurofen 200mg Liquicaps Pharmacy Only

4.    Possible side effects

5.    How to store Nurofen 200mg Liquicaps Pharmacy Only

6.    Further Information

1.    What Nurofen 200mg Liquicaps Pharmacy Only 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 200mg Liquicaps Pharmacy Only are used for the relief of:

-    Headaches and migraine pain

-    Dental pain and neuralgia

-    Period Pain

-    Rheumatic, muscular and back pain

-    Feverishness and symptoms of cold & flu

2.    Before taking Nurofen 200mg Liquicaps Pharmacy Only Do not take Nurofen 200mg Liquicaps Pharmacy Only 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

-    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.

Taking other medicines

To reduce the risk of side effects, do not take this product with other NSAID containing products (e.g. aspirin, ibuprofen). 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, cyclosporine tacrolimus)

-    For mania or depression (e.g., Lithium or SSRIs)

-    For pregnancy 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 200mg Liquicaps Pharmacy Only belong to a group of medicines which may impair fertility in women. This is reversible on stopping the medicine. It is unlikely that Nurofen 200mg Liquicaps Pharmacy Only, 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 200mg Liquicaps Pharmacy Only 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 200mg Liquicaps Pharmacy Only:

This medicine contains

•    50.5mg of sorbitol per dose, a source of 12.6mg of fructose per dose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product

•    Ponceau 4R (E124) which may cause allergic reactions.

•    This medicine contains 14 mg potassium per capsule. To be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.

3. How to take Nurofen 200mg Liquicaps Pharmacy Only

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 & adolescents between 12 and 18 years: Take 1 or 2 capsules with water, up to three times a day as required. Leave at least four hours between doses. Do not take more than 6 capsules 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 200mg Liquicaps Pharmacy Only 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 200mg Liquicaps Pharmacy Only:

Simply refer to the directions above on how to take the medicine and do not take more than is advised.

4. Possible side effects

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, peeling, flaking or blistering)

-    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 heartbeat.

-    Liver and kidney problems associated with swelling in your arms and legs.

Medicines such as Nurofen 200mg Liquicaps Pharmacy Only may be associated with a small increased risk of heart attack (’myocardial infarction’) or stroke. (See Section 2 ‘Other warnings’.)

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

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 200mg Liquicaps Pharmacy Only 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. Do not store above 25OC Store in the original pack.

6.    Further information

Each tablet contains the active ingredient Ibuprofen 200mg.

They also contain: Macrogol 600, Potassium Hydroxide 50% (E525), Gelatin, Sorbitol Liquid, Partially Dehydrated (E420) Purified Water, Ponceau 4R (E124), Lecithin (E322) or Phosphatidylcholine in Medium Chain Triglycerides, Triglycerides (medium chain), Ethanol, White Ink (Titanium Dioxide (E171), Polyvinyl acetate Phthalate, Macrogol 400, Ammonium Hydroxide (E527), Propylene Glycol).

Nurofen 200mg Liquicaps Pharmacy Only are available in packs of 10, 12, 16, 18, 20, 24, 28, 30, 32, 36, 48, 96 in blister strips.

Licence holder: Reckitt Benckiser Healthcare (UK) Ltd, Slough, SL1 4AQ Manufacturer: Reckitt Benckiser Healthcare International, NG90 2DB.

Product licence number: PL 0063/0654

Date of revision: March 2015.