Nurofen Express 256 Mg Tablets
Reckitt Benckiser 0007 372 article 31 ibup
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Important information about some of the ingredients of
[Nurofen Express 256mg Tablets lEach tablet contains approximately 1.06 mmol of sodium. This quantity is equivalent to 24.3 mg of sodium. To be taken [into consideration by patients on a controlled sodium diet. This product contains sucrose. If you have been told by your [doctor that you have an intolerance to some sugars, contact [your doctor before taking this medicinal product.
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 256mg 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.
jit any side effects get serious, or if you notice any side effect hot listed in this leaflet, please tell your doctor or pharmacist. [In this leaflet:
it. What Nurofen Express 256mg Tablels are and what they [ are used for
2. Before you take Nurofen Express 256mg Tablets
3. How to take Nurofen Express 256mg Tablets [4. Possible side effects
;5. How to store Nurofen Express 256mg Tablets 6. Further Information
1. What Nurofen Express 256mg Tablets are and what jhey 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 256mg Tablets are used for the relief of fever and mild to moderate pain, such as :
» Headaches and migraine pain >• Neuralgia, Backache, period pain, rheumatic and muscular pain
[• Cold and Flu symptoms, sore throat
2. Before taking Nurofen Express 256mg Tablets
[Do not take Nurofen Express 256mg Tablels 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 Iwo 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 (Non-steroidal anti-inflammatory [ drugs)
[• have severe liver or kidney problems
;• have severe heart problems
;• are in the last 3 months of pregnancy
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, high blood pressure 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 olher organ disorders)
• are a smoker
• are in the first 6 months of pregnancy.
• are on a diet restricting your salt intake.
Taking other medicines
Nurofen may affect or be affected by some olher medicines. For example:
Avoid taking this product with corticosteroid tablets, quinolone antibiotics or drugs that are prescribed
• As anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acefylsalicylic acid, warfarin, ticlopidine)
• To stimulate your heart (e.g, glycosides)
• To reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-ll receptor antagonists such as losartan)
• 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 SSRIs)
• For pregnancy termination (e.g., mifepristone)
• For HIV treatment (e.g., zidovudine)
Some other medicines may also affect or be affected by the treatment of Nurofen. You should therefore always seek the advice of your doctor or pharmacist before you use Nurofen with other medicines.
Other warnings
• Nurofen Express 256mg 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 256mg Tablets, used occasionally will affect your chances of becoming pregnant. However, tell your doctor before taking this medicine if you have problems becoming pregnant.
• Anti-inflammatory/pain-killer medicines such as ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed the recommended dose or duration of treatment.
• You should discuss your treatment with your doctor or pharmacist before taking Nurofen if you:
-have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs of feet due to narrow or blocked arteries), or any kind of stroke (including 'mini-stroke' or transient ischaemic attack TIA')-
- have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker.
• There is a risk of kidney problems in dehydrated children and adolescents.
Pregnancy and breast feeding
Do not take in Ihe last 3 monlhs of pregnancy.
Speak to your doctor before taking this medicine if you are in the first 6 monlhs of pregnancy or if you are breastfeeding.
3. How to take Nurofen Express 256mg Tablels
[This product is for short term use only. You should take Ihe [lowest dose for Ihe shortest time necessary to relieve your symptoms.
Adults, the elderly and children & adolescents between 12 and 18 years:
Take 1 or 2 tablet with wafer, up to three times a day as required. Leave at least four hours between doses. Do not take more than 6 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.
)n adults:
po not take for longer than 10 days unless your doctor fells [you to. If symptoms persist or the pain worsens, or if any [new symptoms occur, consult your doctor or pharmacist, p you take more Nurofen Express 256mg Tablels than you [Should, you may feel drowsy or nauseous. You should seek immediate medical advice in Ihe event of an overdose, even 'if you feel well.
h you forgot to take Nurofen Express 256mg Tablets.
iSimply refer to Ihe directions above on how to take tae medicine and do not take more than is advised.
4. Possible side effects
iNurofen Express 256mg.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 j- dizziness or faster heartbeat,
1- severe forms of skin reactions such as itchiness,
I skin rash with redness, peeling, flaking or blistering (e.g. Steven-Johnson syndrome)
1- swelling of your face, tongue or throat !• signs of kidney problems such as:
[- passing less or more urine 1- cloudy urine or blood in urine [- pain in the back and/or swelling (particularly in the [ legs)
[• signs of aseptic meningitis with neck stiffness, headache, [ feeling sick, being sick, fever or disorientation. Patients [ with autoimmune disorders (lupus, mixed connective [ tissue disease) may be more likely to be affected.
[STOP TAKING the medicine and tell your doctor if you experience the following uncommon side effects which may affect 1 to 10 users in 1000:
[ indigestion, heartburn or feeling sick
pains in your stomach (abdomen) or other abnormal ! stomach problems
TELL YOUR DOCTOR if you have any of the following side ; effects, they become worse or you notice any effects not | listed:
Uncommon side effects which may affect 1 to 10 users in > 1000:
- allergic reactions, such as skin rashes (urticaria), itching,I peeling
Rare side effects which may affect 1 to 10 users in 10000: [
- flatulence (wind), diarrhoea, constipation and vomiting !
Very rare side effects which may affect less than 1 user in [ 10000: [
- blood disorder resulting in unexplained or unusual [
bruising or bleeding, fever, sore throat, mouth ulcers, [ flu-like symptoms and severe exhaustion [
- drop in blood pressure or irregular heart beat [
- stomach or intestinal ulcers, sometimes with bleeding and; perforation, inflammation of the lining of the mouth with ulceration (ulcerative stomatitis), inflammation of the stomach (gastritis)
- liver problems
Side effects for which the frequency cannot be estimated from available data: I
- worsening of asthma or bronchospasm
- swelling (oedema), high blood pressure, heart failure or I
- worsening of colitis and Crohn's disease !
('myocardial infarction') or stroke. (See Section 2 Other [
If any of the side effecls gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or j pharmacist.
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 effecls, you can help provide more information on the safety of this medicine.
5. How to store Nurofen Express 256mg 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 200mg (as Sodium Ibuprofen 256mg).
Also contains: Croscarmellose sodium, Xylitol, Microcrystalline cellulose, Magnesium stearate, Colloidal anhydrous silica, Carmellose sodium, Talc, Acacia spray dried, Sucrose, Titanium dioxide (El 71), Macrogol 6000 powder, and Black ink (contains shellac, iron oxide black (El 72) and propylene glycol).
Nurofen Express 256mg Tablets are available in packs of 6,12 and 16 white tablets printed with an identifying black logo.
Manufactured by Reckitt Benckiser
Healthcare International, 1 Thane Road 1"
Product licence number: PL 00063/0372
Licence holder: Reckitt Benckiser [
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1.3.1 Package Leaflet
Ibuprofen Sodium 256mg Tablets 0161568 GB
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