Nuromol 200mg/500mg Tablets
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Reckitt Benckiser
Read all of tfiis leaflet carefully because it contains important information for you.
You need to take this medicine carefully to get the best results from it.
• Keep this leaflet. You may need to read it again.
■ Ask your pharmacist if you need more i information or advice.
• You should not take the product for longer | than 3 days.
i* If symptoms persist or worsen, consult your doctor.
(• If any of the side effects get serious, or if you notice i any side effects not listed in this leaflet, please tell your 1 doctor or pharmacist.
In this leaflet:
jl. What Nuromol is and what it is used for 2, Before you take Nuromol p. How to take Nuromol
4. Possible side effects
5. How to store Nuromol Further information
'Your medicine is called Nuromol 200mg/500 mg tablets ((called Nuromol throughout the rest of tfiis leaflet), ^uromol contains two active ingredients (which make the medicine work]. These are Ibuprofen and Paracetamol.
Ibuprofen belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs}. NSAIDs Work by reducing pain, reducing swelling and lowering high temperatures.
Paracetamol is an analgesic which works in a different way from ibuprofen to relieve pain and fever.
Nuromol is used for the temporary relief of mild to moderate pain associated with migraine, headache, backache, period pain, dental pain, rheumatic and (muscular pain, pain of non-serious arthritis, cold and flu symptoms, sore throat and fever.
Do not take Nuromol if you
(• are already taking any other paracetamol
i containing product.
• are taking any other pain relieving products
! including ibuprofen, high dose aspirin (above 75mg per day], or other nonsteroidal anti ( inflammatory drugs [NSAIDs] including i cyclooxygenase-2 (COX-2) specific inhibitors (• are allergic to ibuprofen, paracetamol or any i other ingredients in Nuromol
• are allergic to aspirin or other NSAID ( painkillers
i* nave or ever had an ulcer or bleeding in your ( stomach or duodenum (small bowel), i* have blood clotting (coagulation) disorder '• suffer from heart, liver or kidney failure (• are in the last 3 months of pregnancy are under 18 years old.
Take special care and check with a doctor or '
pharmacist before taking Nuromol if you
• have asthma or have suffered from asthma
• have kidney, heart, liver or bowel problems ,
• have Systemic Lupus Erythematosus (SLE) - a
• have gastrointestinal disorders or chronic 1
inflammatory bowel disease (e.g. ulcerative ( colitis, Crohn's disease i
• are in the first 6 months of pregnancy or are J breastfeeding
• are planning to become pregnant.
• Antiinflammatory/pain-killer medicines such as | ibuprofen may be associated with a small increased i risk of heart attack or stroke, particularly when used at j high doses. Do not exceed the recommended dose or i I duration of treatment.
• You should discuss your treatment with your doctor or |
pharmacist before taking Nuromol if you: 1
- have heart problems including heart failure, angina ( (chest pain), or if you have had a heart attack, i bypass surgery, peripheral artery disease (poor circulation in me legs of feet due to narrow or , blocked arteries), or any kind of stroke (including 1 'mini-stroke' or transient ischaemic attack "TIA").
- have high blood pressure, diabetes, high cholesterol, i
have a family history of heart disease or stroke, or if ( you are a smoker. i
Taking Nuromol with other medianes
Do not take Nuromol with
• other paracetamol containing products
• other NSAID containing products such as aspirin,i ibuprofen.
Nuromol may affect or be affected by some other i
• antibiotics (e.g. chloramphenicol or quinolones] ■
• anti sickness medicines (e.g. metoclopramide,
• medicines that are anti-coagulants [i.e. thin
blood/prevent clotting e.g. aspi ri n/acety Isa I icylic \ acid, warfarin, ticlopidine) ■
• heart stimulants (e g. glycosides)
• medicines for high cholesterol (e.g. cholestyramineji
• diuretics (to help youpass water)
• medicines to reduce high blood pressure i
• medicines to suppress the immune system [e.g. (
methotrexate, ciclosporine, tacrolimus) i
• medicines for mama or depression (e.g. lithium or1
• mifepristone (for pregnancy termination) i
• HIV medicines (e.g. zidovudine).
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Some other medicines may also affect or be effected by the treatment of Nuromol. You should therefore always seek the advice of your doctor or pharmacist before you use Nuromol with other medicines.
Taking Nuromol with food
To reduce the likelihood of side effects, take Nuromol [with food.
[Pregnancy and breastfeeding
Ask your doctor or pharmacist for advice before taking any medicine. Do not take if you are in the last 3 months [of your pregnancy. Take special care if you are in the first 6 months of pregnancy.
jNuromol may make it more difficult to become pregnant. Jbuprofen belongs to a group of medicines which may 'impair fertility in women. This is reversible on stopping the [medicine. You should inform your doctor if you are danning to become pregnant or if you have problems [becoming pregnant.
[For oral use and for short term use only.
[Only use the minimum effective dose for the shortest time mecessary to relieve your symptoms. You should not Jake Nuromol for longer than 3 days. If your symptoms worsen or persist, consult your doctor.
[fake 1 tablet with water and food, up to 3 times a day. Leave at least 6 hours between doses.
[If one tablet does not control symptoms, then a maximum of 2 tablets may be taken up to three times a day. Do Jiot take more than six tablets in any 24 hour period (equivalent to 3000mg Paracetamol, 1200mg jbuprofen a day).
Not for use by children under 18 years.
If you take more Nuromol than you should
[Talk to a doctor at once if you take too much of this imedicine even if you feel well. This is because too much [paracetamol can cause delayed, serious liver damage.
If you forget to take Nuromol [Do not take a double dose to make up for a forgotten dose. If you forget to take a dose, take it as soon [as you remember it and then take the next dose at least 6 hours later.
Other possible side effects Common (occurs in less than 1 in 10 people):
• stomach pain or discomfort, feeling or being sick, diarrhoea,
• higher levels of liver enzymes (shown in blood tests)
• excessive sweating
Uncommon [occurs in less than 1 in 100 people):
• headache and dizziness, wind and constipation, skin rashes, swelling of the face, itching.
• Reduction in red blood cells number or increase in platelets (blood clotting cells) number.
Very rare (occurs in less than 1 In 10,000 people):
• reduction in blood cells [causing sore throat, mouth ulcers, flu-like symptoms, severe exhaustion, unexplained bleeding, bruising and nosebleeds)
■ visual disturbances, nnging in the ears, spinning sensation
• confusion, depression, hallucinations
• fatigue, generally feeling unwell
Medicines such as Nuromol may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke. (See section 2)
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.
Keep out of the sight and reach of children. This medicinal product does not require any special storage conditions. Do not use Nuromol after the expiry date which is stated on the blister and the carton. The expiry date refers to the1 last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
'Like all medicines, Nuromol can cause side effects, [although not everybody gets them.
£TOP TAKING the medicine and tell your doctor if you experience:
• neartbum, indigestion [• signs of intestinal bleeding (severe stomach pain, ' vomiting blood or liquid with what looks like coffee [ granules, blood in the stools/motions, black tarry stools) i* signs of inflammation of the brain lining such [ as: stiff neck, headache, feeling or being sick, fever or i feeling disorientated
| • signs of a severe allergic reaction (swelling of [ the face, tongue or throat, difficult breathing, i worsening of asthma).
[• severe skin reactions such as blistering i* high blood pressure, water retention '• liver problems (causing yellowing of the skin and white [ of eyes)
'• kidney problems (causing increased or decreased [ urination, swelling of thelegs) bepri failure (causing b_reatnlessnessLswelling[
What Nuromol contains
• The active substances are ibuprofen and paracetamol. Each film-coatea tablet contains 200 mg of ibuprofen and 500 mg of paracetamol
• The other ingredients are croscarmellose sodium, microcrystafline cellulose, colloidal anhydrous silica, magnesium stearate, stearic acid. Film coating: polyvinyl alcohol, titanium dioxide, talc, macrogol, potassium aluminium silicate (E555), polysorbate
What Nuromol looks like Nuromol tablets are white to off-white, oval shaped, film-coated pearlescent tablets marked with an identifying helix. They are available in blister
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1,8,10,12,16,20,24, i32 tablets. Not all pack sizes may be marketed. Licence holder: Reckitt Benckiser Healthcare UK) Ltd, Slough, SL1 3UH 0500 455 456 Manufacturer Reckitt Benckiser Healthcare International Ltd, Nottingham, NG90 2DB This leaflet was last revised in 09/2015.
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