Patient leaflet - IBUPROFEN 400 MG SOFT CAPSULES
2. what you need to know before you take ibuprofen soft capsules
- If the answer to any of the following questions is ‘YES’ please tell your doctor or pharmacist BEFORE taking any Ibuprofen soft capsules: Are you pregnant or planning to become pregnant, or are you breast-feeding? Ibuprofen may make it more difficult to become pregnant. You should inform your doctor if you are planning to become pregnant or if you have problems becoming pregnant.
- Are you sensitive (allergic) to any of the ingredients in the capsules?These are listed in Section 6.
- Do you have, or have you previously had, a stomach ulcer or other gastric complaint?
- Do not take ibuprofen if you currently have a peptic ulcer (ulcer in your stomach or duodenum) or bleeding in your stomach, or have had two or more episodes of peptic ulcers, stomach bleeding or perforation in the past.
- Do you have a condition which increases your tendency to bleeding?
- Do you suffer from asthma or have you ever had an allergic reaction or suffered from wheezing after taking ibuprofen, aspirin or other anti-inflammatory pain killers?
- Do you suffer from swelling and irritation inside the nose?
- Do you suffer from liver or kidney disease?
- Do you suffer from heart disease?
Medicines such as ibuprofen may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose or duration of treatment. You should discuss your treatment with your doctor or pharmacist before taking ibuprofen if you:
– have heart problems including heart failure, angina (chest pain) or you have had a heart attack, by-pass surgery or peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries).
– have any kind of stroke or think that you might be at risk of these conditions (e.g. if you have a family history of heart disease or stroke, high blood pressure, diabetes, high cholesterol or are a smoker).
- Do you have systemic lupus erythematosus (SLE, sometimes known as lupus) or a connective tissue disease (autoimmune diseases affecting connective tissue)?
- Do you have chicken pox or shingles?
- Are you or your child dehydrated? As there is a risk of kidney damage in dehydrated children adolescents and the elderly.
Skin reactions
Serious skin reactions have been reported in association with ibuprofen treatment. You should stop taking the capsules and seek medical attention immediately if you develop any skin rash, lesions of the mucous membranes, blisters or other signs of allergy since this can be the first signs of a very serious skin reaction. See section 4.
Can you take ibuprofen with other medicines?
Some medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicyclic acid, warfarin, ticlodipine), some medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol, or angiotensin-II receptor antagonists such as losartan) and other medicines may affect or be affected by treatment with ibuprofen.
You should therefore always seek the advice of your doctor or pharmacist before you use ibuprofen with other medicines. In particular you should tell your doctor or pharmacist if you are taking any of the following medicines in addition to those mentioned above:
- diuretics (water tablets)
- cardiac glycosides such as digoxin, used to treat heart conditions
- lithium
- zidovudine (an anti-viral drug)
- steroids (used in the treatment of inflammatory conditions)
- methotrexate (used to treat certain cancers and rheumatoid arthritis)
- medicines known as immunosuppressants such as ciclosporin and tacrolimus (used to dampen down your immune response)
- medicines known as selective serotonin reuptake inhibitors (SSRIs), used for the treatment of depression
- antibiotics called quinolones such as ciprofloxacin
- aminoglycosides (a type of antibiotic)
- mifepristone
- any other ibuprofen, such as those you can buy without a prescription
- any other anti-inflammatory pain killer, including aspirin
- cholestyramine (a drug used to lower cholesterol)
- medicines known as sulphonylureas such as glibenclamide (used to treat diabetes)
- voriconazole or fluconazole (type of anti-fungal drugs)
- gingko biloba herbal medicine (there is a chance you may bleed more easily if you are taking this with ibuprofen).
Alcohol
Ibuprofen may cause some side effects including dizziness, drowsiness and stomach problems such as bleeding in the stomach. Drinking excessive alcohol with Ibuprofen might make these side effects worse.
Pregnancy and breast-feeding
- The use of ibuprofen whilst pregnant or breast feeding should be avoided.
- Ibuprofen should not be used in the last three months of pregnancy and should only be taken in the first six months of pregnancy on the advice of your doctor.
Driving and using machines
Ibuprofen may make you feel dizzy or drowsy. If the capsules affect you in this way do not drive, operate machinery or do anything that requires you to be alert.
Ibuprofen soft capsules contain potassium and sorbitol
This medicine contains 31mg potassium per capsule. This should be taken into consideration by patients with reduced kidney function or patients on a controlled potassium diet.
This medicine contains 59mg sorbitol in each capsule. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take this medicine.
3. how to take ibuprofen soft capsules
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
How to take the capsules
Take your capsules with or after food, swallow the capsules whole with a glass of water. Do not chew, suck or burst the capsules.
Adults and children over 12 years
The daily dose is 600 mg to 1800 mg spread throughout the day.
Your doctor may choose to increase this depending on what you are being treated for; but no more than 2400 mg should be taken in one day.
Children
The usual daily dose is 20 mg per kg of their bodyweight each day, given in divided doses. The capsules should NOT be taken by children weighing less than 7 kg.
In cases of severe juvenile rheumatoid arthritis, your doctor may increase the dose up to 40 mg per kg of bodyweight in divided doses.
You should avoid excessive use of painkillers. If you usually take painkillers, especially combinations of different painkillers, you may damage your kidneys.
Tell your doctor if you are already taking another painkiller before taking this medicine and your doctor will decide whether you should take this medicine. This risk may be increased if you are dehydrated.
The use of painkillers for a long period of time has in some patients been linked to headaches, a condition called ‘medication overuse headache’. Patients who have frequent or daily headaches despite (or because of) the regular use of pain killers should not be treated with increased doses of ibuprofen. Tell your doctor if you have been having headaches while taking this medicine.
If you take more Ibuprofen soft capsules than you should
If you have taken more than you should, or if children have taken this medicine by accident, contact a doctor or nearest hospital.
The symptoms of an overdose can include nausea, stomach pain, vomiting (may be blood streaked), headache, ringing in the ears, confusion and shaky eye movement. At high doses, drowsiness, chest pain, palpitations, loss of consciousness, convulsions (mainly in children), weakness and dizziness, blood in urine, cold body feeling, and breathing problems have been reported.
If you forget to take Ibuprofen soft capsules
Take them as soon as you remember, unless it is almost time for your next dose. If it is, do not take the missed dose at all. Do not take a double dose to make up for the one you have missed.
4. possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. You can minimise the risk of side effects by taking the least amount of capsules for the shortest amount of time necessary to control your symptoms.
Medicines such as ibuprofen have in exceptional cases been associated with severe skin problems for patients with chicken pox or shingles.
Stop taking the capsules and seek immediate medical help if you experience:
- signs of aseptic meningitis such as severe headache, high temperature, stiffness of the neck or intolerance to bright light.
- signs of intestinal bleeding such as passing blood in your faeces (stools/motions), black tarry stools, vomiting any blood or dark particles that look like coffee grounds.
Tell your doctor and stop taking the capsules if you experience:
- unexplained wheezing, shortness of breath, skin rash, itching or bruising (these may be symptoms of an allergic reaction).
- severe spreading skin rash (‘Stevens-Johnson Syndrome’, ‘toxic epidermal necrolysis’ and ‘erythema multiforme’, symptoms include severe skin rash, blistering of skin, including inside mouth, nose, and genitals, as well as skin peeling which may be accompanied with symptoms such as aching, headaches, and feverishness).
- a severe skin reaction known as DRESS syndrome, symptoms include skin rash, fever, swelling of lymph nodes and an increase of eosinophils (a type of white blood cells).
- unexplained stomach pain (abdominal pain) or other abnormal stomach symptoms, indigestion, heartburn, feeling sick and/or vomiting.
- loss of vision, blurred or disturbed vision (visual impairment) or seeing/hearing strange things (hallucinations).
Medicines such as Ibuprofen have been associated with a small increased risk of high blood pressure, heart attack (myocardial infarction), stroke or heart failure.
Blood disorders such as reduction in blood cells and platelet counts – the first signs are high temperature, sore throat, mouth ulcers, flu-like symptoms, bleeding from the mouth, nose, ear and the skin. Kidney problems such as reduced kidney function, fluid retention (oedema), inflammation of the kidney and kidney failure. Liver problems such as inflammation of the liver, reduced liver function and yellowing of the eyes and/or skin (jaundice) or severe skin reactions may occur rarely with ibuprofen.
Ibuprofen has also been shown to sometimes worsen the symptoms of Crohn’s disease or colitis.
Other side effects
Common (may affect up to 1 in 10 people):
- feeling dizzy or tired.
- diarrhoea, wind, constipation.
- headache – if this happens while you are taking this medicine it is important not to take any other medicines for pain to help with this.
Uncommon (may affect up to 1 in 100 people):
- feeling drowsy
- feeling anxious
- feeling a tingling sensation or ‘pins and needles’
- difficulty sleeping
- hives
- skin becomes sensitive to light
- hearing problems
- sneezing, blocked, itchy or runny nose (rhinitis)
- stomach or gut ulcer, hole in the wall of the digestive tract
- inflammation of your stomach lining
- ringing in ears (tinnitus)
- sensation of spinning (vertigo)
- mouth ulcers
Rare (may affect up to 1 in 1,000 people):
- feeling depressed or confused.
Very rare (may affect up to 1 in 10,000 people):
- inflammation of the pancreas.
Not known (frequency cannot be estimated from the available data):
- A red, scaly widespread rash with bumps under the skin and blisters mainly localized on the skin folds, trunk, and upper extremities accompanied by fever at the initiation of treatment (acute generalised exanthematous pustulosis). Stop using Ibuprofen soft capsules if you develop these symptoms and seek medical attention immediately. See also section 2.
5. how to store ibuprofen soft capsules
Keep this medicine out of the sight and reach of children.
This medicine does not require any special storage conditions.
Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. contents of the pack and other information
What Ibuprofen soft capsules contain
The active substance is ibuprofen. Each soft capsule contains 400mg ibuprofen. The other ingredients are macrogol 600, potassium hydroxide and trigylcerides, medium chain.
The soft capsule shell contains gelatin and sorbitol liquid. The printing ink contains purified water, black iron oxide, isopropyl alcohol, propylene glycol and hypromellose.
What Ibuprofen soft capsules look like and contents of the pack
Ibuprofen soft capsules are oval, transparent, soft capsules (approximately 15.8mm x 9.8mm) containing a clear, colourless liquid imprinted with L 160 in black edible ink.
The capsules are packaged in blister packs containing 60, 84, 100 or 500 capsules.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Resolution Chemicals Ltd., Wedgwood Way, Stevenage, Herts, SG1 4QT, United Kingdom.
Manufacturer
Elara Pharmaservices Limited, Iron Farm, 7 Grimes Gates, Diseworth, DE74 2QD, United Kingdom.
This leaflet was last revised in September 2020
RESOLUTION
DD/DRUGS/DD/688
4516000124–00
Package Leaflet – Response
1.3.2 UK Pg. 2