Nurofen Plus 32 Tablets
Nurofen Plus 32 Tablets
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Description
These fast-acting pain relief tablets are a medicine cabinet must-have.
Benefits:
- Dual-action pain relief from headaches, cramping and migraine
- Suitable for symptoms of cold and flu
- Powerful analgesic
- Suitable for adults and children over 12
- Made with codeine and paracetamol
- Acts as an anti-inflammatory
Nurofen Plus with Ibuprofen & Codeine 200mg Tablets offer fast-acting relief from general and muscular pains. They relieve pain and aches, including migraines, headaches, cramping period pain, dental pain, back pain, neuralgia, rheumatic pain, muscular pain and cold & flu symptoms. Plus, they're suitable for adults and children aged 12 years and over. These tablets belong to a group of medicines called opioid analgesics, which relieve pain and contain ibuprofen, which belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). These provide relief by changing the body's response to pain, swelling and high temperature. Because Nurofen Plus Tablets contain codeine, you should only use them for pain not relieved by other painkillers such as paracetamol or ibuprofen alone. Also, please keep in mind that you should take for a maximum of 3 days only.
What symptoms or conditions can be treated with Nurofen Plus?
Nurofen Plus effectively treats moderate to severe pain associated with migraines, back pain, neuralgia, menstrual cramps, rheumatic pain, dental pain, and muscular pain.
What are the benefits of using Nurofen Plus?
Nurofen Plus offers quick and strong relief from moderate to severe pain. It acts directly on the site of pain and also diminishes the body's response to pain signals.
How does Nurofen Plus work?
Nurofen Plus combines the anti-inflammatory drug ibuprofen with the opioid pain reliever codeine. This combination alters the body's reaction to pain, inflammation, and fever.
What does the research say about Nurofen Plus?
Studies indicate that the combination of ibuprofen and codeine is more effective than either component alone for acute postoperative pain in adults, with no serious adverse events or withdrawals due to adverse events in the research.
Patient information leaflet
Ingredients
Please read enclosed leaflet before use.
Active Ingredients:
Ibuprofen 200mg and Codeine Phosphate 12.8mg
Other Ingredients:
Microcrystalline Cellulose, Sodium Starch Glycolate, Starch Pregelatinised, Hypromellose, Opaspray White M-1-17111 B, Talc.
Usage and Instructions
Please read enclosed leaflet before use.
This medicine should not be taken for more than 3 days. If the pain does not improve after 3 days, talk to your doctor for advice.
Adults, the elderly and children aged 12 years and older:
Swallow 1 or 2 tablets with water, up to three times a day as required. Leave at least four hours between doses.
Do not take more than 6 tablets in any 24 hour period.
This medicine should not be taken by children below the age of 12 years, due to the risk of severe breathing problems.
Warnings
Please read enclosed leaflet before use.
You should only take this product for a maximum of three days at a time. If you need to take it for longer than three days you should see your doctor or pharmacist for advice. This medicine contains codeine which can cause addiction if you take it continuously for more than three days. This can give you withdrawal symptoms from the medicine when you stop taking it. If you take this medicine for headaches for more than three days it can make them worse.
If you have taken more of this medicine than you should, or if children have taken this medicine by accident always contact a doctor or nearest hospital to get an opinion of the risk and advice on action to be taken.
Do not take this medicine:
- If you take a painkiller for headaches for more than three days itcan make them worse
- If you have (or have had two or more episodes of) a stomach ulcer,perforation or bleeding
- If you have breathing difficulties
- If you are allergic to ibuprofen, codeine or any of the otheringredients or to aspirin or other painkillers
- If you suffer from severe liver, kidney or heart problems
- If you suffer from chronic constipation
- If you have had gastrointestinal bleeding or perforation whenpreviously taking NSAIDs
- If you have had a worsening of asthma, skin rash, itchy runny nose orfacial swelling when previously taking ibuprofen, aspirin or similarmedicines
- If you are taking other NSAID painkillers or aspirin with a daily doseabove 75mg
- If you are pregnant
- If you are breastfeeding
- If you are under 12 years old
- If you are taking Monoamine Oxidase Inhibitors or if you have takenthem within the last 14 days
- For pain relief in children and adolescents (0-18 years of age) aerremoval of their tonsils or adenoids due to obstructive sleep apnoeasyndrome
- If you know that you metabolise codeine into morphine very rapidly.
Speak to a pharmacist or your doctor before taking this product if you:
- have or have had asthma
- have kidney, heart, liver or bowel problems or are dehydrated
- have low or high blood pressure
- have a head injury or raised intracranial pressure
- suffer from a thyroid disorder
- have Systemic Lupus Erythematosus (a condition of the immunesystem causing joint pain, skin changes and other organ disorders
- have high cholesterol
- have had a heart attack or stroke
- have a history of gastrointestinal disease (such as ulcerative colitis, Crohn’s disease)
- are a smoker
- have gallstones
- suer from myasthenia gravis (a condition that causes muscleweakness)
- have an infection.
You should always seek the advice of your doctor or pharmacist before you take this medicine with other medicines.
This medicine belongs to a group of medicines which may impair fertility in women. This is reversible on stopping the medicine. It is unlikely that this medicine, used occasionally will affect your chances of becoming pregnant. However, tell your doctor before taking this medicine if you have problems becoming pregnant.
Pregnancy and breastfeeding
Do not take this product during pregnancy if you are in the last 3 months of pregnancy as it can cause kidney and heart problems in your unborn baby. Do not take codeine while you are breastfeeding. Codeine and morphine passes into breast milk.
Driving and using machines
This medicine can affect your ability to drive as it may make you sleepy or dizzy or cause drowsiness. If affected, do not drive or operate machinery.
Side Effects
Please read enclosed leaflet before use.
Some people may have side-effects when taking this medicine. If you have any unwanted side-effects you should seek advice from your doctor, pharmacist or other healthcare professional.
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 particlesthat look like coffee grounds.
- signs of rare but serious allergic reaction such as severe skin rashes,peeling, or blistering skin, facial swelling, unexplainedwheezing, shortness of breath, easy bruising.
- a severe skin reaction known as DRESS syndrome can occur. Symptoms of DRESS include: skin rash, fever, swelling of lymph nodesand an increase of eosinophils (a type of white blood cells).
- A red, scaly widespread rash with bumps under the skin and blistersmainly localised on the skin folds, trunk, and upper extremitiesaccompanied by fever at the initiation of treatment (acutegeneralised exanthematous pustulosis).
Like all medicines, Nurofen Plus can cause side-effects, although not everybody gets them. Tell your doctor or pharmacist if you notice any of the following:
- Liver, kidney problems or diculty urinating
- Skin becomes sensitive to light
Nurofen Plus, especially when taken at higher than recommended doses or for a prolonged period of time, can cause damage to your kidneys and affect them removing acids properly from your blood into the urine (renal tubular acidosis). It can also cause very low levels of potassium in your blood. This is a very serious condition and will require immediate treatment. Signs and symptoms include muscle weakness and light-headedness
Tell your doctor if you experience the below other possible side effects:
Uncommon: may affect up to 1 in 100 people
- indigestion, heartburn, nausea
- stomach pain or other abnormal stomach symptoms
- rashes, itching
- headache
Rare: may affect up to 1 in 1,000 people
- constipation
Very rare: may affect up to 1 in 10,000 people
- liver and kidney problems
Not known: frequency cannot be estimated from the available data:
- worsening of asthma
- sweating, thirst, muscle weakness or tremors, sleeplessness
- chest pain or fast, irregular heart beat
- dizziness or drowsiness
- decreased appetite, depression, hallucination, blurred vision
- skin becomes sensitive to light
- sleep apnoea
- increased sensitivity to pain
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed. You can also report side effects directly via the Yellow Card Scheme.
