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Ibuprofen 200MG NUROFEN Lemon 12 orodispersible tablets
Over-the-counter medication

Ibuprofen 200MG NUROFEN Lemon 12 orodispersible tablets

Brand : Reckitt Reckitt
€5.41 EXCL. VAT €5.95 INCL. VAT
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Reference : 3400936053991
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Ibuprofen 200MG NUROFEN Lemon 12 orodispersible tablets in the drugstore bio Comment on recommendations for use and dosage of Ibuprofen 200MG NUROFEN Lemon 12 orodispersible tablets with our Verified Reviews partner after your purchase.

NUROFEN 200MG Ibuprofen Lemon 12 Orodispersible tablets

Nurofen 200 mg ibuprofen without water, orodispersible tablets. All medicines containing ibuprofen (nurofen, advil spedifen) on your online pharmacy.

For the warnings, the precautions for use and the contraindications, please consult the instructions for use of NUROFEN 200MG.

Description of NUROFEN 200MG Ibuprofen Lemon 12 orodispersible tablets

Nurofen 200 mgibuprofen without water is a medicine containing a non-steroidal anti-inflammatory drug: ibuprofen . Nurofen 200 mg ibuprofen without water is indicated in adults and children over 40 kg (approximately 12 years), for the short-term treatment of fever and / or pain such as: headache, dental pain , painful periods, flu-like illness, body aches.

Directions for use and dosage

Oral use.

  • Place a tablet on the tongue, wait for it to dissolve and swallow it. There is no need for water.
  • Suitable for adults and children from 40 kg (around 12 years old).
  • 1 tablet per dose, to be renewed if necessary after 4 to 6 hours. In any case, do not exceed 6 tablets per day (1200 mg per day).
  • The duration of treatment is limited to 3 days for fever and 5 days for pain.

Comment on advice for use and dosage of NUROFEN 200MG Ibuprofen Lemon 12 Orodispersible Tablets with our partner Avis checked after your purchase.

Composition of NUROFEN 200MG Ibuprofen Lemon 12 Orodispersible tablets

ibuprofen 200 mg. aspartame (source of phenylalanine), E951. Lemon flavor.

Precautions for use

Keep out of reach of children.

Never take Nurofen 200 mg in the following cases :

  • beyond the 5th completed month of pregnancy,
  • history of allergy or asthma triggered by taking this or other related drugs (NSAIDs),
  • history of gastrointestinal bleeding or ulcers,
  • evolving stomach ulcer or bleeding,
  • haemorrhage,
  • disease of the liver, kidneys, heart,
  • lupus erythematosus,
  • 6 month old child.

Pregnancy and breast feeding

Between the 2nd month and the 5th month of pregnancy, this NurofenTabs medication will only be used on the advice of your doctor. Beyond the 5th month of pregnancy, in no case should you take this medicine. Do not use Nurofentabs during breastfeeding due to its passage into breast milk.

Presentation of NUROFEN 200MG Ibuprofen Lemon

Ibuprofen Lemon 12 Orodispersible tablets.

Our advice and opinions from pharmacy experts

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Warnings on pain relievers

Please note, the drug NUROFEN 200MG Ibuprofen Lemon 12 orodispersible tablets is not a product like the others. Read the NUROFEN 200MG Ibuprofen Lemon 12 orodispersible tablets leaflet carefully before ordering. Keep medicines out of the reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

  • Please inform your online pharmacist of the treatments in progress in order to identify any incompatibilities. The order validation form contains a personalized message field provided for this purpose.
  • Click here to find the instructions for this drug NUROFEN 200MG Ibuprofen Lemon 12 Orodispersible tablets on the site of the National Agency for the Safety of Medicines and Health Products.

Pharmacovigilance Report an adverse drug reaction(s)

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NOTICE

ANSM - Updated on: 03/07/2017

Name of the medicinal product

NUROFEN 200 mg orodispersible tablet

Ibuprofen

framed

Please read this leaflet carefully before you start taking this medicine because it contains important information for you.

You should always take this medication exactly as prescribed in this leaflet or by your doctor or pharmacist.

· Keep this leaflet. You might need to read it again.

· Ask your pharmacist for advice or information.

· If you experience any of the side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.

· You should contact your doctor if you experience no improvement or feel less well after:

o 3 days for teenagers

o 3 days for fever and 4 days for pain in adults.

Do not use this medication for children.

What is in this leaflet?

1. What is NUROFEN 200 mg orodispersible tablet and when is it used?

2. What should I take before taking NUROFEN 200 mg orodispersible tablet?

3. How to take NUROFEN 200 mg orodispersible tablet?

4. What are the possible side effects?

5. How to store NUROFEN 200 mg orodispersible tablet?

6. Package contents and other information.

1. WHAT IS NUROFEN 200 mg ORODISPERSIBLE AND IN WHAT CASES IS IT USED?

Pharmacotherapeutic group: anti-inflammatory and antirheumatic, non-steroidal; derived from propionic acid, ATC code: M01AE01

NUROFEN 200 mg orodispersible tablet contains 200 mg of ibuprofen. Ibuprofen belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). These medications provide relief by altering how the body responds to pain, edema and high temperature.

NUROFEN 200 mg orodispersible tablet is indicated in adults and adolescents over 40 kg (12 years and over) in the symptomatic treatment of mild to moderate pain such as headache, dental pain, painful periods, and fever.

o

2. BEFORE YOU TAKE NUROFEN 200 mg orodispersible tablet?

Never take NUROFEN 200 mg orodispersible tablet:

· hypersensitivity to ibuprofen or any of the other ingredients of NUROFEN 200 mg orodispersible tablet (see section 6 "Additional Information");

· history of shortness of breath, asthma, runny nose, swollen face and / or hands or urticaria after using ibuprofen, aspirin or other similar painkillers (NSAIDs);

· severe hepatic, renal or cardiac insufficiency;

· ulcer or bleeding of the stomach or duodenum (peptic ulcer), whether progressive or old (two or more episodes);

· history of bleeding or gastrointestinal perforation related to previous NSAID treatment;

· cerebrovascular haemorrhage or other evolving hemorrhage;

· patients with unexplained hematopoiesis disorders.

· severe dehydration (caused by vomiting, diarrhea or insufficient fluid intake);

· during the last three months of pregnancy (see below).

· In the case of phenylketonuria (hereditary disease detected at birth), due to the presence of aspartame.

Warnings and Precautions

Talk to your doctor or pharmacist before taking NUROFEN 200 mg orodispersible tablet .

· If you suffer from certain skin conditions (systemic lupus erythematosus (SLE) or mixed connective tissue disease).

· If you suffer from severe skin reactions such as exfoliative dermatitis, Stevens-Johnson syndrome and toxic epidermal necrolysis. The use of NUROFEN should be discontinued immediately upon the first occurrence of skin rash, mucosal lesions or any other signs of allergic reactions.

· If you have inherited disorders of blood formation (eg acute intermittent porphyria).

· If you suffer from bleeding disorders.

· If you have or have ever had an intestinal disease (ulcerative colitis or Crohn's disease).

· If you have reduced renal function.

· If you have liver problems.

· If you are trying to get pregnant.

· If you have or have had asthma or allergic diseases as shortness of breath may appear.

· If you suffer from hay fever, nasal polyps or chronic obstructive pulmonary disease, there is an increased risk of allergic reactions. Allergic reactions can manifest as asthma attacks (so-called analgesic asthma). Edema or urticaria of Quincke.

· During varicella, it is advisable to avoid the use of NUROFEN 200 mg orodispersible tablet.

· In case of prolonged administration of NUROFEN 200 mg orodispersible tablet, regular monitoring of liver parameters, renal function, as well as blood form is required.

· Adverse effects can be minimized by using the lowest effective dose for the shortest duration.

· Seniors have an increased risk of side effects.

· In general, the usual use of (several kinds of) analgesics can lead to serious persistent kidney problems. This risk can be increased in case of physical effort associated with salt loss and dehydration. Therefore, this should be avoided.

· Prolonged use of an analgesic treatment to treat headaches can aggravate them. If this situation is experienced or suspected, medical advice must be obtained and treatment must be discontinued. The diagnosis of overuse of headache medication should be suspected in patients with frequent or daily headache despite (or because) of regular use of medication for headaches.

· Concomitant use of NSAIDs, including specific cyclooxygenase-2 inhibitors, increases the risk of adverse effects (see section "Other medicines" below) and should be avoided.

· There is a risk of kidney failure in dehydrated adolescents.

· Special medical supervision is required immediately after major surgery.

· NSAIDs may mask the symptoms of infection and fever.

· Anti-inflammatory / analgesic drugs such as ibuprofen are likely to be associated with a slightly increased risk of heart attack or stroke, especially when used at high doses. Do not exceed recommended dosage or treatment time.

Discuss your treatment with your doctor or pharmacist before taking NUROFEN 200 mg orodispersible tablet if you:

· have heart problems, heart failure, angina (chest pain) or have had a heart attack, surgical bypass, peripheral arterial disease (poor circulation in the legs or feet due to narrowed arteries or blocked) or any type of stroke (including "mini-strokes" or transient ischemic attacks (TIAs)).

· have high blood pressure, diabetes, high cholesterol, a family history of heart disease or stroke, or if you are a smoker.

Other medicines and NUROFEN 200 mg orodispersible tablet

Inform your doctor or pharmacist if you are taking, have recently taken or may take any other medicines.

NUROFEN 200 mg orodispersible tablet is likely to affect or be affected by certain other medications. For example :

· anti-coagulant drugs (ie, which fluidize the blood / prevent the appearance of clots such as aspirin / acetylsalicylic acid, warfarin, ticlopidine);

· medicines that reduce high blood pressure (ACE inhibitors such as captopril, beta-blockers such as atenolol, angiotensin-II receptor antagonists such as losartan)

Some other medicines are also likely to affect or be affected by treatment with NUROFEN 200 mg orodispersible tablet.

Inform your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Especially if you take:

· digoxin (for heart failure), because the effect of digoxin may be accentuated;

· glucocorticoids (medicines containing cortisone or cortisone-related substances) as these drugs may increase the risk of gastrointestinal ulcers or bleeding;

· antiplatelet agents, as they may increase the risk of bleeding;

· of phenytoin (for epilepsy), because the effect of phenytoin may be accentuated;

· selective serotonin reuptake inhibitors (drugs used for nerve depression) as they may increase the risk of gastrointestinal bleeding;

· lithium (drug for manic depressive illness and depression), because the effect of lithium can be accentuated;

· probenecid and sulfinpyrazone (medication for gout), as excretion of ibuprofen may be delayed;

· potassium-sparing diuretics as this may result in hyperkalaemia;

· methotrexate (a medicine for cancer or rheumatism) because the effect of methotrexate may be accentuated;

· tacrolimus and ciclosporin (immunosuppressive drugs), as the kidneys may be damaged;

· zidovudine (a drug for the treatment of AIDS) because with the use of NUROFEN 200 mg orodispersible tablet there is an increased risk of hemarthrosis and hematomas in hemophiliac patients with HIV;

· sulphonylureas (antidiabetic medication) because interactions are possible;

· quinolones (antibiotics), since their use may increase the risk of convulsions;

· cytochrome CYP2C9 inhibitors as administration of ibuprofen in combination with cytochrome CYP2C9 inhibitors may increase exposure to ibuprofen (CYP2C9 substrate). In a study with voriconazole and fluconazole (CYP2C9 inhibitor), an increase in the exposure of ibuprofen S (+) by approximately 80 to 100% was shown. Reduced doses of ibuprofen should be considered when cytochrome CYP2C9 inhibitors are concomitantly administered, particularly when high doses of ibuprofen are administered in combination with voriconazole or fluconazole.

· Other NSAIDs including selective cyclooxygenase 2 inhibitors as this may increase the risk of gastrointestinal ulceration or bleeding.

· Low dose acetylsalicylic acid because the effect of the anticoagulant can be altered.

· blood thinners (such as warfarin) because ibuprofen can increase the effects of these drugs

· medicines for high blood pressure and diuretics because ibuprofen can decrease the effects of these drugs with a possible increased risk for the kidneys;

NUROFEN 200 mg, orodispersible tablet with food, drink and alcohol

It is recommended for patients with gastric sensitivity to take NUROFEN 200 mg orodispersible tablet during a meal.

Pregnancy, breast-feeding and fertility

If you are pregnant or breastfeeding, think you may be pregnant or plan a pregnancy, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

Do not take this medication during the last 3 months of pregnancy. This medication should not be taken during the first 6 months of pregnancy except on medical advice.

feeding

This medication passes into breast milk, but it can be used during breastfeeding provided that the recommended dose is used for the shortest possible period of time.

Female fertility

Avoid taking this medication if you are trying to get pregnant.

Sport

Not applicable.

Driving and using machines

For short-term treatment, this medicine has no or little influence on the ability to drive and use machines.

NUROFEN 200 mg orodispersible tablet contains aspartame a source of phenylalanine which may be harmful in patients with phenylketonuria.

3. HOW TO TAKE NUROFEN 200 mg orodispersible tablet?

NUROFEN 200 mg orodispersible tablet should not be used in children under 12 years of age.

In the adolescent

If treatment should be continued for more than 3 days or if symptoms worsen, consult a physician.

In the adult

Consult a doctor if your symptoms worsen or do not improve after 3 days in case of fever or after 4 days of treatment in case of pain.

Dosage, Mode and / or route (s) of administration, Frequency of administration and Duration of treatment

Dosage

Always take this medication exactly as prescribed in this leaflet. Check with your doctor or pharmacist if in doubt.

The usual dosage is as follows:

Age

dose

(orodispersible tablet)

Daily dose

(orodispersible tablet)

Adolescents over 12 and adults

1 to 2

Initial dose: 1 to 2 orodispersible tablets (200 mg to 400 mg ibuprofen) and if necessary 1 to 2 orodispersible tablets (200 mg or 400 mg of ibuprofen) every 4 to 6 hours. Do not exceed more than 6 orodispersible tablets (1200 mg ibuprofen) per 24 hours.

Method and route of administration

· Place a tablet on the tongue, let it melt and swallow. The water intake is not necessary.

· Talk to your doctor or pharmacist if you think the effect of this medicine is stronger or weaker than you thought.

If you take more NUROFEN 200 mg orodispersible tablet than you should:

Consult your doctor immediately. The following signs may occur: nausea, vomiting, stomach pain, or more rarely diarrhea. In addition, headache, gastrointestinal bleeding, dizziness, dizziness, drowsiness, nystagmus, vision problems, ringing in the ear, low blood pressure, arousal, disorientation, convulsions, coma, loss of consciousness, hyperkalaemia, metabolic acidosis, increased prothrombin time / INR, acute renal failure, liver damage, respiratory depression, cyanosis and exacerbation of asthma in asthmatics.

If you have any further questions about the use of this product, ask your doctor or pharmacist.

If you forget to take NUROFEN 200 mg orodispersible tablet:

Do not take a double dose to make up for the tablet you have forgotten to take.

If you stop taking NUROFEN 200 mg orodispersible tablet:

Not applicable.

If you have any further questions on the use of this medication, ask your doctor or pharmacist.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

Like all medicines, this medicine may cause side effects, although not everybody gets them.

The occurrence of adverse events can be minimized by the use of the minimal dose during the shortest treatment time necessary to relieve symptoms. You may have one of the known side effects of taking NSAIDs (see below). If this is the case, or if you have any concerns about taking this medication, stop the medication and talk to your doctor as soon as possible. Elderly people taking this medication increase their risk of developing health problems related to side effects.

Stop taking this medication and seek immediate medical attention if you develop:

· signs of intestinal haemorrhage such as severe abdominal pain, tarry black stools, vomiting of blood or dark particles resembling ground coffee;

· signs of very rare but severe allergic reactions such as worsening of asthma, wheezing or unexplained breathlessness, swelling of the face, tongue or throat, difficulty breathing, tachycardia or fall in blood pressure leading to collapse. Such reactions may occur even if this is the first time you are using this medication;

· severe skin reactions such as skin rashes covering the entire body, desquamation, vesication or detachment of the skin.

Tell your doctor if you experience any of the following side effects:

Common (can affect up to 1 in 10 people)

· stomach pain such as acid burning, stomach pain and nausea, indigestion, diarrhea, vomiting, flatulence (gas), constipation and slight loss of blood in the stomach and / or intestine which can cause anemia in exceptional cases.

Uncommon (can affect up to 1 in 100 people)

· gastrointestinal ulcers, perforation or haemorrhage, inflammation of the mucous membrane of the mouth with ulceration, aggravation of existing intestinal disease (ulcerative colitis or Crohn's disease); gastritis;

· central nervous system disorders such as headache, dizziness, insomnia, restlessness, irritability or fatigue;

· visual impairment;

· various rashes;

· hypersensitivity reactions with urticaria and itching.

Rare (can affect up to 1 in 1000 people)

· tinnitus (ringing in the ear);

· increased uric acid levels in the blood, pain in the flanks and / or abdomen, blood in the urine and fever may be signs of alteration of the kidneys (papillary necrosis);

· decrease in hemoglobin levels.

Very rare (can affect up to 1 in 10,000 people)

· oesophagitis, pancreatitis and formation of intestinal stenosis of the diaphragm type;

· heart failure, heart attack and swelling of the face or hands (edema);

· decreased urination and swelling (especially in patients with high blood pressure or decreased renal function), swelling (edema) and turbid urine (nephrotic syndrome); inflammatory diseases of the kidney (interstitial nephritis) which can lead to acute renal failure. If any of the above symptoms occur or if you have a feeling of general impairment, stop taking NUROFEN and see your doctor immediately as this may be the first signs of impaired renal function or renal impairment ;

· psychotic reactions, depression;

· arterial hypertension, vasculitis;

· palpitations;

· dysfunction of the liver, liver damage (early signs may be discolouration of the skin), especially during long-term treatment, liver failure, acute liver inflammation (hepatitis);

· problems in the production of blood cells. The first signs are fever, sore throat, superficial buccal ulcers, flu-like symptoms, severe fatigue, nose and skin bleeding and unexplained bruising. In these cases, you should stop treatment immediately and see a doctor. Any self-medication with analgesics or medicines that reduce fever (antipyretic drugs) should not be taken;

· severe skin infections and soft tissue complications during chickenpox;

· aggravation of infection-related inflammations (eg, necrotizing fasciitis) associated with the use of certain analgesics (NSAIDs) has been described. If signs of infection occur or worsen, you should report this to your doctor without delay. It is worth considering whether there is any indication for anti-infectious / antibiotic therapy;

· symptoms of aseptic meningitis with neck stiffness, headache, nausea, vomiting, fever or disorientation have been observed when using ibuprofen. Patients with autoimmune diseases (systemic lupus erythematosus, mixed connective tissue diseases) are more likely to be affected. Contact a doctor immediately if these symptoms occur;

· (eg, Stevens - Johnson syndrome, erythema multiforme, toxic epidermal necrolysis / Lyell syndrome), hair loss (alopecia), severe skin reactions such as rashes with redness and blisters.

Frequency not known (can not be estimated from available data)

· reactivity of the respiratory tract including asthma, bronchospasm or dyspnea.

Drugs such as NUROFEN 200 mg orodispersible tablet may be associated with a mild increase in the risk of heart attack ("myocardial infarction") or stroke.

Declaration of side effects

If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr

By reporting adverse reactions, you are helping to provide more information about the safety of the drug.

5. HOW TO STORE NUROFEN 200 mg orodispersible tablet?

Keep this medicine out of the reach and sight of children.

Do not use this medicine after the expiry date which is stated on the carton and the blister . The expiry date refers to the last day of that month.

Do not store above 25 ° C.

Do not throw any medication into drains or household waste. Ask your pharmacist to remove any medications you are no longer using. These measures will help protect the environment.

6. PACKAGE CONTENTS AND OTHER INFORMATION

What NUROFEN 200 mg orodispersible tablet contains

· The active substance is:

Ibuprofen ................................................. .................................................. 200 mg

For a tablet.

· The other components are:

Ethylcellulose, hydrated precipitated silica, hypromellose, mannitol, aspartame (E951), croscarmellose sodium, magnesium stearate, lemon flavor.

What is NUROFEN 200 mg orodispersible tablet and contents of the pack

This medication is in the form of an orodispersible tablet; boxes of 4, 6, 10, 12, 18, 20, 24, 30, 36, 40 or 48 tablets. Not all pack sizes may be marketed.

Marketing Authorization Holder

Reckitt Benckiser Healthcare France

38 RUE VICTOR BASCH

91300 MASSY

Marketing Authorization Operator

RECKITT BENCKISER HEALTHCARE FRANCE

38 RUE VICTOR BASCH

CS 11018

91305 MASSY CEDEX

Maker

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LIMITED

NOTTINGHAM SITE - THANE ROAD

NOTTINGHAM

NOTTINGHAMSHIRE - NG90 2DB

UK

Names of the medicinal product in the Member States of the European Economic Area

This medicinal product is authorized in the Member States of the European Economic Area under the following names: In accordance with the regulations in force.

[To be completed at a later date by the holder]

The last date on which this leaflet was revised is:

[to be completed later by the holder]

Other

Detailed information on this medicine is available on the ANSM website (France).

Health Education Council:

"WHAT TO DO IN THE EVENT OF FEVER":

The normal temperature of the body varies from one individual to another and is between 36 ° 5 and 37 ° 5. An increase of more than 0 ° 8 is considered a fever.

In adults and children over 12 years of age : If the disorder is too troublesome, you can take a medication containing ibuprofen at the indicated dosage.

With this medication, the fever should drop rapidly, nevertheless :

· if other signs appear (such as a rash),

· if the temperature persists for more than 3 days or if it worsens,

· if the headache becomes violent, or in case of vomiting,

CONSULT YOUR DOCTOR IMMEDIATELY.

"WHAT TO DO IF PAIN":

· In the absence of improvement after 3 days of treatment in adolescents and 4 days of treatment in adults,

· If the pain returns regularly,

· If they are accompanied by fever,

If they wake you up at night.

CONSULT YOUR DOCTOR.

VIDAL OF THE FAMILY

NUROFEN 200 mg

Non-steroidal anti-inflammatory drug

ibuprofen

. Presentations . Composition . Indications . Contraindications . Warning . Drug Interactions . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

NUROFEN 200 mg: tablet (white); box of 20.
-

NUROFEN 200 mg: tablet (white); box of 30.
-

NUROFEN 200 mg: orodispersible tablet (white, lemon flavoring); box of 12.
-

Laboratory Reckitt Benckiser Healthcare France

COMPOSITION (summary)
p cp p cp orodisp
Ibuprofen 200 mg 200 mg
Sucrose +
aspartame +

INDICATIONS (summary)
This drug is a non- steroidal anti-inflammatory drug ( NSAID ). It combats pain and lowers the fever. Its anti-inflammatory properties manifest in high doses.
It is used in the short-term treatment of fever and pain (headaches, dental pain, muscle aches, painful periods ...).
CONTRAINDICATIONS (summary)
This medication should not be used in the following cases:
WARNING (Contents)
Prolonged treatment or overdosage of NSAIDs may result in serious adverse reactions.
Certain situations must lead to continuation of treatment only after a medical opinion:
  • severe heartburn or black and foul-smelling stools that may indicate irritation or bleeding of the digestive tract;
  • rash without obvious cause;
  • asthma attack ;
  • unusual and intense fatigue, or a sharp and significant decrease in the volume of urine in a person suffering from heart failure , dehydration or diuretic treatment.
The use of NSAIDs is not recommended in children with varicella: it may increase the risk of infectious, exceptional but potentially serious complications.
Precautions are necessary if there is a history of stomach ulcer or duodenal ulcer or haemorrhagic risk such as digestive disease ( Crohn 's disease , ulcerative colitis ) and phenylketonuria ( orodispersible tablet: presence of aspartame).
NSAIDs have an inhibitory effect on ovulation and are likely to decrease fertility in women. This effect is reversible upon discontinuation of treatment.
Some doctors consider that anti-inflammatories can decrease the effectiveness of intrauterine devices (IUDs) and expose them to an unwanted pregnancy risk. This risk is highly controversial.
Conductor: This medication may be responsible, in rare cases, for dizziness or disturbances of vision.
DRUG INTERACTIONS (summary)
This medication may interact with other medicines, including: Inform your doctor or pharmacist if you are taking a diuretic , an ACE inhibitor , an angiotensin II inhibitor , a beta-blocker, or a medicine containing ciclosporin.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
Adverse effects to the unborn child have been demonstrated when NSAIDs are used during the last 4 months of pregnancy; the risk exists even with a single intake and even if the pregnancy is over term. The use of this medication is contraindicated during this period.
During the first 5 months, the effect of this medication is poorly understood: only your doctor can evaluate the possible risk of its use in your case.

Breastfeeding:
Ibuprofen is low in breast milk: however, as a precaution, it is not recommended during breast-feeding.
DIRECTIONS FOR USE AND DOSAGE (summary)
In order to limit the occurrence of digestive disorders , this medication can be taken during meals. However, in the case of acute pain, the fasting catch ensures a faster effect.
Coated tablets should be swallowed as they are with a glass of water, without being chewed.
Orodispersible tablets have to be placed on the tongue where they melt. It is not necessary to drink water.

Usual dosage:

  • Adult and child over 30 kg (about 12 years): 1 to 2 tablets (coated or orodispersible), to be renewed if necessary every 6 hours. Do not exceed 6 tablets per day.
  • Child of 20 to 30 kg (approximately 6 to 11 years): 1 coated tablet, to be renewed if necessary every 6 hours. Do not exceed 3 tablets per day.
In the absence of medical advice, the duration of treatment should be limited to 5 days in case of pain and 3 days in case of fever.
TIPS (summary)
Do not exceed the recommended dosage or duration of treatment recommended by your doctor or pharmacist to limit side effects.
Boxes of 20 and 30 tablets may be freely available in some pharmacies; nevertheless, do not hesitate to ask your pharmacist for advice.
POSSIBLE ADVERSE EFFECTS (summary)
Nausea, vomiting, gastritis .
Rarely:

GLOSSARY (summary)


NSAIDs
Abbreviation for non-steroidal anti-inflammatory drug. Family of anti-inflammatory drugs that are not derived from cortisone (steroids), and the best known of which is aspirin.


allergy
Skin reaction (itching, pimples, swelling) or general discomfort occurring after contact with a particular substance, use of a medication or ingestion of food. The main forms of allergy are eczema, urticaria, asthma, angioedema and allergic shock (anaphylactic shock). Food allergy can also result in digestive disorders.


anemia
Reduction in the level of hemoglobin in the blood, which usually results in a decrease in the number of red blood cells. Iron is essential for the synthesis of hemoglobin. Iron deficiency during pregnancy, a vegetarian diet, abundant or repeated haemorrhage (menstruation) is a common cause of anemia. Other causes, more rare, are related to vitamin deficiencies of group B.


antecedent
Affection healed or always in evolution. The antecedent may be personal or family. The background is the history of a person's health.


antiplatelet agents
Medication that prevents the platelets from clumping and therefore the clots from forming. The oldest platelet antiaggregant is aspirin taken in small doses.
Anti-aggregants should not be confused with anticoagulants with a different mechanism of action.


anti coagulants
Medication that prevents blood from coagulating and therefore prevents clots from forming in the blood vessels.
Anticoagulants are used to treat or prevent phlebitis, pulmonary embolism, certain infarcts. They also prevent the formation of clots in the heart during rhythm disorders such as atrial fibrillation or in the case of an artificial heart valve.
There are two main types of anticoagulants:
  • oral anticoagulants, which block the action of vitamin K (antivitamin K, or AVK) and whose effectiveness is controlled by a blood test: INR (formerly TP);
  • injectable anticoagulants derived from heparin, the efficacy of which can be controlled by the blood assay of anti-Xa activity, Howell's Time (TH) or Cephalin Kaolin Time (TCK) depending on the products used. A regular dosage of blood platelets is necessary throughout the life of a heparin derivative.


anti-inflammatory
Medicine that fights against inflammation. It can be either derived from cortisone (steroidal anti-inflammatory), or not derived from cortisone (nonsteroidal anti-inflammatory or NSAID).


asthma
Disease characterized by difficulty breathing, often resulting in wheezing. Asthma, permanent or occurring by crisis, is due to a narrowing and inflammation of the bronchi.


beta blockers
Family of drugs used primarily in cardiology. They block the action of adrenaline (and other related hormones) on the heart, vessels and bronchi.


Crohn
inflammation of the intestine, which can cause ulcers and narrowing. It often becomes chronic and can be accompanied by persistent diarrhea and malnutrition.


diuretic
Medication allowing increased kidney water removal. Most often, this loss of water follows the loss of salts caused by the drug (salidiuretic).
Diuretics are mainly used in the treatment of high blood pressure, while their mechanism of action in this disease is poorly understood. They are also prescribed in acute or chronic heart failure, edema and other rarer ailments.
These drugs cause loss of sodium and potassium (except for some of them called "potassium-sparing"). Their prolonged administration therefore requires regular blood potassium control, to avoid heart problems that may result from hypokalemia (lack of potassium in the blood). Lack of sodium is another possible but less frequent consequence of the prolonged use of diuretics; it is also detected by a blood test.


duodenum
A part of the intestine into which food from the stomach penetrates.


skin rash
Appearance of pimples or plaques on the skin. These lesions can be due to a food, a drug, and translate an allergy or a toxic effect. Many viruses can also cause pimple eruptions: rubella, roseola and measles are the most common.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatory drugs.


hemorrhage
Loss of blood from an artery or vein. Hemorrhage can be external, but also internal and go unnoticed.


angiotensin II inhibitor
These drugs are sometimes called sartans, for the names of the molecules belonging to this family end with sartan (losartan, candesartan, etc.).
This family of drugs blocks the action of angiotensin II, a substance that increases blood pressure and tires the heart.
Angiotensin II inhibitors are used to treat high blood pressure.


ACE inhibitor
This family of drugs blocks the action of an enzyme, which converts angiotensin I (naturally inactive substance) to angiotensin II. This last substance increases blood pressure and fatigue the heart.
ACE inhibitors are used to treat high blood pressure, heart failure or myocardial infarction.


heart failure
Inability of the heart to fulfill its function as a pump. The main symptoms of heart failure are fatigue and shortness of breath during an effort.


Hepatic insufficiency
Inability of the liver to perform its function, which is essentially the elimination of some waste, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


lupus erythematosus
Skin disease causing redness of the central part of the face. There are two main forms: discoid lupus (only cutaneous) and disseminated lupus (associated with lesions of the deep organs).


blood count
The count measures the number of red blood cells (red blood cells), white blood cells (leukocytes) and platelets in the blood. The blood formula specifies the percentage of different white blood cells: neutrophils, eosinophils, basophils, lymphocytes, monocytes.
Abbreviation: NFS.


edema
Accumulation of water or lymph causing localized swelling.


orodispersible
Categorizes a tablet that breaks up in the mouth in contact with saliva. It can also be dispersed in a glass of water before ingestion.


phenylketonuria
An inherited disease that is characterized by the absence of an enzyme and that leads to the accumulation in the blood of a toxic product. Screening is systematic at birth. Treatment is based on a specific diet during early childhood.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


allergic reaction
Reaction due to hypersensitivity of the organism to a drug. Allergic reactions can take a wide variety of aspects: urticaria, angioedema, eczema, eruption of pimples resembling measles, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort due to a sudden drop in blood pressure.


ulcerative colitis
Inflammatory disease of the rectum and colon, which evolves by flare-ups. Each flare is accompanied by fever, bloody stools.


overdose
Excessive intake of a drug may result in an increase in the intensity of adverse effects or even in the development of specific adverse effects.
This overdose may result from accidental or voluntary poisoning for suicide, so consult your local Poison Control Center (listed in the appendix to the book). However, in most cases, overdose is the result of an error in the understanding of the prescription, or the search for an increase in efficacy by exceeding the recommended dosage. Finally, untimely self-medication may lead to excessive absorption of the same substance contained in different drugs. Some drugs are particularly prone to this risk because they are (wrongly) considered to be harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake helps to remove the disorders associated with an overdose.


transaminases
Enzymes dosed in the blood, which rate rises during some hepatitis. They are included in blood tests as SGOT and SGPT or ASAT and ALAT.


digestive disorders
Set of symptoms indicating irritation or malfunction of the digestive tract. One or more disorders may be present: nausea, vomiting, aerophagia, abdominal pain, heartburn, bloating, flatulence, diarrhea or constipation, etc. Antibiotics can promote candidiasis, often responsible for digestive disorders.


ulcer
Injury of skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: a localized wound in the mucosa of the stomach or duodenum due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).


dizziness
Symptom that can mean an impression of loss of balance (common sense) or, more strictly, a sense of rotation on oneself or the environment (medical sense).

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