What Should I Tell My Health Care Provider Before I Take This Medicine
They need to know if you have any of the following conditions:
- bleeding problems
- stomach ulcer or other problems
- taken an MAOI like Carbex, Eldepryl, Marplan, Nardil, or Parnate in last 14 days
- thyroid disease
- an unusual or allergic reaction to ibuprofen, pseudoephedrine, other fever reducers or pain relievers, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding
Hepatic And Renal Safety Profile
Clinical studies suggest that ibuprofen was associated with less acute liver injury compared to other NSAIDs:
Archives of Internal Medicine, 1994
- The lowest incidence of liver injury among 8 NSAIDs occurred in ibuprofen users and was 1.6/100000 . The other incidence in increasing order is as follows: oral diclofenac , naproxen , mefenamic acid , ketoprofen , piroxicam , fenbufen , sulindac 12
Postgraduate Medicine, 2018
- Compared to ibuprofen, risks of hepatoxicity are somewhat higher and better documented with acetaminophen, and reported to be higher amongst specific NSAIDs, such as oral diclofenac and sulindac13
Epidemiologic studies do not suggest that low dose ibuprofen is associated with an increased risk of renal adverse events
American Journal of Epidemiology, 2000
- Use of ibuprofen at 1200mg/day led to an odds ratio of 0.94 for renal AEs 9
Pharmacotherapy, 1999
- No major adverse events related to renal injury were identified during the study10
Pharmacotherapy, 1992
- After non-prescription doses of ibuprofen, renal injury were not amongst the reported adverse effects11
AE = adverse event CI = confidence interval GI = gastrointestinal NSAID = nonsteroidal anti-inflammatory drug OTC = over the counter.
Ibuprofen Comparative Tolerability In A Large
In the PAIN study, published in Clinical Drug Investigation, overall tolerability of ibuprofen was:2,3
- Statistically equivalent to that of acetaminophen
- Superior to that of ASA
This large-scale randomized trial comparing nonprescription doses of ASA, acetaminophen, and ibuprofen in 8,677 adults measured rates of significant adverse events related to tolerability. The primary outcome measure was the number of patients with at least one significant adverse event, defined as an event that was serious, severe or moderate, resulted in a second physician consultation, led to cessation of treatment, or was of missing intensity. Statistical analysis tested for equivalence between ibuprofen and acetaminophen and for difference with ASA.2,3*
ASA = acetylsalicylic acid GI = gastrointestinal.* This was a blinded, multicentre study in general practice of up to 7 days of ASA, acetaminophen or ibuprofen , administered for common painful conditions, using patient generated data with physician assistance. 1,108 general practitioners included 8,677 adults . The main indications were musculoskeletal or back pain , sore throat, the common cold and flu .
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What Should I Avoid While Taking Ibuprofen And Pseudoephedrine
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Avoid taking aspirin while you are taking ibuprofen.
Avoid taking ibuprofen if you are taking aspirin to prevent stroke or heart attack. Ibuprofen can make aspirin less effective in protecting your heart and blood vessels. If you must use both medications, take the ibuprofen at least 8 hours before or 30 minutes after you take the aspirin .
Ask a doctor or pharmacist before using any other cough, cold, or pain medicine. Many combination medicines contain ibuprofen or pseudoephedrine. Taking certain products together can cause you to get too much of this medicine.
What Other Drugs Will Affect Ibuprofen And Pseudoephedrine
Ask your doctor before using ibuprofen and pseudoephedrine if you take an antidepressant such as citalopram, escitalopram, fluoxetine , fluvoxamine, paroxetine , sertraline , trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.
Ask a doctor or pharmacist if it is safe for you to use ibuprofen and pseudoephedrine if you are also using any of the following drugs:
- a blood thinner
- heart or blood pressure medication, including a diuretic or “water pill” or
- steroid medicine .
This list is not complete. Other drugs may interact with ibuprofen, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
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Advil Cold & Sinus Caplets
For over 20 years, people have trusted Advil Cold & Sinus for powerful, non-drowsy relief of their tough cold and sinus symptoms.
Many people attribute sinus pressure to an increase in mucus which blocks their airways. While it is true that increased mucus is a symptom of the common cold, it is not always what makes you feel so stuffed up. Sinus congestion can also be associated with the swelling of the tissues in the nose known as inflammation. The result is a shrinking of your airways.
Advil Cold & Sinus combines the relief of a strong decongestant to open your airways with the power of Advil to relieve the pain commonly associated with sinus pressure.
Temporarily relieves these symptoms associated with the common cold or flu:
- headache
- minor body aches & pains
12 years of age and older:
- 1 caplet/liquid-gel every 4 to 6 hours while symptoms persist. If symptoms do not respond to 1 caplet/liquid-gel, 2 may be used.
- Do not use more than 6 caplets/liquid-gels in 24 hours unless directed by a doctor.
Under 12 years of age:
- Do not take
*Nonsteroidal anti-inflammatory drug
Inactive Ingredients:
- acetylated monoglycerides, carnauba wax, colloidal silicon dioxide, corn starch, croscarmellose sodium, methylparaben, microcrystalline cellulose, pharmaceutical glaze, pharmaceutical ink, povidone, pregelatinized starch, propylparaben, sodium benzoate, sodium lauryl sulfate, stearic acid, sucrose, synthetic iron oxides, titanium dioxide
Diabetes And Sick Days: What Meds Are Ok
In the midst of cold and flu season, you may wonder what medications are safe to take without greatly impacting blood glucose levels when you have diabetes. Overall, it’s the sickness that increases blood glucose in people with diabetes, not the medication used to treat it. However, some medications should be used with caution. Stacey O’Donnell, R.N., B.S., C.D.E., nurse manager, at Joslin Diabetes Center, goes over different types of medications and how they could impact your diabetes. Examples: Tylenol, Aspirin Effect on diabetes: No effect. Use cautiously if you have renal disease. Anti-inflammatory Examples: Ibuprofen, such as Advil, Motrin, Nuprin Effect on diabetes: No effect. Also should be used carefully if you have renal disease. Examples: Allegra, Bumex Effect on diabetes: Caution should be used in patients who have diabetes with renal disease, cardiac disease and high blood pressure. General guidelines for taking medications for people with diabetes are to avoid products containing sugar, such as sucrose, dextrose, fructose, lactose and honey, O’Donnell says. Also, choose products with little or no alcohol. A suggested list of sugar-free cough and cold medicines includes: Chlor-Trometon tablets Dimetapp Elixir Scot-Tussin DM Liquid Cerose-DM LiquidContinue reading > >
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Advil Cold And Sinus And Metformin Drug Interactions
Advil cold and sinus and Metformin drug interactions – from FDA reports Drug interactions are reported among people who take Advil cold and sinus and Metformin together. This review analyzes the effectiveness and drug interactions between Advil cold and sinus and Metformin. It is created by eHealthMe based on reports of 7 people who take the same drugs from FDA , and is updated regularly. 7 people who take Advil cold and sinus, Metformin are studied. Most common drug interactions by gender *: Agitation Blister , burning, freezing, chemical exposure) Atrial fibrillation Contusion Somnolence Agitation Atrial fibrillation Blister , burning, freezing, chemical exposure) * Approximation only. Some reports may have incomplete information. How to use the study: print a copy of the study and bring it to your health teams to ensure drug risks and benefits are fully discussed and understood. Want to find out more about the FDA reports used in the study? You can request them from FDA. Do you take Advil cold and sinus with Metformin? Advil cold and sinus has active ingredients of ibuprofen pseudoephedrine hydrochloride. It is often used in sinus headache. Metformin has active ingredients of metformin hydrochloride. It is often used in diabetesContinue reading > >
What Are The Possible Side Effects Of Ibuprofen And Pseudoephedrine
Get emergency medical help if you have signs of an allergic reaction: sneezing, runny or stuffy nose wheezing or trouble breathing hives swelling of your face, lips, tongue, or throat.
Get emergency medical help if you have signs of a heart attack or stroke:chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, leg swelling, feeling short of breath.
Stop using this medicine and call your doctor at once if you have:
- confusion, severe drowsiness, ringing in your ears, severe dizziness, feeling like you might pass out
- fast, pounding, or uneven heartbeat
- easy bruising or bleeding
- the first sign of any skin rash, no matter how mild
- signs of stomach bleeding–bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds
- liver problems–upper stomach pain, vomiting, tired feeling, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice
- kidney problems–little or no urinating, painful or difficult urination, swelling or rapid weight gain, feeling tired or short of breath
- nerve problems–fever, headache, neck stiffness, chills, increased sensitivity to light, seizure or
- severe skin reaction–fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads and causes blistering and peeling.
Common side effects may include:
- sleep problems or
- flushing .
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What Other Information Should I Know
If you are taking the 24-hour extended-release tablets, you may notice something that looks like a tablet in your stool. This is just the empty tablet shell, and this does not mean that you did not get your complete dose of medication.
Ask your pharmacist any questions you have about pseudoephedrine.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Who Should Not Take This Medication
Do not take this medication if you:
- are allergic or sensitive to ibuprofen, pseudoephedrine, or any ingredients of the medication
- are allergic to other NSAIDs or ASA
- are about to have or have just had heart surgery
- are dehydrated due to vomiting, diarrhea, or not drinking enough fluids
- are taking another NSAID
- are pregnant or breast-feeding
- have taken a monoamine oxidase inhibitor within the last 14 days
- have thyroid disease
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Typical Dosing For Ibuprofen/pseudoephedrine
Each caplet contains 200 mg of ibuprofen and 30 mg pseudoephedrine.
- Adults and children age 12 years and up: The typical dose is 1 caplet by mouth every 4 to 6 hours while you’re having symptoms. If your symptoms don’t get better with 1 caplet, you can take 2 caplets. Don’t use more than 6 caplets in 24 hours unless your provider specifically told you to do so.
- Children age less than 12 years: Do not use.
Stop Use And Ask A Doctor If
- you experience any of the following signs of stomach bleeding:
- feel faint
- have bloody or black stools
- have stomach pain that does not get better
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Sarah Wants Effective Relief For Her Sore Throat And Other Common Cold Symptoms
Sarah* has two young children who require constant supervision. She has had a fever for a day and woke up this morning to symptoms of a sore throat, sinus pain and body ache. Since she works from a home office and is on virtual calls or on her phone frequently, she needs to be extra alert of balancing the needs of her family even though she is suffering from the symptoms of a cold or flu. Sarah is hoping for effective relief, especially from her sore throat, so she can stay on top of everything.
Her symptoms: Sore throat, sinus pain, body ache and fever.
Advil Cold, Sinus and Flu Extra Strength is indicated to treat pain and fever related to a cold and flu. Studies have demonstrated a proven effect of Advil on:1,2
- sore throat pain
What May Interact With This Medicine
Do not take this medicine with any of the following medications:
- bromocriptine
- ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
- methotrexate
- steroid medicines like prednisone or cortisone
- St. John’s Wort
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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Potential Harm To Unborn Baby
- Risk factors: Currently pregnant
If you’re pregnant, talk to your provider first about the risk and benefits of ibuprofen/pseudoephedrine before using this medication. Pseudoephedrine might be linked to birth defects if taken during the first trimester of pregnancy. Ibuprofen can cause problems to your unborn baby or complications during delivery if taken during the second half of pregnancy.
Other Uses For This Medicine
This medication is also sometimes used to prevent ear pain and blockage caused by pressure changes during air travel or underwater diving. Talk to your doctor or pharmacist for more information.
This medication is sometimes prescribed for other uses ask your doctor or pharmacist for more information.
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What Is This Medicine
IBUPROFEN PSEUDOEPHEDRINE is a combination of a non-steroidal anti-inflammatory drug and a decongestant. It is used to treat the aches and pains, congestion, and fever of the common cold, flu, or sinus problems.
This medicine may be used for other purposes ask your health care provider or pharmacist if you have questions.
COMMON BRAND NAME: Advil Cold and Sinus, Advil Flu and Body Ache, Dristan Sinus, Motrin Cold and Sinus, Motrin Sinus Headache
What Should I Do If I Forget A Dose
This medication is usually taken as needed. If your doctor has told you to take pseudoephedrine regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
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How To Take Advil Sinus Congestion & Pain
Use Advil Sinus Congestion & Pain exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Use exactly as directed on the label, or as prescribed by your doctor. Use the lowest dose that is effective in treating your condition.
Swallow the tablet whole and do not crush, chew, or break it.
Take this medicine with a full glass of water.
Take with food or milk if this medicine upsets your stomach.
If you need to have any type of surgery, tell the surgeon ahead of time if you have taken this medicine within the past few days.
Store at room temperature away from moisture and heat.
Since cold medicine is used when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.
Advil And Metformin Drug Interactions
Do not stop taking any medications without consulting your healthcare provider. Disclaimer: Every effort has been made to ensure that the information provided by Multum is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. Multum’s information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill, knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Multum Information Services, Inc. does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. Copyright 2000-2018 Multum Information Services, Inc. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse, or pharmacist. Some mixtures of medications can lead to serious and even fatal consequences.Continue reading > >
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Pseudoephedrine May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:
- restlessness
- difficulty breathing
- fast, pounding, or irregular heartbeat
Pseudoephedrine may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .