If You Are An Adult Over 60
- management or monitoring precaution: Cardiovascular-Elderly are more sensitive to tachycardia and hypertensive effects. May exacerbate symptomatic coronary insufficiency. Genitourinary-May cause urinary retention. Neuro/Psych-May worsen cognitive impairment in some elderly with dementia. Insomnia risk.
- management or monitoring precaution: Gastrointestinal-Risk for ulceration or serious GI bleed highest with history of PUD or GI bleed. Renal-Risk for exacerbation of CKD. Cardiovascular-May exacerbate pre-existing hypertension or CHF. Risk of cardiovascular thrombotic events, including MI and stroke. This risk may occur early in treatment and increases with duration of use. Risk for reinfarction with minimal NSAID use post-MI. Contraindicated with CABG. Hepatic-Elevated hepatic transaminases may occur with chronic use.
What Should I Watch For While Using This Medicine
Tell your doctor or healthcare provider if your symptoms do not start to get better or if they get worse. See your doctor if fever, pain, or nasal congestion gets worse or lasts more than 3 days.
If this medicine makes it hard for you to sleep, try taking the dose earlier in the day. If you still have trouble sleeping stop taking this medicine and see your doctor.
This medicine may cause serious skin reactions. They can happen weeks to months after starting the medicine. Contact your healthcare provider right away if you notice fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. Or, you might notice a red rash with swelling of the face, lips or lymph nodes in your neck or under your arms.
What May Interact With This Medicine
Do not take this medicine with any of the following medications:
- steroid medicines like prednisone or cortisone
- St. Johnâs 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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Where Should I Keep My Medication
Keep out of the reach of children and pets.
This medicine may cause accidental overdose and death if taken by other adults, children, or pets.
Store at room temperature between 20 and 25 degrees C .
Get rid of any unused medicine after the expiration date.
To get rid of medicines that are no longer needed or have expired:
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
How Bad Is It To Take Expired Medication
Like mentioned above, taking expired medication is risky. We advise against taking expired medication because medication can become less effective after the expiration date. In addition, there is the risk of possible changes in the medications chemical composition or a decrease in potency. According to the FDA, once the expiration date has passed there is no guarantee that the medicine will be safe and effective.i
Expired medicines are a danger to the person they were prescribed to and to others in the household if taken by mistake.i
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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
How To Take Ibuprofen And Pseudoephedrine
Use Ibuprofen And Pseudoephedrine 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. An overdose of ibuprofen can damage your stomach or intestines.
Take this medicine with food or milk to lessen stomach upset.
If you need 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 this medicine is used when needed, you may not be on a dosing schedule. Skip any missed dose if its almost time for your next dose. Do not use two doses at one time.
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When Used As Directed For Acute Pain Otc Ibuprofen Is Well Tolerated2*
In the PAIN study, which included over 8,500 patients, total GI events and abdominal pain were less frequent with ibuprofen compared to ASA or acetaminophen ) 2,3
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*
GI: gastrointestinal ASA: acetylsalicylic acid OTC = over the counter.
* 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 .
What Are The Dosages Of Ibuprofen/pseudoephedrine
Dosages of Ibuprofen/Pseudoephedrine:
Dosage Considerations Should be Given as Follows:
Cold Symptoms
- Adults and children over 12 years: 1 caplet/capsule orally every 4-6 hours as needed may increase to 2 caplets/capsules every 4-6 hours if necessary while symptoms persist
- Not to exceed 6 doses/24 hours
- Children under 12 years: Safety and efficacy not established
- Take with food or milk if stomach upset occurs
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What Should I Avoid While Taking This Medicine
Avoid driving or hazardous activity until you know how Advil Allergy Sinus will affect you. Your reactions could be impaired.
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Ask a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They may contain ingredients similar to ibuprofen .
What Happens When You Go To The Counter
Instead of having products containing pseudoephedrine on the shelves, many pharmacies put cards with a photo and description of the medication on the display. This allows you to select what you want and bring it up to the pharmacist at the counter.
Also know that the pharmacy is supposed to be keeping track of your purchases of the behind-the-counter medications. Amy Lanctot, CVS spokesperson, tells SheKnows all their pharmacies are connected to the MethCheck database, and their electronic log system prevents sales of drugs that contain pseudoephedrine to an individual beyond the permissible limits set by federal and state laws.
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Can I Use Advil Products Beyond The Expiration Date
We recommend that the product not be used after the expiration date. All our products are assigned an expiration date, which is based upon extensive stability studies. The product is effective until the last day of the month noted on the package. The potency of the ingredients slowly diminishes over an extended period of time, and the expiration date is determined by the least stable ingredient in the product.
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How To Take Advil Cold & Sinus
Use Advil Cold & Sinus 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. An overdose of ibuprofen can damage your stomach or intestines.
Take this medicine with food or milk to lessen stomach upset.
If you need 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 this medicine is used when needed, you may not be on a dosing schedule. Skip any missed dose if its almost time for your next dose. Do not use two doses at one time.
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Steroid Or Corticosteroid Sprays
These sprays shrink swelling in the nasal passages. Some steroid sprays are available over the counter. Others require a prescription from a doctor.
In some people, steroid sprays can slightly improve congestion but are not effective for everyone. Steroid sprays can also cause side effects, such as headaches and nosebleeds.
What Is The Difference Between Advil Liqui
Each Advil dosage form is effective for all of the indications on the label. It is a personal choice as to which dosage form is preferred. Advil Liqui-Gels contain solubilized ibuprofen, which is a form that quickly absorbs into the body for fast pain relief. The oblong shape of the caplets are intended to make these forms easy to swallow.
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What Are The Side Effects Of Ibuprofen And Pseudoephedrine
Get emergency medical help if you have signs of an allergic reactionor a severe skin reaction .
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
- a skin rash, no matter how mild
- signs of stomach bleedingbloody or tarry stools, coughing up blood or vomit that looks like coffee grounds
- liver problemsloss of appetite, stomach pain , tiredness, itching, dark urine, clay-colored stools, jaundice
- kidney problemslittle or no urination, swelling in your feet or ankles, feeling tired or short of breath or
- nerve problemsfever, headache, neck stiffness, chills, increased sensitivity to light, seizure .
Common side effects may include:
- diarrhea, constipation
- sleep problems or
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How To Use This Medication
This medication is typically used every 6 hours. However, your doctor or pharmacist may have suggested a different schedule that is more appropriate for you. Generally, it is used only as needed.
Important: Follow the instructions on the label. Do not use more of this product, or more often, than prescribed. It is not advisable to chew or crush this medication since it has an unpleasant taste.
This medication may irritate the stomach, and should be taken with food. It is best to avoid coffee, spicy food or alcohol.
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Before Taking This Medicine
Ibuprofen can increase your risk of fatal heart attack or stroke, even if you don’t have any risk factors. Do not use this medicine just before or after heart bypass surgery .
Ibuprofen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using Advil Cold & Sinus, especially in older adults.
You should not use this medicine if you are allergic to ibuprofen or pseudoephedrine, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
Do not use Advil Cold & Sinus if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, tranylcypromine, and others.
Do not give ibuprofen to a child younger than 12 years old.
Ask a doctor or pharmacist if this medicine is safe to use if you have ever had:
-
enlarged prostate, urination problems.
If you are pregnant, you should not take Advil Cold & Sinus unless your doctor tells you to. Taking an NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.
Ask a doctor before using this medicine if you are breastfeeding.
Advil Cold & Sinus Interactions:
Hypertensive crisis with MAOIs. -blockers may increase the pressor effects of sympathomimetics. Caution with diuretics. Avoid aspirin, pseudoephedrine-containing products, other pain relievers or nasal decongestants. Increased risk of GI bleed with anticoagulants, corticosteroids, other OTC or Rx NSAIDs, 3 alcoholic drinks/day, or prolonged use.
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How Does This Medication Work What Will It Do For Me
This product is a combination of 2 medications: ibuprofen and pseudoephedrine. Ibuprofen is a nonsteroidal anti-inflammatory drug that reduces pain, fever, and inflammation by reducing a substance in the body that leads to inflammation and pain. Pseudoephedrine is a that relieves the symptoms of nasal and sinus congestion by reducing swelling in nasal passages and sinuses.
This medication is used to relieve nasal congestion, sinus congestion, sinus pain, fever, headache, sore throat, and body aches and pains that are associated with the common cold, sinusitis, or the flu.
Your doctor or pharmacist may have suggested this medication for conditions other than the ones listed in this drug information article. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor or pharmacist.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor or pharmacist has not recommended it.
What Are The Mild And More Common Side Effects Of Advil Cold & Sinus
All medications have side-effects. Consumers taking Advil Cold & Sinus potentially have a wide range of side effects. For example, the most common symptoms experienced by sinus sufferers after taking the medication include:
- Sudden changes in speech or vision
Of the above side effects, the most frequent are a rapid or irregular heartbeat, persistent drowsiness and severe vomiting. Contact your doctor if you feel the onset of any of these symptoms.
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Ask A Doctor Before Use If
- stomach bleeding warning applies to you
- you have problems or serious side effects from taking pain relievers or fever reducers
- you have a history of stomach problems, such as heartburn
- you have high blood pressure, heart disease, liver cirrhosis, kidney disease, asthma, thyroid disease, diabetes, have trouble urinating due to an enlarged prostate gland, or had a stroke
- you are taking a diuretic
Can Advil Cold & Sinus Have Adverse Effects On The Nervous System
Studies show that severe side effects on the central nervous system after taking Advil Cold & Sinus are very rare, and include pseduotumor cerebri, meningitis and paresthesias. Milder side effects are the result of the pseudoephedrine ingredient. They include headache, lethargy, and vertigo, but are easily treatable.
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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:
- 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:
*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
What Should I Discuss With My Healthcare Provider Before Taking Ibuprofen And Pseudoephedrine
Ibuprofen can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine.
Do not use this medicine just before or after heart bypass surgery .
Ibuprofen may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using ibuprofen and pseudoephedrine, especially in older adults.
You should not use this medicine if you are allergic to ibuprofen or pseudoephedrine, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
Do not use ibuprofen and pseudoephedrine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
Do not give ibuprofen to a child younger than 12 years old.
Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:
- enlarged prostate, urination problems.
Taking ibuprofen during the last 3 months of pregnancy may harm the unborn baby. Do not use ibuprofen and pseudoephedrine without a doctors advice if you are pregnant.
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