Advil Cold And Sinus Warnings

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.

What Side Effects Are Possible With This Medication

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• abdominal pain
• nervousness
• vomiting

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• blurred vision or other eye symptoms
• dizziness
• fluid retention
• ringing in the ears
• signs of clotting problems
• skin rash

Stop taking the medication and seek immediate medical attention if any of the following occur:

• signs of bleeding in the stomach
• symptoms of a severe allergic reaction

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Stop Using This Medicine And Call Your Doctor Immediately If You Have:

• Easy bruising or bleeding
• The first sign of any rash, no matter that it is very slight
• Signs of bleeding in the stomach-bloody stools or tarry, coughing up blood or vomit that looks like coffee grounds
• Kidney problems – urinate little or nothing or short of breath
• Confusion, severe drowsiness, feeling light-headed, Heart beats fast or intense ringing in your ears
• Clay liver problems – pain in the upper part of the stomach, vomiting, feeling tired, symptoms similar to the flu, loss of appetite, dark urine, colored stools, jaundice
• Nerve problems – fever, headache, the stiffness of the neck, chills, increased sensitivity to light, convulsions.

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What Are The Possible Side Effects Of Advil Ibuprofen And Pseudoephedrine

Advil can cause side effects. However, for most people, it is compatible.

About this medication reported adverse events include sneezing, nose runny or congested wheezing or difficulty breathing hives gastric intestinal disorders, head pain, dizziness or fatigue swell, throat, tongue lips, or and more.

How Should I Take Advil Cold & Sinus

Use exactly as directed on the label, or as prescribed by your doctor. An overdose of ibuprofen can damage your stomach or intestines.

Take Advil Cold & Sinus 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.

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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.

What Happens If I Miss A Dose

As ibuprofen and pseudoephedrine are used when they are needed, you may not be on a schedule of doses. If you are on a schedule of doses, use the doses that stopped using it as soon as you remember. Skip the dose that ceased to use if it is almost time for the next dose. Do not use more medicine to achieve the dose that stopped using.

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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.

Can I Take Ibuprofen And Pseudoephedrine If Im Pregnant Or Breastfeeding

If you are pregnant, you should not take ibuprofen and pseudoephedrine 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.

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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.

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.

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What To Do If You Miss A Dose Of Advil Cold/sinus

• Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

• Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.

Urgent Advice: Call 111 For Advice Now If:

• you take too much pseudoephedrine

Taking too much pseudoephedrine can be dangerous.

It can make you restless or your heartbeat fast, and make you feel sick or vomit. You may also have difficulty peeing.

Go to 111.nhs.uk or call 111.

If you need to go to A& E, do not drive yourself. Get someone else to drive you or call for an ambulance.

Take the pseudoephedrine packet or leaflet inside it, plus any remaining medicine, with you.

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What Are The Side Effects Of Ibuprofen/pseudoephedrine

With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.

Contact your doctor immediately if you experience any of the following:

• Heart attack: chest pain or tightness, pain that radiates up to your shoulder, arm, neck, or jaw
• Stroke: chest pain, trouble breathing, weakness in one part of your body or face, slurred speech, leg swelling
• Stomach bleeding: feeling faint, vomiting blood, bloody or dark stools, severe stomach pain or discomfort
• Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing, skin reddening

The following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.

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

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Where Should I Keep My Medicine

Keep out of the reach of children.

This medicine may cause accidental overdose and death if taken by other adults, children, or pets. Mix any unused medicine with a substance like cat littler or coffee grounds. Then throw the medicine away in a sealed container like a sealed bag or a coffee can with a lid. Do not use the medicine after the expiration date.

Store at room temperature between 20 and 25 degrees C .

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.

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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Advil Cold And Sinus Overview

Advil Cold and Sinus is an over the counter medication used to treat the symptoms of colds, sinus congestion, and the flu. It is a single product containing 2 medications: ibuprofen and pseudoephedrine. Advil Cold and Sinus belongs to a group of drugs called non-steroidal anti-inflammatory drugs and nasal decongestants. It works by providing pain/headache relief while reducing the congestion of the sinuses and nasal passages.

This medication comes in a caplet and capsule form and is taken every 4 to 6 hours, with a maximum of 6 caplets/capsules per day. Advil Cold and Sinus may be taken with food or milk.

Common side effects of Advil Cold and Sinus include stomach upset, fast heart rate and shakiness.

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
• Administration
• Take with food or milk if stomach upset occurs

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Can Advil Cold & Sinus Cause Any Cardiovascular Side Effects

Cardiovascular side effects in Advil Sinus users are rare, occurring in roughly 1-3% of patients. Symptoms include swelling of fingers and toes, high blood pressure and peripheral edema. Research shows that a chief ingredient of Advil Cold & Sinus, pseudoephedrine, may increase the severity of previous hypertension issues. Pseduophedrine may also be responsible for additional cardiovascular side effects such as coronary artery spasm and chest pain.

Find out whether you are predisposed to heart arrhythmias, as Advil Cold & Sinus is known to increase the likelihood of future incidents of arrhythmia in a small percentage of patients.

What Is The Most Important Information I Should Know About Ibuprofen And Pseudoephedrine

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 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, 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:

• heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke
• a heart attack, stroke, or blood clot
• stomach ulcers or bleeding

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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.

What Other Drugs Could Interact With This Medication

There may be an interaction between ibuprofen – pseudoephedrine and any of the following:

• acetazolamide
• alpha-blockers
• aminoglycoside antibiotics
• amphetamines
• angiotensin-converting enzyme inhibitors
• angiotensin receptor blockers
• anticoagulants
• antipsychotics
• atomoxetine
• “azole” antifungals
• beta-adrenergic blockers
• bimatoprost
• calcium channel blockers
• cannabis
• corticosteroids
• cyclosporine
• deferasirox
• diabetes medications
• digoxin
• diuretics
• dorzolamide
• ergot alkaloids
• fast-acting bronchodilators
• fentanyl
• glucosamine
• herbs that may increase the risk of bleeding
• imatinib
• long-acting bronchodilators
• lumacaftor and ivacaftor
• MAO inhibitors
• methotrexate
• other NSAIDs
• pemetrexed
• quinolone antibiotics
• selective serotonin reuptake inhibitors
• serotonin-norepinephrine reuptake inhibitors
• sodium phosphates
• theophyllines
• thyroid replacements
• ticagrelor
• topiramate
• tricyclic antidepressants

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

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Advil Cold & Sinus Side Effects

Get emergency medical help if you have signs of an allergic reaction or 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 Advil Cold & Sinus 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 bleeding–bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds

• liver problems–loss of appetite, stomach pain , tiredness, itching, dark urine, clay-colored stools, jaundice

• kidney problems–little or no urination, swelling in your feet or ankles, feeling tired or short of breath or

• nerve problems–fever, headache, neck stiffness, chills, increased sensitivity to light, seizure .

Common side effects may include: