How Should I Use This Medicine
Take this medicine by mouth with a glass of water. Follow the directions on the package label. You can take it with or without food. If it upsets your stomach, take it with food. Try to not lie down for at least 10 minutes after you take the medicine. Take your medicine at regular intervals. Do not take it more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 12 years old for selected conditions, precautions do apply.
Patients over 65 years old may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
When A Cold Or The Flu Causes Sinus Pain
Understanding and treating sinus pain.
To understand sinus pain, you first have to understand what the sinuses are and what they do. Sinuses are air-filled spaces in our forehead, cheekbones, and behind the bridge of our nose. Their main function is to produce mucus to coat the inside of the nose and provide protection from dust, dirt, and organisms such as bacteria and viruses.
When the sinuses become inflamed, the mucus cant drain properly, and the result is a sinus headache. The pain of a sinus headache is usually deep and constant, and it is centered on the cheekbones, forehead, or bridge of the nose, and it tends to get worse with sudden movements of the head.
Colds and the flu are common causes of sinus inflammation. The viruses that cause colds and the flu can also infect the sinuses and cause the sinus membranes to become inflamed. This triggers your body to produce more mucus, which clogs your sinuses, causing pain and pressure.
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
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Is It A Cold Or The Flu
A helpful comparison of cold and flu symptoms.
You feel awful. Your nose is runny, you are tired, and you have a cough. Do you have a cold or did you catch the flu?
They are both respiratory illnesses and they share some common symptoms, so it can be difficult to tell them apart based on symptoms alone. However, there are differences that will help you determine what is causing your discomfort.
Comparison of Cold & Flu Symptoms
Common, temperature 38°C-40°C
Rare in adults but common in children may be accompanied by diarrhea & abdominal pain
Runny or stuffy nose
Sometimes in adults more common in children
Flu symptoms generally come on very suddenly and are more intense, while cold symptoms develop more gradually. Flu symptoms are usually worst for the first 3 or 4 days. In people who are generally healthy, the flu will likely last only 7 to 10 days, but it can take up to 2 weeks to get completely well. Colds usually last about 1 to 2 weeks.
If a child is sick and you arent sure what is causing it, it is best to check with a doctor to make sure the symptoms arent due to a serious illness such as a strep throat or pneumonia.
How Advil Cold & Sinus Works
Many people attribute the stuffiness associated with the cold or the flu 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 causes you to feel so stuffed up. Instead, the true source of nasal and sinus congestion is often caused by inflammation of the tissues throughout the nose and face. When the body identifies a virus it considers a threat, it springs to defense in various ways, one of which is by causing the airways within the nose and sinuses to swell and become inflamed.
Advil Cold & Sinus is a combination of pseudoephedrine and ibuprofen . The two work together to reduce nasal and sinus congestion caused by inflammation and lessen the pain associated with the common cold or the flu.
Recommended Reading: 3 Day Z Pack For Sinus Infection
Why Is Nighttime Worse
The reason why some symptoms worsen at night is unclear, but in the case of coughing several causes have been identified.
- Body position: When you are lying down, it can be harder for your body to clear mucus from your airways. Mucus can build up in your throat, triggering your body to cough. When you are awake during the day, you move around and swallow frequently, which reduces the nasal drainage. At night when you are less active, nasal congestion can increase.
- Dry air: Air conditioning and cooling fans in summer and heating in winter can dry the air, making throat irritation and coughing worse. A humidifier may help put moisture in the air, but you have to take care of the unit. If you dont clean it properly, you can recycle germs back into the air you breathe, worsening a cough, cold, or other respiratory infection. Using sterile water in the humidifier can help keep the air clean.
What Side Effects May I Notice From Receiving This Medicine
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- fast, irregular heartbeat
- pain, tingling, numbness in the hands or feet
- redness, blistering, peeling, or loosening of the skin, including inside the mouth
- severe stomach pain
- signs and symptoms of bleeding such as bloody or black, tarry stools red or dark-brown urine spitting up blood or brown material that looks like coffee grounds red spots on the skin unusual bruising or bleeding from the eye, gums, or nose
- signs and symptoms of a blood clot such as changes in vision chest pain severe, sudden headache trouble speaking sudden numbness or weakness of the face, arm, or leg
- trouble passing urine or change in the amount of urine
- unexplained weight gain or swelling
- unusually weak or tired
- yellowing of the eyes or skin
Side effects that usually do not require medical attention :
- nausea, vomiting
- trouble sleeping
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Read Also: Can A Sinus Infection Be Bacterial
When To Use Advil Multi
Advil Multi-Symptom Cold & Flu is an over-the-counter medication for cold and flu symptom relief. This medication should be used by those who are experiencing symptoms associated with the flu or the common cold, including:
- nasal swelling
Advil Multi-Symptom Cold & Flu is a safe, over-the-counter drug that can be used by people 12 years and older. Its available in the cold aisle of your local stores, or online retailers. As with all medications, make sure to read all directions to ensure the proper usage and if you have any concerns, consult your physician.
Three powerful ingredients to relieve your eight worst symptoms. One tough pill.
Advil Multi-Symptom Cold & Flu
What Are Some Side Effects That I Need To Call My Doctor About Right Away
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash hives itching red, swollen, blistered, or peeling skin with or without fever wheezing tightness in the chest or throat trouble breathing, swallowing, or talking unusual hoarseness or swelling of the mouth, face, lips, tongue, or throat.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- Shortness of breath, a big weight gain, or swelling in the arms or legs.
- Chest pain or pressure.
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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.
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
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Do Advil Gel Caps Contain Gluten
For instance, on the website for Advil gel caps, it will tell you they are contaminated with gluten because the gel contains a sugar alcohol, even though by the time they finish the process, the alcohol no longer contains a protein, the pharmacist says.
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 .
Recommended Reading: Advil Cold And Sinus Liquid Gels Directions
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
- No major adverse events related to renal injury were identified during the study10
- 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.
Advil Sinus Congestion & Pain
Advil Sinus Congestion & Pain combines the speed and strength of Advil and a proven nasal decongestant for fast, effective relief of sinus pressure and congestion associated with colds. Though mucus can contribute to the stuffed up feeling, nasal congestion is the swelling of the tissues in the nose and sinuses caused by inflammation. Advil Sinus Congestion & Pain re-opens your airways by constricting the blood vessels in your nose and sinuses.
Advil Sinus Congestion & Pain also treats the pain associated with colds. The philosophy behind Advil Sinus Congestion & Pain is that cold-sufferers who treat only nasal congestion or the pain associated with it really only address half the problem. Both pain and congestion are major symptoms of colds so it just makes sense to treat them both with just one tablet. Get fast, powerful relief with Advil Sinus Congestion & Pain.
Featured on Prevention.com in 11 Cold Medicines That Will Make You Feel Less Miserable. Read the full article.
Temporarily relieves these symptoms associated with the common cold or flu:
12 years of age and older:
- 1 tablet every 4 hours while symptoms persist.
- Do not use more than 6 tablets in 24 hours unless directed by a doctor.
Under 12 years of age
- Do not use
*Nonsteroidal anti-inflammatory drug
Use as directed. Read complete warnings and information.
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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.
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 .
Read Also: How To Get Over A Sinus Infection Quickly
Are All Medications Gluten Free
Q: How likely is it that a prescription or over the counter drug has gluten in its inactive ingredients? A: Few medications contain gluten, but every oral medication must be checked to make sure it is gluten-free, since current labeling regulations do not require gluten to be labeled in medications.
What May Interact With This Medicine
Do not take this medicine with any of the following medications:
- ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
- 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.
Also Check: How Did I Get A Sinus Infection
Treating A Cold & The Flu
While there is no cure for a cold or the flu, there are treatments that can help relieve the symptoms.
- Antipyretics/analgesics such as ibuprofen can reduce fever and pain.
- Antihistamines help dry out the nose.
- Antitussives can reduce coughing.
A product such as Advil Cold, Sinus and Flu Extra Strength can provide effective relief of 10 symptoms with just one pill, allowing your body to get the rest it needs in order to recover.