If You Are An Adult Over 60
How Do I Store And/or Throw Out This Drug
- Store at room temperature in a dry place. Do not store in a bathroom.
- Protect from heat.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
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 doctor’s advice if you are pregnant.
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What Is Ibuprofen And Pseudoephedrine
Ibuprofen is a nonsteroidal anti-inflammatory drug . Ibuprofen works by reducing hormones that cause inflammation and pain in the body.
Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion .
Ibuprofen and pseudoephedrine is a combination medicine used to treat stuffy nose, sinus congestion, cough, and pain or fever caused by the common cold or flu.
Ibuprofen and pseudoephedrine may also be used for purposes not listed in this medication guide.
Renal Safety Profile In Children
There was no observable risk of acute renal failure in children treated with ibuprofen:
Boston University Fever Study , 2003 4**
- Observed risk of acute renal failure for each among 55,785 children was 0 per 100,000
- Renal impairment in adult ibuprofen users occurs primarily among patients with preexisting renal disease or other conditions associated with low intravascular volume or low cardiac output.
- It is unclear how this data applies to children and is often not comparable due to the absence of many factors .
Childrens Analgesic Medicine Project , 1999 3**
- Amongst the study participants: 14,281 children < 2 years old or 15,863 children 2 or < 12 there were no reported cases of acute renal failure in the ibuprofen or acetaminophen treatment groups
Ashraf et al., 1999 conducted a multicentre, all-comers, open-label, nonrandomized, multiple dose, actual use prospective study comparing the safety of ibuprofen suspension with acetaminophen suspension in children with fever and/or pain. A total of 424 pediatricians enrolled children at 69 US clinics 14,281 were < 2 years of age and 15,863 were 2 to < 12 years of age. Children aged 1 month to 18 years were studied.
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Amanda Needs Safe Fast And Effective Relief For Her Fever And Cold And Flu Symptoms
Amanda is a busy 6 year old girl who loves music and gymnastics. She is missing class today after her mom confirmed that she has a temperature. Amanda has also started to complain of a sore throat and feeling unwell. Her mom wants to relieve her daughters cold and flu symptoms with a safe, effective option and is seeking some advice on what product to choose.*
Her symptoms: Fever and sore throat.
Childrens Advil Cold & Flu Multi-symptom is an oral suspension designed to relieve fever and pain in children 612 years old. Doses may be repeated every 6 hours while symptoms persist and up to 4 doses per day or as directed by a doctor. The dosing is flexible based on age or weight.1
* Fictional case study.
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 it’s almost time for your next dose. Do not use two doses at one time.
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See Your Childs Doctor
Sometimes even the best at-home care isnt enough to help your little one make a full recovery. Call your doctor right away if your child:
- has a fever greater than 101°F for more than two days, or a fever of 104°F or higher for any amount of time
- has a fever of 100.4°F or higher and is under 3 months old
- has a fever that doesnt get better after taking acetaminophen or ibuprofen
- seems unusually drowsy or lethargic
- wont eat or drink
- is wheezing or is short of breath
You should always call your childs pediatrician if you have any concerns or questions about their health.
Surviving Cold And Flu Season
After your child recovers from a cold or flu, its time to go into prevention mode. Wash all surfaces they came into contact with before or during their sickness. Encourage your children and your other family members to wash their hands regularly to keep future germs at bay.
Teach your child not to share food, drinks, or utensils when they eat to avoid spreading germs between them and their friends. Keep your child out of daycare or school when theyre ill, especially when they have a fever.
The good news about cold and flu season is that it does come and go. Showing your child some loving care and taking steps to put them on the mend can help you make it through cold and flu season.
Last medically reviewed on May 31, 2019
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Why Do We Have Different Versions
There are two reasons why we have adult and child versions of the same medicine.
It is convenient because we can pack more medicine into an adult form, so you don’t need to take quite as much. Also, most children have trouble swallowing pills or even bad-tasting liquid medicine. We go to lots of trouble to make medicine so that people who need it are willing and able to use it. Can you imagine if all medicine was provided by a rectal suppository?
Be Mindful Of Health Conditions
Children who have some health conditions should not take certain cold medications as these could worsen the condition and/or increase their risk of serious complications.
Some of these conditions include:
- Asthma, a disease that impacts the lungs and breathing
- Thyroid disease, a condition that impacts how much hormone this gland makes
- Peptic ulcer, or a sore on the lining of the stomach or small intestine
- Heart disease, or different conditions that impact the heart
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How To Take It
You can take pseudoephedrine tablets and liquid with or without food. Always take the tablets with a glass of water.
Liquid medicines containing pseudoephedrine come with a plastic syringe or spoon to help you measure out the right dose.
If you do not have a syringe or spoon, ask a pharmacist for one. Do not use a kitchen teaspoon as you will not get the right amount.
Doctors And Scientists Agree That Covid
Ibuprofen/Advil is a leading over-the-counter fever and pain reliever that has been used safely and effectively for over 35+ years in 40 countries.* At GSK, the makers of Advil, safety remains our number one priority, and we support the scientific pursuit of evidence for ibuprofen/Advils safe use.
*When used as directed
According to current scientific literature and leading health agencies including the FDA, WHO, CDC, NHS and EMA, there is no evidence that OTC ibuprofen/Advil makes COVID-19 symptoms worse.
The World Health Organization lists ibuprofen as an essential medicine for treating pain & fever associated with mild COVID-19 symptoms.
The CDC recommends taking pain relievers like ibuprofen to relieve side effects after a COVID-19 vaccination, if you have no other medical reasons that prevent you from taking these medications normally.
Safety remains GSKs number one priority, and we support the ongoing scientific pursuit of data that builds upon ibuprofen/Advil’s safety profile.
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How To Cope With Side Effects
What to do about:
- feeling or being sick â try taking pseudoephedrine with or after a meal or snack. It may also help if you do not eat rich or spicy food. If you have been sick, drink plenty of water by having frequent sips to avoid dehydration. Signs of dehydration include peeing less than usual or having strong-smelling pee.
- headaches â make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask a pharmacist to recommend a painkiller. If your headache does not go away, stop taking pseudoephedrine or see your doctor. It may be because pseudoephedrine can increase your blood pressure.
- dry mouth â chew sugar-free gum or suck sugar-free sweets.
- feeling restless, nervous or shaky â stop taking pseudoephedrine and talk to a doctor if symptoms do not go away. Ask a pharmacist about trying a different medicine.
- difficulty sleeping â try not to have a big meal in the evening and avoid drinking alcohol, tea or coffee. Try not to watch television or use your mobile phone before going to bed. Try to relax for an hour before bedtime.
Warnings For Children Under Age 2
The Food and Drug Administration does not recommend over-the-counter cough or cold medications for kids under 2 years of age “because they could cause serious and potentially life-threatening side effects.”
Possible risks of cold medicine use in babies and toddlers include:
- Abnormally slow breathing
- Convulsions, which describe when the body involuntarily moves and spasms due to disrupted activity in the brain
Although the risk is dose-dependent, it can be extremely difficult to dose infants accurately. Accidental overdoses of OTC cold medicines have led to death in children under 2.
The Consumer Healthcare Products Association , which represents the companies that make most cold medicines, expanded the FDA warning. The organization currently advises against the use of OTC cough and cold medicines for children under 4.
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Is Ibuprofen/advil A Medicine That Can Increase The Risk Of Getting Coronavirus
No, ibuprofen does not increase your risk of getting coronavirus .
As a leader in the OTC pain category, GSK Consumer Healthcare is committed to consumer safety, and we are constantly re-evaluating the rapidly evolving COVID-19 situation alongside public health authorities. Based on currently available information, The World Health Organization does not recommend against the use of ibuprofen, and the Centers for Disease Control and Prevention is currently not aware of scientific evidence establishing a link between NSAIDs and worsening of COVID 19.
Consumer safety is our number one priority. Ibuprofen is a well-established medicine that has been used safely for many years as a fever and pain reducer. Our ibuprofen products are effectively used by millions of consumers across 40 markets and have been available as over-the-counter medicines for more than 35 years. All medicines are strictly regulated to ensure they comply with local healthcare authority requirements.
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.
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What Are The Forms And Dosages
DayQuil comes in liquid-filled capsules called LiquiCaps. It also comes as a liquid that you drink. The following table lists the recommended dosage for each form by age group. Ask your doctor for the correct dosage for children ages 4 to 5 years, and dont give DayQuil to children who are younger than 4 years.
| Recommended dosage |
- swelling of your face, throat, tongue, or lips
- swelling of your hands, legs, ankles, or feet
Contact your doctor right away or get emergency medical help if you have any of these symptoms while taking DayQuil.
Cautions With Other Medicines
Some medicines and pseudoephedrine interfere with each other and increase the chances of you having side effects.
Check with a pharmacist or doctor if you’re taking:
- antidepressants known as monoamine oxidase inhibitors
- digoxin, a medicine for heart failure
- tricyclic antidepressants, such as amitriptyline
- ergot alkaloids, such as ergotamine
Pseudoephedrine is sometimes mixed with painkillers, such as cough and cold remedies.
Before taking any other medicines, check the label to see if they contain aspirin, paracetamol or ibuprofen.
Ask a pharmacist if you’re not sure.
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Giving Medicine To Children
Make sure you don’t give your child more than one medicine with ibuprofen. For example, ibuprofen can be found in many allergy and cold remedies. Read the label before giving any medicine to children. You should not give medicine with more than one active ingredient to children under age 6 years.
There are important child medicine safety tips to follow.
- Carefully read all of the instructions on the label before giving your child medicine.
- Make sure you know the strength of the medicine in the bottle you purchased.
- Use the syringe, dropper, or dosing cup that comes with your child’s liquid medicine. You can also get one at your local pharmacy.
- Make sure you are using the right unit of measurement when filling medicine. You may have the option of milliliters or teaspoon dosing.
- If you are not sure what medicine to give your child, call your provider.
Children with certain medical conditions or taking certain medicines should not take ibuprofen. Check with your provider.
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
- corticosteroids
- cyclosporine
- deferasirox
- diabetes medications
- dorzolamide
- ergot alkaloids
- fast-acting bronchodilators
- glucosamine
- herbs that may increase the risk of bleeding
- 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
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If Your Child Takes Too Much
Be sure to post the number for the poison control center by your home phone. If you think your child has taken too much medicine, call the poison control center at 1-800-222-1222. It is open 24 hours a day. Signs of poisoning include nausea, vomiting, fatigue, and abdominal pain.
Go to the nearest emergency room. Your child may need:
- Activated charcoal. Charcoal stops the body from absorbing the medicine. It has to be given within an hour. It does not work for every medicine.
- To be admitted to the hospital to be monitored.
- Blood tests to see what the medicine is doing.
- To have his or her heart rate, breathing rate, and blood pressure monitored.
Tylenol Dosage For Childrens & Infants Medicine
Children’s medicines are formulated to deliver the right amount of medicine to your little one. No matter the medicine or brand, always read and follow the label on the bottle before giving a dosage.
Only the dosing device provided with the product should be used to measure the proper amount of medicine.
Do not use more than one product containing acetaminophen at the same time. Ask your healthcare professional about dosages for children under 2 years of age.
For more information on administering TYLENOL® Children’s & Infants medication, see our guide below or ask your pediatrician.
If possible, use weight to dose, otherwise use age. Do not exceed more than five doses in 24 hours.
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