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.
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.
What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture .
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
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 itâs almost time for your next dose. Do not use two doses at one time.
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.
Can I Take Advil Cold & Sinus 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 âwater pillâ 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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Frequently Asked Questions About Ibuprofen/pseudoephedrine
How do I know if ibuprofen/pseudoephedrine is safe for me to take?
Ibuprofen/pseudoephedrine is generally safe to take, but it’s not the best choice for everyone. This medication might not be appropriate for you if you have certain conditions, such as a history of serious side effects from other cold medications, breathing problems, stomach or stomach bleed problems, kidney problems, heart problems, or a history of stroke. If you have any of these conditions or if you’re not sure whether ibuprofen/pseudoephedrine is safe for you, talk with your provider.
Can I use ibuprofen/pseudoephedrine only when I need it?
Yes, you can use ibuprofen/pseudoephedrine as needed. However, it’s recommended you take the medication on a scheduled basis while you’re having symptoms. Use the lowest effective dose for the shortest amount of time possible. Don’t use more than 6 caplets in a 24-hour period without talking to your provider first.
Can I use ibuprofen/pseudoephedrine if I’m pregnant?
If you’re pregnant, talk to your provider first before using ibuprofen/pseudoephedrine to see if it’s safe for you. This medication contains ibuprofen , which should be avoided during the second half of pregnancy because it might cause problems to your unborn baby or cause complications during delivery. This medication also contains pseudoephedrine, which might be linked to birth defects if taken during the first trimester of pregnancy.
Can I drink alcohol while taking ibuprofen/pseudoephedrine?
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Advil Sinus Congestion And Pain
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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.
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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.
Faq: How Often Can I Take Advil Cold And Sinus
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.
How often can you take Advil Cold and sinus?
- Adults and children 12 years of age and over: take 1 caplet every 4 to 6 hours while symptoms persist. If symptoms do not respond to 1 caplet, 2 caplets may be used. Do not use more than 6 caplets in any 24 -hour period unless directed by a doctor.
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
How Many Advil Cold And Sinus Can I Take
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Are There Any Other Precautions Or Warnings For This Medication
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
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.
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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.
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, or have trouble urinating due to an enlarged prostate gland
- you are taking a diuretic
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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.
How Should I Use This Medication
The usual recommended dose for adults and children older than 12 years is 1 or 2 caplets or liqui-gels every 4 to 6 hours as needed. Do not take more than 6 caplets or liqui-gels in 24 hours unless recommended by your doctor. Do not take for more than 3 days for a fever or for more than 5 days for cold symptoms.
For the childrens suspension, the dose depends on the childs age and weight and is given every 6 hours as needed. Do not give more than 4 doses a day unless recommended by your doctor. Use an oral syringe or medication cup to measure each dose of the suspension, as it gives a more accurate measurement than household teaspoons. Shake the suspension well before measuring a dose.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the one listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as recommended by your doctor or pharmacist. If you are taking this medication regularly and you miss a dose, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
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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.
Advil Sinus Congestion & Pain Interactions:
Hypertensive crisis with MAOIs. -blockers may increase the pressor effects of sympathomimetics. Caution with diuretics. Avoid aspirin, other pain relievers, nasal decongestants, or phenylephrine-containing products. Increased risk of GI bleed with anticoagulants, corticosteroids, other OTC or Rx NSAIDs, 3 alcoholic drinks/day, or prolonged use.
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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 .