Advil PM (Generic Ibuprofen)
Actual product appearance may differ slightly.
Nonsteroidal anti-inflammatory drugs (NSAIDs) other than aspirin, such ibuprofen, may increase a person’s chance of having a heart attack or stroke compared to a person who does not use them. These occurrences could be fatal and could occur suddenly. For those who take NSAIDs for an extended period of time, this risk may be larger. If you have recently experienced a heart attack, avoid taking an NSAID like ibuprofen unless your doctor specifically instructs you to. Inform your doctor if you smoke, have high cholesterol, high blood pressure, or diabetes, or if you or anyone in your family has ever suffered from heart disease, a heart attack, or a stroke. If you suffer any of the following symptoms, get emergency medical attention right away: chest pain, breathlessness, a weakness on one side or arm, or slurred speech.
Ibuprofen should not be taken either just before or just after having a coronary artery bypass graft (CABG; a form of heart surgery).
Ibuprofen and other NSAIDs are known to increase the risk of stomach or intestinal ulcers, bleeding, or holes. These issues can arise at any point during therapy, without any prior symptoms, and they have the potential to be fatal. Long-term NSAID users, the elderly, persons in poor health, and those who consume three or more alcoholic beverages per day while taking ibuprofen may be at higher risk. If you use any of the following medications, let your doctor know: Aspirin, other NSAIDs like ketoprofen and naproxen (Aleve, Naprosyn), oral steroids like dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos), as well as anticoagulants (‘blood thinners’) like warfarin (Coumadin, Jantoven); selective serotonin reuptake inhibitors (SSRIs) include citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), and sertraline (Zoloft), as well as serotonin norepinephrine reuptake inhibitor (Effexor XR). Additionally, let your doctor know if you now or previously had an ulcer, gastrointestinal bleeding, or any other bleeding disorders. Call your doctor and stop taking ibuprofen if you notice any of the following symptoms: stomach pain, heartburn, bloody or coffee-ground-looking vomit, blood in the stool, or dark, tarry stools.
Keep all of your appointments with your physician and the lab. Your doctor will keep a close eye on your symptoms and most likely prescribe certain tests to determine how well your body is responding to ibuprofen. Inform your physician about your feelings so that they can prescribe the ideal dosage of medication to cure your problem with the least chance of negative side effects.
Ibuprofen should not be taken either just before or just after having a coronary artery bypass graft (CABG; a form of heart surgery).
The manufacturer’s patient information sheet (Medication Guide) will be sent to you by your doctor or pharmacist when you start taking prescription ibuprofen and each time you refill your prescription. If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.
Why is this medication prescribed?
Ibuprofen is a medication that is prescribed to treat rheumatoid arthritis and osteoarthritis, two types of arthritis that are characterised by pain, tenderness, swelling, and stiffness (arthritis caused by swelling of the lining of the joints). Menstrual pain and other mild to severe pain are also treated with it (pain that happens before or during a menstrual period). Ibuprofen, which is available without a prescription, is used to treat mild aches and pains such headaches, muscle aches, arthritis, menstrual cramps, the common cold, toothaches, and backaches as well as fever. Ibuprofen belongs to a group of drugs known as NSAIDs. It functions by halting the body’s production of a chemical responsible for inflammation, fever, and discomfort.
How should this medicine be used?
Ibuprofen for prescription use is available as an oral tablet. For pain relief, it is often given every 4 to 6 hours as needed or three to four times a day for arthritis. Ibuprofen is available over-the-counter in tablet, chewable tablet, suspension (liquid), and drop forms (concentrated liquid). For discomfort or fever, adults and children over 12 years old can often take over-the-counter ibuprofen every 4 to 6 hours as needed. Children and infants can often receive over-the-counter ibuprofen every 6 to 8 hours as needed for pain or fever, but no more than four doses should be given in a 24-hour period. To avoid stomach distress, ibuprofen may be taken with food or milk. If you regularly take ibuprofen, you should do so at the same time(s) each day. Ask your doctor or pharmacist to explain any instructions on the packaging or prescription label that you do not understand, and carefully follow them. Ibuprofen should be taken as prescribed. Never take it in larger or less amounts or more frequently than recommended on the box label or by your doctor.
Ibuprofen is sold both by itself and in combination with other drugs. These combination medicines are used to treat cough and cold symptoms as well as other conditions. Some of these combination products are only accessible with a prescription, while others can be purchased over-the-counter. You should be cautious not to use any over-the-counter drugs that include ibuprofen if your doctor has prescribed a medication that does.
Do not chew or crush the tablet; instead, swallow it whole.
Ask your doctor or pharmacist for recommendations on the best product for you if you’re choosing one to treat cough or cold symptoms. Before using two or more non-prescription products simultaneously, carefully read the labels on each one. If you take these products together, you can experience an overdose because they might both contain the same active ingredient. This is crucial if you plan to give children cough and cold drugs.
Products that contain ibuprofen and other cough-and-cold combos sold over-the-counter have the potential to kill young infants. Give these goods to kids who are under the age of four not at all. If you provide these goods to kids between the ages of 4 and 11, use caution and pay close attention to the instructions on the container.
You should carefully read the package label before providing ibuprofen or a combination product containing ibuprofen to a kid to ensure that it is the proper medication for a child of that age. Ibuprofen medications intended for adults should not be given to children.
Before giving an ibuprofen product to a child, read the package label to determine the recommended dosage. Use the dose on the chart that corresponds to the child’s age. If you are unsure about how much medication to give the child, consult their doctor.
Before each usage, thoroughly shake the suspension and drops to combine the medication. Use the given dosing equipment to measure each dose of the drops, and the accompanying measuring cup to measure each dose of the suspension.
A burning sensation in the mouth or throat could be brought on by the chewable tablets. Use food or water to ingest the chewable tablets.
If your symptoms worsen, you have new or unexpected symptoms, the area of your body that was hurting turns red or swollen, your pain lasts longer than 10 days, or your fever lasts longer than three days, stop taking nonprescription ibuprofen and contact your doctor. If your child does not begin to feel better within the first 24 hours of treatment, stop giving them non-prescription ibuprofen and contact your child’s doctor. In addition, stop giving your kid nonprescription ibuprofen and call your child’s doctor if they experience any new symptoms, such as redness or swelling on the affected area of their body, or if their fever persists for more than three days or gets worse.
If a child has a sore throat that is severe, persists, is accompanied by a fever, headache, nausea, or vomiting, do not give them non-prescription ibuprofen. Because these symptoms could be indicators of a more serious ailment, contact the child’s doctor straight once.
Other uses for this medicine
Ibuprofen is also occasionally used to treat psoriatic arthritis, gouty arthritis (joint pain brought on by a buildup of certain chemicals in the joints), and ankylosing spondylitis (arthritis that mostly affects the spine) (arthritis that occurs with a long-lasting skin disease that causes scaling and swelling). The dangers of using this medication for your illness should be discussed with your doctor.
Ask your doctor or pharmacist for more details if you’re interested in using this drug for any other conditions.
What special precautions should I follow?
Before taking ibuprofen,
- Inform your doctor and pharmacist if you have any allergies to any medications, including ibuprofen, aspirin, other NSAIDs like ketoprofen and naproxen (Aleve, Naprosyn), as well as any inactive substances in the brand of ibuprofen you intend to use. For a list of the inactive substances, consult the package label or ask your pharmacist.
- Inform your doctor and pharmacist about any prescription and over-the-counter drugs, vitamins, herbal items, and nutritional supplements you are now taking or intend to take. Make careful to bring up any of the following, along with any of the medications indicated in the IMPORTANT WARNING section: Benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril, and trandolapril (Mavik, in Tarka), as well as angiotensin-converting enzyme (ACE) inhibitors such quinapril (Accupril, in Quinaretic); candesartan (Atacand, Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, in Micardis HCT, in Twynsta), and atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), and propranolol (Hemangeol, Inderal, and Innopran); diuretics (‘water pills’); lithium (Lithobid); and methotrexate are beta block (Otrexup, Rasuvo, Trexall). Your physician might need to adjust the dosage of your drugs or keep a closer eye on you for adverse effects.
- Ibuprofen without a prescription should not be taken with any other painkillers unless your doctor specifically instructs you to.
- Inform your doctor if you have or have ever had asthma, any of the conditions listed in the IMPORTANT WARNING section, heart failure, swelling in the hands, arms, feet, ankles, or lower legs, lupus (a condition in which the body attacks many of its own tissues and organs, frequently the skin, joints, blood, and kidneys), or liver or kidney disease. This is especially important if you also have frequent stuffy or runny nose, nasal polyps (swelling If you are providing ibuprofen to a child, let the doctor know if they haven’t been getting enough fluids or if they’ve lost a lot of fluid through frequent vomiting or diarrhoea.
- Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. If ibuprofen is consumed after 20 weeks of pregnancy, it may harm the foetus and complicate delivery. Ibuprofen should not be taken during or after the first 20 weeks of pregnancy unless specifically advised to do so by your doctor. Call your doctor if you become pregnant while taking ibuprofen.
- Inform your doctor or dentist that you are taking ibuprofen if you are undergoing surgery, including dental surgery.
- If you are 75 years of age or older, discuss the advantages and disadvantages of taking ibuprofen with your doctor. Never use this medication for a longer time or at a higher dose than what is suggested by the manufacturer or your physician.
- Before taking ibuprofen without a prescription, carefully read the package label if you have phenylketonuria (PKU), a genetic illness that requires adherence to a particular diet to prevent brain damage that could result in severe intellectual incapacity. Aspartame, a phenylalanine source, may be used to sweeten some nonprescription forms of ibuprofen.
What special dietary instructions should I follow?
Keep eating normally unless your doctor instructs you otherwise.
What should I do if I forget a dose?
Take the missing dose of ibuprofen as soon as you remember it if you regularly take it. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.
What side effects can this medication cause?
Ibuprofen could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:
- Bloating or gas
- An earache that ringers
Some adverse effects can be very harmful. Call your doctor right away if you have any of the following symptoms or those listed in the IMPORTANT WARNING section. Ibuprofen should not be taken any further until you consult with your doctor.
- Unaccounted-for weight gain
- Respiratory issues or shortness of breath
- Abdomen, feet, ankles, or lower legs swelling
- Swelling of the hands, arms, hands, face, throat, or eyes
- Breathing or swallowing challenges
- Excessive fatigue
- Upper right stomach region discomfort
- Reduced appetite
- The skin or eyes turning yellow
- Flu-like signs
- Light skin
- Rapid heart rate
- Urine that is cloudy, discoloured, or bloody
- Back ache
- Uncomfortable or challenging urinating
- Vision issues such as blurry vision, colour vision abnormalities, or others
- Red or hurting eyes
- Rigid neck
Other negative effects of ibuprofen are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.
You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).
What should I know about storage and disposal of this medication?
Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom).
As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org
To make sure that pets, kids, and other people cannot take leftover pharmaceuticals, they should be disposed of in a specific manner. You shouldn’t flush this medication down the toilet, though. The best option to get rid of your medication is instead through a medication take-back programme. To find out about take-back initiatives in your neighbourhood, speak with your pharmacist or get in touch with your city’s waste/recycling department. If you do not have access to a take-back programme, you can find more information at the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p).
In case of emergency/overdose
Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.
Overdosage symptoms could include:
- Fast, uncontrollable eye motions
- Breathing slowly or stopping for brief durations of time
- Lips, mouth, and nose are all outlined in blue
What other information should I know?
Don’t let anyone else use your ibuprofen if it is a prescription drug. Any queries you may have regarding medication refills should be directed to your pharmacist.
You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.
- Motrin® IB
- Profen IB®