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Nurofen Period Pain Soft Capsules

£9.9£99Clearance
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The risk of respiratory depression is greater with the use of high doses of opioids, especially high potency and modified release formulations, and in opioid naïve patients. Initiation of opioid treatment should be at the lower end of the dosage recommendations with careful titration of doses to achieve effective pain relief. Careful calculation of equianalgesic doses is required when changing opioids or switching from immediate release to modified release formulations, together with consideration of pharmacological differences between opioids. Consider starting the new opioid at a reduced dose to account for individual variation in response. Corticosteroids: as these may increase the risk of gastrointestinal ulceration or bleeding (see Section 4.4)

Follow all directions given to you by your pharmacist or doctor carefully. They may differ from the information contained in this leaflet. This medicinal product can mask symptoms of infection, which may lead to delayed initiation of appropriate treatment and thereby worsening the outcome of the infection. This has been observed in bacterial community acquired pneumonia and bacterial complications to varicella. When this medicine is administered for pain or fever in relation to infection, monitoring of infection is advised. In non-hospital settings, the patient should consult a doctor if symptoms persist or worsen. Use of codeine containing products is contraindicated in women during breast feeding (see Section 4.6 Fertility, Pregnancy and Lactation, Use in lactation). anti-blood-clotting (anticoagulant) medicines such as warfarin, dabigatran, apixaban, rivaroxaban, heparin and low molecular weight heparins such as enoxaparinNever use ibuprofen gel, mousse or spray on your eyes, mouth, lips, nose or genital area. It may make them sore. Do not put it on sore or broken skin.

Ibuprofen may reduce the removal of the following medicines from the body and so may increase the risk of side effects of these medicines: Depending on your body's individual ability to break down codeine, you may be getting reduced benefit or experience signs of overdose even when you take Nurofen Plus as recommended by your doctor. If overdose symptoms occur, seek immediate medical advice. If you use too much Nurofen Plus Do not worry if you occasionally forget to use ibuprofen gel, mousse or spray, just carry on using it when you remember. If you put on too much ibuprofen gel, mousse or spray If you are about to be started on any new medicine tell your doctor and pharmacist that you are taking Nurofen Plus.If you take ibuprofen 3 times a day, leave at least 6 hours between doses. If you take it 4 times a day, leave at least 4 hours between doses. Be careful before you drive or use any machines or tools until you know how Nurofen Plus affects you. Bronchospasm may be precipitated in patients suffering from, or with a history of, bronchial asthma or allergic disease. Renal tubular acidosis and hypokalaemia may occur following acute overdose and in patients taking ibuprofen products over long periods at high doses (typically greater than 4 weeks), including doses exceeding the recommended daily dose. Nurofen Plus should only be used when your doctor decides that other treatment options are not able to effectively manage your pain or you cannot tolerate them.

Also see Section 4.4 Special Warnings and Precautions for Use, Paediatric use; Section 4.6 Fertility, Pregnancy and Lactation, Use in lactation.) The risk of addiction is increased in patients with a personal or family history of substance abuse (including alcohol and prescription and illicit drugs) or mental illness. The risk also increases the longer the drug is used and with higher doses. Patients should be assessed for their risks for opioid abuse or addiction prior to being prescribed Nurofen Plus. Gastrointestinal bleeding, ulceration and perforation which can be fatal, has been reported with all NSAIDs at any time during treatment, with or without warning symptoms or a previous history of serious GI events.Ibuprofen also comes as unbranded or generic tablets, capsules, caplets, modified-release tablets and capsules, sachets of granules and suspensions (liquids). These are widely available without a prescription from pharmacies and general retail outlets such as supermarkets, or may be prescribed by your doctor. aged between 12-18 years in whom respiratory function might be compromised, including post tonsillectomy and/or adenoidectomy for obstructive sleep apnoea (see Section 4.3 Contraindications; Section 4.4 Special Warnings and Precautions for Use, Paediatric use). Tolerance, dependence and withdrawal. Neuroadaptation of the opioid receptors to repeated administration of opioids can produce tolerance and physical dependence. Tolerance is the need for increasing doses to maintain analgesia. Tolerance may occur to both the desired and undesired effects of the opioid. Use with concomitant NSAIDs, including cyclo-oxygenase-2 specific inhibitors - increased risk of adverse reactions. GI bleeding, ulceration or perforation, which can be fatal has been reported with all NSAIDs at any time during treatment, with or without warning symptoms or a previous history of GI events.

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