Ibuprofen Sandoz
Ibuprofen Sandoz is a pain and inflammation reliever belonging to the NSAID group of medicines.
Form
tabletti, kalvopäällysteinen
Strength
600 mg
Active Ingredient
Ibuprofen
Manufacturer
Sandoz A/S
How to Use
Dosage
Take 300-600 mg of ibuprofen per dose, with a recommended daily dose of 1200-1800 mg, divided into several doses.
Method
Take the tablets by mouth with a glass of water. If you have a sensitive stomach, take it with a light meal. The tablet can be divided into equal halves.
Important
Do not exceed 2400 mg per day, divided into several doses.
Possible Side Effects
COMMON
- •Heartburn, stomach ache, nausea, diarrhea, vomiting, gas, and constipation.
- •Minor bleeding in the digestive tract, which can sometimes lead to anemia.
- •Headaches, dizziness, sleeplessness, agitation, irritability, and tiredness.
- •Stomach ulcers (possibly with bleeding or perforation), mouth sores, worsening of existing bowel diseases (like colitis or Crohn's disease), gastritis.
RARE
- •Allergic reactions with skin rash and itching, and asthma attacks (possibly with a drop in blood pressure).
- •Decreased urine output and swelling (especially in patients with high blood pressure or reduced kidney function), cloudy urine, inflammatory kidney disease, which can lead to sudden kidney failure, or signs of kidney damage (like pain in the side or abdomen, blood in urine, fever).
- •Vision disturbances.
- •Ringing in the ears (tinnitus), hearing loss.
- •Severe allergic reactions with swelling of the face, tongue, and throat, shortness of breath, rapid heart rate, low blood pressure, and even life-threatening shock.
- •Disorders affecting blood cells (e.g., anemia, low white blood cell count, low platelet count) with symptoms like fever, sore throat, mouth sores, flu-like symptoms, severe tiredness, nosebleeds, and skin bleeding.
- •Severe skin reactions like widespread rash, redness, blisters, peeling skin (Stevens-Johnson syndrome, toxic epidermal necrolysis), hair loss.
- •Palpitations, heart failure, heart attacks, swelling (edema), and high blood pressure, especially with high doses.
- •Symptoms of meningitis (inflammation of the membranes around the brain and spinal cord) like stiff neck, headache, nausea, vomiting, fever, or confusion.
- •Liver damage (first signs can be changes in skin color), especially with long-term treatment; liver failure, acute hepatitis (liver inflammation), reduced liver function.
- •Mental health issues like psychotic reactions, hallucinations, confusion, depression.
- •Tingling sensations (paresthesia) and inflammation of the optic nerve.
- •Asthma, shortness of breath, tightening of airways.
- •Esophagus inflammation, pancreatitis (inflammation of the pancreas), narrowing in the intestines.
- •In rare cases, severe skin infections and soft tissue complications can occur during chickenpox.
- •Skin sensitivity to light (photosensitivity).
- •Skin reactions with high fever, rash, enlarged lymph nodes, and swelling, also known as DRESS syndrome or AGEP (acute generalized exanthematous pustulosis).
- •Inflammation of the nasal lining (rhinitis).
- •Kounis syndrome (a severe allergic reaction affecting the heart).
- •Worsening kidney function.
Important Warnings
- Do not take this medicine if you are allergic to ibuprofen or similar pain relievers (NSAIDs) like aspirin, or if you have had an allergic reaction (e.g., asthma, runny nose, rash, swelling of the face) after taking them.
- Do not use if you have severe liver, kidney, or heart failure.
- Do not use during the last three months of pregnancy.
- Do not take if you have an active stomach or duodenal ulcer, or bleeding in your digestive tract, or a history of these issues.
- Do not take if you are severely dehydrated (e.g., from vomiting or diarrhea).
Show 6 more warnings
- Do not take if you have a disorder affecting blood cell formation or a tendency to bleed easily.
- Taking high doses of NSAIDs like ibuprofen may slightly increase the risk of heart attack or stroke. Do not exceed the recommended dose or treatment duration.
- Stop taking this medicine and contact a doctor immediately if you experience breathing difficulties, swelling of the face, tongue, or throat, chest pain, or severe skin reactions (rash, blisters, peeling skin, mouth sores).
- Long-term use of pain relievers for headaches can make headaches worse. If this happens, stop treatment and talk to your doctor.
- Avoid using this medicine if you have chickenpox, as it may worsen skin infections.
- Limit or avoid alcohol during treatment, as it can increase the risk of digestive problems.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. For short-term use only. Consider adverse renal effect in chronic kidney disease. Do not use in severe renal impairment. Increases swelling, worsens renal and heart failure and causes cardiovascular events. Increases risk of bleeding, especially in the gastrointestinal tract. Consider potential interactions especially with preparations that increase risk of bleeding. (updated 16.9.2024)