3. Who can and can't take Ibugan
Some brands of Ibugan tablets, capsules and syrup contain aspartame, colourings (E numbers), gelatin, glucose, lactose, sodium, sorbitol, soya or sucrose, so they may be unsuitable for some people.
Do not take Ibugan by mouth or apply it to your skin if you:
- have had an allergic reaction to Ibugan or any other medicines in the past
- have had allergic symptoms like wheezing, runny nose or skin reactions after taking aspirin or other non-steroidal anti-inflammatory medicines (NSAIDs) such as naproxen
- are trying to get pregnant or are already pregnant
- have high blood pressure that's not under control
To make sure Ibugan (by mouth or on your skin) is safe for you, tell your doctor or pharmacist if you have:
- had bleeding in your stomach, a stomach ulcer, or a hole (perforation) in your stomach
- a health problem that means you have an increased chance of bleeding
- liver problems, such as liver fibrosis, cirrhosis or liver failure
- heart disease or severe heart failure
- kidney failure
- Crohn's disease or ulcerative colitis
- chickenpox or shingles - taking Ibugan can increase the chance of certain infections and skin reactions
If you're over 65 Ibugan can make you more likely to get stomach ulcers. Your doctor will prescribe you a medicine to protect your stomach if you're taking Ibugan for a long term condition.
Allergy alert: Ibugan may cause a severe allergic reaction, especially in people allergic to aspirin. Symptoms may include:
If an allergic reaction occurs, stop use and seek medical help right away.
Stomach bleeding warning: This product contains an NSAID, which may cause severe stomach bleeding. The chance is higher if you:
- have had stomach ulcers or bleeding problems
- take a blood thinning (anticoagulant) or steroid drug
- are age 60 or older
- take other drugs containing prescription or nonprescription NSAIDs
- have 3 or more alcoholic drinks every day while using this product
- take more or for a longer time than directed
- if you have ever had an allergic reaction to any other pain reliever/fever reducer
- right before or after heart surgery
Ask a doctor before use if
- stomach bleeding warning applies to you
- you have a history of stomach problems, such as heartburn
- you have high blood pressure, heart disease, liver cirrhosis, or kidney disease
- you are taking a diuretic
- you have problems or serious side effects from taking pain relievers or fever reducers
- you have asthma
Ask a doctor or pharmacist before use if you are
- under a doctor's care for any serious condition
- taking aspirin for heart attack or stroke, because Ibugan may decrease this benefit of aspirin
- taking any other drug
When using this product
- take with food or milk if stomach upset occurs
- the risk of heart attack or stroke may increase if you use more than directed or for longer than directed
Stop use and ask a doctor if
- you experience any of the following signs of stomach bleeding:
- feel faint
- have bloody or black stools
- vomit blood
- have stomach pain that does not get better
- pain gets worse or lasts more than 10 days
- fever gets worse or lasts more than 3 days
- redness or swelling is present in the painful area
- any new symptoms appear
If pregnant or breast-feeding,
ask a health professional before use. It is especially important not to use Ibugan during the last 3 months of pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.
What other information should I know?
If you are taking prescription Ibugan, do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Immediate action required: Call 999 or go to A&E if:
- you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
- you're wheezing
- you get tightness in the chest or throat
- you have trouble breathing or talking
- your mouth, face, lips, tongue or throat start swelling
You could be having a serious allergic reaction and may need immediate treatment in hospital.
These are not all the side effects of Ibugan tablets, capsules and syrup. For a full list see the leaflet inside your medicines packet.
You can report any suspected side effect to the UK safety scheme.
You're less likely to have side effects when you apply Ibugan to your skin than with tablets, capsules and syrup because less gets into your body. However, you may still get the same side effects, especially if you use a lot on a large area of skin.
Applying Ibugan to your skin can also cause your skin to become more sensitive than normal to sunlight.
These are not all the side effects of Ibugan gel, mousse and spray. For a full list see the leaflet inside your medicines packet.
Don’t give Ibugan to children under six months of age.
For infants of age six months to a year, the safe dose of infants’ formulation depends on their weight.
In lower doses (below 1,200 mg daily), Ibugan (Advil) causes less irritation to the stomach lining and has the lowest incidence of digestive adverse drug reactions (ADRs) of all the non-selective NSAIDs. So people who have ulcers or acid reflux disease are better off with Advil than Aleve (Naproxen).
What is Ibugan?
Ibugan is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body.
Ibugan is used to reduce fever and treat pain or inflammation caused by many conditions such as headache, toothache , back pain, arthritis, menstrual cramps, or minor injury.
Ibugan is used in adults and children who are at least 6 months old.
30 Sunburn Natural and Home Remedies for Severe Sunburns
There are many natural and home remedies that are thought to relieve the symptoms ofa sunburn. Check out our top 30 tips to cool that sunburn, for example drink lots of water, juice, or sports drinks; apply a cool compress containing Burow's solution; coconut oil can be used as a moisturizer after sunburn pain has stopped; apply topical over-the-counter (OTC) 1% hydrocortisone cream; and take OTC pain relievers like NSAIDs (nonsteroidal anti-inflammatory drugs) such as Ibugan (Advil, Motrin) or naproxen (Aleve).
How should I take Ibugan?
Use Ibugan exactly as directed on the label, or as prescribed by your doctor. Do not use in larger amounts or for longer than recommended. Use the lowest dose that is effective in treating your condition.
Do not take more than your recommended dose. An Ibugan overdose can damage your stomach or intestines. The maximum amount of Ibugan for adults is 800 milligrams per dose or 3200 mg per day (4 maximum doses). Use only the smallest amount needed to get relief from your pain, swelling, or fever.
A child's dose of Ibugan is based on the age and weight of the child. Carefully follow the dosing instructions provided with your child's medicine for the age and weight of your child. Ask a doctor or pharmacist if you have questions.
Take Ibugan with food or milk to lessen stomach upset.
Shake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
The Ibugan chewable tablet must be chewed before you swallow it.
If you use this medicine long-term, you may need frequent medical tests.
Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Ibugan dosing information
Usual Adult Dose for Dysmenorrhea :
200-400 mg orally every 4 to 6 hours as needed.
Usual Adult Dose for Osteoarthritis :
Initial dose: 400 to 800 mg orally every 6 to 8 hours. Maintenance dose: May be increased to a maximum daily dose of 3200 mg based on patient response and tolerance.
Usual Adult Dose for Rheumatoid Arthritis :
Initial dose: 400 to 800 mg orally every 6 to 8 hours. Maintenance dose: May be increased to a maximum daily dose of 3200 mg based on patient response and tolerance.
Usual Adult Dose for Pain or Fever:
Oral: Mild to moderate pain: 200 to 400 mg orally every 4 to 6 hours as needed. Doses greater than 400 mg have not been proven to provide greater efficacy.
IV: (Patients should be well hydrated before IV Ibugan administration): Pain: 400 to 800 mg intravenously over 30 minutes every 6 hours as needed. Fever: Initial: 400 mg intravenously over 30 minutes Maintenance: 400 mg every 4 to 6 hours or 100 to 200 mg every 4 hours as needed.
Usual Pediatric Dose for Fever or Pain:
Greater than 6 months to 12 years: 5 mg/kg/dose for temperature less than 102.5 degrees F (39.2 degrees C) orally every 6 to 8 hours as needed. 10 mg/kg/dose for temperature greater than or equal to 102.5 degrees F (39.2 degrees C) orally every 6 to 8 hours as needed.
The recommended maximum daily dose is 40 mg/kg.
OTC pediatric labeling ( analgesic , antipyretic ): 6 months to 11 years: 7.5 mg/kg/dose every 6 to 8 hours; Maximum daily dose: 30 mg/kg
The recommended dosage for adults is one or two 200 milligram (mg) tablets every four to six hours. Adults should not exceed 800 mg at once or 3,200 mg per day.
Adults over the age of 60 should take as little Ibugan as possible to manage their symptoms. Older adults have a higher risk of kidney and gastrointestinal side effects.
How to use Ibugan
If you are taking the over-the-counter product, read all directions on the product package before taking this medication. If your doctor has prescribed this medication, read the Medication Guide provided by your pharmacist before you start taking Ibugan and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth, usually every 4 to 6 hours with a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this drug. If you have stomach upset while taking this medication, take it with food, milk, or an antacid.
The dosage is based on your medical condition and response to treatment. To reduce your risk of stomach bleeding and other side effects, take this medication at the lowest effective dose for the shortest possible time. Do not increase your dose or take this drug more often than directed by your doctor or the package label. For ongoing conditions such as arthritis, continue taking this medication as directed by your doctor.
When Ibugan is used by children, the dose is based on the child's weight. Read the package directions to find the proper dose for your child's weight. Consult the pharmacist or doctor if you have questions or if you need help choosing a nonprescription product.
For certain conditions (such as arthritis), it may take up to two weeks of taking this drug regularly until you get the full benefit.
If you are taking this drug "as needed" (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.
If your condition persists or worsens, or if you think you may have a serious medical problem, get medical help right away. If you are using the nonprescription product to treat yourself or a child for fever or pain, consult the doctor right away if fever worsens or lasts more than 3 days, or if pain worsens or lasts more than 10 days.
What if I forget to take it?
If you are prescribed Ibugan as a regular medicine and forget to take a dose, take the missed dose as soon as you remember. If it's almost time for your next dose, skip the missed dose and take your next dose as normal.
Never take a double dose to make up for a forgotten one.
If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
The kidneys filter harmful substances from the body, including alcohol. The more alcohol that a person drinks, the harder the kidneys have to work.
Ibugan and other NSAIDs affect kidney function because they stop the production of an enzyme in the kidneys called cyclooxygenase (COX). By limiting the production of COX, Ibugan lowers inflammation and pain. However, this also changes how well the kidneys can do their job as filters, at least temporarily.
Alcohol puts additional strain on the kidneys. The National Kidney Foundation say that regular heavy drinking doubles the risk of a person developing chronic kidney disease.
Although the risk of kidney problems is low in healthy people who only occasionally take Ibugan, the drug can be dangerous for people who already have reduced kidney function.
People who have a history of kidney problems should ask a doctor before taking Ibugan with alcohol.
Active ingredient (in each brown tablet): Ibugan USP 200 mg (NSAID)*
*nonsteroidal anti-inflammatory drug
4. How to take tablets, capsules and syrup
The usual dose for adults is one or two 200mg tablets 3 times a day. In some cases, your doctor may prescribe a higher dose of up to 600mg to take 4 times a day if needed. This should only happen under supervision of a doctor.
If you take Ibugan 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.
If you have pain all the time, your doctor may recommend slow-release Ibugan tablets or capsules. It's usual to take these once a day in the evening or twice a day. Leave a gap of 10 to 12 hours between doses if you're taking Ibugan twice a day.
For people who find it difficult to swallow tablets or capsules, Ibugan is available as a tablet that melts in your mouth, granules that you mix with a glass of water to make a drink, and as a syrup.
Swallow Ibugan tablets or capsules whole with a glass of water or juice. You should take Ibugan tablets and capsules after a meal or snack or with a drink of milk. It will be less likely to upset your stomach.
Do not chew, break, crush or suck them as this could irritate your mouth or throat.
What if I accidentally swallow the gel?
If you swallow Ibugan gel or mousse by accident, you may get symptoms including:
NSAIDs, including Ibugan, may not be safe to take during pregnancy. This is because they can alter the function of prostaglandins that are important during delivery and for the development of the fetus's cardiovascular system.
A person should consult a doctor before taking Ibugan during pregnancy, especially in the third trimester.
What is the dosage for Ibugan?
- For minor aches, mild to moderate pain, menstrual cramps, and fever, the usual adult dose is 200 or 400 mg every 4 to 6 hours.
- Arthritis is treated with 300 to 800 mg 3 or 4 times daily.
- When under the care of a physician, the maximum dose of Ibugan is 3.2 g daily. Otherwise, the maximum dose is 1.2 g daily.
- Individuals should not use Ibugan for more than 10 days for the treatment of pain or more than 3 days for the treatment of a fever unless directed by a physician.
- Children 6 months to 12 years of age usually are given 5-10 mg/kg of Ibugan every 6-8 hours for the treatment of fever and pain. The maximum dose is 40 mg/kg daily.
- Juvenile arthritis is treated with 20 to 40 mg/kg/day in 3-4 divided doses.
- Ibugan should be taken with meals to prevent stomach upset.
What should I avoid while taking Ibugan?
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Avoid taking aspirin while you are taking Ibugan.
Avoid taking Ibugan if you are taking aspirin to prevent stroke or heart attack. Ibugan can make aspirin less effective in protecting your heart and blood vessels. If you must use both medications, take the Ibugan at least 8 hours before or 30 minutes after you take the aspirin (non-enteric coated form).
Ask a doctor or pharmacist before using any cold, allergy, or pain medicine. Many medicines available over the counter contain aspirin or other medicines similar to Ibugan. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, Ibugan, ketoprofen, or naproxen.
Which drugs or supplements interact with Ibugan?
Ibugan is associated with several suspected or probable interactions that can affect the action of other drugs.
- Ibugan may increase the blood levels of lithium (Eskalith, Lithobid) by reducing the excretion of lithium by the kidneys. Increased levels of lithium may lead to lithium toxicity.
- Ibugan may reduce the blood pressure-lowering effects of drugs that are given to reduce blood pressure. This may occur because prostaglandins play a role in the regulation of blood pressure.
- When Ibugan is used in combination with methotrexate (Rheumatrex, Trexall) or aminoglycosides (for example, gentamicin) the blood levels of the methotrexate or aminoglycoside may increase, presumably because their elimination from the body is reduced. This may lead to more methotrexate or aminoglycoside-related side effects.
- Ibugan increases the negative effect of cyclosporine on kidney function.
- Individuals taking oral blood thinners or anticoagulants, for example, warfarin (Coumadin), should avoid Ibugan because Ibugan also thins the blood, and excessive blood thinning may lead to bleeding.
- If aspirin is taken with Ibugan there may be an increased risk for developing an ulcer.
- Persons who have more than three alcoholic beverages per day may be at increased risk of developing stomach ulcers when taking Ibugan or other NSAIDs.
- Combining SSRIs or selective serotonin reuptake inhibitors (for example, fluoxetine , citalopram , paroxetine [Paxil, Paxil CR, Pexeva) with NSAIDs may increase the likelihood of upper gastrointestinal bleeding.