Ibuprofen oral suspension

What is this medicine?

IBUPROFEN (eye BYOO proe fen) is a non-steroidal anti-inflammatory drug (NSAID). This medicine can relieve minor aches and pains caused by a cold, flu, sore throat, headache, or toothache. It is used to treat fever or pain for a short time.

How should I use this medicine?

Take this medicine by mouth. Shake well before using. Read the directions on the package label very carefully. Use the child's weight or age to find the correct dose. Use the measuring device provided in the package or a specially marked spoon. Do not use a household spoon. Household spoons are not accurate. This medicine may be given with food or milk. Do NOT give more than directed. Doses should not be given more than 4 times in one day.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. This medicine should not be used in children under 3 years of age unless directed by a doctor.

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

• 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

• unexplained weight gain or swelling

• unusually weak or tired

• yellowing of eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• bruising

• diarrhea

• dizziness, drowsiness

• headache

• nausea, vomiting

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• cidofovir

• ketorolac

• methotrexate

• pemetrexed

This medicine may also interact with the following medications:

• alcohol

• aspirin

• diuretics

• lithium

• other drugs for inflammation like prednisone

• warfarin

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• cigarette smoker

• coronary artery bypass graft (CABG) surgery within the past 2 weeks

• drink more than 3 alcohol-containing drinks a day

• heart disease

• high blood pressure

• history of stomach bleeding

• kidney disease

• liver disease

• lung or breathing disease, like asthma

• an unusual or allergic reaction to ibuprofen, aspirin, other NSAIDs, other medicines, foods, dyes or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

Tell your doctor or healthcare professional if your symptoms do not start to get better within 1 day or if they get worse. Also, check with your doctor if a fever lasts for more than 3 days. Do not use more than 2 days.

This medicine does not prevent heart attack or stroke. In fact, this medicine may increase the chance of a heart attack or stroke. The chance may increase with longer use of this medicine and in people who have heart disease. If you take aspirin to prevent heart attack or stroke, talk with your doctor or health care professional.

Do not take other medicines that contain aspirin, ibuprofen, or naproxen with this medicine. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many medicines available without a prescription should not be taken with this medicine.

This medicine can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding can happen without warning symptoms and can cause death. To reduce your risk, do not smoke cigarettes or drink alcohol while you are taking this medicine.

This medicine can cause you to bleed more easily. Try to avoid damage to your teeth and gums when you brush or floss your teeth.

This medicine may be used to treat migraines. If you take migraine medicines for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medicine use. Contact your healthcare professional if your migraine attacks occur more frequently.