Ibuprofen belongs to a group of medicines called non-steroidal anti-inflammatory drugs (or NSAIDs). It relieves pain and reduces inflammation (swelling, redness or soreness).

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

Swallow the tablets with water. Take this medicine for as long as your doctor tells you to.

The recommended dose is

Adults including the elderly and children over 18 years: 1 or 2 tablets every  6 hours , to a maximum of 6 tablets in 24 hours.

Take Aroflam Tablets with a full glass of water. The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses.

If you take more Aroflam Tablets than you should

Seek immediate medical advice in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage.

If you (or someone else) swallow a lot of tablets at the same time, or you think a child may have swallowed any, contact your nearest hospital casualty department or tell your doctor immediately. Symptoms of an overdose include feeling or being sick, loss of appetite, stomach pain or liver damage.

If you forget to take Aroflam Tablets

Do not take a double dose to make up for a forgotten dose. If you forget to take a dose, take it as soon as you remember it and then take the next dose at the right time.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, especially:

Medicines to prevent blood clotting such as warfarin

• metoclopramide or domperidone (to prevent sickness)
• colestyramine (to treat high cholesterol levels). Do not take colestyramine within one hour before or after taking paracetamol
• imatinib (used to treat leukaemia and some stomach tumours)

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Tell your doctor if you notice any of the following side effects or notice any other effects not listed:

Common:

Vomiting blood or material that looks like coffee grounds; bleeding from the back passage, black sticky bowel motions (stools) or bloody diarrhoea; swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing;

Very rare:

Asthma, wheezing, shortness of breath; sudden or severe itching, skin rash, hives; severe rash with blisters and bleeding in the lips, eyes, mouth, nose and genitals (Steven Johnson Syndrome). Very rare cases of serious skin reactions have been reported; worsening of existing severe skin infections (you may notice a rash, blistering and discolouration of the skin, fever, drowsiness, diarrhoea and sickness), or worsening of other infections including chicken pox or shingles or severe infection with destruction (necrosis) of subcutaneous tissue and muscle, blistering and peeling of the skin.

Other possible side effects are:

Nausea or vomiting; loss of appetite; heartburn or pain the upper part of your stomach; cramps, wind, constipation or diarrhoea, slight gastrointestinal blood loss; skin rashes, itching of the skin; headache; dizziness; feeling of being nervous; ringing or buzzing in the ears;  unusual weight gain, swelling and fluid retention, swelling of ankles or legs (oedema)

• if you are allergic to the active substance(s)
• if you have a history with gastrointestinal bleeding or perforation, related to previous NSAIDs therapy;
• you have an active or recurrent peptic ulcer (i.e. stomach or duodenal ulcer), or bleeding (two or more distinct episodes of proven ulceration or bleeding);
• if you regularly drink large quantities of alcohol
• during the last three months of pregnancy
• if you are under the age of 18 year

Warnings and precautions:

Talk to your doctor or pharmacist before taking Ibuprofen & Paracetamol containing tablets if you have:

• suffered from alcoholism
• severe kidney or liver disease

Other important warnings:

Taking painkillers for headaches too often or for too long can make them worse.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist

for advice before taking this medicine.

Children and adolescents

This product is contraindicated in children under 18 years.