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Nurofen Plus Tablets

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Contains Codeine

This product contains codeine. Combining with paracetamol products may require pharmacist review.

Contains Anti-inflammatory (NSAID)

This product is an NSAID. Do not take with other anti-inflammatory medicines.

Can cause addiction. For a maximum of three days use.

You must be 12 or over to purchase this product. Age verification may be required at delivery.

What are Nurofen Plus Tablets?

Nurofen Plus Tablets are a painkiller containing ibuprofen and codeine phosphate that help to reduce inflammation and prevent pain. These tablets can be used to relieve mild to moderate aches and pains in individuals over the age of 18.

How Nurofen Plus Tablets work

Ibuprofen belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). As the name would suggest, ibuprofen works by reducing swelling, pain, and high temperatures.

Codeine phosphate is an opioid analgesic, which works by preventing pain signals from travelling along the nerves to the brain.

How to use Nurofen Plus Tablets

Always take Nurofen Plus Tablets exactly as described in the patient information leaflet or as your doctor or one of our pharmacists has instructed you to.

Take one to two tablets with water up to three times per day. Do not take more than six tablets in 24 hours.

If your symptoms get worse or continue after taking this product, contact one of our clinicians or your doctor.

Side effects of Nurofen Plus

Like all medicines, there is a possibility that Nurofen Plus tablets could cause some unwanted side effects, but not everyone will get them.

These include:

  • indigestion
  • heartburn
  • feeling sick
  • stomach pain
  • rash
  • itching
  • headaches

You can report any side effects, including any not included in the patient information leaflet, using the MHRA Yellow Card Scheme.

Serious side effects

Seek emergency medical attention if you notice the signs of a severe allergic reaction, including:

  • swelling of the face and throat
  • skin rash
  • breathing difficulties
  • loss of consciousness

Warning

This medication can cause dizziness. If this affects you, do not drive or operate machinery until you feel safe enough to do so.

This product may impair fertility in women. This effect is reversible once you stop taking the medicine.

This product can cause addiction and must not be used for longer than 3 days.

Who can’t use Nurofen Plus Tablets?

Do not use this product if you:

  • are under 18 years old
  • are in the last three months of pregnancy
  • are allergic to any of the ingredients
  • have a stomach ulcer or have previously had two or more episodes of a stomach ulcer
  • have difficulty breathing
  • have kidney, liver or heart problems
  • suffer from chronic constipation
  • have had gastrointestinal bleeding or perforation when taking NSAIDs
  • have asthma that has got worse after taking NSAIDs

When to speak to a doctor or pharmacist

You should speak to your doctor or one of our pharmacists before using this product if you:

  • are pregnant, trying to get pregnant or breastfeeding

  • have or have had asthma

  • have liver, heart, kidney or bowel problems

  • are dehydrated

  • have a head injury or raised intracranial pressure

  • have a thyroid disorder

  • suffer from systemic lupus erythematosus (SLE)

  • have high cholesterol

  • have had a heart attack or stroke

  • have a history of gastrointestinal disease

  • are a smoker

  • have gallstones

  • have myasthenia gravis

  • have an infection

  • are using any other medication, including medication obtained without a prescription

  • are using the following medications:

  • anticoagulant medicines e.g. warfarin

    • captopril
    • beta-blockers, e.g. atenolol
    • angiotensin-II receptor antagonists, e.g. losatran
    • moclobemide
    • hydroxyzine
    • loperamide or kaolin
    • quinidine or mexiletine
    • metoclopramide or domperidone
    • monoamine oxidase inhibitors (MAOIs)

How to store Nurofen Plus Tablets

Store this product below 25°C in a cool, dry place out of sight and reach of children. Do not use after the expiry date, referring to the last day of the month stated on the packaging. Do not throw away any medicines via wastewater or household waste.

Benefits

Nurofen Plus Tablets are a painkiller designed to target mild to moderate aches and pains.

Patient Information Leaflet

View Patient Information Leaflet (PDF)

Side Effects

Like all medicines, Nurofen can cause side effects, although not everybody gets them. Side effects may be minimised by taking the lowest dose for the shortest time necessary to relieve the symptoms. You may suffer one of the known side effects of NSAIDs (see below). If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, tell your doctor or pharmacist. STOP TAKING the medicine and seek immediate medical help if you develop:

  • signs of intestinal bleeding such as: bright red faeces (stools/motions), black tarry stools, vomiting blood or dark particles that look like coffee grounds.

  • signs of serious allergic reaction such as:

  • difficulties in breathing or unexplained wheezing

  • dizziness or faster heartbeat

  • severe forms of skin reactions such as itchiness, skin rash with redness, peeling, flaking or blistering (e.g.: Steven-Johnson syndrome)

  • swelling of your face, tongue or throat

  • signs of kidney problems such as:

  • passing less or more urine

  • cloudy urine or blood in urine

  • pain in the back and/or swelling (particularly in the legs)

  • signs of aseptic meningitis with neck stiffness, headache, feeling sick, being sick, fever or consciousness. Patients with autoimmune disorders (lupus, mixed connective-tissue disease) may be more likely to be affected.

  • a severe skin reaction known as DRESS syndrome can occur. Symptoms of DRESS include: skin rash, fever, swelling of lymph nodes and an increase of eosinophils (a type of white blood cells). STOP TAKING the medicine and tell your doctor if you experience the following uncommon side effects which affect 1 to 10 users in 1,000:

  • indigestion, heartburn or feeling sick

  • pains in your stomach (abdomen) or other abnormal stomach problems TELL YOUR DOCTOR if you have any of the following side effects, they become worse or you notice any effects not listed: Uncommon side effects which affect 1 to 10 users in 1,000:

  • allergic reactions, such as skin rashes (urticaria), itching, peeling

  • headaches Rare side effects which affect 1 to 10 users in 10,000:

  • flatulence (wind), diarrhoea, constipation and vomiting Very rare side effects which affect less than 1 user in 10,000:

  • blood disorder resulting in unexplained or unusual bruising or bleeding, fever, sore throat, mouth ulcers, flu-like symptoms and severe exhaustion

  • drop in blood pressure or irregular heart beat

  • stomach or intestinal ulcers, sometimes with bleeding and perforation, inflammation of the lining of the mouth with ulceration (ulcerative stomatitis), inflammation of the stomach (gastritis)

  • liver problems Side effects for which the frequency can not be estimated from available data:

  • worsening of asthma or bronchospasm.