Dual Action Pain: Uses, Side Effects and Dosage

What is Dual Action Pain used for?

Serious Warnings and Precautions

For fast and effective temporary relief of muscle aches and pain, joint and body pain, backache, muscle sprains and strains, pain of inflammation associated with conditions including arthritis and physical or athletic overexertion (e.g. sprains or strains), headache including tension headache, migraine pain, dental pain, pre-menstrual & menstrual pain, aches and pain due to the common cold and for reduction of fever.

How does Dual Action Pain work?

Dual Action Pain works via a dual action mechanism. Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), fights pain at its source and reduces fever. Acetaminophen blocks the transmission of pain signals to your brain. It also acts in the brain to reduce fever.

What are the ingredients in Dual Action Pain?

Medicinal ingredients: Ibuprofen and acetaminophen.

Non-medicinal ingredients: Colloidal silicon dioxide, corn starch, croscarmellose sodium, crospovidone, ferric oxide, microcrystalline cellulose, polyethylene glycol, polyvinyl alcohol, povidone, pregelatinized starch, stearic acid, sucralose, talc, titanium dioxide.

Dual Action Pain comes in the following dosage forms:

Ibuprofen 125 mg/Acetaminophen 250 mg tablets.

Do not use Dual Action Pain if:

you have or are

• active or recurrent stomach ulcer, gastrointestinal (GI) bleeding, or active inflammatory bowel disease (e.g. Crohn’s, colitis)
• taking any other drug containing acetaminophen (can cause severe or possibly fatal liver damage; if you are not sure if a drug contains acetaminophen ask a doctor or pharmacist), acetylsalicylic acid (ASA) or any other NSAIDs including any other ibuprofen product
• allergic/hypersensitive to acetaminophen, ASA, ibuprofen, other salicylates, other NSAIDs or any of Dual Action Pain ingredients (Refer to the nonmedicinal ingredients on the outer carton or composition section)
• nasal polyps (swelling of the inside of the nose), or allergic manifestations such as asthma, anaphylaxis (sudden severe life threatening allergic reaction), urticaria/hives, rhinitis (stuffed or runny nose that may be due to allergies), skin rash or other allergic symptoms
• dehydrated (significant fluid loss) due to vomiting, diarrhea or lack of fluid intake
• diagnosed with severe high blood pressure or have severe coronary artery disease
• planning to have or have recently had heart surgery
• serious liver or kidney disease
• Systemic Lupus Erythematosus
• high potassium in the blood

• in your third trimester of pregnancy.

Dual Action Pain should NOT be used in patients under 18 years of age since the safety and effectiveness have NOT been established.

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take Dual Action Pain. Talk about any health conditions or problems you may have, including if you:

• have liver or kidney disease, swelling of ankles or feet, ulcers or stomach bleeding history, high blood pressure, heart disease, diabetes, any other serious condition
• take the blood thinning drug warfarin, take any other medication especially low-dose ASA (81 to 325 mg) or take any other drugs including over the counter drugs
• trying to conceive, or in your first or second trimester of pregnancy, or breastfeeding
• plan to have a surgery
• have asthma, glaucoma, blood clotting disorder (such as hemophilia), an infection, indigestion and heartburn, inflammation of intestine or any other stomach problems, diarrhea, vomiting blood or bleeding from back passage
• consume excessive alcohol.

Other warnings you should know about:

When using this product

• take with food or milk if upset stomach 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 have signs of stomach bleeding (see Serious Warnings and Precautions – Stomach bleeding warning)
• pain gets worse or lasts more than 5 days
• fever gets worse or lasts more than 3 days
• any new symptoms appear.

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.

The following may interact with Dual Action Pain (NOT a complete list):

• medicine that affects or toxic to liver (including alcohol) (e.g. antibiotics, Atorvastatin)
• medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin) may increase the risk of ulceration and bleeding
• acetylsalicylic acid (ASA) or other NSAIDs. Ibuprofen may interfere with the preventive benefits of ASA
• medicines that reduce high blood pressure (ACE-inhibitors, beta-blockers, angiotensin-II receptor antagonists)
• digoxin to treat abnormal heart rhythm
• diuretics, also called water pills used to increase urine output
• serotonin reuptake inhibitors (SSRIs) used to treat depression
• corticosteroids, such as prednisone, cortisone
• methotrexate, a medicine used to treat arthritis and some types of cancer
• lithium, a medicine used to treat some types of depression
• benzodiazepines a medicine used to treat some types of depression
• protein-bound drugs including probenecid
• oral antidiabetic agents and insulin.

How to take Dual Action Pain:

Take the lowest dose of this medication for the shortest time period. Taking too much Dual Action Pain may increase your chances of unwanted and sometimes dangerous side effects, especially if you are elderly, have other diseases or take other medications.

Usual dose:

Adults 18 years and over: Take 2 tablets every 8 hours while symptoms persist. Do not exceed 6 tablets in 24 hours, unless directed by a doctor. Do not take more than directed (see liver warning). Do not use longer than 3 days for a fever or 5 days for pain relief.

Dual Action Pain provides up to 8 hours of pain relief.

Overdose:

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Missed Dose:

If you miss a dose, take it as soon as you remember. But if it is almost time for the next dose, do not take the missed dose. Instead, take the next scheduled dose. Do not try to make up for the missed dose by taking a double dose next time.

What are possible side effects from using Dual Action Pain?

These are not all the possible side effects you may feel when taking Dual Action Pain. If you experience any side effects not listed here, contact your healthcare professional.

Possible serious side effects are summarized below from data available for the individual drugs, ibuprofen and acetaminophen.

Serious side effects and what to do about them

Other self-limiting side effects that may occur include heartburn, nausea or vomiting, bloating, diarrhea or constipation, nervousness, sleeplessness or itching. If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.

Reporting Side Effects

Storage:

Store at room temperature (15°-30°C).

Keep out of reach of children. This package contains enough medicine to seriously harm a child.

If you want more information about Dual Action Pain:

• Talk to your healthcare professional
• This document plus the full product monograph, prepared for health professionals can be found by contacting the sponsor, Perrigo International, at: inquiries@shandex.com

Last Revised Sept-12-2024