Patient Medication Information: uses, side effects, how to take - PMS-Ibuprofen (Pharmascience, 400 mg, 200 mg)
Serious Warnings and Precautions
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What is pms-IBUPROFEN used for?
Since everyone’s pain is different, pms-IBUPROFEN offers 2 levels of pain relief to suit your needs. So you can choose your relief, pms-IBUPROFEN products are available in two strengths, including pms-IBUPROFEN (200 mg) and (400 mg).
pms-IBUPROFEN. products provide fast and effective relief of PAIN from:
- headache, including mild to moderate migraine and tension headache
- menstrual cramps
- toothache (dental pain), including dental extraction
- inflammation from arthritis, muscle strain, and sprains, muscles, bones and joints, including back pain
pms-IBUPROFEN is also an effective fever reducer and will provide relief from the aches and pain due to the common cold and flu.
Clinical studies show long lasting relief for up to 8 hours for fever and up to 6 hours for pain.
How does pms-IBUPROFEN work?
pms-IBUPROFEN (ibuprofen) starts to work fast and treats pain where it starts.
Ibuprofen is a member of a class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs work within the body by blocking the production of substances, called prostaglandins, which are involved in the development of pain and inflammation.
What are the ingredients in pms-IBUPROFEN?
Medicinal ingredients: Ibuprofen
Non-medicinal ingredients: pms-IBUPROFEN 200 mg tablets and caplets contain the following non-medicinal ingredients in alphabetical order: Colloidal Silicon Dioxide, Polyvinyl Alcohol, Polyethylene Glycol, Povidone, Pre-gelatinized Starch, Iron Oxide Red, Sodium Starch Glycolate, Starch, Stearic Acid, Talc and Titanium Dioxide.
pms-IBUPROFEN 400 mg contain the following non-medicinal ingredients in alphabetical order: Colloidal Silicon dioxide, Polyethylene Glycol, Polyvinyl Alcohol, , Povidone, Pre-gelatinized Starch, Iron Oxide Red, Sodium Starch Glycolate, Starch, Stearic Acid, Talc and Titanium Dioxide.
pms-IBUPROFEN comes in the following dosage forms:
Tablets: 200 mg, 400mg
Caplets: 200 mg
Children’s ibuprofen formulations are available to treat children under 12 years of age.
Do not use pms-IBUPROFEN if:
You are:
- taking acetylsalicylic acid (ASA) or any other non-steroidal anti-inflammatory medication, including any other ibuprofen product.
- allergic or have had a reaction to ibuprofen, acetylsalicylic acid (ASA), other non-steroidal anti-inflammatory drugs (NSAIDs) or salicylates, or to any ingredient in the formulation (see Non-medicinal ingredients above). Allergic reactions may appear as hives, difficulty breathing, shock, skin reddening, rash or blisters, swelling of the face or throat or sudden collapse.
- dehydrated (significant fluid loss) due to vomiting, diarrhea or lack of fluid intake.
in your third trimester of pregnancy.
You have:
- nasal polyps (growth inside your nose), or allergic manifestations such as asthma, anaphylaxis (sudden severe life-threatening anaphylactic reactions), urticaria/hives, rhinitis (stuffed or runny nose that may be due to allergies), skin rash or other allergic symptoms.
- active or recurrent stomach ulcer, gastrointestinal (GI) bleeding, or active inflammatory bowel disease (e.g., Crohn’s, colitis).
- serious liver or kidney disease.
- systemic lupus erythematosus.
- high potassium in the blood.
- You recently had or are about to have heart surgery.
To help avoid side effects and ensure proper use, talk to your healthcare professional before you take pms-IBUPROFEN. Talk about any health conditions or problems you may have, including if you:
- have stomach ulcers, high blood pressure, asthma, heart failure or thyroid disease, kidney or liver disease, glaucoma, diabetes, alcoholism, a history of stomach bleeding, or any other serious disease or condition.
- are taking an anticoagulant (blood thinning medication), oral corticosteroid or any other drug.
- are pregnant or breastfeeding
- are over 65 years of age.
- are taking low-dose ASA.
- have a blood-clotting disorder (e.g., hemophilia, sickle cell anemia, etc.).
- have a heart disease.
- have any unusual urinary symptoms (e.g., bladder problems).
- are on a special diet (e.g., low-sodium).
They may recommend an alternative analgesic such as acetaminophen.
Other warnings you should know about:
- Long-term continuous use may increase the risk of heart attack or stroke.
- The use of NSAIDs, like pms-IBUPROFEN, in the second trimester of pregnancy should be restricted to the lowest dose necessary for shortest possible duration.
- At 20 weeks or later in pregnancy, your use of NSAIDs may need to be monitored by a doctor due to the rare risk of kidney problems in the unborn baby which may result in decreased amniotic fluid volume and other complications.
Stop use and ask a doctor if
- you show signs of stomach bleeding
- pain worsens or lasts more than 5 days
- fever worsens or lasts more than 3 days
- any new symptoms appear
Driving and using machines: If you become drowsy, dizzy or lightheaded, do not drive or operate machinery and contact your doctor or pharmacist.
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 pms-IBUPROFEN:
- acetaminophen
- anticoagulants (blood thinners)
- ASA or other NSAIDs
- digoxin
- diuretics (water pills)
- lithium
- medications for high blood pressure
- methotrexate
- oral antidiabetic agents and insulin
- oral steroids (glucocorticoids)
- phenytoin
Do not use this product if you are taking daily low dose ASA (81-325 mg) without talking to a doctor or pharmacist. Ibuprofen may interfere with the preventative benefits of ASA.
How to take pms-IBUPROFEN?
Take with food or milk if mild stomach upset occurs with use.
Usual dose:
For accurate dosing of each product strength, refer to the dosage table and follow the instructions carefully.
| Product | Strength (Ibuprofen) mg/tablet | Single Oral Dose | Maximum Daily Dose (1,200 mg) |
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| pms-IBUPROFEN | 200 mg | 1 or 2 tablets, caplets | 6 tablets, caplets |
| pms-IBUPROFEN | 400 mg | 1 tablet | 3 tablets |
The single oral dose may be taken every 4-6 hours as needed. Do not take more than the maximum daily dose (1,200 mg in 24 hours) unless advised by a doctor.
Use the lowest effective dose for the shortest duration.
For effective use of this medicine, unless recommended by your doctor or dentist, DO NOT take:
- more than the recommended number of tablets, caplets in each single dose
- this product longer than the recommended period of time
Overdose:
| If you think you, or a person you are caring for, have taken too much pms-IBUPROFEN, contact a healthcare professional, hospital emergency department or regional poison control centre immediately, even if there are no symptoms. |
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Missed Dose:
Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take your medicine and skip the missed dose. Do not take two doses at the same time.
What are possible side effects from using pms-IBUPROFEN?
These are not all the possible side effects you may have when taking pms-IBUPROFEN. If you experience any side effects not listed here, tell your healthcare professional.
The most common side effects with this medication are indigestion, nausea, vomiting, heartburn, dizziness, and skin rashes.
The other side effects, which might be seen, are sudden abdominal pain or long-term abdominal pain with the loss of appetite and/or jaundice and/or new onset of itching, diarrhea, bloating, constipation, abdominal cramp, headache, nervousness, drowsiness, itching, decreased appetite, sleeplessness and fluid retention.
If unusual symptoms or any of the following reactions develop during treatment, stop use and see a doctor immediately.
Serious side effects and what to do about them
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediate medical help | |
|---|---|---|---|
| Only if severe | In all cases | ||
| UNCOMMON | |||
| Chills, fever, muscle aches or pains, or other flu-like symptoms shortly before or together with a skin rash | ✓ | ||
| Bloody or black tarry stools | ✓ | ||
| Hives or itching, skin reddening, blisters | ✓ | ||
| Blurred vision | ✓ | ||
| Swelling of feet or lower legs | ✓ | ||
| Hearing problems (ringing or buzzing in the ears) | ✓ | ||
| Mental confusion or depression | ✓ | ||
Serious side effects and what to do about them
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediate medical help | |
|---|---|---|---|
| Only if severe | In all cases | ||
| Shortness of breath, chest pain, trouble breathing, asthma, sinusitis (nasal congestion), wheezing, or tightness in the chest | ✓ | ||
| Vomiting blood | ✓ | ||
| Yellow discoloration of the skin or eyes, with or without fatigue | ✓ | ||
| Any changes in the amount or colour of your urine (such as dark; red or brown), any pain or difficulty experienced in urination, loss of appetite, dizziness, or lightheadedness | ✓ | ||
| Stomach pain | ✓ | ||
| Heart Failure | ✓ | ||
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
You can report any suspected side effects associated with the use of health products to Health Canada by:
NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice. |
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Storage:
Tablets and caplets: Store away from heat and direct light at controlled room temperature (15°C - 30°C).
Keep out of the reach and sight of children.
If you want more information about pms-IBUPROFEN:
- Talk to your healthcare professional
- Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website: (https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database.html); or by contacting the sponsor, Pharmascience Inc., at 1-888-550-6060.
