Bell's Back & Muscle Pain Relief 200mg Soft Capsules, 16 Capsules contain ibuprofen 200mg, a non-steroidal anti-inflammatory drug (NSAID) used for the relief of back pain, muscular pain and other types of mild to moderate pain.

Ibuprofen works by changing the body's response to pain, swelling and high temperature. These soft capsules are licensed for the relief of backache, muscular and rheumatic pain, headaches, migraines, dental pain, neuralgia, period pain, feverishness and symptoms of colds and flu.

Suitable for adults and adolescents aged 12 years and over, Bell's Back & Muscle Pain Relief Capsules are taken orally with water. The recommended dose is 1 or 2 capsules up to three times daily when required, leaving at least four hours between doses.

Each pack contains 16 soft capsules, providing an oral formulation for short-term pain relief.

Do not exceed 6 capsules in 24 hours. Use the lowest effective dose for the shortest time necessary to relieve symptoms.

Read the Patient Information Leaflet before use.

Main ingredient: Ibuprofen 200mg per soft capsule.

Bell's Back & Muscle Pain Relief 200mg Soft Capsules are used for the short-term relief of backache, muscular and rheumatic pain, headaches, migraines, dental pain, neuralgia, period pain, feverishness and symptoms of colds and flu.

Adults and the elderly:

• Take 1 or 2 capsules with water, up to three times daily as required.
• Leave at least 4 hours between doses.
• Do not exceed 6 capsules (1200mg ibuprofen) in 24 hours.
• Do not take for longer than 10 days unless advised by your doctor.
• Consult your doctor if symptoms persist, worsen or new symptoms develop.

Adolescents aged 12 to 17 years:

• Take 1 or 2 capsules with water, up to three times daily as required.
• Leave at least 4 hours between doses.
• Do not exceed 6 capsules in 24 hours.
• Consult a doctor if the medicine is required for more than 3 days or symptoms worsen.

Children under 12 years: Do not give this medicine to children under 12 years of age.

How to take:

1. Take the recommended number of capsules by mouth with water.
2. Leave at least 4 hours between doses.
3. Take only when required and do not exceed the maximum daily dose.
4. Use the lowest effective dose for the shortest possible duration.

Missed dose: If you forget to take a dose, follow the usual dosing instructions when you next require pain relief. Do not take extra capsules to make up for a missed dose.

Important advice:

• This medicine is intended for short-term use only.
• Do not take with other medicines containing ibuprofen or other NSAIDs unless advised by a healthcare professional.
• Ibuprofen may mask symptoms of infection, including fever and pain. If an infection persists or worsens while using this medicine, consult a doctor without delay.
• Do not continue taking this medicine beyond the recommended duration without medical advice.

Overdose: If you take more capsules than recommended, or a child accidentally takes the medicine, contact a doctor or the nearest hospital immediately for advice. Take the medicine packaging and leaflet with you.

Always read and follow the Patient Information Leaflet before use.

Do not take Bell's Back & Muscle Pain Relief 200mg Soft Capsules if you:

• Are allergic to ibuprofen, aspirin, other similar painkillers or any of the other ingredients.
• Have previously experienced asthma, a skin rash, a runny nose or facial swelling after taking ibuprofen, aspirin or other NSAIDs.
• Have, or have previously had, two or more episodes of stomach ulcers, gastrointestinal bleeding or perforation.
• Have previously experienced gastrointestinal bleeding or perforation associated with NSAID use.
• Are taking other NSAID painkillers or more than 75mg of aspirin daily.
• Have severe liver or kidney problems.
• Have heart problems, high blood pressure or a blood clotting disorder.
• Have breathing difficulties.
• Are in the last 3 months of pregnancy.
• Are under 12 years of age.

Consult your doctor or pharmacist before taking this medicine if you:

• Have or have previously had asthma.
• Have kidney, liver, heart or bowel problems.
• Have high cholesterol or have previously experienced a heart attack or stroke.
• Have a history of ulcerative colitis or Crohn's disease.
• Have systemic lupus erythematosus (SLE).
• Smoke.
• Are pregnant, trying to become pregnant or breastfeeding.
• Have hereditary fructose intolerance or follow a controlled potassium diet.
• Are taking other medicines or have an existing medical condition.

Pregnancy: Do not take this medicine during the last 3 months of pregnancy, as it may harm your unborn baby or cause complications during delivery.

During the first 6 months of pregnancy, do not take ibuprofen unless absolutely necessary and advised by your doctor.

Use for more than a few days from 20 weeks of pregnancy may cause kidney problems in the unborn baby, potentially leading to low amniotic fluid levels or narrowing of a blood vessel in the baby's heart.

If ibuprofen is necessary during pregnancy, use the lowest dose for the shortest possible time under medical advice.

Breastfeeding: If you are breastfeeding, ask your doctor or pharmacist for advice before taking this medicine.

Fertility: Ibuprofen may temporarily reduce female fertility. This effect is reversible after stopping the medicine.

Interactions with other medicines: Do not take this medicine with other NSAIDs unless advised by a healthcare professional.

Consult your doctor or pharmacist before use if you are taking medicines including:

• Aspirin or other anti-inflammatory painkillers.
• Anticoagulants such as warfarin.
• Corticosteroids.
• Medicines for high blood pressure or heart conditions.
• Diuretics.
• Antidepressants, including SSRIs or lithium.
• Methotrexate, ciclosporin or tacrolimus.
• Quinolone antibiotics.
• Mifepristone or zidovudine.

This is not a complete list of possible interactions.

Important information about ingredients:

• Contains 58.6mg sorbitol (E420) per capsule, providing approximately 14.7mg fructose. Do not take if you have hereditary fructose intolerance.
• Contains 17.4mg potassium per capsule, which should be considered by people following a controlled potassium diet.
• Contains Ponceau 4R red (E124), which may cause allergic reactions.

Stomach and intestinal bleeding: Ibuprofen can cause stomach ulcers and gastrointestinal bleeding, which may be serious.

Stop taking the medicine and seek immediate medical attention if you experience vomiting blood, black tarry stools or blood in your stools.

Heart and circulation: Medicines containing ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly with high doses or prolonged use.

Serious skin reactions: Stop taking this medicine and seek immediate medical attention if you develop a widespread rash, blistering, peeling skin, mouth sores or other signs of a serious skin reaction.

Infections: Ibuprofen can mask symptoms of infections, including fever and pain. If an infection persists or worsens while taking this medicine, consult a doctor without delay.

Driving and operating machinery: The patient leaflet states that this medicine is not expected to affect the ability to drive or use machinery when taken as directed.

Overdose: Taking more than the recommended dose can cause nausea, vomiting, stomach pain, ringing in the ears, dizziness, drowsiness, confusion, breathing difficulties, convulsions and other serious complications.

Seek medical advice immediately in the event of an overdose.

Storage:

• Keep out of the sight and reach of children.
• Store below 25°C in the original packaging.
• Do not use after the expiry date shown on the packaging.

Use the lowest effective dose for the shortest time necessary to relieve symptoms.

Like all medicines, Bell's Back & Muscle Pain Relief 200mg Soft Capsules can cause side effects, although not everybody will experience them.

Additional safety information:

Ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when taken at higher doses or for prolonged periods.

Taking more than the recommended dose or using ibuprofen for longer than advised may increase the risk of kidney damage, gastrointestinal complications and dangerously low potassium levels.

Reporting side effects:

If you experience any side effects, including those not listed in the leaflet, speak to your doctor, pharmacist or nurse.

Suspected side effects can be reported through the MHRA Yellow Card Scheme.

Stop taking this medicine and seek immediate medical attention if you experience signs of a severe allergic reaction, serious skin reaction or gastrointestinal bleeding.