Numark Ibuprofen 200mg Soft Capsules contain 200mg of ibuprofen, a non-steroidal anti-inflammatory drug that helps relieve pain, swelling and high temperature. These oral soft capsules are used for the symptomatic relief of headaches and migraine pain, dental pain, neuralgia, period pain, rheumatic pain, muscular pain, back pain, feverishness, and symptoms associated with colds and flu.

Numark Ibuprofen 200mg Soft Capsules are intended for adults and adolescents aged 12 years and over. Depending on the symptoms, one or two capsules can be taken up to three times a day, making it straightforward to adjust each dose within the recommended limits. Always use the lowest effective dose for the shortest time needed.

Ask a pharmacist for advice if you are unsure whether this medicine is suitable for you or how to take it.

Main ingredients: Ibuprofen 200mg per soft capsule.

Adults, elderly people and adolescents aged 12–17 years:

• Take 1 or 2 capsules with water, up to three times a day as required.
• Leave at least 4 hours between doses.
• Do not take more than 6 capsules in 24 hours.
• Use the lowest effective dose for the shortest time necessary.

Do not give to children under 12 years.

Adults:

• Do not take for longer than 10 days unless advised by a doctor.
• Speak to a doctor if symptoms persist or worsen.

Adolescents aged 12–17 years:

• Speak to a doctor if treatment is required for more than 3 days or symptoms worsen.

If symptoms of an infection, such as fever or pain, persist or worsen, seek medical advice without delay.

Do not take this medicine if:

• You are allergic to ibuprofen, any of the ingredients, aspirin or other NSAID painkillers.
• You have, or have previously had two or more episodes of, a stomach ulcer, perforation or gastrointestinal bleeding.
• You previously developed asthma, rash, runny nose or facial swelling after taking ibuprofen, aspirin or similar medicines.
• You have previously experienced gastrointestinal bleeding or perforation while taking an NSAID.
• You are taking another NSAID painkiller or more than 75 mg aspirin per day.
• You have severe liver or kidney problems.
• You have certain heart problems, high blood pressure or a blood-clotting disorder.
• You have breathing difficulties.
• You are in the final 3 months of pregnancy.
• You are under 12 years old.

Speak to a doctor or pharmacist before use if you:

• Have or have previously had asthma.
• Have kidney, liver, bowel or heart problems.
• Have high cholesterol or have previously had a heart attack or stroke.
• Have ulcerative colitis or Crohn's disease.
• Have systemic lupus erythematosus (SLE).
• Smoke.
• Are in the first 6 months of pregnancy.
• Have hereditary fructose intolerance.
• Are on a controlled-potassium diet.
• Have an infection.

Ibuprofen can hide symptoms of infection, including fever and pain, which may delay appropriate treatment.

Serious skin reactions have been reported. Stop treatment and seek medical attention immediately if you develop a severe rash, blistering, peeling, mucosal lesions or other signs of a serious allergic or skin reaction.

Do not take with other NSAIDs. Speak to a doctor or pharmacist if taking medicines including anticoagulants such as warfarin, corticosteroids, quinolone antibiotics, medicines for high blood pressure or heart conditions, diuretics, methotrexate, ciclosporin, tacrolimus, lithium, SSRIs, mifepristone or zidovudine.

NSAIDs such as ibuprofen may slightly increase the risk of heart attack or stroke, particularly with high doses or prolonged treatment.

Taking ibuprofen for longer than recommended or at higher doses can cause serious stomach, intestinal and kidney problems and may cause very low potassium levels.

Dehydrated adolescents may be at increased risk of kidney problems.

Do not use during the last 3 months of pregnancy. During the first 6 months, use only if advised by a doctor. Use from 20 weeks of pregnancy for more than a few days may affect the baby's kidneys or heart and may require monitoring.

If breastfeeding, speak to a doctor or pharmacist before taking this medicine.

Stop taking the medicine and seek immediate medical attention if you develop:

• Signs of gastrointestinal bleeding, including bright red stools, black tarry stools, vomiting blood or vomit resembling coffee grounds.
• Severe breathing difficulty or unexplained wheezing.
• Swelling of the face or throat.
• Severe skin reactions, including rash, itching, peeling, flaking or blistering.
• Dizziness or a fast heartbeat associated with an allergic reaction.
• DRESS syndrome, which may cause skin rash, fever, swollen lymph nodes and changes in white blood cells.
• A widespread red, scaly rash with bumps or blisters accompanied by fever.

Other reported side-effects include:

• Fever, flu-like symptoms, sore throat or mouth ulcers.
• Headache or stiff neck.
• Nausea or vomiting.
• Unexplained bleeding or bruising.
• Severe tiredness.
• Indigestion.
• Stomach or abdominal pain.
• Constipation.
• Diarrhoea.
• Flatulence.
• Chest pain.
• Fast or irregular heartbeat.
• Liver or kidney problems.
• Difficulty urinating.
• Muscle weakness or light-headedness associated with low potassium or renal tubular acidosis.
• Increased sensitivity of the skin to sunlight.

Medicines such as ibuprofen may also be associated with a small increased risk of heart attack or stroke.

Side-effects can be reported through the MHRA Yellow Card Scheme.