Nurofen Plus Tablets

Nurofen Plus Tablets are a short-term relief from migraine, headache, period pain, dental pain, back pain, muscular pain, neuralgia and rheumatic pain.

Nurofen Plus (which contains codeine) is indicated in patients for the short term treatment of acute, moderate pain (such as rheumatic and muscular pain, backache, migraine, headache, neuralgia, period pain and dental pain) which is not considered to be relieved by other analgesics such as paracetamol, ibuprofen or aspirin alone.

Nurofen Plus Tablets relieve pain through the combination of ibuprofen and codeine.

This medicine contains codeine which can cause addiction if you take it continuously for more than three days. This can give you withdrawal symptoms from the medicine when you stop taking it

Do not take this medicine :
• If you take a painkiller for headaches for more than three days it can make them worse
• If you have (or have had two or more episodes of) a stomach ulcer, perforation or bleeding
• If you have breathing difficulties
• If you are allergic to ibuprofen, codeine or any of the other ingredients or to aspirin or other painkillers
• If you suffer from severe liver, kidney or heart problems
• If you suffer from chronic constipation
• If you have had gastrointestinal bleeding or perforation when previously taking NSAIDs
• If you have had a worsening of asthma, skin rash, itchy runny nose or facial swelling when previously taking ibuprofen, aspirin or similar medicines
• If you are taking other NSAID painkillers or aspirin with a daily dose above 75mg
• If you are pregnant
• If you are breastfeeding
• If you are under 12 years old

Read the leaflet enclosed carefully. Short term use only, can cause addiction. Adults and children 12 years and older: Swallow 1 or 2 tablets every 4 to 6 hours. No more than 6 tablets should be taken in 24 hours. Leave at least 4 hours between doses.

• The lowest effective dose should be used for the shortest duration necessary to relieve symptoms
• The recommended dosage for adults and children over 12 years of age: One or two tablets every four to six hours.
• Do not take more than 6 tablets in 24 hours.
• Leave at least four hours between doses and do not take more than 1200mg in any 24 hour period.
• The duration of treatment should be limited to 3 days and if no effective pain relief is achieved, you should book an appointment with your GP.

Some people may have side-effects when taking this medicine. If you have any unwanted side-effects you should seek advice from your doctor, pharmacist or other healthcare professional. The following side-effects are uncommon (may affect up to 1 in 100 people):
• Indigestion, heartburn, nausea
• Stomach pain or other abnormal stomach symptoms
• Rashes, itching
• Headache

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 rare but serious allergic reaction such as severe skin rashes, peeling, flaking or blistering skin, facial swelling, unexplained wheezing, shortness of breath, easy bruising.
• 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).
• A red, scaly widespread rash with bumps under the skin and blisters mainly localised on the skin folds, trunk, and upper extremities accompanied by fever at the initiation of treatment (acute generalised exanthematous pustulosis).