Ibuprofen and Codeine 200 mg/12.8 mg Tablets are indicated in patients older than 12 years of age.
Almus Ibuprofen and Codeine 200 mg/12.8 mg Tablets is the generic of Nurofen Plus
For the short-term treatment of acute moderate pain which is not considered to be relieved by other analgesics (e.g. paracetamol, ibuprofen, or aspirin) alone, such as rheumatic and muscular pain, backache, neuralgia, migraine, headache, dental pain, dysmenorrhoea.
£7.49Original price was: £7.49.£6.79Current price is: £6.79.
Ibuprofen and Codeine 200 mg/12.8 mg Tablets are indicated in patients older than 12 years of age.Almus Ibuprofen and Codeine 200 mg/12.8 mg Tablets is the generic of Nurofen PlusFor the short-term treatment of acute moderate pain which is not considered to be relieved by other analgesics (e.g. paracetamol, ibuprofen, or aspirin) alone, such as rheumatic and muscular pain, backache, neuralgia, migraine, headache, dental pain, dysmenorrhoea.
Ibuprofen And Codeine 200mg /12.8mg Tablets 32 Tablets
Can cause addiction. Use for three days only
What Ibuprofen and Codeine 200 mg/12.8 mg Tablets are and what they are used for?
This medicine contains Codeine. Codeine belongs to a group of medicines called opioid analgesics which act to relieve pain.
This medicine also contains Ibuprofen. Ibuprofen, a non-steroidal anti-inflammatory medicine (NSAID), also acts to reduce swelling (inflammation).
Almus Ibuprofen and Codeine 200 mg/12.8 mg Tablets can be used for the short-term treatment of acute moderate pain such as headaches, rheumatic and muscular pain, backache, migraine, period pain, dental pain, and neuralgia that is not relieved by aspirin, ibuprofen or paracetamol alone.
This codeine-containing medicine can be used in adults and children aged 12 years and over.
How do I know if I am addicted to Almus Ibuprofen and codeine Tablets?
If you take the medicine according to the instructions on the pack it is unlikely that you will become addicted to the medicine. However, if the following apply to you it is important that you talk to your doctor:
You need to take the medicine for longer periods of time
You need to take more than the recommended amount
When you stop taking the medicine you feel very unwell but you feel better if you start taking the medicine again
What you need to know before you take Ibuprofen and Codeine 200 mg/12.8 mg Tablets
This medicine contains codeine which can cause addiction (physiological and psychological dependence) if you take it continuously for more than 3 days. This can give you withdrawal symptoms from the medicine (such as restlessness and irritability) when you stop taking it. If you find you need to take this medicine all the time, it is important to talk to your doctor.
If you take a painkiller for headaches for more than 3 days it can make them worse
This medicine can be taken by adults and children of 12 years and over. However, some people should not take this medicine or should seek the advice of their pharmacist or doctor first.
Do not take Ibuprofen and Codeine Tablets:
For pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome
If you know that you metabolise very rapidly codeine into morphine
If you have a stomach ulcer, perforation or bleeding, or have had one twice or more in the past
If you have had perforation or a bleeding stomach after taking a non-steroidal anti-inflammatory medicine (you may have been sick and it contained blood or dark particles that look like coffee grounds, passed blood in your stools or passed black tarry stools)
If you are allergic to ibuprofen, codeine, or any other ingredient of this medicine (listed in section 6), aspirin or other non-steroidal anti-inflammatory medicines (you have ever had asthma, runny nose, itchy skin or swelling of the lips, face or throat after taking these medicines)
If you are taking aspirin with a daily dose above 75 mg, or other non-steroidal anti-inflammatory medicines
If you have severe heart, kidney or liver failure
If you have difficulty breathing or breathing problems
If you have constipation on a regular basis or are continually constipated
If you are pregnant, and in the last 3 months of pregnancy
If you are breastfeeding (see “Other important information”)
Warning and precautions
Talk to your doctor or pharmacist before taking Ibuprofen and Codeine tablets:
If you have asthma, a history of asthma or other allergic disease, bowel problems or Crohn’s disease
If you have other kidney, heart or liver problems (see “Do not take”)
If you have a connective tissue disorder such as SLE (Systemic Lupus Erythematosus)
If you have low blood pressure or an underactive thyroid
If you have a head injury or a condition where there is raised pressure in the head
If you are taking monoamine oxidase inhibitors (MAOIs for depression), or have taken them in the last 14 days
If you are elderly – you may get more side effects (see back of leaflet)
If you are taking any other painkillers or receiving regular treatment from your doctor
If you have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient ischaemic attack “TIA”) – see ‘Risk of heart attack or stroke’ below
If you have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker
If you are pregnant, and in the first 6 months of pregnancy
During chicken pox (varicella) as it is advisable to avoid the use of ibuprofen.
If you have an infection – please see heading “Infections” below.
Other important information
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other people are more likely to get serious side effects because a very high amount of morphine is produced. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
Risk of heart attack or stroke: Anti-inflammatory/pain-killer medicines like ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed the recommended dose or duration of treatment.
Take special care with Ibuprofen and Codeine Tablets.
Skin reactions: Serious skin reactions have been reported in association with ibuprofen treatment. You should stop taking this medicine and seek medical attention immediately, if you develop any skin rash, lesions of the mucous membranes, blisters or other signs of allergy since this can be the first stage of a very serious skin reaction. See ‘Possible Side Effects’.
Children and adolescents:
Codeine should not be used for pain relief in children and adolescents after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome.
Codeine is not recommended in children with breathing problems, since the symptoms of morphine toxicity may be worse in these children.
Infections
Ibuprofen may hide signs of infections such as fever and pain. It is therefore possible that Ibuprofen and Codeine Tablets may delay appropriate treatment of infection, which may lead to an increased risk of complications. This has been observed in pneumonia caused by bacteria and bacterial skin infections related to chickenpox. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor without of delay.
Other medicines and ibuprofen and Codeine Tablets
Tell your doctor or pharmacist it you are taking, have taken or might take any other medicines. Ibuprofen and Codeine tablets may affect or be affected by some other medicines. For example
Other painkillers (including NSAIDs)
Aspirin 75 mg (to prevent heart attacks or strokes) – the protection may be reduced when you take ibuprofen
Medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine)
Mifepristone (for termination or pregnancy) – do not take ibuprofen if you have taken mifepristone in the last 12 days
Water tablets (diuretics)
Medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan)
Medicines for heart problems
Corticosteroids (used for many conditions such as pain, swelling, allergy, asthma, rheumatism and skin problems)
Medicines for depression (including SSRIs and MAOIs)
Ciclosporin or tacrolimus (given after transplant surgery, or for psoriasis or rheumatism)
Some other medicines may also affect or be affected by the treatment of Ibuprofen and Codeine tablets. You should therefore always seek the advice of your doctor or pharmacist before you use this medicine with any other medicines, including herbal and homeopathic remedies
Ibuprofen and Codeine tablets with alcohol
Do not drink alcohol (wine, beer, spirits) whilst taking this medicine. Alcohol may make you feel more drowsy
Pregnancy, breast-feeding and fertility
Pregnancy: During the last 3 months of pregnancy do not take this medicine. During the first 6 months of pregnancy talk to your pharmacist or doctor.
Breastfeeding: Do not take codeine while you are breastfeeding. Codeine and morphine pass into breast milk.
Fertility: If you take this medicine, it may reduce your ability to become pregnant. This effect will be reversed when you stop taking the medicine.
Driving and using machines
This medicine can affect your ability to drive or use machines as it may make you feel sleepy or dizzy.
Do not drive or use machines while taking this medicine until you are sure you are not affected
It is an offence to drive if this medicine affects your ability to drive
However, you would not be committing an offence if:
The medicine has been prescribed to treat a medical or dental problem and
You have taken it according to the instructions given by the prescriber or in the information provided with the medicine and
It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine.
Ibuprofen and Codeine 200 mg/12.8 mg film-coated tablets contain sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.
Warning
What you need to know before you take Ibuprofen and Codeine 200 mg/12.8 mg Tablets
This medicine contains codeine which can cause addiction (physiological and psychological dependence) if you take it continuously for more than 3 days. This can give you withdrawal symptoms from the medicine (such as restlessness and irritability) when you stop taking it. If you find you need to take this medicine all the time, it is important to talk to your doctor.
If you take a painkiller for headaches for more than 3 days it can make them worse
This medicine can be taken by adults and children of 12 years and over. However, some people should not take this medicine or should seek the advice of their pharmacist or doctor first.
Do not take Ibuprofen and Codeine Tablets:
For pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome
If you know that you metabolise very rapidly codeine into morphine
If you have a stomach ulcer, perforation or bleeding, or have had one twice or more in the past
If you have had perforation or a bleeding stomach after taking a non-steroidal anti-inflammatory medicine (you may have been sick and it contained blood or dark particles that look like coffee grounds, passed blood in your stools or passed black tarry stools)
If you are allergic to ibuprofen, codeine, or any other ingredient of this medicine (listed in section 6), aspirin or other non-steroidal anti-inflammatory medicines (you have ever had asthma, runny nose, itchy skin or swelling of the lips, face or throat after taking these medicines)
If you are taking aspirin with a daily dose above 75 mg, or other non-steroidal anti-inflammatory medicines
If you have severe heart, kidney or liver failure
If you have difficulty breathing or breathing problems
If you have constipation on a regular basis or are continually constipated
If you are pregnant, and in the last 3 months of pregnancy
If you are breastfeeding (see “Other important information”)
Warning and precautions
Talk to your doctor or pharmacist before taking Ibuprofen and Codeine tablets:
If you have asthma, a history of asthma or other allergic disease, bowel problems or Crohn’s disease
If you have other kidney, heart or liver problems (see “Do not take”)
If you have a connective tissue disorder such as SLE (Systemic Lupus Erythematosus)
If you have low blood pressure or an underactive thyroid
If you have a head injury or a condition where there is raised pressure in the head
If you are taking monoamine oxidase inhibitors (MAOIs for depression), or have taken them in the last 14 days
If you are elderly – you may get more side effects (see back of leaflet)
If you are taking any other painkillers or receiving regular treatment from your doctor
If you have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient ischaemic attack “TIA”) – see ‘Risk of heart attack or stroke’ below
If you have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker
If you are pregnant, and in the first 6 months of pregnancy
During chicken pox (varicella) as it is advisable to avoid the use of ibuprofen.
If you have an infection – please see heading “Infections” below.
Other important information
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other people are more likely to get serious side effects because a very high amount of morphine is produced. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
Risk of heart attack or stroke: Anti-inflammatory/pain-killer medicines like ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed the recommended dose or duration of treatment.
Take special care with Ibuprofen and Codeine Tablets.
Skin reactions: Serious skin reactions have been reported in association with ibuprofen treatment. You should stop taking this medicine and seek medical attention immediately, if you develop any skin rash, lesions of the mucous membranes, blisters or other signs of allergy since this can be the first stage of a very serious skin reaction. See ‘Possible Side Effects’.
Children and adolescents:
Codeine should not be used for pain relief in children and adolescents after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome.
Codeine is not recommended in children with breathing problems, since the symptoms of morphine toxicity may be worse in these children.
Infections
Ibuprofen may hide signs of infections such as fever and pain. It is therefore possible that Ibuprofen and Codeine Tablets may delay appropriate treatment of infection, which may lead to an increased risk of complications. This has been observed in pneumonia caused by bacteria and bacterial skin infections related to chickenpox. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor without of delay.
Other medicines and ibuprofen and Codeine Tablets
Tell your doctor or pharmacist it you are taking, have taken or might take any other medicines. Ibuprofen and Codeine tablets may affect or be affected by some other medicines. For example
Other painkillers (including NSAIDs)
Aspirin 75 mg (to prevent heart attacks or strokes) – the protection may be reduced when you take ibuprofen
Medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine)
Mifepristone (for termination or pregnancy) – do not take ibuprofen if you have taken mifepristone in the last 12 days
Water tablets (diuretics)
Medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan)
Medicines for heart problems
Corticosteroids (used for many conditions such as pain, swelling, allergy, asthma, rheumatism and skin problems)
Medicines for depression (including SSRIs and MAOIs)
Ciclosporin or tacrolimus (given after transplant surgery, or for psoriasis or rheumatism)
Some other medicines may also affect or be affected by the treatment of Ibuprofen and Codeine tablets. You should therefore always seek the advice of your doctor or pharmacist before you use this medicine with any other medicines, including herbal and homeopathic remedies
Ibuprofen and Codeine tablets with alcohol
Do not drink alcohol (wine, beer, spirits) whilst taking this medicine. Alcohol may make you feel more drowsy
Pregnancy, breast-feeding and fertility
Pregnancy: During the last 3 months of pregnancy do not take this medicine. During the first 6 months of pregnancy talk to your pharmacist or doctor.
Breastfeeding: Do not take codeine while you are breastfeeding. Codeine and morphine pass into breast milk.
Fertility: If you take this medicine, it may reduce your ability to become pregnant. This effect will be reversed when you stop taking the medicine.
Driving and using machines
This medicine can affect your ability to drive or use machines as it may make you feel sleepy or dizzy.
Do not drive or use machines while taking this medicine until you are sure you are not affected
It is an offence to drive if this medicine affects your ability to drive
However, you would not be committing an offence if:
The medicine has been prescribed to treat a medical or dental problem and
You have taken it according to the instructions given by the prescriber or in the information provided with the medicine and
It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine.
Ibuprofen and Codeine 200 mg/12.8 mg film-coated tablets contain sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.
Side Effects
Possible side effects
Like all medicines, this medicine can cause side effects although not everybody gets them. If you are elderly you may be more likely to have some of these side effects (especially stomach bleeding which can be fatal in the elderly).
If you have any unwanted side effects you should seek advice from your doctor, pharmacist or other healthcare professional.
If you get any of these serious side effects, stop taking the tablets. See a doctor at once:
You are sick and it contains blood or dark particles that look like coffee grounds
Pass blood in your stools or pass black tarry stools
Stomach problems including pain, indigestion or heartburn
Unexplained wheezing (asthma), worsening of existing asthma, difficulty in breathing, swelling of the face, tongue, neck or throat, fast heart rate, feeling faint or dizzy or collapse (severe allergic reactions)
Allergic skin reactions such as itchy red, raised rash (which can sometimes be severe and include peeling, blistering and lesions of the skin)
Frequency “Not known”: A red, scaly widespread rash with bumps under the skin and blisters mainly localized on the skin folds, trunk, and upper extremities accompanied by fever at the initiation of treatment (acute generalised exanthematous pustulosis). Stop taking this medicine if you develop these symptoms and seek medical attention immediately. See also “Before you take this medicine”
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)
Kidney problems, which may lead to kidney failure (you may pass more or less urine, have blood in the urine or cloudy urine, or feel breathless, very tired or weak, have no appetite, or have swollen ankles)
If you get any of the following side effects see your pharmacist or doctor:
Feeling sick or being sick
Headache, blurred vision, drowsiness – do not drive or use machines if you feel drowsy or have blurred vision
High blood pressure, heart failure (you may be tired, have difficulty breathing or swollen legs)
Fluid retention, which may cause swelling of the limbs
Slow or shallow breathing, problems clearing catarrh or phlegm from the chest
Very rarely, yellowing of the skin or eyes, pale stools or upper abdominal pain (these may be signs of liver problems)
Swelling or ulcers of the stomach or mouth lining, constipation
Rarely, diarrhoea, wind, worsening of colitis or Crohn’s disease
Very rarely, tiredness or severe exhaustion, changes in the blood which may cause unusual bruising or unexplained bleeding and an increase in the number of infections that you get (e.g. sore throats, mouth ulcers, flu-like symptoms including fever)
A small increased risk of heart attack or stroke if you take large amounts for a long time
Skin becomes sensitive to light – frequency unknown
If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.
Ingredients
Active ingredient
mg/tablet
Ibuprofen
200 mg
Codeine Phosphate Hemihydrate
12.8 mg
1 review for Ibuprofen And Codeine 200mg /12.8mg Tablets 32 Tablets
4 out of 5
Ibuprofen And Codeine 200mg /12.8mg Tablets 32 Tablets
Anonymous(verified owner) –
Superb pain killer for when paracetamol just isn’t enough.
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Anonymous (verified owner) –
Superb pain killer for when paracetamol just isn’t enough.