Ibuprofen
This medicine should always be used exactly as described in this patient leaflet or as directed by your doctor or pharmacist.
5 ml of Ibunid for children Forte oral suspension contains 200 mg of ibuprofen, which belongs to the group of nonsteroidal anti-inflammatory drugs (NSAIDs). The medicine relieves symptoms such as fever, pain, and swelling.
Ibunid for children Forte is intended for use in infants and children in the following cases:
If after 24 hours in the case of children aged 3-5 months or after 3 days in the case of children over 6 months, adolescents, and adults, there is no improvement or the patient feels worse, you should consult a doctor.
Before starting treatment with Ibunid for children Forte, you should discuss it with your doctor or pharmacist.
Side effects can be minimized by using the smallest effective dose for the shortest necessary period to relieve symptoms (see section 3 and the information below).
During treatment with ibuprofen, symptoms of allergic reactions to this medicine have occurred, including difficulty breathing, swelling in the face and neck (angioedema), and chest pain.
If you notice any of these symptoms, you should stop using Ibunid for children Forte immediately and contact your doctor or medical emergency services.
Severe skin reactions, such as exfoliative dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, and drug reaction with eosinophilia and systemic symptoms (DRESS) have been very rarely reported in association with the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
If the patient experiences any symptoms related to these severe skin reactions described in section 4, you should stop using Ibunid for children Forte immediately and seek medical attention.
You should avoid concomitant use of ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs), including selective cyclooxygenase-2 inhibitors.
You should consult your doctor if you have previously been diagnosed with:
If the first symptoms of hypersensitivity appear after taking Ibunid for children Forte (e.g. anaphylactic shock), you should stop using the medicine and contact your doctor.
Taking anti-inflammatory and analgesic medicines, such as ibuprofen, may be associated with a small increased risk of heart attack or stroke, especially when used in high doses. You should not exceed the recommended dose and duration of treatment.
Before using Ibunid for children Forte, the patient should discuss the treatment with their doctor or pharmacist if:
Infections
Ibunid for children Forte may mask the symptoms of infection, such as fever and pain.
As a result, Ibunid for children Forte may delay the use of appropriate infection treatment, which can lead to increased risk of complications.
This has been observed in the course of bacterial pneumonia and bacterial skin infections associated with chickenpox.
If the patient is taking this medicine during an infection and the symptoms of the infection persist or worsen, they should consult their doctor immediately.
Children and adolescents
Dehydrated children and adolescents are at risk of kidney function disorders.
Effect on the cardiovascular system and blood vessels
In some patients, nonsteroidal anti-inflammatory drugs (NSAIDs) may cause swelling and fluid retention.
Patients who experience swelling after using Ibunid for children Forte should be consulted by a doctor.
Effect on the gastrointestinal tract
There is a risk of gastrointestinal bleeding, ulceration, or perforation, which can be fatal and does not necessarily have to be preceded by warning symptoms or may occur in patients who have had such warning symptoms.
If gastrointestinal bleeding or ulceration occurs, the medicine should be stopped immediately.
Patients with a history of gastrointestinal diseases, especially the elderly (Ibunid for children Forte may also be used by adults), should inform their doctor about any unusual gastrointestinal symptoms (especially bleeding), especially during the initial treatment period.
Elderly patients
Elderly patients are at a higher risk of experiencing side effects related to the use of nonsteroidal anti-inflammatory drugs (NSAIDs), particularly gastrointestinal bleeding and ulcers, which can be fatal.
You should report any unusual gastrointestinal symptoms (especially bleeding) to your doctor, especially during the initial treatment period.
These patients should use the smallest possible dose of the medicine.
Kidney function disorders
Like other nonsteroidal anti-inflammatory drugs (NSAIDs), prolonged use of Ibunid for children Forte may cause kidney damage and other kidney disorders.
Patients with kidney function disorders, heart failure, taking diuretics, angiotensin-converting enzyme (ACE) inhibitors, and the elderly are at the highest risk of worsening kidney function.
Liver function disorders
In patients treated with Ibunid for children Forte, especially long-term, liver function should be regularly monitored.
If liver enzyme activity, bilirubin levels, or alkaline phosphatase levels increase twice the normal value, treatment should be discontinued immediately.
In such cases, ibuprofen should not be used again.
Appropriate precautions should be taken in patients with kidney, liver, or heart failure, as well as in patients with a tendency to fluid retention, as the use of nonsteroidal anti-inflammatory drugs (NSAIDs) may worsen kidney function.
In these patients, the dose of the medicine should be as small as possible, and kidney function should be monitored.
Skin reactions
Severe skin reactions, some of which are fatal, such as exfoliative dermatitis, Stevens-Johnson syndrome, and toxic epidermal necrolysis, have been very rarely reported in association with the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
The greatest risk of these severe reactions occurs at the beginning of therapy, in most cases within the first month of treatment.
You should stop using Ibunid for children Forte after the first symptoms appear: skin rash, mucosal damage, or other symptoms of hypersensitivity.
In exceptional cases, chickenpox may be the source of severe and complicated skin and soft tissue infections.
Currently, it cannot be excluded that nonsteroidal anti-inflammatory drugs (NSAIDs) may affect the severity of these infections.
Therefore, it is recommended to avoid using ibuprofen in the case of chickenpox.
Other warnings
At the beginning of treatment with Ibunid for children Forte, as with other nonsteroidal anti-inflammatory drugs (NSAIDs), caution should be exercised in patients with significant dehydration.
Ibunid for children Forte, like other nonsteroidal anti-inflammatory drugs (NSAIDs), may inhibit platelet aggregation and prolong bleeding time.
Like other nonsteroidal anti-inflammatory drugs (NSAIDs), Ibunid for children Forte may mask the symptoms of infection (fever, pain, swelling).
During long-term treatment with high doses of painkillers, headaches may occur, which should not be treated with increased doses of these medicines.
Generally, habitual use of painkillers, especially in combination with other painkillers, can cause permanent kidney damage and increase the risk of kidney failure (post-analgesic nephropathy).
Special caution should be exercised in patients with bronchial asthma, as Ibunid for children Forte may cause bronchospasm in these patients.
You should avoid consuming alcohol, as it may increase the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs), especially those affecting the gastrointestinal tract or central nervous system.
Ibunid for children Forte may temporarily inhibit platelet aggregation and prolong bleeding time.
Therefore, patients with bleeding disorders or those taking anticoagulant medications will be closely monitored by their doctor.
In the case of long-term treatment with ibuprofen, periodic monitoring of liver and kidney function, as well as blood cell count, is necessary, especially in patients at high risk.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may cause vision disturbances (glaucoma, color vision disturbances).
In such cases, the medicine should be stopped and an ophthalmological examination should be performed.
Taking medicines like Ibunid for children Forte may be associated with a small increased risk of heart attack (myocardial infarction) or stroke.
This risk increases with long-term use of high doses of the medicine.
You should not exceed the recommended dose and duration of treatment.
If symptoms persist, worsen, or new symptoms occur, you should contact your doctor.
In the case of heart problems, a previous stroke, or suspected risk of these disorders (e.g. high blood pressure, diabetes, high cholesterol levels, smoking), you should discuss the treatment with your doctor or pharmacist.
This medicine belongs to a group of medicines (nonsteroidal anti-inflammatory drugs) that may adversely affect female fertility.
This effect is temporary and reverses after stopping treatment.
Certain anticoagulant medicines (preventing blood clots), such as acetylsalicylic acid (aspirin), warfarin, ticlopidine, antihypertensive medicines, such as ACE inhibitors, e.g. captopril, beta-blockers, e.g. atenolol, angiotensin II receptor antagonists, e.g. losartan, and certain other medicines may affect the action of Ibunid for children Forte or vice versa.
You should always consult your doctor or pharmacist before using Ibunid for children Forte with other medicines.
You should tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take.
You should avoid taking Ibunid for children Forte with the following medicines:
Ibunid for children Forte may affect the action of other medicines or other medicines may affect the action of Ibunid for children Forte.
For example:
Some other medicines may also be affected by or affect the treatment with Ibunid for children Forte.
Therefore, you should always consult your doctor or pharmacist before using Ibunid for children Forte with other medicines.
In people with sensitive gastrointestinal tracts, it is recommended to take the medicine during meals or drink it with milk.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, you should consult your doctor or pharmacist before using this medicine.
You should not take Ibunid for children Forte during the last 3 months of pregnancy, as it may harm the unborn child or cause complications during delivery.
It may cause kidney and heart disorders in the unborn child.
Taking the medicine may affect the patient's and child's tendency to bleed and may cause late or prolonged delivery.
You should not take Ibunid for children Forte during the first 6 months of pregnancy, unless it is absolutely necessary and recommended by your doctor.
If treatment is necessary during this period or when trying to conceive, the smallest possible dose of the medicine should be used for the shortest possible time.
Ibunid for children Forte taken for a period longer than a few days, starting from the 20th week of pregnancy, may cause kidney disorders in the unborn child.
This may lead to low levels of amniotic fluid surrounding the child (oligohydramnios) or narrowing of the arterial duct (ductus arteriosus) in the child's heart.
If treatment is necessary for more than a few days, your doctor may recommend additional monitoring.
Ibuprofen may pass into breast milk in small amounts.
No cases of side effects in breastfed infants have been reported, so there is no need to stop breastfeeding during short-term treatment with ibuprofen at doses used to treat pain and fever.
Ibunid for children Forte belongs to a group of nonsteroidal anti-inflammatory drugs (NSAIDs) that may affect female fertility.
This effect is temporary and reverses after stopping treatment.
There is no data on side effects that may affect the ability to drive vehicles, operate machinery, and mental fitness.
If you have previously been diagnosed with intolerance to some sugars, you should consult your doctor before taking the medicine.
The medicine contains 5 mg of sodium benzoate in 5 ml of suspension.
Sodium benzoate may increase the risk of jaundice (yellowing of the skin and whites of the eyes) in newborns (up to 4 weeks of age).
The medicine contains 0.000826 mg of benzyl alcohol in 5 ml of suspension.
Benzyl alcohol may cause allergic reactions.
Pregnant or breastfeeding women should consult their doctor before using the medicine, as large amounts of benzyl alcohol may accumulate in their bodies and cause side effects (so-called metabolic acidosis).
Patients with liver or kidney disease should consult their doctor before using the medicine, as large amounts of benzyl alcohol may accumulate in their bodies and cause side effects (so-called metabolic acidosis).
Do not give to small children (under 3 years of age) for more than a week without consulting a doctor or pharmacist.
The medicine contains 28.95 mg of sodium (the main component of common salt) in 5 ml of suspension.
This corresponds to approximately 1.5% of the maximum recommended daily intake of sodium in the diet for adults.
This medicine should always be used exactly as described in this patient leaflet or as directed by your doctor or pharmacist.
You should use the smallest effective dose for the shortest necessary period to relieve symptoms.
If the symptoms of the infection (such as fever and pain) persist or worsen, you should consult your doctor immediately (see section 2).
Taking the medicine in the smallest effective dose for the shortest necessary period to relieve symptoms reduces the risk of side effects (see the effect on the gastrointestinal tract and cardiovascular system).
The recommended dose of Ibunid for children Forte is:
Infants aged 3 to 6 months (with a body weight of 5-7.6 kg):3 times 1.25 ml per day (corresponding to 150 mg of ibuprofen per day)
Infants aged 6 to 12 months (with a body weight of 7.7-9 kg):3 to 4 times 1.25 ml per day (corresponding to 150-200 mg of ibuprofen per day)
Children aged 1 to 3 years (with a body weight of 10-15 kg):3 times 2.5 ml per day (corresponding to 300 mg of ibuprofen per day)
Children aged 4 to 6 years (with a body weight of 16-20 kg):3 times 3.75 ml per day (corresponding to 450 mg of ibuprofen per day)
Children aged 7 to 9 years (with a body weight of 21-29 kg):3 times 5 ml per day (corresponding to 600 mg of ibuprofen per day)
Children aged 10 to 12 years (with a body weight of 30-40 kg):3 times 7.5 ml per day (corresponding to 900 mg of ibuprofen per day)
Adults and adolescents over 12 years of age:the recommended dose for symptomatic treatment of pain and fever is 3 times 10 ml per day (corresponding to 1200 mg of ibuprofen per day), until symptoms resolve.
Elderly patients:the dose should be determined individually by the doctor.
Consideration should be given to reducing the dose.
In patients with kidney function disorders, the dose should be determined taking into account the degree of kidney function.
Doses should be administered every 6 to 8 hours.
Caution should be exercised when using the medicine in patients with kidney function disorders.
In patients with mild or moderate kidney function disorders, consideration should be given to reducing the dose of the medicine.
Ibuprofen should not be used in patients with acute kidney failure.
Ibuprofen should not be used in patients with acute liver failure.
For oral use
Shake before use.
The medicine can be taken directly or dissolved in water or juice.
In people with sensitive gastrointestinal tracts, it is recommended to take the medicine during meals or drink it with milk.
A dosing device in the form of a 5 ml oral syringe with a scale facilitating dosing is attached to the packaging:
Do not exceed the recommended dose.
The medicine is intended for oral use only and for short-term use.
If symptoms persist, worsen, or new symptoms occur, you should contact your doctor.
Children under 6 months of age should only be given the medicine after consulting a doctor and on their recommendation.
The medicine is intended for use in children over 3 months of age or with a body weight over 5 kg.
Do not use the medicine for more than 3 days without consulting a doctor.
In the case of children aged 3 to 5 months, you should consult a doctor if symptoms worsen or do not improve after 24 hours.
In the case of children over 6 months of age and adolescents, you should consult a doctor if the medicine needs to be given for more than 3 days or if symptoms worsen.
If you have taken a higher dose of Ibunid for children Forte than recommended or if a child has accidentally taken the medicine, you should always consult a doctor or go to the nearest hospital to get an opinion on the possible risk to your health and advice on what to do in such a case.
Symptoms may include nausea, stomach pain, vomiting (which may contain blood), headache, ringing in the ears, dizziness, and disorientation.
After taking high doses, drowsiness, chest pain, palpitations, loss of consciousness, seizures (mainly in children), weakness, and dizziness have occurred.
Do not take a double dose to make up for a missed dose.
If you have any further doubts about using this medicine, you should consult your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
During short-term use of ibuprofen in doses available without a prescription, the following side effects have been observed.
Using ibuprofen for other indications and long-term may cause other side effects.
Frequent side effects (occurring in 1 to 10 out of 100 patients):
Uncommon side effects (occurring in 1 to 10 out of 1000 patients):
Rare side effects (occurring in 1 to 10 out of 10,000 patients):
Very rare side effects (occurring less frequently than 1 in 10,000 patients):
Side effects with an unknown frequency of occurrence (frequency cannot be determined based on available data):
If you experience any of the following symptoms, you should stop using ibuprofen immediately and seek medical attention:
If you experience any side effects, including any not listed in this leaflet, you should tell your doctor or pharmacist.
Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.
The medicine should be stored in a place invisible and inaccessible to children.
Do not use this medicine after the expiry date stated on the packaging.
Expiry date (EXP) refers to the last day of the specified month.
There are no special precautions for storing the medicine.
Shelf life after first opening the packaging: 6 months
After first opening the packaging: Do not store above 30°C.
Medicines should not be disposed of via wastewater or household waste.
You should ask your pharmacist how to dispose of medicines that are no longer needed.
This will help protect the environment.
The medicine is a white or almost white, viscous suspension, free from foreign substances, with a strawberry flavor.
The packaging of the medicine consists of an orange PET bottle with a capacity of 30 ml, 100 ml, 150 ml, or 200 ml, with a HDPE cap with a child-resistant closure and a connector for the oral syringe, placed together with a 5 ml oral syringe with a scale, in a cardboard box.
"Polski Lek - Dystrybucja" Sp. z o.o.
ul. Chopina 10
34-100 Wadowice
Phone: +48 33 870 83 01
Farmasierra Manufacturing S.L.
Ctra. Irún, Km. 26,200
San Sebastián de los Reyes, 28709 Madrid
Spain
EDEFARM, S.L.
Polígono Industrial Enchilagar del Rullo
117 Villamarchante, 46191 Valencia
Spain
Farmalider S.A.,
C/ Aragoneses, 2
28108 Alcobendas, Madrid
Spain
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