Leaflet: information for the user
Ibuprofen (Arginine) Normon 600 mg powder for oral solution EFG
Read this leaflet carefully before you start taking this medicine, because it contains important information for you.
Ibuprofeno (Arginina) Normonbelongs to a group of medicines called nonsteroidal anti-inflammatory drugs (NSAIDs).
This medicine is used in adults and adolescents aged 14 years and above for the treatment of fever, the treatment of moderate to severe pain including migraine and primary dysmenorrhea (painful menstruation), the treatment of arthritis (inflammation of the joints, including those in the hands and feet, leading to swelling and pain), juvenile rheumatoid arthritis, osteoarthritis (a chronic condition causing cartilage damage), ankylosing spondylitis (inflammation affecting the spine joints), and non-rheumatic inflammation.
Do not take Ibuprofeno (Arginina) Normon
Warnings and precautions
Inform your doctor, pharmacist, or nurse before starting to take Ibuprofeno (Arginina) Normon:
This risk is higher when using high doses and prolonged treatments, in patients with a history of peptic ulcer disease, and in elderly patients. In these cases, your doctor will consider the possibility of associating a stomach-protective medication.
It is essential to use the smallest dose that relieves or controls pain and not to take this medication for longer than necessary to control your symptoms.
Avoid concurrent administration with other NSAIDs, including those called COX-2 inhibitors.
Precautions in elderly patients
Elderly patients have a higher frequency of adverse reactions to NSAIDs, especially bleeding and gastrointestinal perforation, which can be fatal.
Cardiovascular precautions
NSAIDs, such as ibuprofen, may be associated with a small increase in the risk of heart attack or stroke, especially when used in high doses. Do not exceed the recommended dose or treatment duration.
Inform your doctor or pharmacist before taking ibuprofen (arginine) if:
Additionally, this type of medication may cause fluid retention, especially in patients with heart failure and/or high blood pressure.
Respiratory disorders
Ibuprofen should be used with caution when administered to patients who have or have had asthma, bronchial asthma, or allergic diseases, as ibuprofen has been reported to cause bronchospasm, urticaria, or angioedema in these patients.
Cutaneous adverse reactions
Severe cutaneous reactions, such as exfoliative dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), generalized acute pustular exanthema (PEGA), have been reported in association with ibuprofen treatment. Discontinue treatment with Ibuprofeno (Arginina) Normon and seek medical attention immediately if you notice any of the symptoms related to these severe cutaneous reactions described in section 4.
Children and adolescents
There is a risk of kidney failure in dehydrated children and adolescents.
It is not recommended to use this medication in children or adolescents under 14 years old, as the dose of ibuprofen contained is not suitable for the recommended dosage in these patients.
Precautions during pregnancy and in women of childbearing age
Due to the administration of ibuprofen (arginine) type medications being associated with an increased risk of congenital anomalies/abortions, it is not recommended to administer this medication during the first and second trimesters of pregnancy, except in cases where it is strictly necessary. In these cases, the dose and duration will be limited to the minimum possible.
In the third trimester, the administration of ibuprofen (arginine) is contraindicated.
For women of childbearing age, it should be noted that ibuprofen (arginine) type medications have been associated with a decrease in the ability to conceive.
Interference with analytical tests
Other medications and Ibuprofeno (Arginina) Normon
Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication.
Ibuprofeno (arginine) may affect or be affected by other medications. For example:
The following medications may interfere and should not be taken together with ibuprofen (arginine) without consulting your doctor:
Other medications may also affect or be affected by ibuprofen (arginine) treatment. Therefore, always consult your doctor or pharmacist before using ibuprofen (arginina) with other medications.
Taking Ibuprofeno (Arginina) Normon with food, drinks, and alcohol
It is recommended to take the granulated ibuprofen (arginine) sachets with water or another liquid. You can take them alone or with food. In general, it is recommended to take it during meals or immediately after eating, to reduce the possibility of stomach discomfort. Consuming alcohol during treatment may increase the risk of gastrointestinal adverse reactions.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medication.
Ibuprofeno (arginine) should not be taken during pregnancy, especially during the third trimester (see section on precautions during pregnancy and in women of childbearing age).
Small amounts of ibuprofen and its metabolites are excreted in breast milk. As no undesirable effects have been reported in the infant, it is usually not necessary to discontinue breastfeeding during short-term use at recommended doses.
Therefore, if you become pregnant or are breastfeeding, consult your doctor.
Driving and operating machinery
If you experience dizziness, vertigo, visual disturbances, or other symptoms while taking this medication, you should not drive or operate hazardous machinery. If you only take a single dose of ibuprofen (arginine) or take it for a short period, no special precautions are necessary.
Ibuprofeno (Arginina) Normon contains aspartame, glucose, sucrose, and sodium
This medication contains 30 mg of aspartame in each sachet.
Aspartame contains a source of phenylalanine that may be harmful in cases of phenylketonuria (PKU), a rare genetic disorder in which phenylalanine accumulates because the body is unable to eliminate it correctly.
This medication contains glucose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.
May harm teeth.
This medication contains sucrose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.
May harm teeth.
This medication contains less than 1 mmol of sodium (23 mg) per sachet; it is essentially "sodium-free."
Your doctor will indicate the duration of treatment with ibuprofen. Do not stop treatment before, as this will not produce the expected results. Similarly, do not use this medication for a longer period than indicated by your doctor.
The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. If you have an infection, consult a doctor immediately if symptoms (such as fever and pain) persist or worsen (see section 2).
This medication is administered orally.The contents of a sachet should be dissolved in a glass of water and ingested after preparing the corresponding solution.
Patients with stomach discomfort should take the medication with milk or during/after meals.
Adults
The recommended dose for adults and adolescents 14 to 18 years old is one sachet (600 mg of ibuprofen) every 6 to 8 hours, depending on the severity of the condition and response to treatment.
In some cases, higher doses may be required, but in any case, it is recommended not to exceed the maximum daily dose of 2,400 mg in adults and 1,600 mg in adolescents 14 to 18 years old.
Use in children and adolescents
This medication is not recommended for use in children or adolescents under 14 years old, as the dose of ibuprofen contained is not suitable for the recommended dosage in these patients.
Use in elderly patients
The dosage should be established by the doctor in elderly patients, as it may be necessary to reduce the usual dose.
Use in patients with kidney and/or liver diseases
If you have a kidney and/or liver disease, your doctor may prescribe a lower dose than usual. If so, take the exact dose prescribed by your doctor.
If you take moreIbuprofeno (Arginina) Normonthan you should
In case of overdose or accidental ingestion, consult a doctor or pharmacist immediately or contact the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.or go to the nearest hospital to inform yourself about the risk and ask for advice on the measures to be taken.
The symptoms of overdose may include nausea, stomach pain, nausea, vomiting (which may contain blood in the sputum),gastrointestinal bleeding (see also section 4 below), diarrhea, dizziness, spasms, hypotension, neurological depression (reduction of consciousness) headache, ringing in the ears, confusion, and involuntary eye movement.
Other symptoms may include nervousness, drowsiness, disorientation, or coma. Occasionally, patients develop seizures.
At high doses, symptoms of drowsiness, chest pain, palpitations, loss of consciousness, seizures (mainly in children), weakness, and dizziness, blood in the urine, low potassium levels in the blood, chills, and breathing difficulties have been reported.
Additionally, the time of protrombina/INR may be prolonged, probably due to interference with the action of circulating clotting factors. Acute renal failure and liver damage may occur. It is possible that asthma may worsen in asthmatic patients. There is also a possibility of low blood pressure, reduced breathing.
In case of ingestion of significant amounts, activated charcoal should be administered. Gastric emptying will be considered if significant amounts have been ingested and within 60 minutes of ingestion.
If you forget to takeIbuprofeno (Arginina) Normon
Do not take a double dose to compensate for the missed dose.
If you forget to take your dose, take it as soon as you remember. However, if the next scheduled dose is almost due, skip the missed dose and take the next dose at its usual time.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
The side effects of medications such as ibuprofen (arginine) are more common in people over 65 years old.
The incidence of side effects is lower in short-term treatments and if the daily dose is below the maximum recommended dose.
Frequencies are established according to the following classification:very common (may affect more than 1 in 10 patients); Common (may affect up to1 in 100 patients); Uncommon (may affect up to1 in 1000 patients); Rare (may affect up to1 in 10,000 patients); Very rare (may affect up to1 in 10,000 patients);frequency unknown (cannot be estimated from available data).
The following side effects have been observed:
Infections and infestations
Very rare: Exacerbation of infections-related inflammation (for example, the development of necrotizing fasciitis), coinciding with the use of nonsteroidal anti-inflammatory drugs.
Nota: If signs of infection or worsening occur during treatment with ibuprofen, it is recommended to see a doctor immediately, if necessary, to initiate anti-infective/antibiotic therapy.
Blood and lymphatic system disorders
Rare: Aplastic anemia (insufficiency of the bone marrow to produce different types of cells).
Very rare: Decreased platelets, decreased white blood cells (may manifest as frequent infections with fever, chills, or sore throat), decreased red blood cells (may manifest as difficulty breathing and pale skin), decreased granulocytes (a type of white blood cell that may predispose to infections), pancytopenia (deficiency of red, white, and platelet cells in the blood), agranulocytosis (very large decrease in granulocytes), hemolytic anemia (premature destruction of red blood cells). The first symptoms are: fever, sore throat, superficial ulcers in the mouth, pseudogripal symptoms, extreme fatigue, nasal and cutaneous bleeding. Prolonged bleeding time.
Immune system disorders
Uncommon: Allergic reaction, hypersensitivity reactions with skin rash and pruritus, as well as asthma attacks (possibly accompanied by a drop in blood pressure).
Rare: Anaphylaxis (generalized allergic reaction).
Very rare: Severe hypersensitivity reactions (these may be characterized by swelling of the face, tongue, and larynx with bronchospasm, dyspnea, tachycardia, and hypotension that may include potentially fatal shock).
Nota: In the event of these symptoms, which may occur with the first use, immediate assistance from a doctor is required.
Mental disorders
Uncommon: Insomnia, anxiety, restlessness.
Rare: Psychotic reaction, nervousness, irritability, depression, confusion, disorientation.
Nervous system disorders
Common: Fatigue or drowsiness, headache, dizziness or sensation of instability.
Uncommon: Insomnia, excitement, irritability.
Rare: Paresthesia (numbness, tingling, burning, etc. more frequent in hands, feet, arms, or legs).
Very rare: Aseptic meningitis. In most cases where aseptic meningitis has been reported with ibuprofen, the patient suffered from some form of autoimmune disease (such as systemic lupus erythematosus or other collagen diseases) which was a risk factor. The symptoms of aseptic meningitis observed were neck stiffness, headache, nausea, vomiting, fever, or disorientation.
Eye disorders
Uncommon: Vision disturbances.
Rare: Abnormal or blurred vision.
Frequency unknown: Papilledema (inflammation of the optic nerve).
Ear and labyrinth disorders
Common: Dizziness.
Uncommon: Ringing or buzzing in the ears.
Rare: Hearing difficulty.
Cardiac disorders
Medications such as ibuprofen (arginine) may be associated with a moderate increase in the risk of suffering a heart attack ("myocardial infarction") or stroke.
Very rare: Palpitations, heart failure.
Frequency unknown: Cardiac failure. Chest pain, which may be a sign of a potentially severe allergic reaction called Kounis syndrome.
Vascular disorders
Edema (fluid retention), hypertension, and heart failure have also been observed in association with treatments with ibuprofen (arginine) type medications.
Very rare: Hypertension.
Frequency unknown: Arterial thrombosis.
Respiratory, thoracic, and mediastinal disorders
Uncommon: Asthma, worsening of asthma, bronchospasm, dyspnea (breathing difficulty).
Frequency unknown: Irritation of the throat.
Gastrointestinal disorders
The most common side effects that occur with medications such asibuprofen (arginine)are gastrointestinal: Peptic ulcers, gastrointestinal bleeding, perforations (in some cases fatal), especially in elderly patients.
Common: Gastrointestinal discomfort such as heartburn, abdominal pain, nausea, vomiting, flatulence, diarrhea, constipation, and mild gastrointestinal bleeding that may cause anemia in exceptional cases.
Uncommon: Gastrointestinal ulcers, potentially with bleeding and perforation, stomatitis ulcerosa, exacerbation of colitis and Crohn's disease, melena (blood in stool), gastritis.
Rare: Vomiting with blood.
Very rare: Inflammation of the esophagus, pancreatitis, intestinal stenosis.
Frequency unknown: Anorexia
Hepatobiliary disorders
Rare: Liver damage, hepatitis (inflammation of the liver), abnormalities of liver function, and jaundice (yellowing of the skin and eyes).
Skin and subcutaneous tissue disorders
Common: Skin rash.
Uncommon: Redness of the skin, itching or swelling of the skin, purpura (purple spots on the skin).
Rare: Anaphylactic reaction.
Very rare: Medications such as ibuprofen (arginine) may be associated, in very rare cases, with severe blistering reactions such as Stevens-Johnson syndrome (widespread erosions affecting the skin and two or more mucous membranes and lesions of purple color, preferably on the trunk) and toxic epidermal necrolysis (erosions in mucous membranes and painful lesions with necrosis and detachment of the epidermis).
Hair loss, erythema multiforme (skin lesion). Exceptionally, severe skin infections and complications in soft tissue during chickenpox may occur.
Frequency unknown: Photosensitivity reactions, worsening of skin reactions. A severe skin reaction known as DRESS syndrome may occur. The symptoms of DRESS syndrome include: skin rash, lymph node inflammation, and elevated eosinophils (a type of white blood cell).
Generalized red and scaly rash, with bumps under the skin and blisters, mainly located in skin folds, trunk, and upper limbs, accompanied by fever. Symptoms usually appear at the beginning of treatment (acute generalized pustular psoriasis).
Renal and urinary disorders
Rare: Hematuria (blood in urine).
Very rare: Edema (signs that may indicate kidney disease, which sometimes may include renal insufficiency); renal tissue damage (papillary necrosis), increased serum uric acid concentration.
Based on experience with nonsteroidal anti-inflammatory drugs in general, cases of interstitial nephritis, nephrotic syndrome, and renal insufficiency cannot be ruled out.
General disorders and administration site conditions
Very rare: Worsening of inflammation during infectious processes.
Frequency unknown: Edema.
Investigations
Rare: Alteration of liver function tests.
Frequency unknown: Alteration of renal function tests.
Until now, severe allergic reactions have not been reported with ibuprofen (arginine), although they cannot be ruled out. The manifestations of this type of side effect could be fever, skin rash, abdominal pain, severe headache, nausea, vomiting, angioedema, facial swelling, tongue, and throat, difficulty breathing, asthma, palpitations, hypotension(decreased blood pressure) or shock.
If any of the side effects listed below appear, discontinue treatment and seek immediate medical attention:
Reporting of adverse reactions:
If you experience any type of adverse reaction, consult your doctor, pharmacist, or nurse, even if it is a possible adverse reaction that does not appear in this leaflet. You can also report them directly through the Spanish System for the Vigilance of Medicinal Products for Human Use:https://www.notificaram.es. By reporting adverse reactions, you can contribute to providing more information on the safety of this medication.
Keep this medication out of the sight and reach of children.
No special storage conditions are required. Keep in its original packaging to protect from light and moisture.
Do not use this medication after the expiration date that appears on the packagingafterCAD. The expiration date is the last day of the month indicated.
Medications should not be disposed of through drains or in the trash.Deposit the packaging and medications you no longer need at the SIGRE collection pointof the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need.By doing so, you will help protect the environment.
Appearance of Ibuprofeno (Arginina) Normon and contents of the packaging
Sachets with oral solution granules.It is presented in the form of white granules with a characteristic orange odor.
It is presented in packaging with 20, 40 and 500 sachets.
Holder of the marketing authorization and responsible for manufacturing
NORMON, S.A. Laboratories
Ronda de Valdecarrizo, 6 – 28760 Tres Cantos – Madrid (SPAIN)
Date of the last review of thisleaflet:November2024
The detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es.
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.