Package Leaflet: Information for the Patient
Ibuprofen Clover 200 mg Soft Capsules
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Follow the instructions for administration of the medicine contained in this leaflet or as indicated by your doctor, pharmacist, or nurse.
Contents of the Package Leaflet
5 Conservation of Ibuprofeno Clover
This medicine contains ibuprofen as the active ingredient and belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
This medicine is used in adults, adolescents, and children from 8 years old (25 kg body weight) for the symptomatic relief of mild or moderate pain, as well as in febrile conditions
Allergic reactions to this medicine, such as respiratory problems, swelling of the face and neck area (angioedema), and chest pain, have been reported with ibuprofen. Stop using Ibuprofeno Clover immediately and contact your doctor or the emergency medical service immediately if you notice any of these signs.
Do not take Ibuprofeno Clover:
Warnings and precautions- Be careful with Ibuprofeno Clover:
Severe skin reactions, such as exfoliative dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), and acute generalized exanthematous pustulosis (AGEP), have been reported in association with ibuprofen treatment. Discontinue treatment with Ibuprofeno Clover and seek medical attention immediately if you notice any symptoms related to these severe skin reactions described in section 4.
Tell your doctor
It is important to use the smallest dose that relieves-controls the pain and not to take this medicine for longer than necessary to control your symptoms.
Skin reactions
Severe skin reactions have been reported with ibuprofen Clover. Stop taking Ibuprofeno Clover and go to the doctor immediately if you experience any skin rash, lesions on the mucous membranes, blisters, or other signs of allergy, as these can be the first signs of a very severe skin reaction. See section 4.
Precautions in elderly patients
Elderly patients have a higher frequency of adverse reactions to NSAIDs (non-steroidal anti-inflammatory drugs), especially gastrointestinal bleeding and perforation, which can be fatal.
Cardiovascular precautions
Anti-inflammatory/analgesic medicines like ibuprofen may be associated with a small increased risk of heart attack or stroke, especially when used in high doses. Do not exceed the recommended dose or treatment duration.
You should discuss your treatment with your doctor or pharmacist before taking Ibuprofeno Clover if:
Additionally, this type of medicine may cause fluid retention, especially in patients with heart failure and/or high blood pressure (hypertension).
Respiratory disorders
Ibuprofen should be used with caution when administered to patients who have or have had a history of bronchial asthma, chronic rhinitis, or allergic diseases, as ibuprofen has been reported to cause bronchospasm, urticaria, or angioedema in such patients.
Children and adolescents
There is a risk of kidney failure in dehydrated children and adolescents.
Precautions during pregnancy and in women of childbearing age
Since the administration of ibuprofen-like medicines has been associated with an increased risk of congenital anomalies/abortions, it is not recommended to administer it during the first and second trimester of pregnancy unless 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 Ibuprofeno is contraindicated.
For women of childbearing age, it should be taken into account that ibuprofen-like medicines have been associated with a decrease in fertility.
Infections
Ibuprofeno Clover may mask the signs of an infection, such as fever and pain. Consequently, Ibuprofeno Clover may delay appropriate treatment of the infection, which may increase the risk of complications. This has been observed in bacterial pneumonia and bacterial skin infections related to chickenpox. If you take this medicine while having an infection and the symptoms of the infection persist or worsen, consult a doctor without delay.
Taking Ibuprofeno Clover withother medicines
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
The following medicines may interfere and should not be taken with this medicine without consulting your doctor first:
Interference with laboratory tests
Taking ibuprofen may alter the following laboratory tests:
If you are going to undergo any diagnostic test (including blood tests, urine tests, skin tests using allergens, etc.), inform your doctor that you are taking this medicine, as it may alter the results.
Taking Ibuprofeno Clover withfood, drinks, and alcohol
You can take it alone or with food. In general, it is recommended to take it before meals or with milk to reduce the possibility of stomach discomfort. Consuming alcohol during treatment may increase the risk of gastrointestinal adverse reactions.
Pregnancy and breastfeeding
Consult your doctor or pharmacist before using any medicine.
Do not take ibuprofen if you are in the last 3 months of pregnancy, as it may harm the fetus or cause problems during delivery. It may cause kidney and heart problems in your baby. It may increase the risk of bleeding for you and your baby during delivery, delay delivery, or prolong it more than expected. Do not take ibuprofen during the first 6 months of pregnancy unless it is absolutely necessary and indicated by your doctor. If you need treatment during this period or while trying to become pregnant, use the lowest dose for the shortest possible time. If you take it for more than a few days from the 20th week of pregnancy, ibuprofen may cause kidney problems in the fetus, which may lead to low levels of amniotic fluid surrounding the baby (oligohydramnios) or narrowing of a blood vessel (ductus arteriosus) in the baby's heart. If you need treatment for more than a few days, your doctor may recommend additional monitoring.
Although only small amounts of the medicine pass into breast milk, it is recommended not to take ibuprofen for prolonged periods during breastfeeding.
Therefore, if you become pregnant or are breastfeeding, consult your doctor.
Driving and using machines
If you experience dizziness, vertigo, vision disturbances, or other symptoms while taking this medicine, do not drive or use hazardous machinery. If you only take one dose of ibuprofen or for a short period, it is not necessary to take special precautions.
Ibuprofen may delay your reaction time, which should be taken into account before performing activities that require greater vigilance, such as driving and using machinery.
Ibuprofeno Clover contains Red Allura (E-129), potassium, andsorbitol (E-420).This medicine contains sorbitol. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.
This medicine contains potassium. Patients with kidney failure or those on a low-potassium diet should note that this medicine contains 0.31 mmol (12 mg) of potassium per soft capsule.
This medicine contains Red Allura (E-129). This medicine may cause allergic reactions because it contains Red Allura (E-129). It may cause asthma, especially in patients allergic to acetylsalicylic acid.
Follow the administration instructions for this medication exactly as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.
Your doctor will indicate the duration of treatment with Ibuprofen Clover. Do not suspend treatment beforehand, as this will not achieve the expected results. Similarly, do not use this medication for longer than indicated by your doctor.
The lowest effective dose should be used for the shortest time necessary to relieve symptoms. If you have an infection, consult a doctor without delay if symptoms (such as fever and pain) persist or worsen (see section 2).
The recommended dose is:
Children:
It is recommended not to exceed the maximum daily dose of ibuprofen of 40 mg per kilogram of body weight.
The interval between doses will depend on the evolution of symptoms, but it will never be less than 4 hours.
The use of this medication is not recommended in children under 25 kg of weight (approximately 7-8 years old).
Adolescents from 12 years old and adults:
The recommended daily dose is 1200 mg of ibuprofen per day, divided into 3 or 4 doses (1 or 2 capsules 3 or 4 times a day), with a maximum recommended daily dose of 1200 mg.
Elderly patients:
If you are over 60 years old, your doctor may prescribe a lower dose than usual. If so, the dose can only be increased once your doctor has checked that you tolerate the medication well.
Patients with kidney and/or liver disease:
If you have kidney and/or liver disease, your doctor may prescribe a lower dose than usual. If so, take the exact dose that your doctor has prescribed.
Method of administration
This medication is administered orally.
To achieve a faster onset of action, the dose can be taken on an empty stomach. It is recommended that patients with sensitive stomachs take ibuprofen with food.
Take ibuprofen with a sufficient amount of water. The tablets should be swallowed whole, without chewing, breaking, crushing, or sucking to avoid discomfort in the mouth and throat irritation.
If you think the action of this medication is too strong or too weak, inform your doctor or pharmacist.
If you take more Ibuprofen Clover than you should
If you have taken more Ibuprofen Clover than you should or if a child has accidentally ingested the medication, consult your doctor or pharmacist immediately or the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested. It is recommended to take the package and the prospectus of the medication to the healthcare professional.
Normally, symptoms of overdose occur 4 to 6 hours after taking ibuprofen. Symptoms of overdose may include nausea, stomach pain, vomiting (which may contain bloody sputum), headache, ringing in the ears, confusion, and involuntary eye movement. In rare cases, there have been cases of rapid involuntary eye movements, increased blood plasma acidity (metabolic acidosis), decreased body temperature, altered kidney function, stomach and intestinal bleeding, transient loss of breathing (apnea), central nervous system depression, and respiratory system. It can also present agitation, drowsiness, disorientation, or coma, and there have been cases of cardiovascular toxicity (low blood pressure, decreased heart rate, and increased heart rate). Occasionally, patients suffer from 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. In these cases, the doctor will take the necessary measures.
Additionally, the prothrombin time/INR may be prolonged, probably due to interference with the actions of circulating coagulation factors. Acute kidney failure and liver damage may occur. It is possible that there may be an exacerbation of asthma in asthmatics. Additionally, there may be low blood pressure and reduced respiratory capacity.
In case of ingestion of significant amounts, activated charcoal should be administered. Stomach emptying will be considered if amounts greater than 400 mg/kg have been ingested and during the 60 minutes following ingestion.
If you forget to take Ibuprofen Clover
Do not take a double dose to make up for forgotten doses.
If you forget to take your corresponding dose, take it as soon as you remember. However, if the time for the next dose is very close, skip the forgotten dose and take the next dose at the usual time.
If you interrupt treatment with Ibuprofeno Clover
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication can cause adverse effects, although not all people experience them.
Like all medications, this medication can cause adverse effects, although not all people experience them.
Adverse effects of medications like ibuprofen are more common in people over 65 years old.
The incidence of adverse effects is lower in short treatments and if the daily dose is below the maximum recommended dose.
Chest pain, which can be a sign of a potentially serious allergic reaction called Kounis syndrome.
Interrupt treatment with ibuprofen and seek immediate medical attention if you notice any of the following symptoms:
Frequencies are established according to the following classification: very frequent (in more than 1 in 10 patients); frequent (between 1 and 10 in 100 patients); uncommon (between 1 and 10 in 1,000 patients); rare (between 1 and 10 in 10,000 patients); very rare (in less than 1 in 10,000 patients); frequency unknown (cannot be estimated from available data).
The following adverse effects have been observed:
Infections and infestations
Uncommon: nasal mucosa inflammation.
Very rare: aseptic meningitis (inflammation of the meninges that protect the brain and spinal cord, not caused by bacteria). In most cases where aseptic meningitis has been reported with ibuprofen, the patient had 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.
Exacerbation of inflammation-related infections (e.g., development of necrotizing fasciitis) has been described coinciding with the use of NSAIDs. If signs of infection or worsening occur during treatment with ibuprofen, it is recommended to go to the doctor immediately.
Blood and lymphatic system disorders
Rare: decreased platelet count, decreased white blood cell count (may manifest as frequent infections with fever, chills, or sore throat), decreased red blood cell count (may manifest as difficulty breathing and pale skin), decreased granulocyte count (a type of white blood cell that can predispose to infections), pancytopenia (deficiency of red, white, and blood platelets), agranulocytosis (very large decrease in granulocytes), aplastic anemia (bone marrow failure to produce different types of cells), or hemolytic anemia (premature destruction of red blood cells). The first symptoms are: fever, sore throat, superficial mouth ulcers, flu-like symptoms, extreme fatigue, nosebleeds, and skin bleeding.
Very rare: prolonged bleeding time.
Immune system disorders
Uncommon: transient edema in areas of the skin, mucous membranes, or sometimes in viscera (angioedema), bronchospasm (spasm of the bronchi that prevents air from passing to the lungs).
Rare: severe allergic reactions (anaphylactic shock). In case of severe generalized hypersensitivity reaction, facial swelling, tongue and larynx swelling, bronchospasm, asthma, tachycardia, hypotension, and shock may appear.
Very rare: joint pain and fever (lupus erythematosus).
Psychiatric disorders
Uncommon: insomnia, anxiety, restlessness.
Rare: disorientation or confusion, nervousness, irritability, depression, psychotic reaction.
Nervous system disorders
Frequent: headache and dizziness or feeling of instability.
Uncommon: paresthesia (sensation of numbness, tingling, prickling, etc., more frequent in hands, feet, arms, or legs), drowsiness or drowsiness.
Rare: optic neuritis (inflammation of the optic nerve).
Eye disorders
Uncommon: vision disturbances.
Rare: retinal degeneration.
Ear and labyrinth disorders
Uncommon: ringing or buzzing in the ears, vertigo, hearing difficulty.
Cardiovascular disorders
Very rare: heart failure, myocardial infarction, and hypertension.
Medications like ibuprofen may be associated with a moderate increase in the risk of suffering a heart attack ("myocardial infarction") or stroke.
Edema (fluid retention), arterial hypertension, and heart failure have also been observed in association with treatments with medications of the ibuprofen type.
Gastrointestinal disorders
Frequent: digestive disorders such as heartburn (dyspepsia), diarrhea, nausea, vomiting, abdominal pain, flatulence, constipation, bloody stools (melena), vomiting blood (hematemesis), gastrointestinal bleeding.
Uncommon: gastritis, duodenal ulcer, gastric ulcer, inflammation of the oral mucosa with ulcer formation, gastrointestinal perforation.
Very rare: pancreatitis.
Unknown frequency: colitis and Crohn's disease (a chronic disease in which the immune system attacks the intestine, causing inflammation that usually produces bloody diarrhea).
Hepatobiliary disorders
Rare: liver damage, hepatitis (inflammation of the liver), liver function abnormalities, and jaundice (yellowing of the skin and eyes).
Unknown frequency: liver failure (severe liver deterioration).
Skin and subcutaneous tissue disorders
Frequent: skin rash.
Uncommon: skin redness, itching or skin swelling, purpura (purple spots on the skin).
Very rare: severe blistering reactions such as Stevens-Johnson syndrome (widespread erosions that affect the skin and two or more mucous membranes and lesions of a purplish color, preferably on the trunk) and toxic epidermal necrolysis (erosions on mucous membranes and painful lesions with necrosis and shedding of the epidermis), hair loss, erythema multiforme (skin lesion), and inflammation of the blood vessels of the skin. Exceptionally, severe skin infections and soft tissue complications can occur during chickenpox.
Unknown frequency: the skin becomes sensitive to light. A severe skin reaction known as DRESS syndrome can occur. The symptoms of DRESS syndrome include: skin rash, lymph node inflammation, and elevated eosinophils (a type of white blood cell). Widespread red scaly rash, with bumps under the skin and blisters, mainly located in skin folds, trunk, and upper limbs, which is accompanied by fever at the start of treatment (acute generalized exanthematous pustulosis). Stop taking ibuprofen Clover if you present these symptoms and seek immediate medical attention. See also section 2.
Renal and urinary disorders
Uncommon: interstitial nephritis (kidney disorder), nephrotic syndrome (disorder characterized by protein in the urine and body swelling), and renal failure (sudden loss of kidney function).
General disorders and administration site conditions
Worsening of inflammation during infectious processes.
To date, no serious allergic reactions have been reported with Ibuprofeno Clover, although they cannot be ruled out. The manifestations of this type of reaction could be fever, skin rash, abdominal pain, severe and persistent headache, nausea, vomiting, facial swelling, tongue and throat swelling, difficulty breathing, asthma, palpitations, hypotension (lower than usual blood pressure), or shock.
Frequent: fatigue.
If any of the following adverse effects occur, interrupt treatment and go to your doctor immediately:
Reporting of adverse effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that does not appear in this prospectus. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es
By reporting adverse effects, you can contribute to providing more information on the safety of this medication.
Keep this medication out of sight and reach of children.
Store below 25 ºC.
Keep in the original packaging.
Do not use this medication after the expiration date that appears on the box after "CAD".
The expiration date is the last day of the month indicated.
Medications should not be thrown down the drain or into the trash. Deposit the packages and medications that you no longer need at the pharmacy's collection point. Ask your pharmacist how to dispose of the packages and medications that you no longer need. This way, you will help protect the environment.
Composition of Ibuprofen Clover
Appearance of the product and package contents
They are soft gelatin capsules, red in color, oval in shape, and smooth and regular in appearance.
It is presented in a package that contains 30 soft capsules packaged in aluminum/PVC+PVDC blisters.
Marketing authorization holder and manufacturer
HC CLOVER PS SL
Alicante Street, 8.
28500 - Arganda del Rey
Madrid
Spain
You can request more information about this medication by contacting the local representative of the marketing authorization holder:
HC CLOVER PS SL
Alicante Street, 8.
28500 - Arganda del Rey
Madrid
Spain
Date of the last revision of this prospectus: November 2024
Other sources of information
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products, http://www.aemps.gob.es/.