Leaflet: information for the patient
Ibuprofen Clover 600 mg soft capsules
Read the entire leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of the leaflet
5 Conservation of Ibuprofeno Clover
Ibuprofen Clover belongs to the group of medications called non-steroidal anti-inflammatory drugs (NSAIDs). This medication is used for the treatment of fever, treatment of pain of mild or moderate intensity including migraine, treatment of arthritis (inflammation of the joints, including usually those of the hands and feet, leading to swelling and pain), juvenile rheumatoid arthritis, osteoarthritis (a chronic disorder that causes cartilage damage), ankylosing spondylitis (inflammation that affects the joints of the spine), non-rheumatic inflammation, and primary dysmenorrhea (painful menstruation).
Ibuprofen Clover belongs to the group of medications called non-steroidal anti-inflammatory drugs (NSAIDs). This medication is indicated for the treatment of fever and pain of mild or moderate intensity, including migraine, treatment of arthritis (inflammation of the joints, including usually those of the hands and feet, leading to swelling and pain), juvenile rheumatoid arthritis, osteoarthritis (a chronic disorder that causes cartilage damage), ankylosing spondylitis (inflammation that affects the joints of the spine), non-rheumatic inflammation, and primary dysmenorrhea (painful menstruation).
What you need to know before taking Ibuprofen Clover
With ibuprofen, signs of allergic reaction to this medication have been reported, such as respiratory problems, swelling of the face and neck area (angioedema), and chest pain. Stop using Ibuprofen Clover immediately and contact your doctor or emergency medical services immediately if you notice any of these signs.
Do not take Ibuprofen Clover
Warnings and precautions - Be especially careful with Ibuprofen 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 Ibuprofen Clover and seek medical attention immediately if you notice any of the symptoms related to these severe skin reactions described in section 4.
Tell your doctor
It is important that you use the smallest dose that relieves/controls the pain and do not take this medication for longer than necessary to control your symptoms.
Skin reactions
Severe skin reactions have been reported in association with ibuprofen Clover treatment. Stop taking Ibuprofeno Clover and seek medical attention immediately if you experience any skin rash, mucous membrane lesions, blisters, or other signs of allergy, as these may 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 medications like ibuprofen may be associated with a small increased risk of suffering a 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 Ibuprofen Clover if:
Similarly, this type of medication 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 a history of bronchial asthma, chronic rhinitis, or allergic diseases, as ibuprofen has been reported to cause bronchospasm, urticaria, or angioedema in these 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 medications 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 ibuprofen is contraindicated.
For women of childbearing age, it should be taken into account that ibuprofen-like medications have been associated with a decrease in fertility.
Infections
Ibuprofen Clover may mask the signs of an infection, such as fever and pain. Consequently, Ibuprofen Clover may delay the 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 medication while having an infection and the symptoms of the infection persist or worsen, consult a doctor without delay.
The intake of 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 medication, as it may alter the results.
Other medications and Ibuprofen Clover
Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.
The following medications may interfere and should not be taken with Ibuprofen Clover without consulting your doctor first:
The intake of ibuprofen may alter the following laboratory tests:
Taking Ibuprofen Clover with food, 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 upset. Consuming alcohol during treatment may increase the risk of gastrointestinal adverse reactions.
Pregnancy and breastfeeding:
Consult your doctor or pharmacist before using any medication.
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. You should 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, you should use the lowest dose for the shortest time possible. 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 medication 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 changes, or other symptoms while taking this medication, you should not drive or operate hazardous machinery. If you only take one dose of ibuprofen or for a short period, you do not need 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.
Ibuprofen Clover contains potassium, sorbitol (E 426), and the colorant Red allura (E-129).Patients with kidney failure or on low-potassium diets should note that this medication contains 0.91 mmol (35.96 mg) of potassium per soft capsule.
If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.
This medication may cause allergic reactions because it contains Red allura (E129). 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 stop treatment before, as the expected results will not be obtained. 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).
Adults and Adolescents:
The recommended dose in adults and adolescents from 14 to 18 years is one capsule (600 mg of ibuprofen) every 6 to 8 hours, depending on the intensity 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 2400 mg in adults and 1600 mg in adolescents from 12 to 18 years.
Use in Children and Adolescents:
The use of this medication is not recommended in children or adolescents with less than 40 kg of weight or under 14 years, as the dose of ibuprofen it contains is not suitable for the recommended dosage in these patients.
Adolescents over 14 years will follow the adult dosage recommendations, but the maximum recommended daily dose in these patients is 1600 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 enough 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 or the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested. It is recommended to bring 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 problems 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. Gastric lavage will be considered if more than 400 mg/kg has been ingested and within 60 minutes following ingestion.
If You Missed a Dose of Ibuprofen Clover
Do not take a double dose to make up for missed doses.
If you forget to take your corresponding dose, take it as soon as you remember. However, if the time of the next dose is very close, skip the missed dose and take the next dose at its usual time.
Like all medications, this medication can cause adverse effects, although not all people suffer from them.
Like all medications, this medication can cause adverse effects, although not all people suffer from 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 (may affect more than 1 in 10 patients); frequent (may affect up to 1 in 10 patients); infrequent (may affect up to 1 in 100 patients); rare (may affect up to 1 in 1,000 patients); very rare (may affect up to 1 in 10,000 patients); frequency unknown (cannot be estimated from available data).
The following adverse effects have been observed:
Infections and Infestations
Uncommon: inflammation of the nasal mucosa.
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 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.
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 platelet blood cells), agranulocytosis (significant 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 (systemic 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, burning, etc., more frequent in hands, feet, arms, or legs), drowsiness or somnolence.
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 Clover may be associated with a moderate increase in the risk of suffering a heart attack ("myocardial infarction") or stroke.
Edema (fluid retention), hypertension, and heart failure have also been observed in association with treatments with medications of the type Ibuprofen Clover.
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 affecting the skin and at least two mucous membranes and lesions of purple 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 skin blood vessels. 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, 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 Ibuprofen 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 national reporting system included in 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.
Do not store at a temperature above 25°C.
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 you no longer need at the pharmacy's collection point. Ask your pharmacist how to dispose of the packages and medications 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 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, http://www.aemps.gob.es/.