Patient Information Leaflet
Ibuprofen Pensa Pharma 400 mg Film-Coated Tablets EFG
Read the entire leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of the Leaflet:
Ibuprofen Pensa Pharma contains the active ingredient ibuprofen. Ibuprofen belongs to the group of medications called non-steroidal anti-inflammatory drugs (NSAIDs). Ibuprofen Pensa Pharma relieves pain and has an anti-inflammatory effect.
It is used in adults and adolescents over 12 years old (≥40 kg body weight). Ibuprofen Pensa Pharma is used for:
Do not take Ibuprofeno pensa pharma
Warnings and precautions
Consult your doctor or pharmacist before starting to take ibuprofen.
Adverse effects can be reduced by using the lowest effective dose necessary to control symptoms for the shortest possible time.
Consult your doctor or pharmacist before starting to take ibuprofen if:
Effects on the gastrointestinal tract
The combined use of ibuprofen with other non-steroidal anti-inflammatory medicines (NSAIDs), including so-called COX-2 inhibitors (cyclooxygenase-2 inhibitors), should be avoided.
Gastrointestinal bleeding, ulcers, and perforation:
Gastrointestinal bleeding, ulcers, and perforations have been reported with all NSAIDs. They have occurred at any time during treatment, with or without previous warning symptoms or a history of serious gastrointestinal events.
The risk of gastrointestinal bleeding, ulcers, and perforation is higher with increasing doses of NSAIDs and is higher in patients with a history of ulcers, especially with complications of bleeding or perforation (see section 2 "Do not take Ibuprofeno pensa pharma") and in elderly patients. These patients should start treatment with the lowest available dose.
For these patients, as well as for patients who require additional treatment with low doses of acetylsalicylic acid or other medications that may increase the risk of gastrointestinal disorders, combination treatment with protective medications (e.g., misoprostol or proton pump inhibitors) should be considered.
If you have a history of adverse effects that affect the gastrointestinal tract, especially if you are an elderly person, you should contact a doctor in case of unusual abdominal symptoms (especially gastrointestinal bleeding), particularly at the start of treatment.
Cautiousness is recommended if you are also taking other medications that may increase the risk of ulcers or bleeding, e.g., oral corticosteroids, anticoagulants (blood thinners) such as warfarin, selective serotonin reuptake inhibitors (used to treat psychiatric disorders, including depression), or platelet aggregation inhibitors such as acetylsalicylic acid (see section 2 "Other medicines and Ibuprofeno pensa pharma").
Treatment should be discontinued and a doctor consulted if you experience gastrointestinal bleeding or ulcers during treatment with ibuprofen.
Cardiovascular effects
Anti-inflammatory/analgesic medications 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 ibuprofen if:
Renal effects
Ibuprofen should be used with caution when administered to patients with a considerable level of dehydration. There is a risk of renal failure, especially in children, adolescents, and elderly patients who are dehydrated.
As with other NSAIDs, prolonged administration of ibuprofen has caused renal papillary necrosis and other renal pathological changes. Renal toxicity has also been observed in patients in whom renal prostaglandins have a compensatory role in maintaining renal perfusion. In these patients, the administration of an NSAID can cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which can cause renal failure.
Patients at higher risk of this reaction are those with renal failure, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors, and the elderly. Discontinuation of NSAID treatment is usually followed by recovery to the pre-treatment state.
Cutaneous reactions
Severe cutaneous reactions, such as exfoliative dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS syndrome), acute generalized exanthematous pustulosis (AGEP), have been reported in association with ibuprofen treatment. Discontinue Ibuprofeno pensa pharma treatment and seek immediate medical attention if you notice any of the symptoms related to these severe cutaneous reactions described in section 4.
During chickenpox infection, the use of ibuprofen is not recommended.
Infections
Ibuprofen may mask the signs of an infection, such as fever and pain. Consequently, this medication 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 medication while having an infection and the symptoms of the infection persist or worsen, consult your doctor as soon as possible.
Respiratory disorders and hypersensitivity reactions
Acute severe hypersensitivity reactions (e.g., anaphylactic shock) have been rarely observed. At the first signs of a hypersensitivity reaction after taking/administering ibuprofen, treatment should be discontinued and a doctor consulted. The healthcare professional should initiate the necessary medical measures, depending on the symptoms.
Hematological effects
Ibuprofen may temporarily inhibit the function of blood platelets (platelet aggregation). Therefore, patients with blood coagulation disorders should be carefully monitored.
During prolonged use of ibuprofen, regular monitoring of liver function tests, renal function, and blood counts is required.
If you take ibuprofen before surgical procedures, you should consult/inform your doctor or dentist.
SLE and mixed connective tissue disease
In patients with systemic lupus erythematosus (SLE) and mixed connective tissue disorders, there may be a higher risk of aseptic meningitis (see below and section 4.8).
Aseptic meningitis
Aseptic meningitis has been rarely observed in patients treated with ibuprofen. Although it is more likely to occur in patients with systemic lupus erythematosus and related connective tissue diseases, it has also been reported in patients without underlying chronic disease.
When using NSAIDs, adverse reactions, particularly those affecting the gastrointestinal tract or central nervous system, may be potentiated by concomitant alcohol consumption.
Patients who report eye disorders during treatment with ibuprofeno should discontinue therapy and undergo eye examinations.
Signs of allergic reaction to this medication, such as respiratory problems, facial and neck swelling (angioedema), and chest pain, have been reported with ibuprofen. Stop using Ibuprofeno pensa pharma immediately and contact your doctor or emergency medical services immediately if you notice any of these signs.
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. For this reason, close medical monitoring is required in elderly patients.
Children and adolescents
There is a risk of renal failure in dehydrated adolescents.
Other medicines and Ibuprofeno pensa pharma
Tell your doctor or pharmacist if you are using, have recently used, or might use any other medication.
Ibuprofen may affect or be affected by other medications. For example:
Some other medications may also affect or be affected by Ibuprofeno pensa pharma treatment. Therefore, you should always seek the advice of your doctor or pharmacist before using Ibuprofeno pensa pharma with other medications.
Taking Ibuprofeno pensa pharma with food and alcohol
Alcohol may potentiate the adverse effects of Ibuprofeno pensa pharma, especially those affecting the central nervous system and gastrointestinal tract. It is preferable not to drink alcohol while using ibuprofen.
Pregnancy, lactation, and fertility
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medication.
Pregnancy
Do not take Ibuprofeno pensa pharma 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 Ibuprofeno pensa pharma during the first 6 months of pregnancy unless it is absolutely necessary and prescribed by your doctor. If you need treatment during this period or while trying to become pregnant, the lowest dose should be used for the shortest possible time. If you take it for more than a few days from the 20th week of pregnancy, Ibuprofeno pensa pharma 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.
Epidemiological study data suggest a higher risk of spontaneous abortion and cardiac malformations and gastroschisis after the use of a prostaglandin synthesis inhibitor in the early stages of pregnancy.
Breastfeeding
The use of ibuprofen is not recommended in women during breastfeeding.
Fertility
There is evidence that substances that inhibit prostaglandin synthesis/cyclooxygenase may cause a decrease in female fertility due to an effect on ovulation. This effect is reversible with the discontinuation of treatment.
Driving and using machines
Generally, ibuprofen does not influence or slightly influences the ability to drive and use machines. However, as higher doses may cause central nervous system side effects such as fatigue and dizziness, the ability to react and the ability to drive and operate machinery may be affected in individual cases. This is especially important when combined with alcohol.
Ibuprofeno pensa pharma contains lactose
If your doctor has told you that you have an intolerance to certain sugars, consult your doctor before taking this medication.
Ibuprofeno pensa pharma contains sodium
This medication contains less than 1 mmol of sodium (23 mg) per film-coated tablet; it is essentially "sodium-free".
Follow exactly the administration instructions of this medication indicated by your doctor. In case of doubt, consult your doctor or pharmacist.
The effective lowest dose should be used for the shortest necessary time to relieve symptoms. If you have an infection, consult your doctor without delay if symptoms persist or worsen (see section 2).
The recommended dose is:
Pain
Adults and adolescents with a body weight over 40 kg (over 12 years old)
One whole 400 mg tablet as a single dose. If necessary, additional doses of 400 mg of ibuprofen may be taken. The respective dosing interval should be chosen based on observed symptoms and the maximum recommended daily dose. It should not be less than 6 hours. Do not take more than 1200 mg of ibuprofeno in 24 hours.
Special populations
If you have severe liver and kidney disease or are an elderly person, your doctor will indicate the correct dose to take, which will be the lowest possible dose.
Use in children and adolescents
Ibuprofeno pensa pharma is not indicated in children or adolescents with a body weight under 40 kg or under 12 years of age.
Method of administration
Ibuprofeno pensa pharma is for oral use.
Take the tablets with a glass of water.
The tablets should not be crushed, chewed, or sucked to avoid stomach or throat irritation. The score line should not be used to divide the tablet.
It is recommended that patients with sensitive stomachs take ibuprofeno with food.
Duration of treatment
The doctor will decide the duration of treatment.
If you take more Ibuprofeno pensa pharma than you should
If you take more ibuprofeno than you should, or if children have taken this medication by accident, always contact a doctor or the nearest hospital to obtain an opinion on the risk and advice on the measures to take.
Symptoms may include nausea, stomach pain, and vomiting (which may contain blood), or less frequently, diarrhea. Additionally, headache, gastrointestinal bleeding, blurred vision, ringing in the ears, confusion, and eye tremor, and exacerbation of asthma in asthmatics. At high doses, somnolence, excitement, disorientation, chest pain, palpitations, loss of consciousness, convulsions (mainly in children), dizziness, weakness, and fainting, blood in the urine, low blood pressure, increased potassium levels in the blood, increased prothrombin time/INR, acute kidney failure, liver damage, respiratory depression, cyanosis, feeling of cold body, and respiratory problems have been reported.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.
If you forget to take Ibuprofeno pensa pharma
Do not take a double dose to make up for forgotten doses.
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication can produce adverse effects, although not all people suffer from them.
The pattern of adverse effects reported for ibuprofeno is similar to that of other NSAIDs.
Gastrointestinal disorders: The most commonly observed side effects affect the digestive tract. Stomach/duodenal ulcers (peptic ulcers), perforation, or bleeding may occur, sometimes fatal, especially in elderly patients (see section 2: "Warnings and precautions"). After its use, nausea, vomiting, diarrhea, flatulence, constipation, digestive discomfort, abdominal pain, black stools, vomiting blood, and mouth and throat ulcers (stomatitis) have been reported. Less frequently, stomach mucosa inflammation (gastritis) has been observed. In particular, the risk of developing gastrointestinal bleeding depends on the dose and duration of treatment.
Immune system disorders: Hypersensitivity reactions have been reported after treatment with NSAIDs. These can consist of (a) non-specific allergic reaction and anaphylaxis, (b) respiratory tract reactivity including asthma, worsened asthma, bronchospasm, or dyspnea, or (c) various skin disorders, including rashes of various types, itching, urticaria, purpura, angioedema, and very rarely, erythema multiforme, bullous dermatosis (including Stevens-Johnson syndrome and toxic epidermal necrolysis).
Infections and infestations: Rhinitis and aseptic meningitis (especially in patients with existing autoimmune disorders, such as systemic lupus erythematosus and mixed connective tissue disease) with symptoms of neck stiffness, headache, nausea, vomiting, fever, or disorientation (see section 4.4).
Worsening of inflammation-related infections has been described coinciding with the use of NSAIDs. Therefore, if signs of infection or worsening appear during the use of ibuprofeno, it is recommended that the patient consult a doctor without delay.
Skin and subcutaneous tissue disorders: In exceptional cases, severe skin infections and soft tissue complications may occur during a chickenpox infection (see also "Infections and infestations").
Cardiac and vascular disorders: Edema, hypertension, and heart failure have been reported in association with NSAID treatment. Clinical studies suggest that the use of ibuprofeno, particularly at high doses (2400 mg/day), may be associated with a small increase in the risk of arterial thrombotic events such as myocardial infarction or stroke (see section 4.4).
Stop treatment with ibuprofeno and seek immediate medical attention if you notice any of the following symptoms:
Other side effects that may occur:
Frequent (may affect up to 1 in 10 people):
Uncommon (may affect up to 1 in 100 people):
Rare (may affect up to 1 in 1,000 people):
Very rare (may affect up to 1 in 10,000 people):
Frequency not known (frequency cannot be estimated from available data):
Reporting of side effects
If you experience any side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines Agency's online platform: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.
Keep this medication out of sight and reach of children.
Do not use this medication after the expiration date stated on the packaging after "EXP". The expiration date is the last day of the month indicated.
Do not store above 30°C.
Medications should not be disposed of through wastewater or household waste. Deposit the packaging and any unused medication in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.
Composition of Ibuprofeno pensa pharma
The active ingredient is ibuprofeno. Each tablet contains 400 mg of ibuprofeno.
The other ingredients (excipients) are:
Core of the tablet:hypromellose, sodium croscarmellose, lactose monohydrate, microcrystalline cellulose, pregelatinized corn starch, anhydrous colloidal silica, and magnesium stearate.
Coating material:hypromellose, titanium dioxide (E-171), talc, and propylene glycol.
Appearance of the product and package contents
White, oblong, biconvex, film-coated tablets with a score line on both sides.
Ibuprofeno pensa pharma 400 mg film-coated tablets are available in aluminum-PVC/PVDC blisters in packs of 20, 30, or 60 tablets.
Not all pack sizes may be marketed.
Marketing authorization holder and manufacturer
Marketing authorization holder:
Towa Pharmaceutical, S.A.
C/ de Sant Martí, 75-97
08107 Martorelles (Barcelona)
Spain
Manufacturer:
ROVI PHARMA INDUSTRIAL SERVICES, S.A.
Vía Complutense 140,
E-28805 Alcalá de Henares (Madrid) Spain
or
TOLL MANUFACTURING SERVICES S.L.
C/ Aragoneses, 2
28108 (Alcobendas-Madrid) Spain
or
FARMALIDER, S.A.
C/ Aragoneses, 2
28108 Alcobendas (Madrid) Spain
This medication is authorized in EEA member states under the following names:
Spain: Ibuprofeno pensa pharma 400 mg film-coated tablets EFG
Italy: TowaDol
Portugal: Ibuprofeno Pensa
Date of last revision of this leaflet:January 2024
Other sources of information
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) https://www.aemps.gob.es/
The average price of IBUPROFEN PENSA PHARMA 400 mg FILM-COATED TABLETS in October, 2025 is around 2.06 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.