Package Insert: Information for the User
Ibufén Xpress 400 mg Granule for Oral Solution
Ibuprofen (arginine)
Read this package insert carefully before starting to take this medicine, as it contains important information for you.
Follow exactly the administration instructions contained in this package insert or those given by your doctor or pharmacist.
Ibuprofen, the active ingredient of this medication, acts by reducing pain and fever.
This medication is used in adults and adolescents 12 years of age or older (weight equal to or greater than 40 kg), for symptomatic relief of occasional mild to moderate pain, such as headaches, toothaches, menstrual cramps, muscle spasms, or back pain (lumbago), as well as febrile states.
Do not take Ibufén Xpress
Warnings and precautions
Consult your doctor or pharmacist before starting to take Ibufén Xpress.
Nonsteroidal anti-inflammatory drugs (NSAIDs) 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. Do not take more than 3 sachets of granules (1200 mg of ibuprofen) per day to avoid possible cardiovascular or heart problems.
Inform your doctor
It isimportantto use the smallest effective dose that alleviates or controlsyour painand not to take this medication for longer than necessary to control your symptoms.
Avoid concurrent administration withotherNSAIDs, includingthoseknown asCox-2 inhibitors.
Precautions in elderly patients
Elderly patients have a higher frequency of adverse reactions to NSAIDs, especially gastrointestinal bleeding and perforation, which can be fatal.
Cardiovascular precautions
NSAIDs 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.
Inform your doctor or pharmacist before taking ibuprofen if:
Additionally, this type of medication may cause fluid retention, especially in patients with heart failure and/or high blood pressure.
Respiratory problems
Ibuprofen should be used with caution in patients who have or have had asthma, bronchial allergies, or other respiratory problems, as ibuprofen has been reported to cause bronchospasm, urticaria, or angioedema in these patients.
Children and adolescents
There is a risk of renal insufficiency in dehydrated children and adolescents.
This medication is not recommended for children and adolescents weighing less than 40 kg or under 12 years old, as the ibuprofen dose contained is not suitable for the recommended dosage in this patient group.
Precautions during pregnancy and in women of childbearing age
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 renal and cardiac problems in your fetus. It may affect your and your baby's tendency to bleed and delay or prolong delivery more than expected. Do not take ibuprofen during the first 6 months of pregnancy unless strictly necessary and as indicated by your doctor. If you need treatment during this period or while trying to become pregnant, you should take the minimum dose for the shortest time possible.
From week 20 of pregnancy, ibuprofen may cause renal problems in your fetus if taken for more than a few days, which may result in low amniotic fluid levels (oligohydramnios) or narrowing of a blood vessel (ductus arteriosus) in the baby's heart. If you need treatment for a period longer than a few days, your doctor may recommend additional checks.
For women of childbearing age, it should be noted that ibuprofen-type medications have been associated with a decrease in the ability to conceive.
Interference with laboratory tests
If you are to undergo any diagnostic test (including blood, urine, skin tests using allergens, etc.), inform your doctor that you are taking this medication, as it may alter the results.
Other medications and Ibufén Xpress
Inform your doctor or pharmacist if you aretaking,have taken recentlyor may need to take anyother medication.
Ibuprofen may affect or be affected by other medications. For example:
The following medications should not be taken with ibuprofen without consulting your doctor:
Other medications may also affect or be affected by ibuprofen treatment. Therefore, always consult your doctor or pharmacist before using ibuprofen with other medications.
Taking Ibufén Xpress with food, drinks, and alcohol
Take this medication with meals or with milk.
Do not administer ibuprofen with alcohol to avoid damaging the stomach. Consuming alcohol during treatment may increase the risk of gastrointestinal adverse reactions.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, consult your doctor or pharmacist before using this medication.
Ibuprofenshould not be taken during pregnancy, especially during the third trimester (see section “precautions during pregnancy and in women of childbearing age”).
Minimal 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 ofibuprofen (arginine)or take it for a short period, no special precautions are necessary.
Ibufén Xpress contains aspartame, saccharose, and sodium
This medication contains 25 mg of aspartame in each sachet.
Aspartame contains a source of phenylalanine, which 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 saccharose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.
This medication contains 57.5 mg of sodium (main component of table salt/for cooking) in each sachet, which is equivalent to 2.9% of the recommended daily maximum sodium intake for an adult.
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).
The recommended dose is:
-Adults and adolescents over 12 years of age and weighing 40 kg or more: Take one packet (400 mg of ibuprofen) every 6 or 8 hours as needed. Do not take more than 3 packets (1,200 mg of ibuprofen) in 24 hours.
-Older patients: The dose should be established by the doctor, as there may be a need to reduce the usual dose.
-Patients with kidney, liver, or heart disease: Reduce the dose and consult a doctor.
Always use the lowest effective dose.
The administration of this medication is dependent on the appearance of pain or fever. As these symptoms disappear, the medication should be discontinued.
You should consult a doctor if symptoms worsen or do not improve, if fever persists for more than 3 days or pain for more than 3 days in adolescents or 5 days in adults.
Use in children
This medication is not recommended for use in children and adolescents weighing less than 40 kg or under 12 years of age, as the ibuprofen dose contained is not suitable for the recommended dosage in this patient group.
Administration form
This medication is administered orally.
Dissolve the entire contents of a packet in a glass of water and ingest immediately. Take this medication with meals or with milk, especially if digestive discomfort is noted.
IfyoutakemoreIbufén Xpress than you should
If you have taken more Ibufén Xpress than you should, or if a child has taken the medication accidentally, consult a doctor immediately or the nearest hospital to inform yourself about the risk and ask for advice on the measures to be taken.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone 91 562 04 20, indicating the medication and the amount ingested, 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, vomiting (which may contain blood-stained mucus), diarrhea, dizziness, spasms, hypotension, or depression of the nervous system (reduction of consciousness) headache, ringing in the ears, confusion, and involuntary eye movement. It may also cause agitation, disorientation, or coma. 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.
Rarely, more severe symptoms such as gastrointestinal bleeding, low blood pressure, seizures, and respiratory disturbances may occur. Asthma exacerbation is possible in asthmatics. In case of significant overdose, renal insufficiency and liver damage may occur.
Additionally, the prothrombin time/INR may be prolonged, probably due to interference with the actions of circulating clotting factors.
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 the 60 minutes following ingestion.
If you forget to take Ibufén Xpress
Do not take a double dose to compensate for the missed doses.
If you forget to take your dose, take it as soon as you remember. However, if the time for the next dose is near, skip the missed dose and take the next dose at your usual time.
If you have any other doubts about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
The side effects of medicines like 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 (can affect more than 1 in 10 patients), common (can affect up to 1 in 10 patients), uncommon (can affect up to 1 in 100 patients), rare (can affect up to 1 in 1,000 patients), very rare (can affect up to 1 in 10,000 patients) and unknown frequency (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, and 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 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.
Unknown frequency: Papilledema (inflammation of the optic nerve).
Ear and labyrinth disorders
Common: Vertigo.
Uncommon: Ringing or buzzing in the ears.
Rare: Hearing difficulty.
Cardiac disorders
Medicines like 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.
Unknown frequency: Cardiac failure and 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 medicines.
Very rare: Hypertension.
Unknown frequency: Arterial thrombosis.
Respiratory, thoracic, and mediastinal disorders
Uncommon: Asthma, worsening of asthma, bronchospasm, dyspnea (breathing difficulty).
Unknown frequency: Irritation of the throat.
Gastrointestinal disorders
The most common side effects that occur with medicines like ibuprofen (arginine) are gastrointestinal: Peptic ulcers, gastrointestinal bleeding, perforations (in some cases fatal), especially in elderly patients.
Common: Gastrointestinal disturbances 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, 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.
Unknown frequency: 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: Medicines like ibuprofen (arginine) may be associated, in very rare cases, with severe bullous reactions such as Stevens-Johnson syndrome (disseminated 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 cutaneous infections and complications in the soft tissue may occur during chickenpox.
Unknown frequency: The skin becomes sensitive to light (photosensitivity), 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 scaly rash, with bumps under the skin and blisters, located mainly on skin folds, trunk, and upper limbs, accompanied by fever at the beginning of treatment (generalized acute pustular exanthema). Stop taking ibuprofen (arginine) if you experience these symptoms and seek medical attention immediately. See section 2.
Renal and urinary disorders
Rare: Hematuria (blood in urine).
Very rare: Edema (signs that may indicate kidney disease, which may include renal insufficiency); renal tissue damage (papillary necrosis), increased serum uric acid concentration.
Based on the experience with nonsteroidal anti-inflammatory drugs in general, cases of interstitial nephritis, nephrotic syndrome, and renal insufficiency cannot be ruled out.
General disorders
Very rare: Exacerbation of inflammation during infectious processes.
Unknown frequency: Edema.
Complementary examinations
Rare: Alteration of liver function tests.
Unknown frequency: Alteration of renal function tests.
Until now, no severe allergic reactions have 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 (lower than usual blood pressure) or shock.
If any of the following side effects occur, discontinue treatment and seek immediate medical attention:
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through theSistema Español de Farmacovigilancia de Medicamentos de Uso Humano:https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
This medication does not require special storage conditions.
Do not usethis medicationafter the expiration date that appears on the packaging after CAD. 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. In case of 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.
Composition ofIbufén Xpress
Appearance ofIbufén Xpressand contents of the packaging
White granule with a characteristic peppermint odor.
It is presented in blister packs of a composite metal foil consisting of a printed coating on one side + extruded polyethylene + aluminum + heat-sealable resin.
Each package contains 12 or 20 blister packs.
Holder of the marketing authorization and responsible for manufacturing
LCinfa Laboratories, S.A.
Carretera Olaz-Chipi, 10. Areta Industrial Estate
31620 Huarte (Navarra) – Spain
Last review date of this leaflet:November 2024
The detailed information of this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
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