Like all medicines, this medicine can cause side effects, although not everybody gets them. If you are elderly you may be more likely to have some of these side effects (especially stomach bleeding which can be fatal in the elderly).
If you have any unwanted side effects you should seek advice from your doctor, pharmacist or healthcare professional.
If you get any of these serious side effects, stop taking the tablets. See a doctor at once:
- You are sick and it contains blood or dark particles that look like coffee grounds
- Pass blood in your stools or pass black tarry stools
- Stomach problems including pain, indigestion or heartburn
- Unexplained wheezing (asthma), worsening of existing asthma,
- difficulty in breathing, swelling of the face, tongue, neck or throat, fast heart rate, feeling faint or dizzy or collapse (severe allergic reaction)
- Allergic skin reactions such as itchy, red, raised rash (which can sometimes be severe and include peeling, blistering and lesions of the skin)
- Frequency "Not known": A red, scaly widespread rash with bumps under the skin and blisters mainly localized on the skin folds, trunk, and upper extremities accompanied by fever at the initiation of treatment (acute generalised exanthematous pustulosis).
Stop taking this medicine if you develop these symptoms and seek medical attention immediately.
A severe skin reaction known as DRESS syndrome can occur.
Symptoms of DRESS include: skin rash, fever, swelling of lymph nodes and an increase of eosinophils (a type of white blood cell)
- Meningitis (e.g. stiff neck, fever, disorientation)
- Kidney problems, which may lead to kidney failure (you may pass more or less urine, have blood in the urine or cloudy urine, or feel breathless, very tired or weak, have no appetite, or have swollen ankles)
If you get any of the following side effects see your pharmacist or doctor:
- Feeling sick or being sick
- Headache, blurred vision, drowsiness - do not drive or use machines if you feel drowsy or have blurred vision
- High blood pressure, heart failure (you may be tired, have difficulty breathing or swollen legs)
- Fluid retention, which may cause swelling of the limbs
- Slow or shallow breathing, problems clearing catarrh or phlegm from the chest
- Vary rarely, yellowing of the skin or eyes, pale stools or upper abdominal pain (these may be signs of liver problems)
- Kidney problems, which may lead to kidney failure (you may pass more or less urine, have blood in the urine or cloudy urine, or feel breathless, very tired or weak, have no appetite, or have swollen ankles)
If you get any of the following side effects see your pharmacist or doctor:
- Feeling sick or being sick
- Headache, blurred vision, drowsiness - do not drive or use machines if you feel drowsy or have blurred vision
- High blood pressure, heart failure (you may be tired, have difficulty breathing or swollen legs)
- Fluid retention, which may cause swelling of the limbs
- Slow or shallow breathing, problems clearing catarrh or phlegm from the chest
- Vary rarely, yellowing of the skin or eyes, pale stools or upper abdominal pain (these may be signs of liver problems)
- Swelling or ulcers of the stomach or mouth lining, constipation
- Rarely, diarrhoea, wind, worsening of colitis or Crohn's disease
- Very rarely, tiredness or severe exhaustion, changes in the blood which may cause unusual bruising or unexplained bleeding and an increase in the number of infections that you get (e.g. sore throats, mouth ulcers, flu-like symptoms including fever)
- A small increased risk of heart attack or stroke if you take large amounts for a long time
- Skin becomes sensitive to light - frequency unknown
If any side effect becomes severe, or you notice any side effects not listed here, please tell your pharmacist or doctor.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse.
KEEP ALL MEDICINES OUT OF THE SIGHT AND REACH OF CHILDREN
If your symptoms worsen at any time, or do not go away within 3 days, you must speak to your doctor or pharmacist.
• Warning: Do not take more medicine than the label tells you to.
• If you need to take this medicine continuously for more than 3 days you should see your doctor or pharmacist.
• This medicine contains codeine which can cause addiction if you take it continuously for more than 3 days.
• If you take this medicine for headaches for more than 3 days it can make them worse.
Do not take if you:
• have ever had a stomach ulcer, perforation or bleeding.
• are allergic to ibuprofen, codeine, or any other ingredients of the
product, aspirin or other non-steroidal anti-inflammatory medicines.
• are taking aspirin with a daily dose above 75mg, or other non-steroidal anti-inflammatory medicines.
• are breast-feeding. or are in the last 3 months of pregnancy.
Talk to your pharmacist or doctor before taking if you:
• have, or have had asthma, diabetes, high cholesterol, high blood pressure, a stroke, heart, liver, kidney or bowel problems.
• smoke.
• are pregnant.
Other important information: This medicine can make you feel sleepy.
Do not drive or use machines while taking this medicine until you are
sure you are not affected.
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