Nureflex Junior Orange (Ibuprofen)

Ibuprofen acts systemically to reduce inflammation, pain and fever in the pediatric population.

• Fever: lowers elevated body temperature in children with acute febrile illnesses.
• Mild to moderate pain: provides analgesia for headache, dental pain, sore throat, or minor injuries.
• Inflammatory conditions: helps control symptoms of juvenile arthritis or musculoskeletal inflammation.

• Ibuprofen exerts its effect by reversibly inhibiting cyclo‑oxygenase‑1 (COX‑1) and cyclo‑oxygenase‑2 (COX‑2) enzymes, which reduces the synthesis of prostaglandins involved in inflammation, pain signalling, and fever generation. This inhibition leads to decreased peripheral sensitisation and central temperature set‑point modulation.

Adverse reactions may range from mild to severe and should be monitored during therapy.

Common Side Effects

• Nausea: mild stomach upset or queasiness.
• Vomiting: occasional emesis after dosing.
• Abdominal pain: discomfort or cramping in the stomach area.
• Diarrhoea: loose stools occurring after treatment.
• Headache: transient mild head pain.
• Dizziness: brief sensation of light‑headedness.

Serious or Rare Side Effects

• Gastrointestinal bleeding: signs include black stools or vomiting blood.
• Peptic ulcer perforation: severe abdominal pain requiring urgent care.
• Renal impairment: reduced urine output or swelling.
• Severe allergic reaction: rash, swelling, or difficulty breathing (anaphylaxis).
• Stevens‑Johnson syndrome: painful skin lesions and mucosal involvement.
• Hepatic injury: jaundice or abnormal liver function tests.

Before initiating therapy, consider the following safety measures.

• Gastro‑intestinal risk: assess history of ulcers or bleeding before use.
• Renal function: monitor in children with dehydration or existing kidney disease.
• Cardiovascular caution: avoid in patients with uncontrolled hypertension.
• Hypersensitivity: discontinue if rash, itching, or swelling develops.
• Concomitant NSAIDs: avoid using other NSAIDs simultaneously to reduce toxicity.
• Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Ibuprofen can affect the activity of several other medicines.

Major Interactions (Avoid)

• Anticoagulants (e.g., warfarin): increased risk of serious bleeding.
• Other NSAIDs or aspirin: additive gastrointestinal toxicity.
• Corticosteroids: heightened chance of ulceration or bleeding.
• Lithium: elevated lithium serum levels, risk of toxicity.
• Methotrexate: reduced clearance leading to toxicity.

Moderate Interactions (Monitor Closely)

• ACE inhibitors or ARBs: possible reduction in renal function.
• Diuretics: may exacerbate kidney impairment.
• SSRIs or SNRIs: modest increase in bleeding risk.
• Beta‑blockers: potential for reduced antihypertensive effect.
• Antidiabetic agents: may affect blood glucose control.