Product image of Nurofen Duo (Ibuprofen, Paracetamol) supplied by GNH India

Nurofen Duo

Active Ingredient:
Ibuprofen, Paracetamol
Origin:
EU

Nurofen Duo (Ibuprofen, Paracetamol)

Ibuprofen, the active ingredient in Nurofen Duo, is a non‑steroidal anti‑inflammatory drug (NSAID) presented as a combined oral tablet for systemic use. It treats mild to moderate pain and reduces fever, often in conjunction with paracetamol for enhanced effect.
GNH India supplies Nurofen Duo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Reckitt Benckiser Kft

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Indications & Clinical Uses

Nurofen Duo combines ibuprofen and paracetamol to address pain and inflammation pathways in several common conditions.

  • Headache: provides rapid relief of tension‑type and mild migraine symptoms.
  • Dental pain: reduces postoperative discomfort after extractions or procedures.
  • Musculoskeletal pain: eases aches from sprains, strains and minor arthritis.
  • Fever: lowers elevated body temperature in adults.
  • Menstrual cramps: alleviates dysmenorrhoeic pain during periods.

How It Works

  • Ibuprofen inhibits cyclo‑oxygenase (COX‑1 and COX‑2) enzymes, decreasing prostaglandin synthesis that mediates inflammation and pain. Paracetamol acts centrally by inhibiting a variant of the COX enzyme and modulating serotonergic pathways, providing antipyretic and analgesic effects without significant peripheral anti‑inflammatory activity.

Side Effects

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

Common Side Effects

  • Gastrointestinal discomfort such as nausea or dyspepsia.
  • Headache or dizziness.
  • Mild skin rash or itching.
  • Elevated liver enzymes (asymptomatic laboratory finding).

Serious or Rare Side Effects

  • Gastrointestinal bleeding or ulceration.
  • Severe skin reactions like Stevens‑Johnson syndrome.
  • Hepatotoxicity, particularly with overdose or chronic use.
  • Renal impairment or acute kidney injury.
  • Anaphylaxis or severe hypersensitivity reactions.

Precautions & Warnings

Before initiating therapy, consider the following safety measures:

  • Assess renal function: patients with chronic kidney disease may require dose adjustment.
  • Evaluate hepatic status: avoid use in severe liver impairment.
  • Review cardiovascular risk: NSAIDs can increase blood pressure and fluid retention.
  • Check for gastrointestinal history: prior ulcers or bleeding raise risk of GI complications.
  • Avoid concurrent use with other NSAIDs or high‑dose paracetamol.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and heat.

Avoid Interactions

Nurofen Duo may interact with several drug classes; monitoring and avoidance strategies are recommended.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • High‑dose aspirin or other NSAIDs: additive gastrointestinal toxicity.
  • Certain antihypertensives (ACE inhibitors, ARBs, diuretics): may reduce renal perfusion.

Moderate Interactions (Monitor Closely)

  • Lithium: ibuprofen can raise serum lithium levels.
  • Methotrexate: reduced clearance may increase toxicity.
  • Selective serotonin reuptake inhibitors (SSRIs): heightened bleeding risk.
  • Alcohol: potentiates liver toxicity and gastric irritation.

Frequently Asked Questions

Nurofen Duo is a fixed‑dose combination of ibuprofen and paracetamol intended for the short‑term relief of mild to moderate pain such as headache, dental discomfort, musculoskeletal aches and fever. It is commonly used in adults when a single‑agent analgesic does not provide sufficient symptom control.

Ibuprofen blocks cyclo‑oxygenase enzymes, lowering prostaglandin production that drives inflammation and pain. Paracetamol works mainly in the central nervous system, inhibiting a COX variant and influencing serotonergic pathways to reduce pain perception and temperature regulation. Together they provide complementary analgesic and antipyretic effects.

The appropriate dose of Nurofen Duo is determined by a qualified prescriber based on the individual’s age, weight, medical history and the severity of symptoms. Healthcare professionals set the dosing schedule and duration according to current clinical guidelines.

Use of ibuprofen‑containing products is generally avoided in the third trimester of pregnancy because of fetal cardiovascular risks, and caution is advised throughout pregnancy. Paracetamol is considered relatively safe when used at recommended doses. Breastfeeding mothers should consult a healthcare professional before use.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

The combination offers additive analgesic and antipyretic effects, often achieving faster pain relief than either component alone. It may reduce the need for higher individual doses, potentially lowering the risk of dose‑related side effects, but it also introduces combined safety considerations such as liver and gastrointestinal monitoring.

Store tablets at ambient temperature, preferably below 25 °C. Keep them in the original packaging to protect from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability.

Nurofen Duo is taken orally with a full glass of water. It may be taken with or without food, although taking it with food can reduce the likelihood of gastrointestinal discomfort.

Serious adverse events include gastrointestinal bleeding or ulceration, severe skin reactions such as Stevens‑Johnson syndrome, hepatotoxicity, renal impairment and anaphylaxis. Patients should seek immediate medical attention if they experience symptoms like vomiting blood, severe rash, jaundice or sudden kidney‑related problems.

Individuals with known hypersensitivity to ibuprofen, other NSAIDs, or paracetamol should avoid the product. It is also contraindicated in patients with active peptic ulcer disease, severe liver or kidney impairment, uncontrolled hypertension, and in the third trimester of pregnancy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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