Product image of Nurofen Plus (Ibuprofen, Codeine Phosphate Hemihydrate) supplied by GNH India

Nurofen Plus

Active Ingredient:
Ibuprofen, Codeine Phosphate Hemihydrate
Origin:
EU

Nurofen Plus (Ibuprofen, Codeine Phosphate Hemihydrate)

Ibuprofen and Codeine phosphate hemihydrate, the active ingredient in Nurofen Plus, is a NSAID; Opioid analgesic presented as an oral tablet for oral use. It provides pain relief and reduces fever in adults and adolescents when prescribed by a healthcare professional.

GNH India supplies Nurofen Plus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and offers reliable global distribution, ensuring timely delivery and regulatory compliance across multiple markets.

Manufacturer / TM Owner

Reckitt Benckiser Ireland Ltd.

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Indications & Clinical Uses

  • Nurofen Plus combines ibuprofen and codeine to address pain and fever through anti‑inflammatory and opioid pathways.
  • Mild to moderate acute pain: provides effective analgesia
  • Headache: reduces pain intensity
  • Dental pain: alleviates postoperative discomfort
  • Musculoskeletal pain: diminishes inflammation and soreness
  • Fever: lowers elevated body temperature

How It Works

  • Ibuprofen inhibits cyclooxygenase‑1 and ‑2 enzymes, decreasing prostaglandin synthesis and thereby reducing inflammation and pain. Codeine phosphate hemihydrate is metabolized to morphine, which binds to central μ‑opioid receptors, modulating pain perception and producing analgesia. The combination offers synergistic relief by targeting peripheral inflammatory pathways and central nociceptive signaling.

Side Effects

Nurofen Plus may cause a range of adverse reactions, which are grouped by frequency and severity.

Common Side Effects

  • Nausea
  • Constipation
  • Dizziness
  • Drowsiness
  • Stomach upset
  • Headache

Serious or Rare Side Effects

  • Respiratory depression
  • Severe allergic reactions (e.g., anaphylaxis)
  • Liver injury
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Seizures
  • Dependence or addiction potential

Precautions & Warnings

  • When prescribing or dispensing Nurofen Plus, consider the following precautions to ensure safe use.
  • Assess renal function: ibuprofen may impair kidney function, especially in dehydration.
  • Monitor hepatic function: codeine metabolism can affect liver enzymes.
  • Avoid in patients with respiratory disorders: risk of opioid‑induced respiratory depression.
  • Use caution with alcohol: increased sedation and gastrointestinal irritation.
  • Do not exceed prescribed dose: higher doses raise risk of toxicity and adverse events.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Nurofen Plus can interact with other medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid)

  • Other opioids: additive respiratory depression.
  • Benzodiazepines: enhanced sedation and CNS depression.
  • MAO inhibitors: risk of serotonin syndrome.
  • Alcohol: increased central nervous system depression.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): increased bleeding risk.
  • SSRIs or SNRIs: potential for serotonin syndrome.
  • Diuretics: reduced renal clearance of ibuprofen, affecting fluid balance.

Frequently Asked Questions

Nurofen Plus is prescribed to relieve mild to moderate pain and to reduce fever. It combines an anti‑inflammatory agent with an opioid to provide effective analgesia for conditions such as headache, dental pain, musculoskeletal discomfort, and febrile states.

Ibuprofen blocks cyclooxygenase enzymes, lowering prostaglandin production and thereby reducing inflammation and pain at the site of injury. Codeine is converted to morphine in the body, which activates μ‑opioid receptors in the central nervous system, altering pain perception and providing additional analgesic effect.

The appropriate dose of Nurofen Plus is determined by a qualified prescriber based on the individual’s age, weight, medical condition, and response to therapy. Patients should follow the exact instructions provided on the prescription label and not adjust the dose on their own.

Safety data for ibuprofen and codeine during pregnancy are limited, and the combination is generally avoided, especially in the third trimester, due to potential risks to the fetus. While breastfeeding, codeine can pass into milk and may affect the infant. Consultation with a healthcare professional is essential before use.

To order Nurofen Plus, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Compared with single‑ingredient ibuprofen, Nurofen Plus adds codeine, offering stronger pain relief for moderate pain that may not respond fully to NSAIDs alone. Unlike paracetamol, it provides anti‑inflammatory benefits from ibuprofen. However, the opioid component introduces additional safety considerations such as dependence and respiratory effects.

Nurofen Plus tablets should be stored at room temperature, below 25 °C, in their original packaging. Keep them away from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability.

Nurofen Plus is taken orally as a tablet. The tablet should be swallowed whole with a full glass of water, preferably with food or after a meal to reduce gastrointestinal irritation. Do not crush, chew, or split the tablet unless specifically instructed by a healthcare professional.

The most serious risks include respiratory depression, especially when combined with other CNS depressants, severe allergic reactions, gastrointestinal bleeding or ulceration from the ibuprofen component, liver injury, and the potential for dependence or addiction due to the codeine component.

Nurofen Plus should be avoided in individuals with known hypersensitivity to ibuprofen, codeine, or any excipients, those with severe respiratory disorders, uncontrolled asthma, significant liver or kidney impairment, and patients who are pregnant in the third trimester or breastfeeding without medical advice.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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