Ibuprofen (Ibuprofen)

Trade Name : Ibuprofen

Amneal Pharmaceuticals of New York LLC

TABLET

Strength 800 mg/1

IBUPROFEN Cyclooxygenase Inhibitors [MoA],Anti-Inflammatory Agents, Non-Steroidal [CS],Nonsteroidal Anti-inflammatory Drug [EPC]

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Trade Marks displayed in compliance with provisions of: Trademark Act, 1999 u/s 30 and 30 (1) of "Fair use"

GNH India is WHO GDP and ISO 9001 2015 Certified Pharmaceutical Wholesaler/ Supplier/ Exporters/ Importer from India of Ibuprofen (Ibuprofen) which is also known as Ibuprofen and Manufactured by Amneal Pharmaceuticals of New York LLC. It is available in strength of 800 mg/1 per ml. Read more

Ibuprofen (Ibuprofen) is supplied for Tenders/ Emergency imports/ Un - licensed, Specials, Orphan drug/ Name patient line/ RLD supplies/ Reference listed drugs/ Comparator Drug/ Bio-Similar/ Innovator samples For Clinical trials.  Click to know price.     Read less

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We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

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About GNH

We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

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  • No data
  • Cardiovascular Thrombotic Events
  • Gastrointestinal Risk
  • Ibuprofen Tablets, USP contain the active ingredient ibuprofen, which is (u00b1) - 2 - ( - isobutylphenyl) propionic acid. Ibuprofen is a white powder with a melting point of 74u00b0 to 77u00b0 C and is very slightly soluble in water (<1 mg/mL) and readily soluble in organic solvents such as ethanol and acetone. The structural formula is represented below:
  • Ibuprofen Tablets, USP, a nonsteroidal anti-inflammatory drug (NSAID), is available inu00a0800 mg tablets for oral administration. Inactive ingredients: Colloidal Silicon Dioxide, Corn Starch, Hydroxypropyl Cellulose, Hypromellose, Lactose Anhydrous, Magnesium Stearate, Microcrystalline Cellulose, Polyethylene Glycol, Povidone, Sodium Lauryl Sulfate, Sodium Starch Glycolate, Titanium Dioxide.
  • Ibuprofen Tablets contain ibuprofen which possesses analgesic and antipyretic activities. Its mode of action, like that of other NSAIDs, is not completely understood, but may be related to prostaglandin synthetase inhibition.
  • In clinical studies in patients with rheumatoid arthritis and osteoarthritis, Ibuprofen Tablets have been shown to be comparable to aspirin in controlling pain and inflammation and to be associated with a statistically significant reduction in the milder gastrointestinal side effects [see ]. Ibuprofen Tablets may be well tolerated in some patients who have had gastrointestinal side effects with aspirin, but these patients when treated with Ibuprofen Tablets should be carefully followed for signs and symptoms of gastrointestinal ulceration and bleeding. Although it is not definitely known whether Ibuprofen Tablets causes less peptic ulceration than aspirin, in one study involving 885 patients with rheumatoid arthritis treated for up to one year, there were no reports of gastric ulceration with Ibuprofen Tablets whereas frank ulceration was reported in 13 patients in the aspirin group (statistically significant p<0.001).
  • Gastroscopic studies at varying doses show an increased tendency toward gastric irritation at higher doses. However, at comparable doses, gastric irritation is approximately half that seen with aspirin. Studies using Cr-tagged red cells indicate that fecal blood loss associated with Ibuprofen Tablets in doses up to 2400 mg daily did not exceed the normal range, and was significantly less than that seen in aspirin-treated patients.
  • In clinical studies in patients with rheumatoid arthritis, Ibuprofen Tablets have been shown to be comparable to indomethacin in controlling the signs and symptoms of disease activity and to be associated with a statistically significant reduction of the milder gastrointestinal [see ] and CNS side effects.
  • Ibuprofen Tablets may be used in combination with gold salts and/or corticosteroids.
  • Controlled studies have demonstrated that Ibuprofen Tablets are a more effective analgesic than propoxyphene for the relief of episiotomy pain, pain following dental extraction procedures, and for the relief of the symptoms of primary dysmenorrhea.
  • In patients with primary dysmenorrhea, Ibuprofen Tablets have been shown to reduce elevated levels of prostaglandin activity in the menstrual fluid and to reduce resting and active intrauterine pressure, as well as the frequency of uterine contractions. The probable mechanism of action is to inhibit prostaglandin synthesis rather than simply to provide analgesia.
  • Carefully consider the potential benefits and risks of Ibuprofen Tablets and other treatment options before deciding to use Ibuprofen Tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals [see ].
  • Ibuprofen Tablets are indicated for relief of the signs and symptoms of rheumatoid arthritis and osteoarthritis.
  • Ibuprofen Tablets are indicated for relief of mild to moderate pain.
  • Ibuprofen Tablets are also indicated for the treatment of primary dysmenorrhea.
  • Controlled clinical trials to establish the safety and effectiveness of Ibuprofen Tablets in children have not been conducted.
  • Ibuprofen Tablets are contraindicated in patients with known hypersensitivity to ibuprofen.
  • Ibuprofen Tablets should not be given to patients who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.
  • Severe, rarely fatal, anaphylactic-like reactions to NSAIDs have been reported in such patients [see , and ].
  • In the setting of coronary artery bypass graft (CABG) surgery [see ].
  • CARDIOVASCULAR EFFECTS
  • No data
  • The most frequent type of adverse reaction occurring with Ibuprofen Tablets is gastrointestinal. In controlled clinical trials the percentage of patients reporting one or more gastrointestinal complaints ranged from 4% to 16%.
  • In controlled studies when Ibuprofen Tablets were compared to aspirin and indomethacin in equally effective doses, the overall incidence of gastrointestinal complaints was about half that seen in either the aspirin- or indomethacin-treated patients.
  • Adverse reactions observed during controlled clinical trials at an incidence greater than 1% are listed in the table. Those reactions listed in Column one encompass observations in approximately 3,000 patients. More than 500 of these patients were treated for periods of at least 54 weeks.
  • Still other reactions occurring less frequently than 1 in 100 were reported in controlled clinical trials and from marketing experience. These reactions have been divided into two categories: Column two of the table lists reactions with therapy with Ibuprofen Tablets where the probability of a causal relationship exists: for the reactions in Column three, a causal relationship with Ibuprofen Tablets has not been established.
  • Reported side effects were higher at doses of 3200 mg/day than at doses of 2400 mg or less per day in clinical trials of patients with rheumatoid arthritis. The increases in incidence were slight and still within the ranges reported in the table.
  • u00a0* Reactions occurring in 3% to 9% of patients treated with ibuprofen tablets. (Those reactions occurring in less than 3% of the patients are unmarked.)
  • ** Reactions are classified under if there has been one positive rechallenge or if three or more cases occur which might be causally related. Reactions are classified under if seven or more events have been reported but the criteria for PCR have not been met.
  • Approximately 1 u00bd hours after the reported ingestion of from 7 to 10 Ibuprofen Tablets (400 mg), a 19-month old child weighing 12 kg was seen in the hospital emergency room, apneic and cyanotic, responding only to painful stimuli. This type of stimulus, however, was sufficient to induce respiration. Oxygen and parenteral fluids were given; a greenish-yellow fluid was aspirated from the stomach with no evidence to indicate the presence of ibuprofen. Two hours after ingestion the child's condition seemed stable; she still responded only to painful stimuli and continued to have periods of apnea lasting from 5 to 10 seconds. She was admitted to intensive care and sodium bicarbonate was administered as well as infusions of dextrose and normal saline. By four hours post-ingestion she could be aroused easily, sit by herself and respond to spoken commands. Blood level of ibuprofen was 102.9 mcg/mL approximately 8u00bd u00a0hours after accidental ingestion. At 12 hours she appeared to be completely recovered.
  • In two other reported cases where children (each weighing approximately 10 kg) accidentally, acutely ingested approximately 120 mg/kg, there were no signs of acute intoxication or late sequelae. Blood level in one child 90 minutes after ingestion was 700 mcg/mL - about 10 times the peak levels seen in absorption-excretion studies.
  • A 19-year old male who had taken 8,000 mg of ibuprofen over a period of a few hours complained of dizziness, and nystagmus was noted. After hospitalization, parenteral hydration and three days bed rest, he recovered with no reported sequelae.
  • In cases of acute overdosage, the stomach should be emptied by vomiting or lavage, though little drug will likely be recovered if more than an hour has elapsed since ingestion. Because the drug is acidic and is excreted in the urine, it is theoretically beneficial to administer alkali and induce diuresis. In addition to supportive measures, the use of oral activated charcoal may help to reduce the absorption and reabsorption of Ibuprofen Tablets.
  • Carefully consider the potential benefits and risks of Ibuprofen Tablets and other treatment options before deciding to use Ibuprofen Tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals [see ].
  • After observing the response to initial therapy with Ibuprofen Tablets, the dose and frequency should be adjusted to suit an individual patient's needs.
  • Do not exceed 3200 mg total daily dose. If gastrointestinal complaints occur, administer Ibuprofen Tablets with meals or milk.
  • Rheumatoid arthritis and osteoarthritis, including flare-ups of chronic disease:n n- Suggested Dosage:
  • Therefore, when treating patients with 3200 mg/day, the physician should observe sufficient increased clinical benefits to offset potential increased risk.
  • The dose should be tailored to each patient, and may be lowered or raised depending on the severity of symptoms either at time of initiating drug therapy or as the patient responds or fails to respond.
  • In general, patients with rheumatoid arthritis seem to require higher doses of Ibuprofen Tablets than do patients with osteoarthritis.
  • The smallest dose of Ibuprofen Tablets that yields acceptable control should be employed. A linear blood level dose-response relationship exists with single doses up to 800 mg [See u00a0for effects of food on rate of absorption].
  • The availability of four tablet strengths facilitates dosage adjustment.
  • In chronic conditions
  • Mild to moderate pain:
  • In controlled analgesic clinical trials, doses of Ibuprofen Tablets greater than 400 mg were no more effective than the 400 mg dose.
  • Dysmenorrhea:
  • Ibuprofen Tablets, USP are available in the following strength, color and sizes:
  • 800 mg
  • They are available as follows:Bottles of 30: NDC 53746-137-30Bottles of 50: NDC 53746-137-50Bottles of 60: NDC 53746-137-60Bottles of 90: NDC 53746-137-90Bottles of 100: NDC 53746-137-01Bottles of 500: NDC 53746-137-05
  • Store at 20u00b0 to 25u00b0C (68u00b0 to 77u00b0F) [see USP Controlled Room Temperature]. Avoid excessive heat 40u00b0C (104u00b0F).u00a0Dispense in a tight, light-resistant container as defined in the USP.
  • Rx Only
  • Distributed by:n Bridgewater, NJu00a0 08807
  • Rev. 03-2019-03
  • Medication Guide for Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
  • What is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?
  • NSAIDs can cause serious side effects, including:
  • Do not take NSAIDs right before or after a heart surgery called a u201ccoronary artery bypass graft (CABG).u201d
  • Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack.
  • The risk of getting an ulcer or bleeding increases with:
  • NSAIDs should only be used:
  • What are NSAIDs?
  • Who should not take NSAIDs? Do not take NSAIDs:
  • Before taking NSAIDs, tell your healthcare provider about all of your medical conditions, including if you:
  • Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins or herbal supplements.n- Do not start taking new medicine without talking to your healthcare provider first.
  • What are the possible side effects of NSAIDs? NSAIDs can cause serious side effects, including: See u201cWhat is the most important information I should know about medicines called Nonsteroidal Anti-inflammatory Drugs (NSAIDs)?u201d
  • Get emergency help right away if you get any of the following symptoms:
  • Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms:
  • If you take too much of your NSAID, call your healthcare provider or get medical help right away.
  • These are not all the possible side effects of NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs. n
  • Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
  • Other information about NSAIDs
  • General information about the safe and effective use of NSAIDs n
  • Distributed by: n Bridgewater, NJu00a0 08807
  • Rev. 03-2019-02
  • For more information, go to www.amneal.com or call 1-877-835-5472.
  • This Medication Guide has been approved by the U.S. Food and Drug Administration.u00a0
  • No data

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