This medicine is used for the short-term treatment of moderate to pain that is severe. It contains 2 pain relievers: ibuprofen and oxycodone. Oxycodone is a narcotic pain reliever (opiate-type) that acts on certain parts of the brain to relieve pain. Ibuprofen is a nonsteroidal drug that is anti-inflammatoryNSAID) that functions by blocking a certain natural substance within your body to reduce pain and swelling.
Read the Medication Guide provided by your pharmacist you get a refill before you start using this product and each time. If you have any relevant concerns regarding the information, consult your physician or pharmacist.
Just take this medication by mouth with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Usually do not lie down for at least 10 minutes after taking this drug. If stomach upset occurs while taking this medication, take it with food, milk, or an antacid.
Dosage and length are centered on your medical condition and response to therapy. Take this medication exactly as directed by your doctor. To minimize the risk of adverse effects (such as stomach bleeding), the manufacturer recommends using no more than 4 tablets per day for the shortest time that is possible only 7 days). If you are instructed to take this medication to get more than 7 days, discuss the risks and benefits together with your physician. Also follow your doctor's or pharmacist's directions for the safe utilization of other pain that is non-narcotic (such as acetaminophen). Consult your doctor or pharmacist if you have any relevant questions regarding your treatment.
As the first signs of pain occur if you are taking this medication as needed, remember to take it. If you wait until the pain has worsened, the medication may not work as well.
If this medication has been taken regularly for a long time or in high doses, withdrawal symptoms (such as runny nose, irritability, trouble sleeping, sweating, stomach cramps, diarrhea) may occur if you suddenly stop taking this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for lots more details, and report any withdrawal reactions appropriate away.
When this medicine is taken for a time that is long it may not work as well. Your doctor might need to boost your dose or improve your medication. Talk along with your medical practitioner if this medication stops working well.
Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk might be increased if you have abused alcohol or medications within the past. Simply take this medicine exactly as recommended to minimize the risk of addiction.
Tell your doctor if your pain persists or worsens.
See section that is also warning.
Nausea, vomiting, constipation, dizziness, drowsiness, upset stomach, or weakness may possibly occur. If any of these effects persist or aggravate, tell your doctor or pharmacist promptly.
To cut back the possibility of dizziness and lightheadedness, get up slowly whenever rising from a sitting or lying position.
To avoid constipation, maintain a diet sufficient in fiber, drink plenty of water, and exercise. Consult with your pharmacist for help in selecting a laxative (such as for instance a stimulant type with stool softener).
Keep in mind that your physician has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious adverse effects.
Tell your doctor right away if you've got any serious side impacts, including: dizziness upon standing, swelling associated with fingers or feet, unexpected or unexplained fat gain, fast/pounding heartbeat, persistent/severe frustration, mental/mood changes, difficult/painful swallowing, unusual tiredness, change in amount of urine, easy bruising/bleeding, signs of disease (such as for instance fever, persistent sore neck), serious stomach/abdominal discomfort, ringing in the ears, unexplained neck that is stiff.
Get help that is medical away for those who have any really severe unwanted effects, including: slow/irregular/shallow respiration, fainting, seizures.
This drug may seldom cause serious (possibly deadly) liver disease. Get medical help appropriate away in the event that you have any signs and symptoms of liver damage, including: yellowing eyes/skin, dark urine, persistent nausea/vomiting.
a very serious reaction that is allergic this drug is rare. However, get help that is medical away if you notice any observeable symptoms of a serious allergic attack, including: rash, itching/swelling (especially regarding the face/tongue/throat), severe dizziness, difficulty respiration.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Phone your physician for medical advice about side-effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about adverse results. You may report effects that are side wellness Canada at 1-866-234-2345.
Before taking this medication, tell your medical professional or pharmacist if you have any other allergies if you are allergic to oxycodone or ibuprofen; or to other narcotic pain relievers (such as codeine, hydrocodone, oxymorphone); or to aspirin or other NSAIDs (such as naproxen, celecoxib); or. This product may contain inactive ingredients, which can cause allergies or other problems. Talk to your pharmacist for more details.
Before making use of this medication, tell your physician or pharmacist your health background, especially of: intestinal/bowel problems (such as for instance paralytic ileus, infectious diarrhoea, colitis, blockage), recent heart bypass surgery (CABG), liver disease, bleeding/blood-clotting problems (such as hemophilia, vitamin K deficiency, low platelet count), stomach/intestine/esophagus problems (such as bleeding, ulcers, recurring heartburn), diabetes, gout, lung diseases (such as for instance asthma, chronic obstructive pulmonary disease-COPD), difficulty in breathing (such as slow/shallow respiration, rest apnea), growths within the nose (nasal polyps), a certain spinal issue (kyphoscoliosis), certain heart related illnesses (such as for instance low bloodstream pressure, irregular heartbeat), personal or family history of regular use/abuse of drugs/alcohol/other substances, brain disorders (such as seizures, head injury, tumor, increased intracranial pressure), underactive thyroid (hypothyroidism), trouble urinating (for example, due to enlarged prostate or narrowed urethra), condition associated with the pancreas (such as for instance pancreatitis), mental/mood problems (such as toxic psychosis), gallbladder disease, adrenal gland issue (such as for example Addison's condition), certain enzyme deficiencies (pyruvate kinase or G6PD deficiency).
Kidney problems can occasionally occur if you use NSAID medications, including ibuprofen. Issues tend to be more most likely to occur if you take certain medications (see also Drug Interactions section) if you are dehydrated, have heart failure or kidney disease, are an older adult, or. Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have any change that is unusual the total amount of urine.
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Avoid beverages that are alcoholic.
Before having surgery, tell your dentist or doctor that you will be by using this medicine.
This medicine might cause stomach bleeding. Daily use of alcohol and tobacco, particularly when coupled with this medication, may increase your risk for belly bleeding. Limit alcohol and stop smoking. Consult your pharmacist or doctor to find out more.
This medicine may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear clothing that is protective outdoors.
Older grownups may be more sensitive to the unwanted effects of this drug, especially slow/shallow breathing, drowsiness, dizziness, confusion, stomach bleeding, and renal problems.
Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits (such as miscarriage, trouble getting pregnant). Tell your doctor if you plan to become pregnant if you are pregnant or. During maternity, this medication should be used only when clearly needed. It's maybe not recommended to be used through the first and last trimesters of maternity due to possible harm to the unborn baby and interference with normal labor/delivery. If this medication must be used, taking the smallest dose that is effective the shortest possible time may lessen the potential risks. Tell the doctor immediately in the event that you notice signs in your newborn baby such as slow/shallow breathing, irritability, abnormal/persistent crying, vomiting, or diarrhea.
This medication passes into breast milk and might have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.