Nemel Profen® Ibuprofen
Each film coated tablet contains:
Ibuprofen BP 400mg
Nemel Profen is an orange pink coloured, capsule shaped film-coated tablet, engraved with ‘N’ on one side and plain on the other side.
Nemel Profen (Ibuprofen) is a propionic acid derivative with analgesic, anti-inflammatory and anti-pyretic activity. The drug’s therapeutic effects as an NSAID are thought to result from its inhibitory effect or the enzyme cyclo-oxygenase, which result in a marked reduction in prostaglandin synthesis. It is absorbed from the gastro-intestinal tract and excreted in the urine mainly as metabolite and their conjugates.
Nemel Profen (Ibuprofen) is indicated for its analgesic and anti-inflammatory effects in the treatment of rheumatoid arthritis (including juvenile rheumatoid arthritis or Still’s disease), ankylosing spondylitis, osteoarthritis and other non-rheumatoid (seronegative) arthropathies. In the treatment of non-articular rheumatic conditions, Ibuprofen is indicated in periarticular conditions such as frozen shoulder (capsulitis), bursitis, tendonitis, tenosynovitis and low back pain; lbuprofen can also be used in soft tissue injuries such as sprains and strains.
Ibuprofen is also indicated for its analgesic effect in the relief of mild to moderate pain such as dysmenorrhoea, dental and post-operative pain and for symptomatic relief of headache, including migraine headache.
Ibuprofen is indicated for rheumatic or muscular pain, backache, neuralgia, migraine, headache, dental pain, dysmenorrhoea, feverishness, symptoms of colds and influenza.
Dosage and administration
Nemel Profen is taken orally preferably with or after food.
Adults: The recommended dosage of Nemel profen (Ibuprofen) is 1200-1800 mg daily in divided doses. Some patients can be maintained on 600-1200 mg daily. In severe or acute conditions, it can be advantageous to increase the dosage until the acute phase is brought under control, provided that the total daily dose does not exceed 2400mg in divided doses.
Children: 20mg of Ibuprofen per kg of body weight daily, except that in children weighing less 41 than 30kg, the total dose of Ibuprofen given in 24hours should not exceed 500mg.
Nemel profen is not indicated for the children less than 12 years of age or weighing less than 7 kg.
In Juvenile Rheumatoid Arthritis; up to 40 mg/kg of body weight daily in divided doses may be taken.
Elderly: The elderly are at increased risk of serious consequences of adverse reactions, If an NSAID is considered necessary, the lowest effective dose should be used and for the shortest possible duration. The patient should be monitored regularly for GI bleeding during NSIAD therapy. It renal or hepatic function is impaired, dosage should be assessed individually.
Gastrointestinal disorders including Nausea, vomiting, diarrhoea, flatulence, constipation, duspepsia, abdominal pain, malaena, haematemesis, ulcerative stomatitis, exacerbation of colitis and Crohn’s disease; Immune system disorders; Hypersensitivity reactions such as skin disorders, including rashes of various types, pruritus, urticaria, purpura, angioedema; Cardiac disorders and vascular disorders: Oedema, hypertension and cardiac failure have been reported in association with NSAID treatment.
Undesirable effects may be minimised by using the lowest effective dose for the shortest duration necessary to control symptoms.
Care should be taken in patients treated with any of the following drugs as interactions have been reported in some patients: Antihypertensive, beta-blockers and diuretics, Cardiac glycodides, Cholestyramine, Lithium, Methotrexate, Ciclosporin, Mifepristone, Other analgesics and cyclooxygenase-2 selective inhibitors, Aspirin, Corticosteroids, Anticoagulants such as warfarin, Ouinolone antibiotics, Sulfonylureas, Anti-platelet agents and selective serotonin reuptake inhibitors (SSRIs), Zidovudine, Aminoglycosides: NSAIDs may decrease the excretion of aminoglycosides.
Nemel Profen is contra indicated in patients allergic to Ibuprofen or other NSAIDs. As with other NSAIDs, Ibuprofen may mask the signs of infection; The use of Ibuprofen with concomitant NSAIDs, including cyclooxygenase-2 selective inhibitors, should be avoided due to the increased risk of ulceration or bleeding; during the third trimester of pregnancy and also in breastfeeding.
Elderly; Respirstory disorders; Cardiovascular, renal and hepatic impairment; cerebrovascular effects Renal effects; Dermatological effects; Haematological effects; Aseptic meningitis; Impaired female fertility (The use of Ibuprofen may impair female fertility and is not recommended in women attempting to conceive). Gastrointestinal bleeding, ulceration and perforation (Combination therapy with protective agents (e.g. misoprostol or proton pump inhibitors) should be considered for these patients, and also for patients requiring concomitant low dose aspirin, or other drugs likely to increase gastrointestinal risk). When GI bleeding or ulceration occurs in patients receiving Ibuprofen, the treatment should be withdrawn; Pregnancy& Lactation.
Effects on ability to drive and use machines: Undesirable effects such as dizziness, drowsiness, fatigue and visual disturbances are possible after taking NSAIDs. If affected, patients should not drive or operate machinery.
Most patients who have ingested significant amounts of ibuprofen will manifest symptoms within 4 to 6 hours. The most frequently reported symptoms of overdose include nausea, vomiting, abdominal pain, lethargy and drowsiness. Central nervous system (CNS) effects include headache, tinnitus, dizziness, convulsion, and loss of consciousness.
Therapeutic measures in case of overdose are
Patients should be treated symptomatically as required. Within one hour of ingestion of a potentially toxic amount, activated charcoal should be considered. Alternatively, in adults, gastric lavage should be considered within one hour of ingestion of a potentially life-threatening overdose.
Good urine output should be ensured.
Renal and liver function should be closely monitored.
Patients should be observed for at least four hours after ingestion of potentially toxic amounts.
Frequent or prolonges conculsions should be treated with intravenous diazepam.
Other measures may be indicated by the patient’s clinical condition.
Do not use if you have ever had a stomach ulcer or are allergic to ibuprofen or aspirin.
If you are allergic to or taking any other pain killer, pregnant, or suffer from asthma speak to your doctor before taking ibuprofen.
Do not exceed the stated dose.
Keep out of the reach of children.
If symptoms persist, consult your doctor.
Nemel Profen is available in blister packs of 10 tablets of Ibuprofen 400mg.
Keep in a cool, dry place below 30oC. Store medicine in the original packet. Do not use medicine after expiry date on the packet.
NEMEL PHARMACEUTICAL NIG. LTD.
Head Office: Plot 35, Emene Industrial Layout, Enugu, Nigeria.
Branch Office: 4A/4B, Medical Road Phase VI, Trans-Ekulu, Enugu, Nigeria.