Orbifen for children (ibuprofen)

How does it work?

Orbifen for children suspension contains the active ingredient ibuprofen, which is a type of medicine called a non-steroidal anti-inflammatory drug (NSAID). (NB. Ibuprofen is also available without a brand name, ie as the generic medicine.) Ibuprofen is a simple painkilling medicine used to relieve mild to moderate pain, inflammation and fever.

Ibuprofen works by blocking the action of a substance in the body called cyclo-oxygenase (COX). Cyclo-oxygenase is involved in the production of various chemicals in the body, some of which are known as prostaglandins. Prostaglandins are produced in response to injury and certain diseases and conditions, and cause pain, swelling and inflammation. NSAIDs block the production of these prostaglandins and are therefore effective at reducing inflammation and pain.

Ibuprofen also reduces fever by reducing the production of prostaglandins. Fever is associated with an increase in prostaglandins in the brain, and these prostaglandins cause the body temperature to increase. By reducing prostaglandins in the brain, ibuprofen lowers body temperature and hence reduces fever.

Ibuprofen reduces inflammation and related pain and so can be used to relieve muscular and rheumatic aches and pains. It can also be used to relieve other painful conditions such as headaches, toothache, and earache. It is also useful for reducing fever and discomfort associated with colds and flu and following childhood vaccinations.

What is it used for?

Mild to moderate pain such as headache, toothache, teething pain, sore throat, earache, sprains and strains.

Feverishness, including symptoms of colds and flu and fever following childhood vaccinations.

Warning!

Do not exceed the dose recommended in the leaflet supplied with the medicine. This medicine is for short-term use only. If symptoms persist, consult your doctor.

When used to reduce fever following vaccinations, one dose of 2.5ml (50mg) should be given, followed by one further dose of 2.5ml (50mg) six hours later if necessary. No more than two doses should be given in 24 hours. If fever is not reduced, consult a doctor.

Ibuprofen is generally well-tolerated and most people do not experience any side effects. The most common side effects are related to stomach irritation and include abdominal pain, indigestion and nausea. These can mainly be avoided by taking the ibuprofen with food. Rarely, serious side effects such as ulceration or bleeding of the stomach or intestines may occur. These are more likely with high doses and in elderly people. If your child experiences any sign of bleeding from the stomach or bowels after taking this medicine, such as vomiting blood and/or passing black/tarry/bloodstained stools, you should consult your doctor.

Very rarely, NSAIDS may cause serious blistering or peeling skin reactions (eg Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis). For this reason, you should stop using this medicine and consult your doctor if your child gets a skin rash or sores inside the mouth while taking this medicine.

Use with caution in

Elderly people.

History of disorders affecting the stomach or intestines.

Inflammatory bowel disease such as Crohn's disease or ulcerative colitis.

Kidney disease.

Liver disease.

Heart failure.

High blood pressure.

People with blood clotting problems or taking anticoagulant medicines.

History of asthma.

History of allergies.

Diseases affecting connective tissue, eg systemic lupus erythematosus.

Not to be used in

People in whom aspirin or other NSAIDs, eg ibuprofen, cause allergic reactions such as asthma attacks, itchy rash (urticaria), nasal inflammation (rhinitis) or swelling of the lips, tongue and throat (angioedema).

Active peptic ulcer or history of this.

People who have ever experienced bleeding or perforation of the gut as a result of previous treatment with an NSAID.

Severe heart failure.

Severe kidney failure.

Severe liver failure.

People taking other NSAIDs, including COX-2 inhibitors (see end of factsheet for more details).

Orbifen for children should not be given to children under six months of age unless recommended by a doctor.

This medicine should not be used if your child is allergic to one or any of its ingredients. Please inform your doctor or pharmacist if your child has previously experienced such an allergy. If you feel your child has experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.

This medicine should not be used during pregnancy unless considered essential by your doctor. This is particularly important in the first and third trimesters. If taken in the third trimester it may delay labour, increase the length of labour and cause complications in the newborn baby. Some evidence suggests that NSAIDs should also be avoided by women attempting to conceive, as they may temporarily reduce female fertility during treatment and may also increase the risk of miscarriage or malformations. Seek medical advice from your doctor.

This medicine may pass into breast milk, but in such small quantities that it is unlikely to harm the baby. However, as with all medicines, seek medical advice from your doctor before taking this medicine if you are breastfeeding.

Label warnings

Take this medication with or after food.

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