Nurofen Day & Night Cold & Flu 200mg/5mg Tablets contain ibuprofen and phenylephrine hydrochloride, which are effective in relieving the symptoms associated with colds and flu, including relief of aches and pains, sore throats, headache, nasal congestion (blocked nose) and lowering of temperature.
Ibuprofen belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs) and is effective against aches and pains (including headache), swelling and can also reduce a fever. Phenylephrine hydrochloride (nasal decongestant) reduces swelling in the passages of the nose, relieving nasal congestion and reducing the pressure which may cause a headache.
Do not take Nurofen Day & Night Cold & Flu 200mg/5mg Tablets if you:
- are allergic to ibuprofen, phenylephrine hydrochloride or any of the other ingredients or to aspirin or other painkillers
- have ever had a stomach ulcer, perforation or bleeding
- have had a worsening of asthma, skin rash, itchy runny nose or facial swelling when previously taking ibuprofen, aspirin or similar medicines
- have had gastrointestinal bleeding or perforation when previously taking NSAIDs (Non-steroidal anti-inflammatory drugs)
- are taking other NSAIDs (Non-Steroidal Anti-inflammatory Drugs)
- are taking more than 75mg of aspirin a day. If you are on low-dose aspirin (up to 75mg daily) speak to your doctor or pharmacist before you take this medicine
- have severe liver or kidney problems
- have heart problems, high blood pressure or blood coagulation disorder
- have breathing difficulties
- have an overactive thyroid
- are taking or have taken within the last 14 days a medicine called monoamine oxidase inhibitor (usually used to treat depression)
- are in the last 3 months of pregnancy
- are under 12 years old
- have an enlarged prostate.
Check with your pharmacist or your doctor before taking this product if you:
- have or have had asthma
- have kidney, heart, liver or bowel problems or are dehydrated
- have high cholesterol or previously have had a heart attack or stroke
- have a history of gastrointestinal disease (such as ulcerative colitis, Crohn’s disease)
- have Systemic Lupus Erythematosus (a condition of the immune system causing joint pain skin changes and other organ disorders)
- are a smoker
- are in the first 6 months of pregnancy.
- have diabetes
- have glaucoma
- have a blood vessel disease such as Raynaud’s phenomenon
- have an infection. This medicine may hide signs of infections such as fever and pain. It is therefore possible that this medicine may delay appropriate treatment of infection, which may lead to an increased risk of complications. This has been observed in pneumonia caused by bacteria and bacterial skin infections related to chickenpox. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor without delay.
Skin reactions
- Serious skin reactions have been reported in association with this medicine. You should stop taking this medicine and seek medical attention immediately, if you develop any skin rash, lesion of the mucous membranes, blisters or other signs of allergy since this can be the first signs of a very serious skin reaction.
Taking other medicines
To reduce the risk of side effects, do not take this product with other NSAID containing products (e.g. aspirin, ibuprofen…). If you are on low-dose aspirin (up to 75mg daily) speak to your doctor or pharmacist before you take this medicine.
Nurofen may affect or be affected by some other medicines.
For example:
Avoid taking this product with corticosteroid tablets, quinolone antibiotics or drugs that are prescribed:
- medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine),
- to stimulate your heart (e.g. glycosides including digoxin),
- medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan),
- to help you passing water (diuretics),
- for the temporary suppression of your immune system (e.g. methotrexate, ciclosporine, tacrolimus)
- for mania or depression (e.g. Lithium or SSRIs or Monoamine Oxidase Inhibitors)
- for pregancy termination (e.g. mifepristone)
- for HIV treatment (e.g. zidovudine)
- containing other sympathomimetic agents such as decongestants (e.g. pseudoephedrine).
Some other medicines may also affect or be affected by the treatment of Nurofen. You should therefore always seek the advice of your doctor or pharmacist before you use Nurofen with other medicines.
Other warnings
- Anti-inflammatory/pain-killer medicines such as ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed the recommended dose or duration of treatment.
- You should discuss your treatment with your doctor or pharmacist before taking Nurofen if you:
have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient ischaemic attack “TIA”).
have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker.
Fertility, pregnancy and breast feeding
This medicine belongs to a group of medicines which may affect fertility in women. Fertility goes back to normal when you stop taking the medicine. It is unlikely that if you only take this medicine occasionally it will affect your chances of becoming pregnant. If you have problems becoming pregnant talk to your doctor before taking this medicine.
Tell your doctor if you become pregnant whilst taking this medicine. Do not take this medicine in the last 3 months of pregnancy. Avoid the use of this medicine in the first 6 months of pregnancy unless the doctor advises otherwise.
Speak to your doctor or pharmacist before taking this medicine if you are breast-feeding.
This medicine contains Sunset Yellow E 110.
The product contains an azo colouring agent Sunset Yellow E 110 which may cause allergic reactions.
This medicine contains less than 1 mmol sodium (23 mg) per 2 tablets, that is to say essentially `sodium-free’
Like all medicines, Nurofen can cause side effects, although not everybody gets them. Side effects may be minimised by taking the lowest dose for the shortest time necessary to relieve the symptoms. You may suffer one of the known side effects of NSAIDs (see below).
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.
STOP TAKING the medicine and seek immediate medical help if you develop:
- signs of intestinal bleeding such as: bright red faeces (stools/motions), black tarry stools, vomiting blood or dark particles that look like coffee grounds.
- signs of serious allergic reaction such as:
difficulties in breathing or unexplained wheezing
dizziness or faster heartbeat
severe forms of skin reactions such as itchiness, skin rash with redness, peeling, flaking or blistering (e.g.: Steven-Johnson syndrome)
swelling of your face, tongue or throat
- signs of kidney problems such as:
passing less or more urine
cloudy urine or blood in urine
pain in the back and/or swelling (particularly in the legs)
- signs of aseptic meningitis with neck stiffness, headache, feeling sick, being sick, fever or consciousness. Patients with autoimmune disorders (lupus, mixed connective-tissue disease) may be more likely to be affected.
- signs of blood disorder resulting in unexplained or unusual bruising or bleeding, fever, sore throat, mouth ulcers, flu-like symptoms and sever exhaustion
- signs of liver problems such as stomach pain, nausea, jaundice (yellowing of the skin and the whites of the eyes) or passing dark brown urine.
- a severe skin reaction known as DRESS syndrome can occur.
Symptoms of DRESS include: skin rash, fever, swelling of lymph nodes and an increase of eosinophils (a type of white blood cells).
- A red, scaly widespread rash with bumps under the skin and blisters mainly localised on the skin folds, trunk, and upper extremities accompanied by fever at the initiation of treatment (acute generalised exanthematous pustulosis).
STOP TAKING the medicine and tell your doctor if you experience the following uncommon side effects which may affect up to 1 in 100 people:
- indigestion, heartburn or feeling sick
- pains in your stomach (abdomen) or other abnormal stomach problems
TELL YOUR DOCTOR if you have any of the following side effects, they become worse or you notice any effects not listed:
Uncommon side effects: may affect up to 1 in 100 people:
- allergic reactions, such as skin rashes (urticaria), itching, peeling
- headaches
Rare side effects: may affect up to 1 in 1,000 people:
- flatulence (wind), diarrhoea, constipation and vomiting
Very rare side effects: may affect up to 1 in 10,000 people:
- drop in blood pressure or irregular heart beat
- liver problems
Side effects for which the frequency can not be estimated from available data:
- worsening of asthma or bronchospasm
- swelling (oedema), high blood pressure, heart failure or attack
- worsening of colitis and Crohn’s disease
- difficulties in passing urine (in men only)
- skin becomes sensitive to light
Medicines such as this medicine may be associated with a small increased risk of heart attack (“myocardial infarction”) or stroke.
Each tablet contains the active ingredients: ibuprofen (200mg) and phenylephrine hydrochloride (5mg).
The other ingredients are: cellulose, sodium starch glycoate, hypromellose, magnesium stearate, talc, Mastercote yellow (contains Hydroxypropylmethyl Cellulose (E464), Titanium Dioxide (E171), Quinoline Aluminium Lake (E104) and Sunset Yellow Aluminium Lake (E110)) and black printing ink (contains shellac, iron oxide black (E172) and propylene glycol).
This product is typically dispatched within 1-2 working days from date of order
Please note that we do not operate at the weekends. Orders placed after 2pm Friday will not get processed until the following Monday morning.
Standard Delivery
Our standard delivery charge is £2.90.
We use a tracked 48 Hour service for our standard delivery.
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