Nurofen Max Strength Joint & Back Pain Relief 512mg – 24 Tablets

Do not take Nurofen Max Strength Joint & Back Pain Relief 512mg Tablets if you:

• are allergic to ibuprofen or any of the other ingredients or to aspirin or other painkillers
• have (or have had two or more episodes of) 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)
• have severe liver or kidney problems
• have severe heart problems
• are in the last 3 months of pregnancy

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
• 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
• are on a diet restricting your salt intake.

Taking other medicines
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),
• 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)
• for pregancy termination (e.g. mifepristone)
• for HIV treatment (e.g. zidovudine).

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

• Nurofen belongs to a group of medicines which may impair fertility in women. This is reversible on stopping the medicine. It is unlikely that Nurofen, used occasionally will affect your chances of becoming pregnant. However, tell your doctor before taking this medicine if you have problems becoming pregnant.
• 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.
• There is a risk of kidney problems in dehydrated children and adolescents.

Pregnancy and breast feeding
Do not take in the last 3 months of pregnancy.
Speak to your doctor before taking this medicine if you are in the first 6 months of pregnancy or if you are breastfeeding.

Important information about some of the ingredients
Each caplet contains approximately 2.12 mmol of sodium. This quantity is equivalent to 48.6 mg of sodium.
This product contains sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.