Nurofen Sinus Pressure & Headache 200mg/30mg – 24 Tablets

Do not take Nurofen Sinus Pressure & Headache 200mg/30mg Tablets if you:

• 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 (non-steroidal anti-inflammatory drugs) (NSAIDs).
• are taking other NSAID painkillers or more than 75mg aspirin a day
• are taking Monoamine Oxidase Inhibitors (for depression and known as MAOIs) or have taken these in the last 14 days.
• have severe liver or kidney problems
• have heart problems, high blood pressure, prostate problems or an overactive thyroid
• have diabetes or glaucoma
• are under 12 years of age
• are pregnant or breast feeding.

Check with your pharmacist or your doctor before taking this product if you:

• have asthma
• have kidney or liver problems
• have high cholesterol or have previously had a heart attack or a stroke
• have a history of gastrointestinal disease (such as ulcerative colitis, Crohn’s disease)
• have Systemic Lupus Erythematosus (SLE)- an illness affecting the immune system causing joint pain, skin changes and other problems
• are a smoker

Taking other medicines
Nurofen may affect or be affected by some other medicines.
For example:

• medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine)
• medicines that reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan)
• medicines for depression (lithium, selective serotonin uptake inhibitors and monoamine oxidase inhibitors (known as MAOIs)) may affect or be affected by treatment with 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

• This medicine 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 Nurofen 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 take longer than necessary to control your symptoms (10 days).
• Sudden abdominal pain or rectal bleeding may occur with this medicine, due to inflammation of the colon (ischaemic colitis). If you develop these gastro-intestinal symptoms, stop taking this medicine and contact your doctor or seek medical attention immediately.
• You should discuss your treatment with your doctor or pharmacist before taking this medicine 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.
• If you develop a feverish generalised erythema associated with pustules, stop taking this medicine and contact your doctor or seek medical attention immediately.