Double action pain relief
Nuromol 200mg/500mg Tablets contain Ibuprofen and Paracetamol and are used for the temporary relief of mild to moderate pain associated with:
- migraine
- headache
- backache
- period pain
- dental pain
- rheumatic and muscular pain
- pain of non-serious arthritis
- cold and flu symptoms
- sore throat
- fever.
This medicine contains two active ingredients (which make the medicine work). These are Ibuprofen and Paracetamol.
Ibuprofen belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs work by reducing pain, reducing swelling and lowering high temperatures.
Paracetamol is an analgesic which works in a different way from ibuprofen to relieve pain and fever.
How to take Nuromol 200mg/500mg Tablets:
For oral use and for short term use only.
The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. If you have an infection, consult a doctor without delay if symptoms (such as fever and pain) persist or worsen.
You should not take this medicine for longer than 3 days. If your symptoms worsen or persist, consult your doctor.
Take 1 tablet with water and food, up to 3 times a day.
Leave at least 6 hours between doses.
If one tablet does not control symptoms, then a maximum of 2 tablets may be taken up to three times a day.
Do not take more than six tablets in any 24 hour period (equivalent to 3000mg Paracetamol, 1200mg Ibuprofen a day).
Not for use by children under 18 years.
If you have taken more of this medicine than you should, or if children have taken this medicine by accident always contact a doctor or nearest hospital to get an opinion of the risk and advice on action to be taken.
The symptoms can include nausea, stomach pain, vomiting (may be blood streaked), headache, ringing in the ears, confusion and shaky eye movement. At high doses, drowsiness, chest pain, palpitations, loss of consciousness, convulsions (mainly in children), weakness and dizziness, blood in urine, cold body feeling, and breathing problems have been reported.
Talk to a doctor at once if you take too much of this medicine even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage.
Do not take Nuromol 200mg/500mg Tablets if you:
- are already taking any other paracetamol containing product.
- are taking any other pain relieving products including ibuprofen, high dose aspirin (above 75mg per day), or other non-steroidal anti inflammatory drugs (NSAIDs) including cyclo-oxygenase-2 (COX-2) specific inhibitors
- are allergic to ibuprofen, paracetamol or any other ingredients in Nuromol
- are allergic to aspirin or other NSAID painkillers
- have or ever had an ulcer or bleeding in your stomach or duodenum (small bowel)
- have blood clotting (coagulation) disorder
- suffer from heart, liver or kidney failure
- are in the last 3 months of pregnancy
- are under 18 years old.
Talk to your doctor or pharmacist if you:
- Are elderly
- Have asthma or have suffered from asthma
- Have kidney, heart, liver or bowel problems
- Have Systemic Lupus Erythematosus (SLE) – a condition of the immune system affecting connective tissue resulting in joint pain, skin changes and disorder of other organs or other mixed connective tissue disease
- Have gastrointestinal disorders or chronic inflammatory bowel disease (e.g. ulcerative colitis, Crohn’s disease
- Are in the first 6 months of pregnancy or are breastfeeding
- Are planning to become 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.
- 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
Do not take this medicine with:
- other paracetamol containing products
- other NSAID containing products such as aspirin, ibuprofen.
This medicine may affect or be affected by some other medicines.
For example:
- corticosteroid tablets
- antibiotics (e.g. chloramphenicol or quinolones)
- anti sickness medicines (e.g. metoclopramide, domperidone)
- medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine)
- heart stimulants (e.g. glycosides)
- medicines for high cholesterol (e.g. cholestyramine) • diuretics (to help you pass water)
- medicines to reduce high blood pressure (ACE-inhibitors such as captopril, beta-blockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan)
- medicines to suppress the immune system (e.g. methotrexate, ciclosporin, tacrolimus)
- medicines for mania or depression (e.g. lithium or SSRIs)
- mifepristone (for pregnancy termination)
- HIV medicines (e.g. zidovudine).
To reduce the likelihood of side effects, take this medicine with food.
Pregnancy and breastfeeding
Ask your doctor or pharmacist for advice before taking any medicine. Do not take if you are in the last 3 months of your pregnancy. Take special care if you are in the first 6 months of pregnancy.
This medicine may make it more difficult to become pregnant.
Ibuprofen belongs to a group of medicines which may impair fertility in women. This is reversible on stopping the medicine. You should inform your doctor if you are planning to become pregnant or if you have problems becoming pregnant. This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially ‘sodium-free’.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
STOP TAKING the medicine and tell your doctor if you experience:
- heartburn, indigestion
- signs of intestinal bleeding (severe stomach pain, vomiting blood or liquid with what looks like coffee granules, blood in the stools/motions, black tarry stools)
- signs of inflammation of the brain lining such as: stiff neck, headache, feeling or being sick, fever or feeling disorientated
- signs of a severe allergic reaction (swelling of the face, tongue or throat, difficult breathing, worsening of asthma)
- severe skin reactions such as blistering
- high blood pressure, water retention
- liver problems (causing yellowing of the skin and white of eyes)
- kidney problems (causing increased or decreased urination, swelling of the legs)
- heart failure (causing breathlessness, swelling)
- severe skin reaction known as DRESS syndrome (frequency not known). 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)
- Skin becomes sensitive to light (frequency not known).
Other possible side effects
Common may affect up to 1 in 10 people:
- stomach pain or discomfort, feeling or being sick, diarrhoea
- higher levels of liver enzymes (shown in blood tests)
- excessive sweating.
Uncommon may affect up to 1 in 100 people:
- headache and dizziness, wind and constipation, skin rashes, swelling of the face, itching
- Reduction in red blood cells number or increase in platelets (blood clotting cells) number.
Very rare may affect up to 1 in 10,000 people:
- reduction in blood cells (causing sore throat, mouth ulcers, flu-like symptoms, severe exhaustion, unexplained bleeding, bruising and nosebleeds)
- visual disturbances, ringing in the ears, spinning sensation
- confusion, depression, hallucinations
- fatigue, generally feeling unwell.
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: 200 mg of ibuprofen and 500 mg of paracetamol.
The other ingredients are: croscarmellose sodium, microcrystalline cellulose, colloidal anhydrous silica, magnesium stearate, stearic acid. Film coating: polyvinyl alcohol, titanium dioxide, talc, macrogol, potassium aluminium silicate (E555), polysorbate.
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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