Nurofen Plus - Some Warnings Before Taking

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Nurofen Plus is a faster-acting and more potent strain of Nurofen, a popular over-the-counter (OTC) painkiller. Ordinary Nurofen may be relatively safe for regular general use but, as with other OTCs, more caution should be taken with drugs that come in stronger dosages. If there are any dangers to taking Nurofen, these dangers are amplified in its Plus version.

Since Nurofen contains codeine, a common concern among first-time takers is addiction. Ibuprofen is one of the least addictive analgesics in the market, and every Nurofen product contains mostly Ibuprofen... however, the codeine additive found especially in Nurofen Plus is higher than regular dosages. In fact, this drug comes with the maximum amount of codeine allowed for sale in pharmacies, without need for a prescription. The breakdown for its ingredients is as follows: 200mg of Ibuprofen, and 12.8mg of codeine phosphate.

The safest way to avoid becoming addicted is to take the drug only at the dosage recommended by your physician. At times you may be tempted to take painkillers more frequently to dull a constant, debilitating pain - but no matter what, it is important to stick to a regimen. If pain persists even if you faithfully take only the recommended dosage, talk to your doctor: your doctor should be able to prescribe alternative or additional painkillers. Taking more codeine presents the risk of making the body dependent on it, and the longer a body is dependent on a drug, the harder it is to wean the patient off it.

How can you tell if a patient is becoming addicted to the drug? Try seeing how this person reacts when taken off the drug for a limited amount of time. If the person exhibits irritability and sleeplessness, there is a chance this person has become dependent on pain-relief medicine. This is not always the case, though, as sometimes it has nothing to do with dependence at all, but the pain is simply keeping the person from getting a good night's sleep. If you are becoming concerned about addiction, however, ask the doctor about setting up a new medication routine that would allow the patient to be gradually weaned off the current painkillers.

The standard warnings for ordinary Nurofen also apply to the Plus version. A person should not take Nurofen Plus if he or she:

1. exhibits signs of being allergic to non-steroidal anti-inflammatory drugs, or NSAIDs. Aspirin, naproxen and ketoprofen are other examples of NSAIDs.

2. has asthma, or has suffered from asthma.

3. has a stomach ulcer, or is prone to hyperacidity.

4. suffers from chronic constipation.

5. consumes alcohol heavily.

Nurofen Plus must not be administered to children under the age of 12. Children should only receive small dosages of any Nurofen drug, though how much they should receive is still dependent on their body weight. Nurofen for Children is good for relieving pain experienced by most infants and toddlers. Older children may do well with regular dosages of ordinary Nurofen. Care should also be taken when administering this drug to elderly patients.

Complications may arise when Nurofen Plus is taken with other drugs. That is why it is best to consult a doctor before taking this painkiller in combination with other medications. A patient should do this especially if he or she:

1. is suffering from heart, liver or kidney problems.

2. is taking other NSAID pain relievers, such as the ones listed above.

3. is taking Lithium or Methotrexate.

4. is taking anti-coagulants, or medicine for thinning the blood, such as Coumadin (generic name: Warafin), Orgaran (generic name: Danaparoid), Heparin, and thrombin inhibitors. Aspirin is also a known anti-coagulant.

5. has taken monoamine oxidase inhibitors (MAOI's) within the last 14 days. MAOIs are known antidepressants. People who are trying to quit smoking, and have approached a physician about it, may have been prescribed MAOIs in some form.

Pregnant or breastfeeding mothers must also be aware that their bodies -- as well as their babies' -- are in a vulnerable state, and the introduction of any foreign chemical into their bodies poses the risk of dire complications. NSAIDs like Nurofen Plus, when taken regularly, may cause heart problems in an unborn baby. It is also possible that NSAIDs can be passed on to a newborn through the mother's milk, which would weaken the newborn's heart.
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