Nurofen For Children Suspension 7-12 Strawberry

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

This product is twice the strength of normal ibuprofen suspension and you should be careful that you use the correct dose.
The usual dose for pain and fever:

*Doses should be given approximately every 6 to 8 hours. Leave at least 4 hours between doses. Do not give more than the recommended dose in 24 hours.
Not intended for children under 7 years old and weighing less than 20 kg.
WARNING: Do not exceed the stated dose.

Method of administration using the spoon
For oral use

1. Shake the bottle well
2. Use the end of the spoon that corresponds to the required dose
3. Pour the medicine onto the spoon
4. Place the spoon in the child’s mouth and administer the dose
5. After use replace the cap. Wash the spoon in warm water and allow to dry.

Duration of treatment
This medicine is for short-term use only. The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. If your child has an infection, consult a doctor without delay if symptoms (such as fever and pain) persist or worsen. If this medicine is required for more than 3 days or if symptoms worsen, a doctor should be consulted.

Each ml oral suspension contains 40 mg ibuprofen
Each 5 ml measuring spoon of oral suspension
contains 200 mg ibuprofen.
Each 2.5ml measuring spoon of oral suspension contains 100 mg ibuprofen.
The other ingredients are: polysorbate 80, glycerol, maltitol liquid, saccharin sodium, citric acid monohydrate, sodium citrate, xanthan gum, sodium chloride, orange flavour (containing wheat starch) or strawberry flavour, domiphen bromide and purified water.

Do NOT give this medicine to children who:

• are allergic to ibuprofen or other similar painkillers (NSAIDs) or to any of the other ingredients of this medicine.
• have ever suffered from shortness of breath, asthma, a runny nose, swelling on their face and/or hands or hives after using Aspirin or other similar painkillers (NSAIDs).
• have ever had a gastrointestinal bleeding or perforation, related to previous use of NSAIDs.
• currently have or have had recurrent stomach/duodenal ulcers (peptic ulcers) or bleeding (two or more episodes of proven ulceration and bleeding).
• have severe liver or severe kidney failure.
• have severe heart failure.
• have bleeding of the brain (cerebrovascular bleeding) or other active bleeding.
• have unclarified blood-formation disturbances.
• have severe dehydration (caused by vomiting, diarrhoea or insufficient fluid intake).

Talk to your doctor or pharmacist before using this medicine if your child:

• has certain hereditary blood formation disorders (e.g. acute intermittent porphyria).
• suffers from coagulation disturbances.
• has certain diseases of the skin (systemic lupus erythematosus (SLE) or mixed connective tissue disease).
• has or has ever had bowel disease (ulcerative colitis or Crohn’s disease) as these conditions may be exacerbated.
• has ever had or currently has high blood pressure and/or heart failure.
• has reduced kidney function.
• has liver disorders. In prolonged administration of this medicine regular checking of the liver values, the kidney function, as well as of the blood count, is required.
  is taking medicines which could increase the risk of ulceration or bleeding, such as oral corticosteroids (such as prednisolone), medicines for thinning the blood (such as warfarin), selective serotonin-reuptake inhibitors (a medicine for depression) or anti-platelet medicines (such as aspirin).
• is taking another NSAID medicine (including COX-2 inhibitors such as celecoxib or etoricoxib) as taking these together should be avoided.
• has or has had asthma or allergic diseases as shortness of breath may occur.
  suffers from hayfever, nasal polyps or chronic obstructive respiratory disorders an increased risk of allergic reactions exists. The allergic reactions may present as asthma attacks (so-called analgesic asthma), Quincke’s oedema or urticaria.
• has just undergone major surgery as medical surveillance is required.
  is dehydrated as there is a risk of kidney problems in dehydrated children.
• has an infection. This medicine may hide signs of an 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 give this medicine to your child while they have an infection and their symptoms of the infection persist or worsen, consult a doctor without delay.
• During chicken pox (varicella) it is advisable to avoid use of this medicine.