Ibuprofen 200mg and Codeine phosphate 12.8mg
Consumer Medicine Information
This leaflet answers some common questions about NUROFEN PLUS. It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your pharmacist has weighed the risks of you taking NUROFEN PLUS against the benefits this medicine is expected to have for you.
If you have any concerns about taking this medicine, ask your pharmacist or doctor.
Keep this leaflet with the medicine. You may need to read it again
NUROFEN PLUS tablets contain the active ingredients Ibuprofen and Codeine phosphate. Ibuprofen belongs to a family of medicines called non-steroidal anti-inflammatory drugs (NSAIDS). These medicines work by relieving pain and/or inflammation (swelling, redness, soreness) and fever. Codeine is an opioid analgesic that works in the brain and spinal cord to relieve pain.
NUROFEN PLUS provides temporary relief of strong pain and/or inflammation associated with migraine headache, tension headache, headache, period pain, dental pain, back pain, neuralgia, rheumatic pain, arthritic pain and muscular pain.
After taking codeine, the body changes codeine into the active morphine by a special liver enzyme. However, about 8% of people may experience less pain relief compared to others, as their bodies do not change codeine to morphine as well as others.
NUROFEN PLUS is not recommended for use in children under the age of 12 years.
Ask your pharmacist or doctor if you have any questions about this medicine. Your pharmacist or doctor may have given it for another reason.
Do not take NUROFEN PLUS if
Many medicines used to treat headache, period pain and other aches and pains contain aspirin or NSAID. If you are not sure if you are taking any of these medicines, ask your pharmacist.
Symptoms of an allergic reaction to these medicines may include:
Do not take NUROFEN PLUS if the packaging is torn or shows signs of tampering.
Do not take NUROFEN PLUS if the expiry date (EXP) printed on the pack has passed. If you take this medicine after the expiry date has passed, it may not work as well.
If you are not sure whether you should start taking NUROFEN PLUS, contact your pharmacist or doctor.
Do not give Nurofen Plus to children under 12 years. The safety and effectiveness of Nurofen Plus in children have not been established.
Tell your pharmacist or doctor if
Tell your pharmacist or doctor if you take sedatives (medicines used to help you relax or sleep).
If you have not told your pharmacist or doctor about any of the above, tell him/her before you start taking Nurofen Plus.
Tell your pharmacist or doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. Some medicines may interfere with Nurofen Plus. These include:
These medicines may be affected by NUROFEN PLUS or may affect how well it works. You may need to take different amounts of your medicine, or you may need to take different medicines. Your doctor or pharmacist will advise you.
Your pharmacist and doctor have more information on medicines to avoid or be careful with while taking NUROFEN PLUS.
Follow all directions given to you by your pharmacist or doctor carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box/bottle, ask your pharmacist or doctor for help.
The usual dose of NUROFEN PLUS is 2 tablets then, if necessary 1 or 2 tablets every 4 to 6 hours.
Do not take more than six tablets in 24 hours. If you do not understand the instructions on the pack, ask your doctor or pharmacist for help.
Take NUROFEN PLUS by mouth with fluid. It may also be taken with or immediately after food.
You should not take NUROFEN PLUS for more than a few days.
If your symptoms persist, worsen or new symptoms develop, talk to your pharmacist.
Immediately telephone your doctor or Poisons Information Centre (in Australia 13 11 26) for advice, or go to Accident and Emergency at your nearest hospital if you think you or anyone else may have taken too much NUROFEN PLUS. Do this even if there are no signs of discomfort or poisoning. If you take too much of this medicine you may experience nausea or upset stomach, vomiting and/or gastric irritation, drowsiness, dizziness and/or very slow, laboured breathing. You may also experience blurred vision, ringing in the ears, or rapid uncontrollable movements of the eyes. Excitability, convulsions and unconsciousness may be experienced in rare cases.
If you become pregnant while taking NUROFEN PLUS tell your doctor immediately.
If you are about to be started on any new medicine tell your doctor and pharmacist that you are taking NUROFEN PLUS.
Tell all of the doctors, dentists and pharmacists that are treating you that you are taking NUROFEN PLUS.
If you are going to have surgery, tell your doctor you are taking NUROFEN PLUS.
Talk to your pharmacist or doctor if your symptoms do not improve. Your pharmacist or doctor will assess your condition and decide if you should continue to take the medicine.
Do not give NUROFEN PLUS to anyone else, even if they have the same condition as you.
Do not use NUROFEN PLUS to treat any other complaints unless your pharmacist or doctor tells you to.
Do not take more than the recommended dose unless your pharmacist or doctor tells you to.
Be careful driving or operating machinery until you know how NUROFEN PLUS affects you. NUROFEN PLUS may cause dizziness, light-headedness or drowsiness in some people. If this occurs, do not drive or operate machinery. If you drink alcohol, dizziness, light-headedness and/or drowsiness may be worse.
Do not take high doses of the medicine for long periods of time unless your doctor tells you to. Products containing codeine should not be taken for prolonged periods. Codeine may be habit forming.
Check with your pharmacist or doctor as soon as possible if you have any problems while taking NUROFEN PLUS, even if you do not think the problems are connected with the medicine or are not listed in this leaflet. Like other medicines, NUROFEN PLUS can cause some side effects. If they occur, most are likely to be minor and temporary. However, some may be serious and need medical attention.
Do not be alarmed by this list of side effects. You may not experience any of them.
Ask your pharmacist or doctor to answer any questions you may have.
Tell your pharmacist or doctor if you notice any of the following and they worry you:
These are the more common side effects of NUROFEN PLUS and are usually mild and short lived.
Tell your doctor as soon as possible if you notice any of the following:
The above side effect may be serious and may require urgent medical attention.
Serious side effects are rare for low doses of this medicine and when used for a short period of time.
If any of the following happen, stop taking NUROFEN PLUS and tell your doctor immediately or go to casualty at your nearest hospital:
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Tell your pharmacist or doctor if you notice anything that is making you feel unwell. Some people may get other side effects while taking NUROFEN PLUS. Tell your doctor or pharmacist if you notice anything else that worries you.
Do not be alarmed by this list of possible side effects. You may not experience any of them.
Keep the tablets in the original pack until it is time to take the dose. If you take them out they will not keep well.
Keep the tablets in a cool dry place where the temperature stays below 25°C.
Do not store NUROFEN PLUS or any other medicine in the bathroom or near a sink.
Do not leave the tablets in the car or on window sills. Heat and dampness can destroy some medicines.
Keep the tablets where children cannot reach them. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
When you stop taking NUROFEN PLUS or it has passed its expiry date, ask your pharmacist what to do with any tablets that are left over.
If you have any further questions or if you are not sure about anything relating to the use of NUROFEN PLUS, your doctor or pharmacist can best assist you.
NUROFEN PLUS tablets are white capsule shaped tablets marked 'N+' on one side.
NUROFEN PLUS contains 200mg ibuprofen and 12.8mg codeine phosphate as the active ingredients.
The other ingredients in NUROFEN PLUS are:
Nurofen Plus tablets are gluten-free and lactose-free.
Nurofen Plus is available in blister packs of 12, 24 & 30 tablets.
44 Wharf Road
West Ryde NSW 2114
The ARTG number is:
AUST R 116620
This leaflet was prepared in February 2005.
Date of last revision: 17 December 2012
Published by MIMS April 2013