Siro A.T ibuprofen 100mg An Thien analgesic, anti -inflammatory, antipyretic (30 tubes x 5ml)

Dosage form Drink
Specifications Box of 30 tubes x 5ml
Ingredient Ibuprofen
Indication Fever, headache, dysmenorrhea, teething
Contraindication Rhinitis, liver failure, kidney failure, urticaria, digestive ulcers, diarrhea, bronchial asthma, heart failure, tendonitis, rheumatoid arthritis, swelling of lymph nodes

Ingredient

Thành phần cho 5ml

Composition informationContent
Ibuprofen100mg

Uses

Indications

  • Mild to medium pain relievers in some cases such as menstruation, headache, toothache, pain and inflammation in soft tissue trauma.

    Pharmacological group: anti -inflammatory and non -steroid analgesic.

    Code ATC: M01AE01

    Pharmacokology: Ibuprofen is a nonsteroidal anti -inflammatory drug, derived from propionic acid. Ibuprofen has analgesic, antipyretic and anti -inflammatory effect.

    The mechanism of action of the drug is Prostaglandin Synthetase inhibitors and thus prevents prostaglandin, thromboxane and other products of cyclooxygenase. Ibuprofen also inhibits prostacycline synthesis and may cause water stasis risk due to reducing blood flow to the kidneys, needing to pay attention to this thing for patients with kidney failure, heart failure, liver failure and diseases with plasma volume disorders.

    Ibuprofen's anti -inflammatory effects appear after two days of treatment. Ibuprofen has a stronger antipyretic effect than aspirin, but inferior to Indomethacin. The drug has good anti -inflammatory effects and has good analgesic effect in the treatment of teenagers.

    Dynamic pharmacy

    ibuprofen well absorbed in the digestive tract. The maximum concentration of the drug in plasma is achieved after 1 to 2 hours.

    The drug is greatly attached to plasma proteins. The sale time is about 2 hours. Ibuprofen eliminates very quickly through the urine (1% in constant form, 14% in the form of combined).

  • Before taking Siro A.T ibuprofen 100mg An Thien analgesic, anti -inflammatory, antipyretic (30 tubes x 5ml)

    Usage

    The distance between 2 doses is about 6 - 8 hours (or at least 4 hours).

    Do not use for children under 3 months old, weight

    Only use in a short time.

    Children over 6 months of age: If the symptoms of children last more than 3 days must consult a doctor.

    Children 3 - 6 months of age: If the symptoms of children last more than 24 hours must consult a doctor.

    If symptoms do not decrease or worse, consult a doctor.

    Dosage

    Treatment of pain and fever

    For drinking pipe or 5 ml packs

    For children weighing 5 kg or more: 20 mg/kg body weight/day, divided 3 times a day.

    Infants 3 - 6 months weighs more than 5 kg: dose of 1/2 tube or pack/time x 3 times/day.

    Infants 6 - 12 months: 1/2 dose or pack/time x 3-4 times/day.

    Children 1 - 3 years old: 1 dose of 1 tube or pack/time x 3 times/day.

    Children 4 - 6 years old: dose of 1.5 pipes or pack/time x 3 times/day.

    Children 7 - 9 years old: 2 tubes or packs/time x 3 times/day.

    For 10 ml tube specifications

    For children weighing 5 kg or more: 20 mg/kg body weight/day, divided 3 times a day.

    Babies 3 - 6 months weighs more than 5 kg: dose 1/4/time x 3 times/day.

    Babies 6 - 12 months: 1/4 dosage/time x 3-4 times/day.

    Children 1-3 years old: 1/2 duct/time x 3 times/day.

    Children 4 - 6 years old: 3/4 doses/time x 3 times/day.

    Children 7 - 9 years old: 1 dose of 1 tube/time x 3 times/day.

    For bottle specifications

    For children weighing 5 kg or more: 20 mg/kg body weight/day, divided 3 times a day.

    Babies 3 - 6 months weigh more than 5 kg: dose 2.5 ml/time (measuring with attached cup) x 3 times/day.

    Babies 6 - 12 months: Dosage 2.5 ml/time (measuring with attached cup) x 3-4 times/day.

    Children 1 - 3 years old: dose 5 ml/time (measuring with attached cup) x 3 times/day.

    Children 4 - 6 years old: dose of 7.5 ml/time (measuring with attached cup) x 3 times/day.

    Children 7 - 9 years old: dose 10 ml/time (measuring with attached cup) x 3 times/day.

    Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

    What to do when overdose?

    Overdose

    Symptoms when using ibuprofen overdose include: nausea, vomiting, epigastric pain, or sometimes diarrhea, tinnitus, headache and gastrointestinal bleeding can also occur. Poisoning is more serious than toxicity on the central nervous system, manifested as drowsiness, sometimes stimulating and disorientation or coma. Sometimes patients develop convulsions. Serious metabolic acidosis may occur and the prothrombin time may be prolonged, possibly due to the intervention of coagulation factors. Nephritis, liver failure can occur. Causing acute asthma in asthma patients.

    Handling

    usually treat symptoms and support. If you have overdose, you need to apply the following measures to increase elimination and inactivity: gastric lavage, vomiting and diuretic, drinking activated carbon or salt bleach. If severe, hemorrhage or blood transfusion. Because the drug causes metabolic acidosis and elimination in the urine, in theory, it will be beneficial for alkaline and diuretic infusion.

    In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

    What to do when forgetting a dose? However, if close to the next dose, skip the forgotten dose and take the next dose at the time as planned. Do not drink twice as prescribed.

    Side Effects

    When using A.T ibuprofen syrup 100 mg An Thien 30 tubes x 5 ml - oral mixture, you may experience unwanted effects (ADR).

    5 -15% of patients have digestive side effects.

    Common, ADR> 1/100

  • Systemic: Fever, fatigue.
  • digestion: bloating, nausea, vomiting.
  • Central nerve: headache, dizziness, restlessness.

  • Skin: itchy, foreign rash.
  • Uncommon, 1/100> ADR> 1/1000

  • Systemic: allergic reactions (especially bronchospasm in patients with asthma), rhinitis, urticaria.
  • Digestive: Abdominal pain, stomach bleeding, progressive stomach ulcer.

    Central nerve: Drinking, insomnia, tinnitus. Eye: visual disorders ears: hearing loss. blood: prolonged bleeding time.

    Rare, ADR

  • Systemic: edema, rash, Stevens - Johnson syndrome, hair loss.
  • Central nerve: depression, sterile meningitis, blurred vision, color disorders, vision loss due to drug poisoning. Blood: leukopenia, platelet reduction, neutropenalia, eosinophilia loves EOSIN, granulocytes, anemia. liver: gallbladder disorders, abnormal liver function probes, liver poisoning. urinary - genital: cystitis, hematuria, acute renal failure, kidney inflammation, nephrotic syndrome.

    Notice immediately to the doctor or pharmacist the harmful reactions encountered when using the drug.

    Instructions on how to handle ADR

    When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

    Warnings

    Before using the drug you need to read the instructions carefully and refer to the information below.

    Contraindicated

    A.T ibuprofen syrup 100 mg An Thien 30 tubes x 5 ml - Oral discharge in the following cases:

  • Hypersensitivity to ibuprofen or any ingredients of the drug.
  • Progressive peptic ulcer.

  • History of bleeding or gastric - intestinal perforation related to the use of NSAIDs before.
  • Patients with a history of hypersensitivity (manifestation of asthma, urticaria, angioedema, rhinitis ...) after taking aspirin or other nonsteroidal anti -inflammatory drugs.
  • People with asthma, bronchospasm, bleeding disorders, cardiovascular disease, a history of peptic ulcer, liver failure or kidney failure (glomerular filtration flow is less than 30 ml/min).

  • Patients are being treated with anticoagulants.
  • Children under 3 months of age, children weighing under 5 kg.
  • The last three months of pregnancy.
  • Precautions when using

    Be careful when using ibuprofen for the elderly.

    ibuprofen can cause transaminase to increase in the blood, but this transformation is transient and recovered.

    Visual disorders like blurred vision are subjective signs and are related to the harmful effects of the drug but will end when stopping ibuprofen.

    The drug can impair kidney function and worsen renal failure.

    Liver dysfunction may occur.

    Patients with a history of hypertension, heart failure, and water keeping should notify the doctor or pharmacist before using ibuprofen.

    Use ibuprofen, especially at high doses (2400 mg daily) and in long -term treatment may increase the risk of arterial thrombosis (myocardial infarction or stroke).

    Cycloxygenase inhibiting anti -inflammatory drugs Prostaglandin can impair female fertility due to ovulation. This may end when stopping treatment.

    Be cautious when used for patients with a history of gastrointestinal disease (ulcerative colitis, Crohn's disease). Anti -inflammatory NSAIDs can worsen these diseases.

    Gastrointestinal hemorrhage, ulcers or perforation, can be fatal, have been reported to all NSAIDs occurring during treatment, with or without warning of symptoms or a history of previous disease.

    The risk of gastrointestinal bleeding, ulcers or perforation increases when increasing the dose of NSAIDs, in patients with a history of ulcer, and in the elderly. These patients should be treated at the lowest dose possible. Abnormal abdominal symptoms should be monitored (especially gastrointestinal bleeding), especially in the early stages of treatment.

    Be cautious in patients treating simultaneous medications may increase the risk of ulcerative or gastrointestinal bleeding, such as oral corticosteroids, Warfarin anticoagulants, SSRIs, or platelet assemblies such as aspirin. When gastrointestinal hemorrhage or ulcers occurs in patients using ibuprofen, treatment should be stopped.

    ibuprofen inhibits platelet capacitors, so it can cause prolonged bleeding time, thus using caution with patients with lack of blood clotting factors and using anti -coagulation drugs.

    Autodity warning

    Excipients with sucrose and sorbitol, patients with fructose tolerance treatment disorders, glucose absorption - galactose absorption disorders or the deficiency of sucrose - isomaltase should not use this drug.

    Red excipients erythrosin, which is at risk for allergic reactions.

    The ability to drive and operate machinery

    The drug can cause unwanted effects such as headache, drowsiness, fatigue, dizziness, visual disorders, hearing loss, so during use should not drive and operate machinery.

    Pregnancy

    Due to the images of nonsteroidal anti -inflammatory drugs on the cardiovascular system and respiration of pregnant women and fetuses, Ibuprofen should be avoided during pregnancy. In the last 3 months of pregnancy, it must be very limited to use for ibuprofen as well as any anti -inflammatory drugs and contraindicated for a few days before birth.

    Breastfeeding period

    ibuprofen into breast milk is very small, negligible. less likely to occur risks for children at normal doses with mothers.

    Drug interaction

    Other nonsteroidal anti -inflammatory drugs: may increase the risk of bleeding and ulcer.

    ibuprofen should be avoided in combination with aspirin: Unless low -dose aspirin (

    Experimental data shows that ibuprofen can inhibit the effects of low -dose Aspirin anti -platelet doses.

    ibuprofen should be cautious when used in combination with anticoagulant drugs: NSAIDs can increase the effect of anticoagulants, such as warfarin causing non -grip bleeding.

    Hematopsius and diuretics: NSAIDs can reduce the effects of these drugs. Diuretics can increase the risk of kidney toxicity of NSAIDs.

    corticosteroid: increases the risk of stomach ulcers or bleeding.

    Anti -plateletic anti -platelet and reconfacitely inhibitors Serotonin (SSRIs): Increased risk of gastrointestinal bleeding.

    Lithi: There is evidence for an increase in plasma concentrations of lithium.

    Quinolone antibiotics: Increase the side effects of Quinolone antibiotics on the central nervous system and can lead to convulsions.

    Magnesi Hydroxyd increases the initial absorption of ibuprofen, but if aluminum hydroxyd is present, it does not have this effect.

    methotrexate: ibuprofen increases methotrexate in plasma and increases the toxicity of methotrexate.

    Furosemid: Ibuprofen can reduce the effect of sodium sodium output of Furosemid and diuretics.

    Digoxin: Ibuprofen worsen heart failure, reduce GFR and increase plasma digoxin concentrations.

    ciclosporin: increases the risk of kidney toxicity.

    Zidovudin: Increasing the risk of hematology when using NSAIDs with zidovudin. Increased risk of hemarthrosis and hematoma in HIV patients (+) or bleeding during simultaneous treatment Zidovudin and ibuprofen.

    tacrolimus: increases the risk of kidney toxicity when using NSAIDs with tacrolimus.

    Mifepriston: NSAIDs should not be used for 8-12 days after using Mifepriston, NSAIDs can reduce Mifepriston effect.

    Cavalry:

    Due to the absence of studies on the correlation of the drug, not mixing this drug with other drugs.

    Storage

    In a dry place, the temperature does not exceed 30 ° C, avoiding light.

    Expiry date: 24 months from the date of manufacture. Do not use overdue drugs stated on the packaging.

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