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NUROFEN ORANGE MAZUĻIEM UN BĒRNIEM SUSPENSIJA 100MG/5ML 100ML

Attention: Information on this site is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for treating a health problem or disease, or prescribing any medication. iDrugs24.com is not responsible for any damage to your health as the result of self treatment.

# On 2024-Mar-29
NUROFEN-ORANGE-drug/medicine aproximate price on "NUROFEN ORANGE MAZUĻIEM UN BĒRNIEM SUSPENSIJA 100MG/5ML 100ML" in Riga city, Latvia is:
  • 4.85€  5.24$  4.15£  560Rub  55.9SEK  21PLN  19.3₪ 


Maximum allowed state defined price ( from ZVA webpage) Euro:State defined maximum allowed price indicated on the picture on drug/medicine  NUROFEN ORANGE MAZUĻIEM UN BĒRNIEM SUSPENSIJA 100MG/5ML 100ML     Recheck

ATC codeM01AE01 

Active substances: Ibuprofenum

 


Vendor, principal: Reckitt Benckiser Healthcare
No prescription needed/Patient care products, dressings, gloves, medical devices,...

* This table was compiled fully automatically, independently from any advertisers, transparently and without any modification relaying the open offers available on the mentioned dates.
NUROFEN 100mg/5ml suspensija 100ml ar apelsīnu garšu

 .

NUROFEN FORTE STRAWBERRY 40MG/1ML 100ML

PACKAGE LEAFLET INFORMATION FOR THE USER

Nurofen Forte Strawberry 40 mg/ml oral suspension 3 months to 12 years

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

This medicine is available without prescription. However, you still need to use Nurofen Forte Strawberry carefully to get the best results from it.
-   Keep this leaflet. You may need to read it again.
-   Ask your pharmacist if you need more information or advice.
-   If your child gets any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4
-   You must contact a doctor if your child’s symptoms worsen or do not improve after 24 hours (infants aged 3-5 months, weighing more than 5kg) or after 3 days (children aged from 6 months).
For countries where the product is Rx the following wording should be used Read all of this leaflet carefully before you start taking this medicine.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist
This medicine has been prescribed for you or your child. Do not pass it onto others. It may harm them, even if their symptoms are the same as yours.
If your child gets any side effects please talk to your doctor or pharmacist. This includes side effects not listed in this leaflet. See section 4.

In this leaflet:

1.   What Nurofen Forte Strawberry is and what it is used for
2.   Before you use Nurofen Forte Strawberry
3.   How to use Nurofen Forte Strawberry
4.   Possible side effects
5.   How to store Nurofen Forte Strawberry
6.   Further information

1. WHAT NUROFEN FORTE STRAWBERRY IS AND WHAT IT IS USED FOR

Ibuprofen belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). These medicines work by changing how the body responds to pain, inflammation and high body temperature. Nurofen for children is for the short- term symptomatic treatment of :
•   fever
•   mild to moderate pain
2. BEFORE YOU USE NUROFEN FORTE STRAWBERRY
Do not give Nurofen Forte Strawberry to children who:
•   are allergic to ibuprofen or other similar painkillers (NSAIDs) or to any of the other ingredients of this medicine (listed in section 6)
•   have ever suffered from shortness of breath, asthma, a runny nose, swelling on their face and/or hands or hives after using acetylsalicylic acid or other similar painkillers (NSAIDs)
•   have ever had 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 or bleeding)
•   have severe liver, kidney or heart failure
•   have bleeding of the brain (cerebrovascular bleeding) or other active bleeding
•   suffer from blood clotting disorders as ibuprofen may increase bleeding time
•   have unclarified blood-formation disturbances
•   have severe dehydration (caused by vomiting, diarrhoea or insufficient fluid intake)
Do not take if you are in the last 3 months of pregnancy.
Warnings and precautions
Talk to your doctor or pharmacist before using this product 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 (see section 4 ‘possible side effects’)
•   has ever had or currently has high blood pressure and/or heart failure
•   has reduced renal function
•   has liver disorders. In prolonged administration of Nurofen regular checking of the liver values, the kidney function, as well as of the blood count, is required.
•   caution should be advised if other medicines are taken 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 agents (such as acetylsalicylic acid).
•   is taking another NSAID medicine (including COX-2 inhibitors such as celecoxib or etoricoxib) as taking these together should be avoided (see section “taking other medicines”)..
•   Undesirable effects may be minimised by using the minimum effective dose for the shortest duration.
•   In general, the habitual use of (several sorts of) analgesics can lead to lasting severe kidney problems. This risk may be increased under physical strain associated with loss of salt and dehydration. Therefore it should be avoided.
•   Prolonged use of any type of painkiller for headaches can make them worse. If this situation is experienced or suspected, medical advice should be obtained and treatment should be discontinued. The diagnosis of medication overuse headache (MOH) should be suspected in patients who have frequent or daily headaches despite (or because of) the regular use of headache medications.
•   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
•   Serious skin reactions (such as Steven-Johnson syndrome) have been reported very rarely in association with the use of NSAIDs. The use of Nurofen Forte Strawberry should be stopped immediately at the first appearance of skin rash, mucosal lesions, or any other signs of allergic reactions.
•   has heart problems, previous stroke or you think that your child might be at risk of these conditions (for example if your child has high blood pressure, diabetes or high cholesterol or is a smoker)
•   During chicken pox (varicella) it is advisable to avoid use of Nurofen Forte Strawberry
•   have just undergone major surgery as medical surveillance is required.
•   is dehydrated as there is an increased risk of kidney problems in dehydrated children
•   Medicines such as Nurofen Forte Strawberry may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose or duration of treatment [24 hours for infants aged 3-5 months, weighing more than 5kg or 3 days for children aged over 6 months].
•   NSAIDs may mask symptoms of infection and fever
Gastro-intestinal bleeding, ulceration or perforation, which can be fatal, has been reported with all NSAIDs at anytime during treatment, with or without warning symptoms or a previous history of serious gastro-intestinal events. When gastrointestinal bleeding or ulceration occurs, the treatment should be stopped immediately. The risk of gastrointestinal bleeding, ulceration or perforation is higher with increasing NSAID doses, in patients with a history of ulcer, particularly if complicated with haemorrhage or perforation (see section 2 Do not take Nurofen Forte Strawberry) and in the elderly. These patients should commence treatment on the lowest dose available. Combination therapy with protective agents (e.g. misoprostol or proton pump inhibitors) should be considered for those patients, and also those requiring concomitant low-dose aspirin, or other drugs likely to increase gastrointestinal risk.
Consult a doctor before using Nurofen Forte Strawberry if any of the above mentioned conditions affect your child.
Elderly
The elderly have an increased risk of adverse events when taking NSAIDs, particularly those relating to the stomach and bowel. See section 4 ‘possible side effects’ for more information.
Patients with a history of gastro-intestinal toxicity, particularly when elderly, should report any unusual abdominal symptoms (especially gastrointestinal bleeding) particularly in the initial stages of treatment

Taking other medicines

Please tell your doctor or pharmacist if your child is using or has recently used or might use any other
medicines.

What should you avoid when you are taking Nurofen Forte Strawberry?

• Some medicines that are anti-coagulants (against clotting) (e.g. acetylsalicylic acid, warfarin, ticlopidin), some medicines against high blood pressure (ACE-inhibitors e.g. captopril, betareceptor blocking medicines,angiotensin II antagonists), and even some other medicines may affect or be affected by the treatment of ibuprofen.
Seek therefore always advise of a doctor before you use ibuprofen with other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines,
including medicines obtained without a prescription. In particular, tell them if you are taking:
Acetylsalicylic acid, or other NSAIDs (antiinflammatories and analgesics)
Digoxin (for heart insufficiency)
Glucocorticoids (medicinal products containing cortisone or cortisone-like substances)
Anti-platelet agents
Acetylsalicylic acid (low dose)
Medicines for thinning the blood (such as warfarin)
Phenytoin (for epilepsy)
Selective serotonin reuptake inhibitors (medicines used for depression)
Lithium (a medicine for manic depressive illness and depression)
Probenecid and sulfinpyrazones (medicines for gout)
Medicines for high blood pressure and water tablets
Potassium sparing diuretics
Methotrexate (a medicine for cancer or rheumatism)
Tacrolimus   and    cyclosporine
(immunosuppressive medicines)
Zidovudine: (a medicine for treating HIV/Aids)
Sulfonylureas (antidiabetic medicines)
Quinolone antibiotics
CYP2C9 inhibitors
Since   this    may    increase    the    risk    of
gastrointestinal ulcers or bleeding
Since the effect of digoxin may be enhanced
Since   this    may    increase    the    risk    of
gastrointestinal ulcers or bleeding
Since this may increase the risk of bleeding
Since the blood-thinning effect may be impaired
Since ibuprofen may enhance the effects of these medicines
Since the effect of phenytoin may be enhanced
As these may increase the risk of gastrointestinal bleeding
Since the effect of lithium may be enhanced
Since the excretion of ibuprofen may be delayed
Since ibuprofens may diminish the effects of these medicines and there could be a possible increased risk for the kidney
Since this may lead to hyperkalaemia
Since the effect of methotrexate may be enhanced
Since kidney damage may occur
Since the use of Nurofen may result in an increased risk of bleeding into a joint or a bleeding that leads to swelling in HIV (+) haemophiliacs
Interactions may be possible
Since the risk for convulsions (fits) may be increased
Concomitant administration of ibuprofen with CYP2C9 inhibitors may increase the exposure to ibuprofen (CYP2C9 substrate). In a study with voriconazole and fluconazole (CYP2C9 inhibitors), an increased S(+)-ibuprofen exposure by approximately 80 to 100% has been shown. Reduction of the ibuprofen dose should be considered when potent CYP2C9 inhibitors are administered concomitantly, particularly when high-dose ibuprofen is administered with either voriconazole or fluconazole.

Baclofen toxicity may develop after starting ibuprofen.
Baclofen
Ritonavir
Aminoglycosides
Ritonavir may increase the plasma concentrations of NSAIDs.
NSAIDs may decrease the excretion of aminoglycosides.
Nurofen Forte Strawberry with alcohol
You should not drink alcohol while using Nurofen Forte Strawberry. Some side effects, such as those affecting the gastrointestinal tract or the central nervous system can be more likely when alcohol is taken at the same time as Nurofen Forte Strawberry.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Pregnancy
Do not use this medicine if you are in the last 3 months of pregnancy. Avoid the use of this medicine in the first 6 months of pregnancy unless your doctor advises you otherwise.
Breast-feeding
Only small amounts of ibuprofen and its decomposition products pass into breast milk Nurofen Forte Strawberry may be used during breast-feeding, if it used at the recommended dose and for the shortest possible time.
Fertility
Nurofen Forte Strawberry belongs to a group of medicines (NSAIDs) which may impair the fertility in women. This effect is reversible on stopping the medicine.
Driving and using machines
For short-term use this medicine has no or negligible influence on the ability to drive and use machines.
Important information about some of the ingredients of Nurofen Forte Strawberry
•   Nurofen Forte Strawberry contains maltitol liquid. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
•   This medicinal product contains 28.09 mg sodium per 15 ml suspension (= 1.87 mg sodium per 1 ml suspension). To be taken into consideration by patients on a controlled sodium diet.
•   Nurofen Forte Strawberry contains wheat starch. Suitable for people with coeliac disease.
•   Patients with wheat allergy (different from coeliac disease) should not take this medicine.
3. HOW TO USE NUROFEN FORTE STRAWBERRY
Always use this medicine exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
For oral use
The usual dose for pain and fever:
Child’s weight (Age)
How much?
How often in 24h?*
more than 5kg (3-5 months)
1.25ml
3 times
7-9 kg (6 - 11 months)
1.25ml
3 to 4 times
10-15 kg (1-3 years)
2.5ml
3 times
16-19 kg (4-5 years)
3.75ml
3 times
20-29 kg (6- 9 years)
5ml
3 times
30-40 kg (10 - 12 years)
7.5ml (use syringe twice: 5ml + 2.5ml)
3 times
*Doses should be given approximately every 6 to 8 hours.

Not recommended for use in children under 3 months of age or under 5kg.

For patients with sensitive stomachs it is recommended that Nurofen for children is taken during a meal
WARNING: do not exceed the stated dose.
For packs supplied with a syringe the following wording should be used
Method of administration using the syringe
1.   Shake the bottle well
2.   Remove the cap from the bottle by pushing it down and turning anticlockwise
3.   Push the syringe firmly into the plug (hole) in the neck of the bottle.
4.   To fill the syringe, turn the bottle upside down. Whilst holding the syringe in place gently pull the plunger down drawing the suspension to the correct mark on the syringe.
5.   Turn the bottle the right way up and remove the syringe from the plug by gently twisting the syringe.
6.   Place the end of the syringe into the child’s mouth. Press the plunger slowly down to gently release the suspension. After use replace the cap. Wash the syringe in warm water and allow to dry. Store out of the reach and sight of children.

Duration of treatment

This medicine is for short-term use only. If in children aged from 6 months this medicine is required for more than 3 days or if symptoms worsen, a doctor should be consulted.

For infants aged 3-5 months (weighing more than 5kg) medical advice should be sought not later than 24 hours use (3 doses) if symptoms persist.

If symptoms worsen consult your doctor.

If you use more Nurofen Forte Strawberry than you should:

Consult a doctor immediately. The following signs may occur: nausea, vomiting, stomach pain or more rarely diarrhoea. In addition, headache, gastrointestinal bleeding, vertigo, dizziness, drowsiness,
nystagmus, blurred vision, ringing in the ear, low blood pressure ,excitation, disorientation, coma, convulsions, loss of consciousness, hyperkalaemia, metabolic acidosis, increased prothrombin time/INR, acute renal failure, liver damage, respiratory depression, cyanosis and exacerbation of asthma in asthmatics.

If you or your child forget to take Nurofen Forte Strawberry:

Do not take or give a double dose to make up for a forgotten dose. If you do forget to take or give a dose, take or give it as soon as you remember and then take or give the next dose according to the dosing interval detailed above.

If you have any further questions on the use of this medicine ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, Nurofen Forte Strawberry can cause side effects, although not everyone gets them. Side effects may be minimised by taking the lowest dose for the shortest time necessary to relieve the symptoms. Your child may get one of the known side effects of NSAIDs. If they do, or if you have concerns, stop giving this medicine to your child and talk to your doctor as soon as possible. Elderly people using this product are at increased risk of developing problems associated with side effects.

STOP USING this medicine and seek immediate medical help if your child develops:

•   signs of intestinal bleeding such as: severe pain in the abdomen, black tarry stools, vomiting blood or dark particles that look like coffee grounds.
•   signs of rare but serious allergic reaction such as worsening of asthma, unexplained wheezing or shortness of breath, swelling of the face, tongue or throat, difficulty breathing, racing heart, drop in blood pressure leading to shock. These can happen even on first use of this medicine. If any of these symptoms occur, call a doctor at once.
•   severe skin reactions such as rashes covering the whole body, peeling, blistering or flaking skin.
Tell your doctor if your child has any of the following side effects, they become worse or you notice any effects not listed.
Common (may affect up to 1 to 10 people)
•   Stomach complaints such as as acid burn, stomach pain and nausea, indigestion, diarrhoea, vomiting, flatulence (wind) and constipation and slight blood losses in stomach and/or bowel that may cause anaemia in exceptional cases..
Uncommon (may affect up to 1 to 100 people)
•   gastrointestinal ulcers, perforation or bleeding, inflammation of the mucous membrane of the mouth with ulceration, worsening of existing bowel disease (ulcerative colitis or Crohn’s disease), gastritis
•   central nervous system disturbance such as headache, dizziness, sleeplessness, agitation, irritability or tiredness
•   visual disturbances
•   various skin rashes
•   hypersensitivity reactions with hives and itch
Rare (may affect up to 1 to 1000 people)
•   tinnitus (ringing in the ears)
•   increased urea concentrations in blood, pain in the flanks and/or the abdomen, blood in the urine and a fever may be signs of damage to kidneys (papillary necrosis)
increased uric acid concentrations in the blood • decreased haemoglobin levels
Very rare (may affect up to 1 in 10,000 people)
•   oesophagitis pancreatitis, and formation of intestinal diaphragm-like strictures
•   heart failure, heart attack and swelling in the face or hands (oedema)
•   passing less urine than normal and swelling (especially in patients with high blood pressure or reduced kidney function), swelling (oedema) and cloudy urine (nephrotic syndrome); inflammatory kidney disease (interstitial nephritis) that may lead to acute kidney failure. If one of the above mentioned symptoms occur or if you have a general miserable feeling, stop taking Nurofen and consult your doctor immediately as these could be first signs of a kidney damage or kidney failure.
•   Psychotic reactions, depression
•   high blood pressure, vasculitis
•   palpitations
•   liver dysfunction, damage to the liver (first signs could be discoloration of the skin), especially during long-term treatment, liver failure, acute inflammation of the liver (hepatitis)
•   problems in the blood cell production - first signs are: fever, sore throat, superficial mouth ulcers, flu-like symptoms, severe exhaustion, nose and skin bleeding and unexplained bruising. In these cases you must stop the therapy immediately and consult a doctor. Any self-treatment with pain killers or medicinal products that reduce fever (antipyretic medicinal products) mustn’t be done.
•   severe skin infections and soft tissue complications during chicken pox (varicella) infection
•   worsening of infection-related inflammations (e.g. necrotizing fasciitis) associated with the use of certain painkillers (NSAIDs) has been described. If signs of an infection occur or get worse, you must go to the doctor without delay. It is to be investigated whether there is an indication for an anti-infective/antibiotic therapy
•   symptoms of aseptic meningitis with stiff neck, headache, nausea, vomiting, fever or disorientation have been observed when using ibuprofen. Patients with autoimmune disorders (SLE, mixed connective
•   tissue disease) may be more likely to be affected. Contact a doctor at once, if these occur.
•   severe forms of skin reactions such as skin rash with redness and blistering (e.g. Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis/Lyell’s syndrome), hair loss (alopecia)
Not known: (frequency cannot be estimated from the available data)
•   Respiratory tract reactivity comprising asthma, bronchospasm or dyspnoea.
Medicines such as this may be associated with a small increased risk of heart attack (myocardial infarction) or stroke
Reporting side effects
If your child gets any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
You can also report side effects directly via the national reporting system via www.ravimiamet.ee. By reporting side effects you can help provide more information on the safety of this medicine.
5. HOW TO STORE NUROFEN FORTE STRAWBERRY
Keep out of sight and reach of children.
Do not use Nurofen Forte Strawberry after the expiry date which is stated on the carton and label. The expiry date refers to the last day of that month. Do not store above 25 °C.
Shelf life after opening the bottle: 6 months.
Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines that are no longer required. These measures will help to protect the environment.

6. FURTHER INFORMATION What Nurofen Forte Strawberry contains:

The active substance is ibuprofen. Each 1ml oral suspension contains 40mg ibuprofen.
The other ingredients are; citric acid monohydrate, sodium citrate, sodium chloride, sodium saccharin, polysorbate 80, domiphen bromide, maltitol liquid, glycerol, xanthan gum, strawberry flavour (containing propylene glycol) and purified water.

What Nurofen Forte Strawberry looks like and contents of the pack

Nurofen Forte Strawberry is an off-white, viscous suspension with an strawberry odour. Each bottle contains either 30ml, 50ml, 100ml 150ml or 200ml.
The pack contains a syringe (5ml syringe, graduated to 1.25ml, 2.5ml, 3.75ml and 5.0ml)
Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:
Reckitt Benckiser (Poland) S.A.
Ul.Okunin 1
05-100 Nowy Dwor Mazowiecki Poland
Manufacturers:
Reckitt Benckiser Healthcare (UK) Ltd.
Dansom Lane Hull HU8 7DS United Kingdom
SIA ELVIM
Kurzemes prospekts 3-513
Riga, LV-1067
Latvia

This leaflet was last approved in 09/2016.

9





  Instruction, annotation source for medicine: State Agency of Medicines, Estonia





• Medicaments images are for illustrative purposes only and may differ from the actual product.


[*1]

DDD. Information source: WHO Collaborating Centre for Drug Statistics Methodology. Norwegian Institute of Public Health


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