Ibum Extra for colds and flu. How to use the drug?

Ibum Extra is used for the temporary relief of flu and cold symptoms, such as nasal and paranasal sinus congestion, headache, fever, bone and joint pain. The preparation is in the form of tablets and is available without a prescription.

I would go outside (Hasco-Lek)

SUBSTANCE 1 tablet contains: 0,2 g of ibuprofen, 0,03 g of pseudoephedrine hydrochloride

ACTION

Ibum Extra is a combined preparation containing a non-steroidal anti-inflammatory drug and a sympathomimetic amine.

Ibum Extra – indications and dosage

Ibum Extra is a drug recommended for the immediate relief of symptoms associated with flu and colds:

1. obstruction of the nose and nasal paranasal sinuses,
2. Headache,
3. fever,
4. osteoarticular pain.

Drug dosage

Ibum Extra is in the form of tablets to be taken by mouth. Do not exceed the recommended dose of the preparation as it may pose a threat to your life or health. The drug should be taken after a meal.

1. Adults and children after 12 years of age 1 tablet every 4 hours, usually not longer than 3 days. Dose max. 6 tablets / day.

Ibum Extra and contraindications to use

There are a number of contraindications to the use of Ibum Extra, they are:

1. hypersensitivity to any component of the preparation,
2. active stomach or duodenal ulcer or in history,
3. gastrointestinal perforation or bleeding, including after the use of non-steroidal anti-inflammatory drugs,
4. hemorrhagic diathesis,
5. severe liver, kidney or heart failure
6. pregnancy,
7. the period of breastfeeding,
8. parallel use of other non-steroidal anti-inflammatory drugs (including COX-2 inhibitors),
9. severe disorders of the cardiovascular system,
10. tachycardia,
11. hypertension,
12. angina,
13. urinary retention,
14. overactive thyroid gland
15. narrow-angle glaucoma,
16. History of haemorrhagic stroke or presence of risk factors that may increase the risk of haemorrhagic stroke, e.g. from vasoconstrictor or decongestant medications taken by mouth or nasally.
17. use in people who experienced allergy symptoms (rhinitis, asthma, urticaria) after taking acetylsalicylic acid or other non-steroidal anti-inflammatory drugs,
18. the over-the-counter medicine is intended for use in adults and children over 12 years of age.

Ibum Extra – drug restrictions

1. Do not exceed the recommended dose of the drug.
2. Ibum Extra is a drug intended for immediate use, in a situation where symptoms persist or worsen after 3 days of treatment, or new ones appear, consult a doctor.
3. People with systemic lupus erythematosus and mixed connective tissue disease, gastrointestinal diseases, with renal failure, cardiac dysfunction, hypertension, a history of heart attack or failure, liver dysfunction or blood coagulation disorders, patients with diabetes, glaucoma, people with hyperplasia Caution should be exercised when treating the prostate, with pyloric stenosis or obstruction of the bladder neck.
4. There may be a risk of fatal gastrointestinal haemorrhage, ulceration or perforation.
5. In the initial phase of taking the drug, inform the doctor when unusual gastrointestinal symptoms (e.g. bleeding) appear. This situation especially concerns the elderly and patients with diseases of the gastrointestinal tract.
6. Patients with a history of circulatory failure and edema should be cautious as edema has been caused or exacerbated by the intake of ibuprofen.
7. In the case of people with heart disease, stroke, diabetes, high blood pressure, high cholesterol in the blood and smoking, it is recommended to consult a doctor and choose the appropriate treatment.
8. Patients suffering from bronchial asthma or with symptoms of allergic reactions after taking acetylsalicylic acid (due to the risk of sudden bronchospasm), as well as people taking other medications (especially drugs that lower blood pressure, diuretics, cardiac and psychotropic or anticoagulants, such as warfarin) should see a doctor before using Ibum Extra.
9. The occurrence of side effects increases especially in the elderly, so they should take the lowest dose for the shortest possible time.
10. Taking the drug may cause occasional visual disturbance (such cases have been reported), in this situation a doctor should be consulted.
11. It is recommended not to take ibuprofen together with ulcerative drugs and drugs that increase the risk of bleeding (anti-aggregating drugs, e.g. acetylsalicylic acid, warfarin, corticosteroids).
12. People with circulatory insufficiency, cirrhosis and renal failure, and elderly patients should monitor the volume of urine excreted when starting treatment.
13. Taking non-steroidal anti-inflammatory drugs can lead to kidney failure.
14. During treatment with the drug, skin reactions may appear, stop taking after the appearance of, for example, a rash.
15. Taking the drug may cause temporary problems with fertility in women.
16. The pseudoephedrine contained in the drug has a stimulating effect on the central nervous system, there is a risk of drug abuse, and depression may occur if the treatment is stopped abruptly.
17. Caution should be exercised in patients taking tricyclic antidepressants and sympathomimetic drugs (decongestants of the blood vessels of the mucous membranes), appetite suppressants and amphetamine-like psychotropic drugs.
18. The treatment should be discontinued 24 hours before the planned general anesthesia.
19. People who are intolerant to certain sugars should consult a doctor because the drug contains lactose.
20. Sunset yellow in the preparation may cause allergic reactions.
21. Caution should be exercised in people who drive motor vehicles, because Ibum Extra may cause side effects, which in turn impair psychophysical fitness, e.g. dizziness.

Ibum Extra with other medications

1. Do not take the drug simultaneously with MAO inhibitors, and also for 14 days after the end of treatment with MAO inhibitors due to the presence of pseudoephedrine.
2. Do not take Ibum Extra together with: drugs stimulating dopamine receptors, derivatives of ergot alkaloids (including bromocriptine, cabergoline, lisuride, pergolide), vasoconstrictor drugs (dihydroergotamine, ergotamine, methylergometrine), linezolid, phenylephrine, phenylpropanolamine.
3. The presence of pseudoephedrine precludes taking the preparation simultaneously with tricyclic antidepressants and sympathomimetic drugs (decongestants of the blood vessels of the mucous membranes), drugs that suppress appetite and psychotropic drugs similar to amphetamines, antihypertensive drugs (pseudoephedrine may reduce the effect of these antihypertensive drugs).
4. An increase in blood pressure may occur when the drug is taken simultaneously with general anesthetics.
5. Before the planned general anesthesia, the treatment should be stopped 24 hours before it.
6. Do not take ibuprofen (like other NSAIDs) concurrently with: acetylsalicylic acid or other NSAIDs (including cyclooxygenase 2 inhibitors such as celecoxib) and analgesics (increased risk of gastrointestinal side effects) ), antihypertensive drugs and diuretics (non-steroidal anti-inflammatory drugs may reduce the effectiveness of these drugs), anticoagulants (non-steroidal anti-inflammatory drugs may increase the effect of drugs that reduce blood clotting), lithium and methotrexate (non-steroidal anti-inflammatory drugs may increase the plasma levels of both lithium and and methotrexate), zidovudine (there is evidence of prolonged bleeding in patients treated concomitantly with ibuprofen and zidovudine), with corticosteroids (increased risk of side effects in the digestive tract).

Ibum Extra – side effects

While taking Ibum Extra:

1. the following may occur: gastrointestinal discomfort, diarrhea, indigestion, abdominal pain, nausea, constipation, flatulence, gastritis; headache, dizziness, insomnia, agitation, irritability, tinnitus, or psychotic reactions; non-specific allergic and anaphylactic reactions; Respiratory reactions manifested by asthma, worsening of asthma, bronchospasm or dyspnoea, very rarely, facial swelling of the tongue, larynx, cardiac arrhythmias, low blood pressure and shock; skin reactions in the form of rash, itching, hives, purpura, angioedema; thrombocytopenia, agranulocytosis, anemia (first symptoms are fever, sore throat, mouth ulcers, flu-like symptoms, epistaxis, bruising, ecchymosis, etc.),
2. sometimes: bullous dermatosis, Stevens-Johnson syndrome, toxic epidermal necrolysis, gastric ulcer or bleeding from the stomach, tar-like stools, bloody vomiting, exacerbation of colitis and Crohn’s disease, liver dysfunction, kidney failure, decreased urine output, papillary necrosis, increase in plasma sodium, edema, hypertension, heart failure. Isolated cases of symptoms occurring in aseptic meningitis have been reported in people with autoimmune diseases (e.g. lupus erythematosus).
3. Long-term use of ibuprofen in high doses may increase the risk of heart attack or stroke. Due to the pseudoephedrine content in the preparation, the following may occur: gastrointestinal disorders, redness, rashes, nausea, vomiting, excessive sweating, dizziness, increased heart rate, heart rhythm disturbances, anxiety, insomnia, muscle weakness, tremors, anxiety, confusion , thrombocytopenia.