COMBIFLAM Tablets

Uses and Benefits of COMBIFLAM Tablets (Ibuprofen 400mg + Paracetamol 325mg)

This combination medicine is commonly used to treat pain and fever caused by various conditions.

WHAT THIS MEDICINE IS USED FOR

• Headache and migraine
• Toothache and dental pain
• Body ache and muscle pain
• Back pain
• Joint pain and mild arthritis pain
• Fever due to infections
• Post-injury or post-surgical pain (as advised by doctor)
• Menstrual cramps

HOW IT WORKS

• Ibuprofen blocks enzymes called COX that produce chemicals causing pain, swelling and fever
• Paracetamol acts mainly in the brain to reduce fever and pain signals
• Together they give faster and stronger relief than either medicine alone

WHAT IT IS NOT USED FOR

• Not a treatment for the underlying cause of infection, such as bacteria or viruses
• Not meant for long-term daily use without medical supervision
• Not suitable for chronic disease prevention
• Not recommended for children unless specifically prescribed
• Not a substitute for other prescribed heart, blood pressure or diabetes medicines

Side Effects of COMBIFLAM Tablets (Ibuprofen 400mg + Paracetamol 325mg)

COMMON SIDE EFFECTS

• Nausea or stomach upset
• Heartburn or acidity
• Dizziness
• Drowsiness

LESS COMMON SIDE EFFECTS

• Diarrhoea or constipation
• Loss of appetite
• Mild skin rash
• Headache

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Black or bloody stools, or vomiting blood
• Severe stomach pain
• Yellowing of skin or eyes (jaundice)
• Swelling of face, lips, throat, or difficulty breathing
• Severe skin rash, blistering, or peeling
• Reduced urine output or swelling in legs
• Chest pain, breathlessness, or signs of heart problems
• Unusual bruising or bleeding

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use COMBIFLAM Tablets (Ibuprofen 400mg + Paracetamol 325mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually after food to reduce stomach upset
• Swallow the tablet with a glass of water; do not crush or chew unless advised
• Do not increase the dose or frequency on your own
• Avoid taking other paracetamol or ibuprofen-containing products at the same time
• Do not use for more than a few days without consulting your doctor

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for the next dose, skip the missed one
• Do not take a double dose to make up for a missed one
• This medicine is usually taken only when needed for pain or fever, so missed doses are generally not a concern

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original pack until it is time to take it
• Keep out of reach and sight of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for COMBIFLAM Tablets (Ibuprofen 400mg + Paracetamol 325mg)

This is a prescription medicine in India and should be taken only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a known allergy to ibuprofen, paracetamol, or other NSAIDs/painkillers
• Have active stomach or intestinal ulcers or bleeding
• Have severe liver or kidney disease
• Have severe heart failure
• Are in the last trimester of pregnancy
• Had asthma or allergic reaction triggered by aspirin or NSAIDs before

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have a history of stomach ulcers, gastritis, or acidity
• Have liver or kidney problems
• Have high blood pressure or heart disease
• Are pregnant, planning pregnancy, or breastfeeding
• Are elderly, as risk of side effects is higher
• Drink alcohol regularly
• Are taking blood thinners or steroids

MEDICINES THAT CAN INTERACT

• Blood thinners like warfarin (increased bleeding risk)
• Other NSAIDs or aspirin (higher risk of stomach bleeding)
• Blood pressure medicines (reduced effectiveness)
• Diuretics (water tablets) and certain kidney-affecting medicines
• Steroids like prednisolone (increased ulcer risk)
• Methotrexate and lithium (increased blood levels and toxicity)

FREQUENTLY ASKED QUESTIONS

Can I take this medicine on an empty stomach?

It is best taken after food to reduce the chance of stomach irritation.

Can I take this every day for chronic pain?

No, long-term daily use should only be done under a doctor's guidance due to stomach, kidney and heart risks.

Can I drink alcohol while taking this medicine?

• It is best to avoid alcohol as it increases the risk of stomach bleeding and liver damage.
• Doctor ya pharmacist se salah lein.