The NHS has warned against taking a commonly used painkiller if you experience three symptoms. If you’ve ever noticed any of these side effects, you should consider finding an alternative medication.

Ibuprofen is a type of nonsteroidal anti-inflammatory drug, or NSAID, that is used to relieve pain, fever, and inflammation. It is often recommended for maladies such as back pain, toothache, period pain, and sprains.

Most adults and young people aged 17 and over can take ibuprofen. However, for some people, it can be dangerous.

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The warns that you must not take ibuprofen by mouth or apply it to your skin if you experience any of the following symptoms after taking the drug:

  • Wheezing
  • Runny nose
  • Skin reactions.

You should also not take ibuprofen if you’ve had those symptoms after taking other NSAIDs such as naproxen or aspirin. Pregnant women should also not take ibuprofen - unless otherwise prescribed by a doctor.

To make sure ibuprofen tablets, capsules, granules or liquid is safe for you, the NHS says you should tell your doctor or pharmacist if you:

  • Have ever had bleeding in your stomach or a hole (perforation) in your stomach caused by an NSAID
  • Have had a hole (perforation) in your stomach, bleeding in your stomach or a stomach ulcer more than once
  • Have a health problem that means you have an increased chance of bleeding
  • Have severe heart failure, severe kidney failure or severe liver failure
  • Have high blood pressure that's not under control
  • Have heart disease or mild to moderate heart failure, or have ever had a stroke
  • Have kidney or liver problems
  • Have asthma, hay fever or allergies
  • Have Crohn's disease or ulcerative colitis
  • Have chickenpox – taking ibuprofen can increase the chance of certain infections and skin reactions.

On top of this, if you're over 65, ibuprofen can make you more likely to get stomach ulcers. “Your doctor will prescribe you a medicine to protect your stomach if you're taking ibuprofen for a long-term condition,” the NHS says.

Taking ibuprofen with other medicines

Ibuprofen also does not mix well with some medicines. Therefore, you should tell your doctor if you're taking any of these medicines before you start taking any type of ibuprofen:

  • Medicines that help to prevent blood clots, such as warfarin
  • Anti-inflammatory painkillers such as aspirin, diclofenac, mefenamic acid or naproxen
  • Medicines for high blood pressure
  • Steroid medicines such as betamethasone, dexamethasone, hydrocortisone or prednisolone
  • Antibiotics such as ciprofloxacin, levofloxacin, moxifloxacin, norfloxacin or ofloxacin
  • Antidepressants such as citalopram, fluoxetine, fluvoxamine, venlafaxine, paroxetine or sertraline
  • Diabetes medicines such as gliclazide, glimepiride, glipizide or tolbutamide.

But it is safe to take ibuprofen with paracetamol or codeine, the NHS says. For those who take herbal supplements regularly, it’s important to note that it's best not to take gingko biloba with ibuprofen as it can increase the chance of bleeding.

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