Because Ibuleve Maximum Strength is delivered through the skin, directly over the painful area, there is less risk of the complications that sometimes occur when ibuprofen (or a similar anti-inflammatory painkiller) is taken by mouth. However, in rare cases you may be at risk: Do not use Ibuprofen Pain Relief Gel Maximum Strength: • if you are allergic (hypersensitive) to ibuprofen or any of the other ingredients in this product listed ; • if you are asthmatic, or suffer from rhinitis (allergic runny nose) or urticaria (hives) and have ever had a bad reaction to aspirin, ibuprofen or other NSAIDs in the past; • if you are pregnant or breast-feeding; • on broken, damaged, infected or diseased skin; • if you have severe joint pain of recent onset that is not related to an injury or period of overuse; • if you feel ill, have a temperature or any other symptoms that accompany the pain.Before applying this product for the first time, make sure it is suitable for you to use:

If you're taking liquid, it will come with a plastic syringe or spoon to measure your dose. If you do not have a syringe or spoon, ask your pharmacist for one. Do not use a kitchen spoon, as it will not measure the right amount. Adults and children of 12 years and over: Use 2 to 5 cm of gel (50 to 125mg of ibuprofen) on the affected area every 4 hours, if you need to. Don’t use more than 4 times in any 24 hours. Do not use if you are allergic to Ibuprofen or any of the ingredients, aspirin, or any other painkillers. Summary of Product Characteristics: Ibuleve Speed Relief 5% spray. Diomed Developments Ltd. Revised November 2010.If you're taking ibuprofen for a short-lived pain like toothache or period pain, you may only need to take it for a day or two. Summary of Product Characteristics: Ibuleve Speed Relief Max Strength Gel. Diomed Developments Ltd. Revised June 2010.

Allergic reactions (particularly in people who have a history of asthma or allergic problems), such as: Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment, 2nd edition (2007) ed. Schaefer, C., Peters, P. and Miller, R. Elsevier, London. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. if you are asthmatic, or suffer from rhinitis (allergic runny nose) or urticaria (hives) and have ever had a bad reaction to aspirin, ibuprofen or other NSAIDs in the past;

Very rarely, susceptible patients may experience the following side effects with ibuprofen, but these are extremely uncommon when ibuprofen is administered topically. If they occur, treatment should be discontinued: If you are prescribed ibuprofen as a regular medicine and forget to take a dose, take the missed dose as soon as you remember, unless it's almost time for your next dose. In this case, skip the missed dose and take your next dose at the usual time.

Please stop using ibuprofen gel immediately and tell your doctor if you experience any of the following effects: Although systemic absorption of topically applied ibuprofen is less than for oral dosage forms, these complications can occur in rare cases. For these reasons, patients with an active peptic ulcer, a history of kidney problems, asthma or intolerance to aspirin or ibuprofen taken orally should seek medical advice before using the gel as should patients already taking other painkillers. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 9th edition (2011) ed. Briggs, G., Freeman, R. and Yaffe, S. Lippincott Williams & Wilkins, Philadelphia. Active ingredient: Ibuprofen 10% w/w, Also contains: IMS, Carbomers, Diethylamine and Purified Water Warnings Ibuprofen gel is a topical analgesic and anti-inflammatory gel to relieve pain and inflammation in your body. It is most commonly used for the relief of:

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The usual dose for adults is one or two 200mg tablets or capsules 3 times a day. In some cases, your doctor may prescribe a higher dose of up to 600mg to take 4 times a day if needed. This should only happen under supervision of a doctor. It is always best to consult with your doctor or pharmacist before taking medication while pregnant. Do not use ibuprofen gel if you are more than 6 months pregnant, and do not use it if you are breastfeeding. What is the strongest ibuprofen gel? Squeeze out a 2 to 5 cm length of gel (50 to 125 mg ibuprofen) onto the affected area, enough to thinly cover it, then massage gently until absorbed. Summary of Product Characteristics: Phorpain Gel 5%. Amdipharm Mercury Company Ltd. Revised September 2012.