Almus Ibuprofen And Codeine Tablets 200mg/12.8mg

What is Almus ibuprofen and codeine?

Almus ibuprofen and codeine is a combination medication used to relieve moderate pain when ibuprofen alone isn’t enough. It contains 200mg of ibuprofen, an anti-inflammatory, and 12.8mg of codeine, an opioid pain reliever.
They can safely be combined with another analgesic such as Paracetamol to provide even more pain relief if needed.

What can iburprofen and codeine be used for?

These tablets can be taken for a variety of aches and pains including but not limited to:

• Headaches
• Menstrual periods
• Toothaches
• Backaches
• Osteoarthritis
• Injuries

When should I take iburprofen and codeine tablets?

If you are suffering from pain such as migraines, back pain, period pain, tooth ache, muscle ache and string and self-care has not helped you can try taking painkillers.
It is generally recommended to start with Paracetamol, Ibuprofen or Aspirin by themselves.
If you find that your pain is still not controlled, you can then try the next step of painkillers such as combination products. These can help provide pain relief from short-term mild-to-moderate pain that has responsed to Paracetamol, Ibuprofen or Aspirin alone.

How to buy Almus ibuprofen and codeine tablets online

You can use our online pharmacy service to buy Almus ibuprofen and codeine tablets online in the UK. We are a registered pharmacy based in the UK with free delivery and next day delivery available. As this medication is a 'Pharmacy-only' (P) medicine a pharmacist needs to have a consultation to make sure treatment is appropriate before you can purchase them.
Upon completion of your order, our pharmacist will then review your online assessment. If your assessment is approved, our pharmacy team will then dispense your order, which will be dispatched the same day using your chosen delivery method.

How Almus ibuprofen and codeine tablets work

They contain ibuprofen which belongs to a class of drugs called NSAIDs and codeine which is an opioid.
Ibuprofen works by inhibiting enzymes called COX-1 and COX-2, which are involved in the production of prostaglandins—chemical messengers that cause pain, inflammation, and fever. By blocking these enzymes, ibuprofen reduces the formation of prostaglandins, helping to relieve pain and lower inflammation and fever in the body.

Codeine works directly on opioid receptors in the central nervous system and reduces feelings of pain by interrupting the way nerves signal pain between the brain and the body.

How to take Almus ibuprofen and codeine tablets

Take ONE or TWO tablets up to three times a day, with at least six hours between doses.
They are only licensed to be used for 3 days continuous use, if you find yourself needing to use them longer than 3 days, contact your doctor.

Almus ibuprofen and codeine side effects

The most common side effects are:

1. Constipation
2. Nausea
3. Drowsiness
4. Headaches
5. Stomach irritation
6. Heartburn

To help cope with the side effects there are a few things you can do:

1. Constipation – eat plenty of high fibre foods or try a stool softener such as docusate, drinking plenty of fluid and a stimulant laxative such as senokot.
2. Nausea – take them with food, the feeling of being sick should go away as you get used to the tablets.
3. Headaches – make sure to drink plenty of fluids
4. Heartburn – make sure to take them with food to help protect your stomach, or take something alongside them such as a PPI like omeprazole or lansoprazole

Who cannot take ibuprofen and codeine tablets?

They should not be taken if you:

1. Suffer from lung problems or have breathing difficulties
2. Have a head injury
3. Suffer with fits or seizures
4. Have liver problems
5. Are or are trying to become pregnant
6. If you are breastfeeding
7. Have previously had an allergic reaction to Ibuprofen.
8. Have a history of asthma attacks after taking aspirin or other NSAIDs
9. Have a history of or active stomach ulcers or bleeding
10. Suffer from liver problems
11. Suffer from kidney problems
12. Have an increased chance of bleeding
13. Have severe heart failure
14. Have uncontrolled high blood pressure
15. Have chickenpox or shingles
16. Have Crohn's disease or ulcerative colitis

Almus ibuprofen and codeine and addiction

The codeine can be addictive, do not use this product for more than 3 days of continuous use. If you find yourself needing to use it for more than 3 days, contact your doctor. It is unlikely you will become addicted if you take them as instructed. If you experience any of the following you should talk to your GP:

1. You feel you have to take Solpadeine for longer than 3 days
2. Your symptoms persist
3. When you stop taking Solpadeine you feel unwell, but if you start taking the medicine again you feel better

Signs of codeine addiction include but are not limited to:

1. Depression
2. Anxiety
3. Mood Swings
4. Behavioral changes
5. Sleepiness
6. Dizziness
7. Shaking
8. Itching
9. Restlessness
10. Breathing problems
11. Halluciantions
12. Memory problems
13. Ringing in your ears (Tinnitus)

It is unlikely you will experience the above if you take them as instructed but it is important if you experience any of the above to talk to your GP.

Ibuprofen and codeine and driving

One of the main side effects is drowsiness. It is now an offence to drive in England, Wales or Scotland if your ability to drive is affected by medication. Do not drive or operate any tools or machinery if this medication makes you drowsy or if you do not how this medicine will affect you.

Ibuprofen and codeine and other pain killers

They are commonly taken with paracetamol tablets.
Do not take them with other codeine containing products as this may make you extremely drowsy.

Codeine tolerance

If you take codeine for a prolonged period of time, you may find you become tolerant to it and it becomes less effective at providing pain relief. You may also become dependent on the Codiene if taken regularly for a long period of time. For these reasons you should keep use to as short of a period time with as few tablets taken as possible. Overuse of codeine can also lead to chronic migraines.

Ibuprofen and codeine and pregnancy

It is not recommended to take this medication if you are or are currently, could be or are trying to become pregnant. If you require pain relief during pregnancy and you find Paracetamol is not strong enough, contact your GP.

Ibuprofen and codeine and breastfeeding

It is not recommended to take this medication if you are breastfeeding. If you require pain relief while breastfeeding and you find Paracetamol is not strong enough, contact your GP.

Drug interactions

The following medicines interact with Ibuprofen, it may not suitable or to only be used with caution if you take:

1. Other non-steriodal anti-inflammatories - you will need to stop taking them before starting Ibuprofen
2. Anti-anticoagulant medicine such as warfarin, apixaban or rivaroxaban
3. Corticosteroids - such as prednisolone
4. Diuretics - such as furosemide
5. Medicines for heart problems
6. Medicines for high blood pressure
7. Antidepressants - such as citalopram
8. Medicine used to treat rheumatoid arthritis - such as methotrexate

Please note: As this medication is NSAID it is important you do not take any other anti-inflammatory medicines.
You should also be aware that any herbal or alternative remedies you take may also interact with this medication and cause side effects. If you are taking any herbal or alternative remedies make sure to mention them to your GP, or on the consultation form so we can make sure they are safe to take together.
For a full list of interactions see: Ibuprofen interactions.

Almus ibuprofen and codeine ingredients

Active Ingredients: Paracetamol 500 mg, Codeine Phosphate Hemihydrate 12.8 mg, Caffeine 30mg
Other Ingredients: Citric Acid (anhydrous), povidone (K30), sodium hydrogen carbonate, saccharin sodium, sodium carbonate anhydrous, simeticone, polysorbate 80, aspartame (E951

Almus ibuprofen and codeine alternatives

Other alternatives include:

• Co–codamol tablets
• Co–codamol soluble tablets
• Paramol tablets – these contain 7.46mg of dihydrocodeine instead of codeine, which some people prefer
• Solapdeine Plus capsules
• Solapdeine Plus soluble tablets
• Solapdeine Max tablets – these contain 12.8mg of codeine.
• Solapdeine Max Soluble tablets – these contain 12.8mg of codeine and disperse in water.

More Almus ibuprofen and codeine tablets information

If you would like more information, you can find the SPC: Almus ibuprofen and codeine SPC