Flarin Joint & Muscular Pain Relief 200mg Soft Capsules 16s

This medicine is for oral administration and short-term use only. Swallow the capsules whole with water. Do not chew.

Adults, the elderly and children over 12 years:

• Take one or two capsules (200mg–400mg), up to three times a day as required.
• Leave at least 4 hours between doses and do not take more than 1200mg (6 capsules) in any 24 hour period.
• The lowest effective dose should be used for the shortest duration necessary to relieve symptoms.
• If you have an infection, consult a doctor without delay if symptoms (such as fever and pain) persist or worsen.

If you are over 18 years of age, do not take this medicine for longer than 10 days unless your doctor tells you to.

If you are aged between 12 and 18 years and this medicinal product is required for more than 3 days, or if symptoms worsen you should contact your doctor.

If symptoms persist or worsen consult your doctor, who may instruct you to continue taking the medicine.

• Active Ingredient: Ibuprofen 200mg.
• Other Ingredients: Hard fat, glycerol monolinoleate, macrogol 400, gelatin, sorbitol, purified water, Brilliant blue (E133) and Allura red (E129) (may cause allergic reactions). Hard fat and glycerol monolinoleate are lipids. Ink ingredients: Titanium dioxide, isopropyl alcohol, propylene glycol, hypromellose.

• Anti-inflammatory/pain-killer medicines like ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses. Do not exceed the recommended dose or duration of treatment. If you are taking Flarin Joint & Muscular Pain Relief 200mg Soft Capsules for longer than the recommended time or at higher than recommended doses you are at risk of serious harms. These include serious harms to the stomach/gut and kidneys, as well as very low levels of potassium in your blood. These can be fatal.
• Serious skin reactions have been reported in association with Flarin Joint & Muscular Pain Relief 200mg Soft Capsules treatment. You should stop taking this medicine and seek medical attention immediately if you develop any skin rash, lesions of the mucous membranes, blisters or other signs of allergy since this can be the first signs of a very serious skin reaction. Very rare reports of potentially life threatening skin rashes (Stevens Johnson Syndrome, toxic epidermal necrolysis) have been reported with the use of ibuprofen. Patients are at a higher risk of such reactions during the first month of therapy. 
• Flarin Joint & Muscular Pain Relief 200mg Soft Capsules belong to a group of medicines which may affect fertility in women. Fertility goes back to normal when you stop taking this medicine. It is unlikely that if you only take Flarin Joint & Muscular Pain Relief 200mg Soft Capsules occasionally it will affect your chances of becoming pregnant. If you have problems becoming pregnant talk to your doctor before taking this medicine.

Do not take Flarin Joint & Muscular Pain Relief 200mg Soft Capsules if you:

• Are allergic to ibuprofen or any of the other ingredients of this product, aspirin or other related painkillers.
• Have had a worsening of asthma, allergic rash or itchy, runny nose when taking similar medicines.
• Have ever had a stomach ulcer, perforation or bleeding.
• Ever had stomach bleeding or a perforation due to NSAIDs.
• Are already taking other drugs that belong to the NSAIDs group.
• are taking aspirin at doses of above 75mg daily.
• Are in the last 3 months of pregnancy.
• Suffer from severe heart, liver or kidney disease.
• Are under 12 years old.

Talk to your doctor or pharmacist before taking Flarin Joint & Muscular Pain Relief 200mg Soft Capsules if you:

• Have an infection. Flarin Joint & Muscular Pain Relief 200mg Soft Capsules may hide signs of infections such as fever and pain. It is therefore possible that this medicine may delay appropriate treatment of infection, which may lead to an increased risk of complications. This has been observed in pneumonia caused by bacteria and bacterial skin infections related to chickenpox. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor without delay.
• Are elderly, as you may be more likely to suffer from side effects.
• Have or have had asthma, diabetes, high cholesterol, high blood pressure, a stroke, heart, liver, kidney or bowel problems.
• Are allergic to any other painkiller.
• Suffer from systemic lupus erythematosus (a chronic rheumatic disease).
• Suffer from an allergy.
• Suffer from inflammation of the intestines (ulcerative colitis, Crohn’s disease).
• Are on low-dose aspirin (up to 75mg daily).
• Are a smoker.
• Are in the first 6 months of pregnancy.
• Are 12-18 years old and have not been drinking fluids or have lost fluids due to continuous vomiting or diarrhoea, as there is a risk of kidney damage.

You should discuss your treatment with your doctor or pharmacist before taking Flarin Joint & Muscular Pain Relief 200mg Soft Capsules if you:

• Have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient ischaemic attack “TIA”).
• Have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker.

Talk to your doctor or pharmacist if you have been taking, have recently taken or might take any other medicines. Flarin Joint & Muscular Pain Relief 200mg Soft Capsules may affect or be affected by some other medicines. For example:

• Any other painkillers (or other NSAIDs).
• Corticosteroids (anti-inflammatory) which can increase the risk of side effects in the stomach including bleeding.
• Serotonin reuptake inhibitors and lithium (for treatment of depression - bipolar disease and mania).
• Cardiac glycosides (treatment of heart failure and cardiac arrhythmia).
• Methotrexate (anti-cancer and psoriasis).
• Zidovudine (HIV/AIDS infection).
• Ciclosporin (prevent rejection after organ transplant).
• Mifepristone (emergency contraceptive). Do not take this medicine for 8-12 days after mifepristone administration as it can reduce its effect.
• Tacrolimus (prevent rejection after organ transplant, treatment of skin diseases).
• Quinolone (antibiotics).
• Medicines that are anti-coagulants (i.e. thin blood/prevent clotting e.g. aspirin/acetylsalicylic acid, warfarin, ticlopidine).
• Medicines that reduce high blood pressure (ACE-inhibitors such as captopril, betablockers such as atenolol medicines, angiotensin-II receptor antagonists such as losartan).
• Medicines to help you pass water (diuretics).

Some other medicines may also affect or be affected by the treatment of Flarin Joint & Muscular Pain Relief 200mg Soft Capsules. You should therefore always seek the advice of your doctor or pharmacist before you use this with other medicines.

Pregnancy and breastfeeding:

• Do not take this medicine if you are in the last 3 months of pregnancy as it could harm your unborn child or cause problems at delivery. It can cause kidney and heart problems in your unborn baby. It may affect your and your baby’s tendency to bleed and cause labour to be later or longer than expected.
• You should not take Flarin Joint & Muscular Pain Relief 200mg Soft Capsules during the first 6 months of pregnancy unless absolutely necessary and advised by your doctor. If you need treatment during this period or while you are trying to get pregnant, the lowest dose for the shortest time possible should be used. If taken for more than a few days from 20 weeks of pregnancy onward, Flarin Joint & Muscular Pain Relief 200 mg Soft Capsules can cause kidney problems in your unborn baby
  that may lead to low levels of amniotic fluid that surrounds the baby (oligohydramnios) or narrowing of a blood vessel (ductus arteriosus) in the heart of the baby. If you need treatment for longer than a few days, your doctor may recommend additional monitoring.
• Ask your doctor or pharmacist for advice before taking any medicine if you are breastfeeding.

Important information about some of the ingredients of Flarin Joint & Muscular Pain Relief 200mg Soft Capsules:

• Contains sorbitol. If you have an intolerance to some sugars, contact your doctor before taking this product.
• Brilliant blue (E133) and Allura Red (E129) (may cause allergic reactions).