Meds and you

Updated 11 February 2013

Ibuprofen + paracetamol

The combination of ibuprofen and paracetamol relieves pain and reduces inflammation and fever.


Ibuprofen and paracetamol are the active ingredients of Ibumol, Dentopain, Ibupain, Mypaid, Ibumol and Lotem.

General information

The combination of ibuprofen and paracetamol relieves pain and reduces inflammation and fever.

It is indicated for the relief of headache from musculo-skeletal origin, feverishness, muscular, menstrual and dental pain.

Ibuprofen is a non-steroidal anti-inflammatory medication. It is an effective painkiller and is prescribed in higher doses to relieve inflammation, swelling and stiffness. It is often used to provide pain relief in a wide range of conditions ranging from menstrual and dental pain to post-operative pain. It is effective in reducing fever and is also prescribed for the treatment of arthritic conditions such as rheumatoid- and osteoarthritis, muscle injury, acute attacks of gout.

Paracetamol is the analgesic of choice for mild to moderate pain and is also used to reduce fever. It is suitable for both adults and children and, as it does not cause stomach irritation, it is safe to be used by those who suffer from peptic ulcers and those who cannot take aspirin.

When taken by mouth it is rapidly absorbed into the body and will be effective within 30 minutes. Paracetamol is safe for occasional use by those being treated with anticoagulants.

Neither paracetamol nor ibuprofen cures the underlying condition responsible for pain, fever or inflammation, but simply keeps the symptoms under control.

How does the combination of ibuprofen and paracetamol work?

The combination of Ibuprofen and paracetamol blocks the production of chemicals in the body that are responsible for pain, fever, swelling and inflammation.

Fast facts

Drug schedule: schedule3

Available as: this combination is available as tablets, capsules and as syrup

What does it do? The combination of ibuprofen and paracetamol relieves pain and reduces inflammation and fever.

Overdose risk: high

Dependence risk: low

Is this combination available as a generic? yes

Is this combination available on prescription only? yes

User information

Onset of effect: within 30 minutes

Duration of action: up to 8 hours

Dietary advice: the combination of ibuprofen and paracetamol should be taken with a meal to minimise gastro-intestinal irritation.

Stopping this medicine: the combination of ibuprofen and paracetamol can be safely stopped when no longer needed.

Prolonged use: the likelihood of adverse effects increase with prolonged use. Your doctor may perform periodic liver and kidney function tests, while also examining you for possible gastro-intestinal damage.

Special precautions

Consult your doctor before using this drug if:

  • you have asthma
  • you have a stomach ulcer
  • you have a bleeding disorder
  • you are taking blood-thinning medication
  • you are allergic to aspirin or any other medication
  • you are taking other medication

Pregnancy: avoid. Potential risk to the foetus has been reported. Consult your doctor before use, or if you are planning to fall pregnant.

Breastfeeding: this medication is safe for use. You should however discuss its use with your doctor first.

Porphyria: this medication is safe for use.

Infants and children: this medication is safe for use in children at the recommended dose.

Elderly: caution is advised in the elderly as side effects may be more likely. The dose may need to be adjusted.

Driving and hazardous work: caution is advised as use of this medication may lead to dizziness and light-headedness. Avoid such activities until you know how this medication affects you.

Alcohol: avoid concomitant use of alcohol with this medication as it may worsen stomach irritation.

Possible side effects


Side effect


Consult your doctor



Only if severe

In all cases

gastro-intestinal disorders















swelling (feet/ ankles)



rash/ itch



difficulty breathing



blood in vomit


dark tarry stools


yellow-tinged skin and eyes




Drug interactions:

blood pressure medication

reduced pressure-lowering effect


potential gastro-intestinal symptoms


risk of bleeding

asthma medication

reduced effect of asthma medication; risk of asthma attack

cardiac glycosides, digoxin

risk that heart failure may be more severe


reduced effect of paracetamol


potential gastrointestinal symptoms


potential ibuprofen toxicity


potential methotrexate toxicity


potential risk of kidney damage

blood- glucose-lowering drugs

risk of prolonged low blood sugar


risk of paracetamol toxicity; therapeutic doses may not be safe

metoclopramide, domperidone

risk of paracetamol toxicity

oral contraceptives

reduced paracetamol effect


potential baclofen toxicity

other NSAIDs

potential risk of gastrointestinal bleeding


risk of ibuprofen toxicity

quionolone antibiotics

risk of seizures


increased risk of kidney damage


increased risk of zidovudine toxicity

Disease interactions

Consult your doctor before using this drug if you have asthma, a stomach ulcer, bleeding disorder, you are taking blood thinning medication, or if you are allergic to aspirin or any other medication.

Overdose action

A small overdose is no cause for concern. In case of intentional large overdose, seek emergency medical attention.

Recommended dosage

Dosage should not exceed that recommended for each individual agent.

This material is not intended to substitute medical advice, but is for informational purposes only. Please consult a physician for specific treatment and recommendations.


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