Mastering ibuprofen
I don’t remember learning over the counter medications in high school health class. Though I do remember the person next to me fainting when the teacher put up a giant projector image of an untreated genital gonorrhea infection. Poor kid - they’re probably a doctor now!
Last week, I wrote about how it’s time to say goodbye to Benadryl in favor of other allergy medications like Zyrtec. Today, we’re talking about ibuprofen (most common brand names are Advil, Motrin here in the US).
Here’s the download on ibuprofen (this information pertains to people 18 and older (not kiddos)):
How it works: Ibuprofen inhibits COX 1 and 2 enzymes which help make prostaglandin (often the culprit behind inflammation). It’s in a class of medications called non steroidal anti-inflammatories (NSAIDs).
History: Ibuprofen was invented in 1961 in the UK by a pharmacologist and pharmacist who were looking for a medication to help with rheumatoid arthritis
What to use it for: Reducing pain and fever, stopping mild/moderate abnormal uterine bleeding, anti-inflammation for conditions like gout
Appropriate dosing: 400mg-600mg every 6-8 hours. Take with food to help prevent stomach upset! Do not take more than 2400mg (2.4g) per day.
Main side effects: Stomach ulcers/gastrointestinal bleeding, increased brisk of heart attack/stroke (especially if have high blood pressure or other heart problems)
When to avoid it: If you are pregnant, have high blood pressure, a history of stomach ulcers or gastrointestinal bleeding, kidney disease, liver disease; please always consult a provider before taking this medication.
Some notes from my practice:
There is no difference between over the counter and ibuprofen that gets prescribed
Ibuprofen 800mg is often prescribed or recommended but studies have shown there is no additional benefit for pain relief above a 400mg dose but there may be an increased risk of side effects. Stick to 400mg-600mg in a single dose.
If you find yourself taking ibuprofen daily or multiple times per week but haven’t chatted to a provider about this, it’s time! For most folks, you can avoid using it daily and come up with a better treatment plan for your aches, pains, and head aches. In fact, if you’re taking ibuprofen daily for a headache, it might be making those headaches worse.
Please always consult your provider before taking medication or if you have any symptoms you are worried about. This is general information meant for education/entertainment and not meant as medical advice. Everyone is different, so get that personalized advice from your provider!
I hope this was helpful and feel free to share with anyone who might find this information useful!
