Ibuprofen 600 mg Tablet, 30-count
Other active recalls for Ibuprofen (different manufacturers) — 5 · tap to view
🆔 Identity & classification
Where does this data come from?
🏷️ RxNorm drug class
This medicine belongs to the Nonsteroidal Anti-inflammatory Drug class.
Where does this data come from?
🏭 Manufacturer & labeler
Where does this data come from?
🩺 Clinical
Prescription ibuprofen is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints) and rheumatoid arthritis (arthritis caused by swelling of the lining of the joints). It is also used to relieve mild to moderate pain, including menstrual pain (pain that happens before or during a menstrual period). Nonprescription ibuprofen is used to reduce fever and to relieve minor aches and pain from headaches, muscle aches, arthritis, menstrual periods, the common cold, toothaches, and backaches. Ibuprofen is in a clas...
Read the full MedlinePlus article ↗- It does a lot more than just kill pain. Ibuprofen is an anti-inflammatory drug, so it relieves pain, reduces swelling and inflammation, and brings down fever. Over-the-counter prod...
- What's ibuprofen actually used for — is it just a painkiller?
- Yes, it really does help. Ibuprofen can irritate the stomach lining, so taking it with food or a glass of milk significantly reduces the chance of nausea or stomach upset. You don'...
- Should I take ibuprofen with food? Does it really matter?
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Ibuprofen — tap one for details:
Ibuprofen may be associated with lower levels of 1 nutrient — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
Ask a licensed pharmacist directly — free, answered by our team.
💊 What it looks like
Where does this data come from?
🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · Q2 2026 | $0.1334 | $4.00 / 30 tablets |
Where does this data come from?
🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Ibuprofen 600 mg 42543-0965-07 | Strides | 500 tablets | $0.044 | AB | Discontinued | — |
| Ibuprofen 600 mg 00904-5854-40 | Major | 500 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 00904-7588-40 | Major | 500 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 49483-0603-01 | TIME | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibu 600 mg 55111-0683-01 | Dr. | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 59651-0361-01 | Aurobindo | 100 tablets | $0.047 | — | Availability likely | — |
| Ibuprofen 600 mg 60687-0457-01 | American | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 62135-0401-12 | Chartwell | 120 tablets | $0.047 | — | Availability likely | — |
| Ibuprofen 600 mg 64380-0808-06 | Strides | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 67877-0320-01 | Ascend | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 68645-0562-59 | Legacy | 60 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 69367-0395-01 | Westminster | 100 tablets | $0.047 | — | Availability likely | — |
| Ibuprofen 600 mg 76282-0713-10 | EXELAN | 100 tablets | $0.047 | AB | Availability likely | — |
| Ibuprofen 600 mg 71921-0181-01 | Florida | 100 tablets | $0.052 | AB | FDA listed | — |
| Ibuprofen 600 mg 69238-1102-05 | Amneal | 500 tablets | $0.059 | AB | FDA listed | — |
| Ibuprofen 600 mg 00615-8310-39 | NCS | 30 tablets | — | AB | Discontinued | — |
| Ibuprofen 600 mg 11788-0009-00 | AiPing | 22600 tablets | — | — | Discontinued | — |
| Ibuprofen 600 mg 25000-0122-03 | MARKSANS | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 42708-0097-30 | QPharma, | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 42708-0175-30 | QPharma | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 43063-0867-01 | PD-Rx | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-2625-00 | A-S | 10 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-2626-00 | A-S | 15 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-2629-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-5433-01 | A-S | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-5435-00 | A-S | 10 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 50090-7286-00 | A-S | 15 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 50090-7288-00 | A-S | 10 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 50090-7321-00 | A-S | 30 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 51407-0840-01 | Golden | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 51655-0042-20 | Northwind | 20 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 51655-0474-20 | Northwind | 20 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 53746-0132-01 | Amneal | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 53746-0465-01 | Amneal | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 54348-0830-00 | PharmPak, | 1 tablet | — | AB | FDA listed | — |
| Ibuprofen 600 mg 55154-0741-00 | Cardinal | 1 tablet | — | AB | FDA listed | — |
| Ibupak 59088-0756-00 | PureTek | 100 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 60760-0597-20 | ST. | 20 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 60760-0603-20 | St. | 20 tablets | — | AB | Discontinued | — |
| Ibuprofen 600 mg 62207-0355-42 | Granules | 50 tablets | — | AB | FDA listed | — |
| ibuprofen 600 mg 63187-0451-30 | Proficient | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mgthis 63187-0527-30 | Proficient | 30 tablets | — | AB | FDA listed | — |
| Ibu 600 mg 63187-0614-15 | Proficient | 15 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 63187-0980-15 | Proficient | 15 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 65162-0465-03 | Amneal | 30 tablets | — | AB | FDA listed | — |
| Ibu 600 mg 66267-0964-00 | NuCare | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 67046-1646-03 | Coupler | 30 tablets | — | — | FDA listed | — |
| Ibu 600 mg 67296-0913-01 | RedPharm | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 67296-2181-01 | Redpharm | 10 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 68071-2947-01 | NuCare | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-2998-06 | NuCare | 6 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-3679-01 | NuCare | 100 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 68071-3778-02 | NuCare | 20 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 68071-3849-04 | NuCare | 4 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 68071-4009-01 | NuCare | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-4243-01 | NuCare | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-4459-06 | NuCare | 6 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-4887-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-4968-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68071-5066-04 | NuCare | 4 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68788-8354-01 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68788-8531-01 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68788-8754-01 | Preferred | 100 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 68788-9111-01 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 69367-0448-01 | Westminster | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 70010-0067-88 | Granules | 15000 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 70518-0761-00 | REMEDYREPACK | 20 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 70518-1364-01 | REMEDYREPACK | 30 tablets | — | AB | Discontinued | — |
| Ibuprofen 600 mg 70518-2902-00 | REMEDYREPACK | 30 tablets | — | — | Discontinued | — |
| Ibuprofen 600 mg 70518-3313-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 70518-4341-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71205-0522-06 | Proficient | 6 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71335-1207-00 | Bryant | 21 tablets | — | AB | Discontinued | — |
| Ibuprofen 600 mg 71335-1218-00 | Bryant | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71335-1503-00 | Bryant | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71335-2683-00 | Bryant | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71335-3121-00 | Bryant | 21 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 71610-0222-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibu 600 mg 71610-0501-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71610-0532-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibu 600 mg 71610-0547-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71610-0629-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71610-0891-53 | Aphena | 60 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71610-0895-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 71610-0902-53 | Aphena | 60 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 71610-0968-53 | Aphena | 60 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72189-0231-21 | DIRECT | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72189-0643-21 | Direct_Rx | 21 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72603-0909-01 | NorthStar | 500 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72789-0187-30 | PD-Rx | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72789-0212-06 | PD-Rx | 6 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 72789-0363-01 | PD-Rx | 100 tablets | — | AB | FDA listed | — |
| ibuprofen 600 mg 73086-0211-01 | SKYA | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 75907-0330-91 | Dr. | 2000 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 76420-0576-01 | Asclemed | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 76420-0847-01 | Asclemed | 100 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 80425-0132-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 80425-0154-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 80425-0424-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 80425-0426-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 80425-0553-01 | Advanced | 30 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 83008-0066-30 | Quality | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 83615-0001-03 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 87441-0044-01 | Unit | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 85766-0219-01 | Sportpharm | 100 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 85534-0012-00 | HAWAII | 30 tablets | — | AB | FDA listed | — |
| Ibuprofen 600 mg 68788-4140-01 | Preferred | 100 tablets | — | — | FDA listed | — |
| Ibuprofen 600 mg 70518-4741-00 | REMEDYREPACK | 1 tablet | — | AB | FDA listed | — |
| Ibuprofen 600 mg 67877-0738-01 | Ascend | 100 tablets | — | AB | FDA listed | — |
Where does this data come from?
⏳ Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
📊 Medicare Part D spend CMS · PART D · 2026 (Q1)
🔬 Reported adverse events (FAERS)
Top reported reactions
Age at onset
Reporter sex
Serious outcomes
Where does this data come from?
📦 Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Status |
|---|---|---|---|
| 63187-0527-20 | 20 TABLET in 1 BOTTLE (63187-527-20) | 2016-09-01 | Active |
| 63187-0527-30 You're viewing this | 30 TABLET in 1 BOTTLE (63187-527-30) | 2015-08-03 | Active |
| 63187-0527-40 | 40 TABLET in 1 BOTTLE (63187-527-40) | 2015-08-03 | Active |
| 63187-0527-45 | 45 TABLET in 1 BOTTLE (63187-527-45) | 2015-08-03 | Active |
| 63187-0527-60 | 60 TABLET in 1 BOTTLE (63187-527-60) | 2015-08-03 | Active |
| 63187-0527-72 | 120 TABLET in 1 BOTTLE (63187-527-72) | 2015-08-03 | Active |
| 63187-0527-90 | 90 TABLET in 1 BOTTLE (63187-527-90) | 2015-08-03 | Active |
You're viewing one of 7 pack sizes for this product.
Pack size FAQ
What quantity is in NDC 63187-0527-30?
What is the difference between NDC 63187-0527-30 and NDC 63187-0527-20?
What NDC number is used to bill for this package of Ibuprofen 600 mg Tablet?
🧭 About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available. |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |
Questions about this listing
Why is there no price listed?
Is the NDC printed on the package the same as the 11-digit billing NDC?
What do the three segments of this NDC mean?
Is this package still being marketed?
Does this product come in other package sizes?
Who lists this product with the FDA?
Do I need a prescription for this product?
Where does this data come from?
📄 Full prescribing information FDA SPL
🚨 Boxed Warning ▾
Cardiovascular Risk NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk (See WARNINGS ).
Ibuprofen tablets are contraindicated for treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery (see WARNINGS ). Gastrointestinal Risk NSAIDs cause an increased risk of serious gastrointestinal adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms.
Elderly patients are at greater risk for serious gastrointestinal events. (See WARNINGS ).
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Carefully consider the potential benefits and risks of Ibuprofen Tablets, USP and other treatment options before deciding to use Ibuprofen Tablets, USP. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS ). Ibuprofen Tablets, USP are indicated for relief of the signs and symptoms of rheumatoid arthritis and osteoarthritis.
Ibuprofen Tablets, USP are indicated for relief of mild to moderate pain. Ibuprofen Tablets, USP are also indicated for the treatment of primary dysmenorrhea. Controlled clinical trials to establish the safety and effectiveness of Ibuprofen Tablets, USP in children have not been conducted.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION Carefully consider the potential benefits and risks of ibuprofen tablets and other treatment options before deciding to use ibuprofen tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS ). After observing the response to initial therapy with ibuprofen tablets the dose and frequency should be adjusted to suit an individual patient's needs.
Do not exceed 3200 mg total daily dose. If gastrointestinal complaints occur, administer Ibuprofen Tablets, USP with meals or milk. Rheumatoid arthritis and osteoarthritis, including flare-ups of chronic disease: Suggested Dosage: 1200 mg-3200 mg daily (300 mg qid; 400 mg, 600 mg or 800 mg tid or qid).
Individual patients may show a better response to 3200 mg daily, as compared with 2400 mg, although in well-controlled clinical trials patients on 3200 mg did not show a better mean response in terms of efficacy. Therefore, when treating patients with 3200 mg/day, the physician should observe sufficient increased clinical benefits to offset potential increased risk. The dose should be tailored to each patient, and may be lowered or raised depending on the severity of symptoms either at time of initiating drug therapy or as the patient responds or fails to respond.
In general, patients with rheumatoid arthritis seem to require higher doses of ibuprofen tablets than do patients with osteoarthritis. The smallest dose of ibuprofen tablets that yields acceptable control should be employed. A linear blood level dose-response relationship exists with single doses up to 800 mg (See CLINICAL PHARMACOLOGY for effects of food on rate of absorption).
The availability of four tablet strengths facilitates dosage adjustment. In chronic conditions , a therapeutic response to therapy with ibuprofen tablets is sometimes seen in a few days to a week but most often is observed by two weeks. After a satisfactory response has been achieved, the patient's dose should be reviewed and adjusted as required.
Mild to moderate pain: 400 mg every 4 to 6 hours as necessary for relief of pain. In controlled analgesic clinical trials, doses of ibuprofen tablets greater than 400 mg were no more effective than the 400 mg dose. Dysmenorrhea: For the treatment of dysmenorrhea, beginning with the earliest onset of such pain, ibuprofen tablets should be given in a dose of 400 mg every 4 hours as necessary for the relief of pain.
⛔ Contraindications ▾
CONTRAINDICATIONS Ibuprofen tablets are contraindicated in patients with known hypersensitivity to ibuprofen. Ibuprofen tablets should not be given to patients who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic-like reactions to NSAIDs have been reported in such patients (see WARNINGS, Anaphylactoid Reactions, and PRECAUTIONS, Preexisting Asthma).
Ibuprofen tablets are contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery (see WARNINGS ).
⚠️ Warnings ▾
WARNINGS CARDIOVASCULAR EFFECTS Cardiovascular Thrombotic Events Clinical trials of several COX-2 selective and nonselective NSAIDs of up to three years duration have shown an increased risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal. All NSAIDs, both COX-2 selective and nonselective, may have a similar risk. Patients with known CV disease or risk factors for CV disease may be at greater risk.
To minimize the potential risk for an adverse CV event in patients treated with an NSAID, the lowest effective dose should be used for the shortest duration possible. Physicians and patients should remain alert for the development of such events, even in the absence of previous CV symptoms. Patients should be informed about the signs and/or symptoms of serious CV events and the steps to take if they occur.
There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID use. The concurrent use of aspirin and an NSAID does increase the risk of serious GI events (see GI WARNINGS). Two large, controlled clinical trials of a COX-2 selective NSAID for the treatment of pain in the first 10-14 days following CABG surgery found an increased incidence of myocardial infarction and stroke (see CONTRAINDICATIONS ).
Hypertension NSAIDs including ibuprofen tablets, can lead to onset of new hypertension or worsening of preexisting hypertension, either of which may contribute to the increased incidence of CV events. Patients taking thiazides or loop diuretics may have impaired response to these therapies when taking NSAIDs. NSAIDs, including ibuprofen tablets, should be used with caution in patients with hypertension.
Blood pressure (BP) should be monitored closely during the initiation of NSAID treatment and throughout the course of therapy. Congestive Heart Failure and Edema Fluid retention and edema have been observed in some patients taking NSAIDs. Ibuprofen tablets should be used with caution in patients with fluid retention or heart failure.
Gastrointestinal Effects - Risk of Ulceration, Bleeding, and Perforation NSAIDs, including ibuprofen tablets, can cause serious gastrointestinal (GI) adverse events including inflammation, bleeding, ulceration, and perforation of the stomach, small intestine, or large intestine, which can be fatal. These serious adverse events can occur at any time, with or without warning symptoms, in patients treated with NSAIDs. Only one in five patients, who develop a serious upper GI adverse event on NSAID therapy, is symptomatic.
Upper GI ulcers, gross bleeding, or perforation caused by NSAIDs occur in approximately 1% of patients treated for 3-6 months, and in about 2-4% of patients treated for one year. These trends continue with longer duration of use, increasing the likelihood of developing a serious GI event at some time during the course of therapy. However, even short-term therapy is not without risk.
NSAIDs should be prescribed with extreme caution in those with a prior history of ulcer disease or gastrointestinal bleeding. Patients with a prior history of peptic ulcer disease and/or gastrointestinal bleeding who use NSAIDs have a greater than 10-fold increased risk for developing a GI bleed compared to patients treated with neither of these risk factors. Other factors that increase the risk of GI bleeding in patients treated with NSAIDs include concomitant use of oral corticosteroids or anticoagulants, longer duration of NSAID therapy, smoking, use of alcohol, older age, and poor general health status.
Most spontaneous reports of fatal GI events are in elderly or debilitated patients and therefore, special care should be taken in treating this population. To minimize the potential risk for an adverse GI event in patients treated with a NSAID, the lowest effective dose should be used for the shortest possible duration. Patients and physicians should remain alert for signs a…
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The most frequent type of adverse reaction occurring with ibuprofen tablets is gastrointestinal. In controlled clinical trials the percentage of patients reporting one or more gastrointestinal complaints ranged from 4% to 16%. In controlled studies when ibuprofen tablets were compared to aspirin and indomethacin in equally effective doses, the overall incidence of gastrointestinal complaints was about half that seen in either the aspirin- or indomethacin-treated patients.
Adverse reactions observed during controlled clinical trials at an incidence greater than 1% are listed in the table. Those reactions listed in Column one encompass observations in approximately 3,000 patients. More than 500 of these patients were treated for periods of at least 54 weeks.
Still other reactions occurring less frequently than 1 in 100 were reported in controlled clinical trials and from marketing experience. These reactions have been divided into two categories: Column two of the table lists reactions with therapy with ibuprofen tablets where the probability of a causal relationship exists: for the reactions in Column three, a causal relationship with ibuprofen tablets has not been established. Reported side effects were higher at doses of 3200 mg/day than at doses of 2400 mg or less per day in clinical trials of patients with rheumatoid arthritis.
The increases in incidence were slight and still within the ranges reported in the table. Incidence Greater Than 1% (but less than 3%) Probable Causal Relationship Precise Incidence Unknown (but less than 1%) Probable Causal Relationship** Precise Incidence Unknown (but less than 1%) Causal Relationship Unknown** * Reactions occurring in 3% to 9% of patients treated with ibuprofen tablets. (Those reactions occurring in less than 3% of the patients are unmarked.) ** Reactions are classified under “ Probable Causal Relationship (PCR) ” if there has been one positive rechallenge or if three or more cases occur which might be causally related.
Reactions are classified under “ Causal Relationship Unknown ” if seven or more events have been reported but the criteria for PCR have not been met. GASTROINTESTINAL Nausea*, epigastric pain*, heartburn*, diarrhea, abdominal distress, nausea and vomiting, indigestion, constipation, abdominal cramps or Pain, fullness of GI tract (bloating and flatulence) Gastric or duodenal ulcer with bleeding and/or perforation, gastrointestinal hemorrhage, melena, gastritis, hepatitis, jaundice, abnormal liver function tests; pancreatitis CENTRAL NERVOUS SYSTEM Dizziness*, headache, nervousness Depression, insomnia, confusion, emotional liability, somnolence, aseptic meningitis with fever and coma (see PRECAUTIONS ) Paresthesias, hallucinations, dream abnormalities, pseudo-tumor cerebri DERMATOLOGIC Rash* (including maculopapular type), pruritus Vesiculobullous eruptions, urticaria, erythema multiforme, Stevens-Johnson syndrome, alopecia Toxic epidermal necrolysis, photoallergic skin reactions neuritis, cataracts SPECIAL SENSES Tinnitus Hearing loss, amblyopia (blurred and/or diminished vision, scotomata and/or changes in color vision) (see PRECAUTIONS ) Conjunctivitis, diplopia, optic neuritis, cataracts HEMATOLOGIC Neutropenia, agranulocytosis, aplastic anemia, hemolytic anemia (sometimes Coombs positive), thrombocytopenia with or without purpura, eosinophilia, decreases in hemoglobin and hematocrit (see PRECAUTIONS ) Bleeding episodes (eg epistaxis, menorrhagia) METABOLIC/ENDOCRINE Decreased appetite Gynecomastia, hypoglycemic reaction, acidosis CARDIOVASCULAR Edema, fluid retention (generally responds promptly to drug discontinuation) (see PRECAUTIONS) Congestive heart failure in patients with marginal cardiac function, elevated blood pressure, palpitations Arrhythmias (sinus tachycardia, sinus bradycardia) ALLERGIC Syndrome of abdominal pain, fever, chills, nausea and vomiting; anaphylaxis; bronchospasm (see CONTRAINDICATIONS ) Serum sickness, lupus erythe-…
🆘 Overdosage ▾
OVERDOSAGE Approximately 1 ½ hours after the reported ingestion of from 7 to 10 ibuprofen tablets (400 mg), a 19-month old child weighing 12 kg was seen in the hospital emergency room, apneic and cyanotic, responding only to painful stimuli. This type of stimulus, however, was sufficient to induce respiration. Oxygen and parenteral fluids were given; a greenish-yellow fluid was aspirated from the stomach with no evidence to indicate the presence of ibuprofen.
Two hours after ingestion the child's condition seemed stable; she still responded only to painful stimuli and continued to have periods of apnea lasting from 5 to 10 seconds. She was admitted to intensive care and sodium bicarbonate was administered as well as infusions of dextrose and normal saline. By four hours post-ingestion she could be aroused easily, sit by herself and respond to spoken commands.
Blood level of ibuprofen was 102.9 μg/mL approximately 8 ½ hours after accidental ingestion. At 12 hours she appeared to be completely recovered. In two other reported cases where children (each weighing approximately 10 kg) accidentally, acutely ingested approximately 120 mg/kg, there were no signs of acute intoxication or late sequelae.
Blood level in one child 90 minutes after ingestion was 700 μg/mL - about 10 times the peak levels seen in absorption-excretion studies. A 19-year old male who had taken 8,000 mg of ibuprofen over a period of a few hours complained of dizziness, and nystagmus was noted. After hospitalization, parenteral hydration and three days bed rest, he recovered with no reported sequelae.
In cases of acute overdosage, the stomach should be emptied by vomiting or lavage, though little drug will likely be recovered if more than an hour has elapsed since ingestion. Because the drug is acidic and is excreted in the urine, it is theoretically beneficial to administer alkali and induce diuresis. In addition to supportive measures, the use of oral activated charcoal may help to reduce the absorption and reabsorption of ibuprofen tablets.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY Ibuprofen tablets contain ibuprofen which possesses analgesic and antipyretic activities. Its mode of action, like that of other NSAIDs, is not completely understood, but may be related to prostaglandin synthetase inhibition. In clinical studies in patients with rheumatoid arthritis and osteoarthritis, ibuprofen tablets have been shown to be comparable to aspirin in controlling pain and inflammation and to be associated with a statistically significant reduction in the milder gastrointestinal side effects (see ADVERSE REACTIONS ).
Ibuprofen tablets may be well tolerated in some patients who have had gastrointestinal side effects with aspirin, but these patients when treated with ibuprofen tablets should be carefully followed for signs and symptoms of gastrointestinal ulceration and bleeding. Although it is not definitely known whether ibuprofen tablets causes less peptic ulceration than aspirin, in one study involving 885 patients with rheumatoid arthritis treated for up to one year, there were no reports of gastric ulceration with ibuprofen tablets whereas frank ulceration was reported in 13 patients in the aspirin group (statistically significant p<.001).
Gastroscopic studies at varying doses show an increased tendency toward gastric irritation at higher doses. However, at comparable doses, gastric irritation is approximately half that seen with aspirin. Studies using 51 Cr-tagged red cells indicate that fecal blood loss associated with ibuprofen tablets in doses up to 2400 mg daily did not exceed the normal range, and was significantly less than that seen in aspirin-treated patients.
In clinical studies in patients with rheumatoid arthritis, ibuprofen tablets have been shown to be comparable to indomethacin in controlling the signs and symptoms of disease activity and to be associated with a statistically significant reduction of the milder gastrointestinal (see ADVERSE REACTIONS ) and CNS side effects. Ibuprofen tablets may be used in combination with gold salts and/or corticosteroids. Controlled studies have demonstrated that ibuprofen tablets are a more effective analgesic than propoxyphene for the relief of episiotomy pain, pain following dental extraction procedures, and for the relief of the symptoms of primary dysmenorrhea.
In patients with primary dysmenorrhea, ibuprofen tablets have been shown to reduce elevated levels of prostaglandin activity in the menstrual fluid and to reduce resting and active intrauterine pressure, as well as the frequency of uterine contractions. The probable mechanism of action is to inhibit prostaglandin synthesis rather than simply to provide analgesia. The ibuprofen in ibuprofen tablets is rapidly absorbed.
Peak serum ibuprofen levels are generally attained one to two hours after administration. With single doses up to 800 mg, a linear relationship exists between amount of drug administered and the integrated area under the serum drug concentration vs time curve. Above 800 mg, however, the area under the curve increases less than proportional to increases in dose.
There is no evidence of drug accumulation or enzyme induction. The administration of ibuprofen tablets either under fasting conditions or immediately before meals yields quite similar serum ibuprofen concentration-time profiles. When ibuprofen tablets are administered immediately after a meal, there is a reduction in the rate of absorption but no appreciable decrease in the extent of absorption.
The bioavailability of the drug is minimally altered by the presence of food. A bioavailability study has shown that there was no interference with the absorption of ibuprofen when ibuprofen tablets were given in conjunction with an antacid containing both aluminum hydroxide and magnesium hydroxide. Ibuprofen is rapidly metabolized and eliminated in the urine.
The excretion of ibuprofen is virtually complete 24 hours after the last dose. The serum half-life is 1.8 to 2.0 hours. Studies have shown that following in…
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Ibuprofen Tablets, USP are available in the following strengths, colors and sizes: 400 mg (white, round, biconvex, aqueous film-coated tablets, debossed “IP 464” on obverse and plain on reverse. They are available as follows: Bottles of 20: NDC 63187-489-20 Bottles of 30: NDC 63187-489-30 Bottles of 40: NDC 63187-489-40 Bottles of 45: NDC 63187-489-45 Bottles of 60: NDC 63187-489-60 Bottles of 90: NDC 63187-489-90 Bottles of 120: NDC 63187-489-72 600 mg (white, oval-shaped, biconvex, aqueous film-coated tablets, debossed “IP 465” on obverse and plain on reverse.
They are available as follows: Bottles of 20: NDC 63187-527-20 Bottles of 30: NDC 63187-527-30 Bottles of 40: NDC 63187-527-40 Bottles of 45: NDC 63187-527-45 Bottles of 60: NDC 63187-527-60 Bottles of 90: NDC 63187-527-90 Bottles of 120: NDC 63187-527-72 800 mg (white, capsule-shaped, biconvex, aqueous film-coated tablets, debossed “IP 466” on obverse and plain on reverse. They are available as follows: Bottles of 15: NDC 63187-022-15 Bottles of 20: NDC 63187-022-20 Bottles of 21: NDC 63187-022-21 Bottles of 30: NDC 63187-022-30 Bottles of 40: NDC 63187-022-40 Bottles of 45: NDC 63187-022-45 Bottles of 60: NDC 63187-022-60 Bottles of 90: NDC 63187-022-90 Bottles of 120: NDC 63187-022-72 Store at controlled room temperature 20° to 25°C (68° to 77°F)[see USP].
Rx only
📋 Description ▾
DESCRIPTION Ibuprofen Tablets, USP contain the active ingredient ibuprofen, which is (±) – 2 – ( p – isobutylphenyl) propionic acid. Ibuprofen is a white powder with a melting point of 74-77° C and is very slightly soluble in water (<1 mg/mL) and readily soluble in organic solvents such as ethanol and acetone. The structural formula is represented below: Ibuprofen Tablets, USP, a nonsteroidal anti-inflammatory drug (NSAID), is available in 400 mg, 600 mg, and 800 mg tablets for oral administration.
Inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polyvinyl alcohol, pregelatinized starch, talc, stearic acid, and titanium dioxide. 56fb8872-figure-01