Ibuprofen Pain Relief Gel Maximum Strength Ibuprofen Pain Relief Gel Maximum Strength

Do not use Ibuprofen Pain Relief Gel Maximum Strength: • if you are allergic (hypersensitive) to ibuprofen or any of the other ingredients in this product listed ; • if you are asthmatic, or suffer from rhinitis (allergic runny nose) or urticaria (hives) and have ever had a bad reaction to aspirin, ibuprofen or other NSAIDs in the past; • if you are pregnant or breast-feeding; • on broken, damaged, infected or diseased skin; • if you have severe joint pain of recent onset that is not related to an injury or period of overuse; • if you feel ill, have a temperature or any other symptoms that accompany the pain.Before applying this product for the first time, make sure it is suitable for you to use:

 Because this product is delivered through the skin, directly over the painful area, there is less risk of the complications that sometimes occur when ibuprofen (or a similar anti-inflammatory painkiller) is taken by mouth. However, in rare cases you may be at risk: • if you have a stomach ulcer (also called a peptic or gastric ulcer); • if you have ever had kidney problems; • if you have ever had asthma; • if you have ever had a bad reaction to aspirin or ibuprofen taken by mouth. If any of the above apply to you, only use this product on advice from your doctor or pharmacist. Warnings and precautions Do not smoke or go near naked flames - risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it. Take special care when using this product: • Use it only on the skin. • Do not use on children under 12 years of age except on the advice of a doctor. • Do not apply it to broken or irritated skin. • Do not use under protective waterproof dressings.

 • Do not use more than the recommended dose. • Keep the gel away from the eyes, nose and mouth. Using other medicines • Interaction between this product and blood pressure lowering drugs and anticoagulants (medicines that stop blood clotting) is possible, in theory, although very unlikely. If you would like more advice about this, speak to your doctor or pharmacist. • If you are also taking aspirin or other NSAIDs by mouth, discuss this beforehand with your doctor or pharmacist because these may increase the risk of undesirable effects.

• Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines including other medicines obtained without prescription.

 Pregnancy and breast-feeding You should not use this product if you are pregnant or breast-feeding.

Driving and using machinery Using this product is not known to affect your ability to drive or use machinery

Like all medicines, Ibuprofen Pain Relief Gel Maximum Strength can cause side effects, although not everybody gets them.

Occasionally, mild skin rashes, itching or irritation can sometimes occur at the site of application. If this is unacceptable, or persists, stop using the product and tell your doctor or pharmacist.

Very rarely, the following side effects can happen with ibuprofen, although these are extremely uncommon with products such as Ibuprofen Pain Relief Gel Maximum Strength  that are applied to the skin. If you experience any of the following, stop using this product immediately and tell your doctor: • Allergic reactions (particularly in people who have a history of asthma or allergic problems), such as: • unexplained runny nose and watery eyes, or, in more serious cases, asthma or aggravated asthma involving breathing difficulties, wheezing or chest tightness; • generalised allergic skin reactions involving itch, swelling, inflammation, redness and • other more serious generalised allergic reactions possibly involving unexplained nausea and vomiting, swollen eyes, face or tongue, difficulty swallowing, dizziness or light-headedness.

Unconsciousness could perhaps occur in the most serious cases. • Kidney problems (particularly in people who have a history of kidney disease), such as: • decreased urine volume; • loss of appetite / weight loss; • swelling to abdomen. • Problems with the digestive system (particularly in people who have a history of stomach ulcers etc), such as: • stomach pain; • heartburn / indigestion.

 If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

 Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

Directions for the use of Maximum Strength Ibuprofen 10% Gel:

Before using this tube of gel for the first time, open it as follows: • Unscrew the cap, turn it upside down and then use the sharp point of the cap to pierce the membrane in the neck of the tube.

To use the gel (for adults, the elderly and children over 12 years old): • Use the gel up to three times a day, leaving at least four hours between applications. • Lightly apply the gel to intact skin over the painful area. • Squeeze out a 2 to 5 cm length of gel onto the affected area, enough to thinly cover it, then massage gently until absorbed.

 Do not apply more than 15 cm of gel in any 24 hour period. • Wash hands after use, unless treating them. • Carry on using the gel in this way for up to two weeks (or longer if recommended by your doctor), until your condition gets better

• If your symptoms worsen or continue for more than two weeks, discuss this with your pharmacist or doctor before continuing treatment. If the gel comes into contact with broken skin or gets into the eyes, nose or mouth • The product may cause irritation if it comes into contact with broken skin or gets into the eyes, nose or mouth. If this happens, rinse the affected areas with plenty of water. If rinsing one eye, take care to avoid washing product into the other eye. If irritation persists, tell your doctor or pharmacist. If the gel is accidentally swallowed • Symptoms may include headache, vomiting, drowsiness and low blood pressure. • If you experience any of these symptoms contact a doctor or hospital straight away.

 If you forget to use this product Do not worry if you occasionally forget to use this product, just carry on using it when you remember. If you have any further questions on the use of this product, ask your doctor or pharmacist.

Maximum Strength Ibuprofen 10% Gel contains:

To enable chemist Direct to get the best availability and price for this product, it may be sourced from a range of wholesalers. This may mean the ingredients will vary slightly in each product. If you would like to know the current ingredients list for this, please feel free to contact Customer services on 0121 541 1800