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Thread: Nuromol 200mg/500mg Tablets

  1. #1
    Pharmanaut's Avatar
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    Nuromol 200mg/500mg Tablets

    Watch out for this one...
    Ibuprofen 200mg and Paracetamol 500mg in one tablet.

    Nuromol 200mg/500mg tablets - Summary of Product Characteristics (SPC) - electronic Medicines Compendium (eMC)

    I'm too flabbergasted to comment on whether I think this is a safe thing to put on the market.
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    johnep is offline Moderator
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    Re: Nuromol 200mg/500mg Tablets

    When my arthritis was bad I would take one of each Paracetamol, Ibuprofen 200mg and aspirin 300mg. Seemed to work.
    johnep

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    Pharmanaut's Avatar
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    Re: Nuromol 200mg/500mg Tablets

    Quote Originally Posted by johnep View Post
    When my arthritis was bad I would take one of each Paracetamol, Ibuprofen 200mg and aspirin 300mg. Seemed to work.
    johnep
    That's a good thing and you as a pharmacist were well informed about what you were doing.
    No doubt about the efficacy of combined use.
    Concern is with drug doubling of both drugs with other ibuprofen and paracetamol preparations in the general population.
    Twice the risk.
    Might be an unjustified concern.
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    hibernia is offline King Amongst Members
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    Re: Nuromol 200mg/500mg Tablets

    I would share your concern, especially if they are available from every corner shop and petrol station.

  5. #5
    crit care is offline Registered Pharmacist
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    Re: Nuromol 200mg/500mg Tablets

    Assuming they are a P medicine, i can't really see what the problem with this combined product is....Surely similar to other combination products....assuming you dont' sell them to customers who are intolerant to either ibuprofen or paracetamol. But do like how the spc states a dose of 1 tablet tds, and a max of 2 tabs tds can be taken....why not 2 qds...take the 4g of paracetamol and 1600mg ibuprofen in a 24hr period???

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    Pharmanaut's Avatar
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    Re: Nuromol 200mg/500mg Tablets

    Quote Originally Posted by crit care View Post
    Assuming they are a P medicine, i can't really see what the problem with this combined product is....Surely similar to other combination products....assuming you dont' sell them to customers who are intolerant to either ibuprofen or paracetamol. But do like how the spc states a dose of 1 tablet tds, and a max of 2 tabs tds can be taken....why not 2 qds...take the 4g of paracetamol and 1600mg ibuprofen in a 24hr period???
    Perhaps I'm just getting over-cautious in the latter part of my career.
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    crit care is offline Registered Pharmacist
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    Re: Nuromol 200mg/500mg Tablets

    but you would happily sell packs of paracetamol and ibuprofen to patients??

  8. #8
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    Re: Nuromol 200mg/500mg Tablets

    why not 2 qds...take the 4g of paracetamol and 1600mg ibuprofen in a 24hr period???
    I thought 1200mg per day was the max for Ibuprofen unless its slow release?

    I think these are a bit over the top. OTT OTC

    If you have to take two lots of tablets you know you are taking a stronger dose. One tablet is going to lead to escalation.

    Ibuprofen/Paracetamol/caffeine/Codeine/phenylephrine/VitaminC and Zinc for colds perhaps?

    We could get all the suggestions from the hangover remedies post and put them alll in one tablet

  9. #9
    Pharmanaut's Avatar
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    Re: Nuromol 200mg/500mg Tablets

    Quote Originally Posted by crit care View Post
    but you would happily sell packs of paracetamol and ibuprofen to patients??
    Perhaps I'm just getting extra-over-cautious in the latter part of my career.
    Maybe this is a wonderful new development in the field of analgesia after all.
    Where am I?; In the Pharmacy.
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  10. #10
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    Re: Nuromol 200mg/500mg Tablets

    1.2g/day ibuprofen is licensed P med dose. Higher doses up to 2.4g/day are POM.
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