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Introduction About IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
Ibugesic Plus Orange Flavour Suspension is a combination of Ibuprofen and Paracetamol, which belongs to the group of medicines called Non-steroidal anti-inflammatory (NSAIDs) and Analgesics respectively. It is indicated in the management of minor aches and pains and for reduction of fever.
Before taking this medicine, inform your doctor if you are allergic (hypersensitive) to ibuprofen, paracetamol, or any other NSAIDs such as aspirin.
Also tell the doctor if you have, liver, kidney, or heart problems. Pregnant and breastfeeding women should consult their doctors before taking the medicine.
The most common side effects are diarrhoea, nausea, vomiting, stomach pain, dizziness, and headache. Consult your doctor for advice if any of the above side effects worsen or persist for a longer duration.
Uses Of IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
- It is used manage minor aches and pains
- Helps in reduction of fever
Benefits of IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
- Helps relieve pain associated with headache, toothache, earache, muscle aches, and other common painful conditions when prescribed.
- Ibuprofen also provides anti-inflammatory action, which can help with pain associated with inflammation.
- Combines two pain-relieving medicines with different mechanisms of action in a single suspension.
- The liquid formulation can be easier to administer to children who have difficulty swallowing tablets.
- The orange flavour may make oral administration more acceptable to some children.
How IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION Works
Ibuprofen
- Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID).
- It inhibits cyclooxygenase (COX) enzymes, reducing the production of prostaglandins.
- Prostaglandins contribute to pain, inflammation, and fever.
- Lower prostaglandin production helps reduce pain, inflammation, and elevated body temperature.
Paracetamol
- Paracetamol acts mainly within the central nervous system to reduce pain perception and lower elevated body temperature.
- Its fever-reducing and pain-relieving effects are primarily mediated through reduced prostaglandin activity in the central nervous system.
- It has considerably less anti-inflammatory activity than ibuprofen.
Combined Action
- The two ingredients provide complementary effects:
- Ibuprofen → reduces pain, fever and inflammation
- Paracetamol → reduces pain and fever
- Together, they provide broader symptomatic relief than either component used for its respective actions alone in appropriately selected patients.
How to use IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
How to Give Ibugesic Plus Suspension
- Give only the dose prescribed by the child's healthcare professional.
- The dose should be based on the child's age, body weight, and clinical condition.
- Shake the bottle well before every dose to distribute the medicine evenly.
- Measure the dose using the supplied measuring cup or oral dosing syringe rather than a household spoon.
- Give it orally.
- It may be given with or without food; giving it with food or milk may help reduce stomach irritation, particularly in sensitive children.
- Follow the prescribed dose and dosing interval carefully.
Important Administration Precautions
- Do not give more than the recommended amount.
- Do not give another medicine containing paracetamol or ibuprofen at the same time unless specifically advised, as this can result in excessive dosing.
- Check other cough, cold, or fever medicines for hidden paracetamol or ibuprofen ingredients before giving them to the child.
- Encourage adequate fluid intake, particularly when the child has fever or reduced fluid intake.
- Do not use the medicine for longer than recommended without medical advice.
Practical Tip for Parents
- Keep a simple record of the time and amount of each dose, especially when the child is receiving other fever or pain medicines. This helps avoid accidental duplication of paracetamol or ibuprofen-containing products.
What if I forgot to take IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
- Give the missed dose when remembered if there is sufficient time before the next scheduled dose.
- If the next dose is due soon, skip the missed dose.
- Do not give a double dose to compensate for a missed dose.
Overdose
If you or anyone else accidentally took too much of Ibugesic Plus Orange Flavour Suspension, consult your doctor immediately. Symptoms includes nausea, upset stomach, vomiting and gastric irritation, feel light-headed, dizzy, or drowsy, excitability, convulsions, blood in urine.
Side Effects Of IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
Common
- dizziness
- stomach pain
- nausea
- diarrhoea
- nervousness
- headache
- heartburn
- ringing in the ears
- itching of the skin and rashes
- loss of appetite
- vomiting
- increased urea (in the blood) level
- increased creatinine (in the blood) level
- increased alanine aminotransferase
When to consult a doctor:
- signs of intestinal bleeding, with the following symptoms like symptoms vomiting blood or what looks like coffee granules, blood in the stools or black tarry stools
- stiff neck, prolonged fever, feeling disoriented
- asthma, wheezing, shortness of breath
- sudden pain or tightness in the chest
- signs of a severe allergic reaction, with symptoms such as swelling of the face, lips, tongue, throat, making breathing and swallowing difficult, hives, skin rash
- rapid heart rate, increased blood pressure
- fluid retention, fluttering
How To Manage Side Effects
Diarrhea
Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. Avoid taking any medicine on your own for managing diarrhoea. Consult your doctor if the symptom did not improve.
Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling dizzy. Do not consume too much alcohol, as it can aggravate your dizziness. Consult your doctor if the symptom did not improve.
Headache
Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the head if required. Do not consume too much of alcohol. Consult your doctor if the symptom did not improve.
Warning & Precautions
Pregnancy
ContraindicatedIbugesic Plus Orange Flavour Suspension is not recommended for use in pregnant women. Consult your doctor before taking the medicine.
Breastfeeding
ContraindicatedIbugesic Plus Orange Flavour Suspension is not recommended for breastfeeding mothers. Consult your doctor before taking the medicine.
Driving and Using Machines
Use with CautionIbugesic Plus Orange Flavour Suspension does not possess an effect while driving or using machinery.
Alcohol
Consult your doctorConsumption of alcohol should be avoided during management with Ibugesic Plus Orange Flavour Suspension
Kidney
Use with CautionIbugesic Plus Orange Flavour Suspension should be used with caution for patients suffering from kidney problems. Consult your doctor before taking this medicine.
Liver
ContraindicatedIbugesic Plus Orange Flavour Suspension is not recommended in patients having liver damage. Consult your doctor before taking the medicine.
Allergy
ContraindicatedDo not take Ibugesic Plus Orange Flavour Suspension, if you are allergic (hypersensitive) to Ibuprofen or Paracetamol or any other ingredients of this medicine.
Lungs
ContraindicatedIbugesic Plus Orange Flavour Suspension is not recommended in patients with a history of bronchial asthma. Consult your doctor before taking the medicine.
Heart Disease
ContraindicatedIbugesic Plus Orange Flavour Suspension is not recommended in patients with a history of heart attack, bypass surgery, block in arteries, or ischemia arteries. Consult your doctor before taking the medicine.
Use In Pediatrics
Consult your doctorYour doctor will prescribe the right dose depends on your child’s age, body weight and disease condition. Consult your doctor before taking the Ibugesic Plus Orange Flavour Suspension
Use In Geriatrics
Use with CautionIbugesic Plus Orange Flavour Suspension should be used with caution in elderly patients. Consult your doctor before taking the medicine.
Other Warnings for IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
Before taking Ibugesic Plus Orange Flavour Suspension tell your doctor if you:
- have systemic lupus erythematosus (SLE) (condition of the immune system affecting connective tissue resulting in joint pain, skin changes and disorder of other organs)
- have a blood clotting disorder
- have a gastrointestinal disorder, ulceration, bleeding in the stomach or duodenum
Drug - Drug interaction
Before taking Ibugesic Plus Orange Flavour Suspension, inform your doctor if you are taking any of the following medicine:
- other NSAIDs (Ex. naproxen, diclofenac)
- diuretics promotes diuresis (Ex. hydrochlorothiazide, furosemide)
- lithium to manage depression or anxiety
- methotrexate to manage cancer
- ciclosporin to manage rheumatoid arthritis
- corticosteroids manage inflammation and allergy (Ex. prednisone, dexamethasone)
- anti-coagulants manage blood clots (Ex. warfarin)
- immunosuppressant (Ex. tacrolimus)
- zidovudine to manage human immunodeficiency (HIV infection)
- cholestyramine to manage high cholesterol level
- metoclopramide and domperidone to manage nausea and vomiting
- tricyclic antidepressants to manage depression (Ex. amitriptyline)
- anticonvulsants to manage seizures (Ex. carbamazepine)
Synopsis
|
Drug |
Ibuprofen and Paracetamol |
|
Pharmacological Category |
Anti-inflammatory and Analgesics |
|
Therapeutic Indication |
Manages pain and Fever |
|
Dosage Forms |
Tablet, Syrup |
More Information
1. Dual-ingredient formulation has a practical advantage
Ibugesic Plus Orange Flavour Suspension combines ibuprofen and paracetamol, which provide pain- and fever-relieving effects through different pharmacological pathways. This can provide broader symptomatic relief than relying on either ingredient alone in appropriately selected children. The product contains ibuprofen 100 mg + paracetamol 162.5 mg per 5 mL.
2. Avoid accidental duplication of ingredients
A useful parent-safety point is to check other medicines being given at the same time. Many paediatric fever and cold products may contain paracetamol, while some pain medicines contain ibuprofen or other NSAIDs. Giving overlapping products can unintentionally increase the total daily dose.
3. Hydration matters when ibuprofen is being used
Ibuprofen can affect kidney blood flow, particularly when a child is dehydrated because of fever, vomiting, diarrhea, or poor fluid intake. Encourage appropriate fluids unless a healthcare professional has advised fluid restriction. Medical advice is particularly important when the child has significant dehydration or kidney problems.
4. Food can improve tolerability
Ibuprofen may cause stomach irritation in some children. Giving the suspension with food or milk, when appropriate, may improve gastrointestinal tolerability. This does not mean the medicine must always be given with food; follow the product instructions and the prescriber's directions.
5. The medicine provides symptom relief, not an explanation for the fever
A reduction in temperature after administration does not identify the underlying cause of the child's fever. Persistent, recurrent, or unusually severe fever requires assessment of the underlying illness rather than repeated self-administration of the suspension.
6. Avoid unnecessary prolonged use
Ibugesic Plus is intended for short-term symptomatic use unless a healthcare professional recommends otherwise. A child who repeatedly needs medicine for fever or pain should be medically assessed rather than continuing the suspension indefinitely.
Keep a simple dosing record
When parents are alternating or using several medicines for a sick child, maintaining a record of:
- medicine name,
- strength,
- amount given,
- and exact time administered
can help prevent accidental repeat dosing, particularly with paracetamol-containing products.
FAQs About IBUGESIC PLUS ORANGE FLAVOUR SUSPENSION
Q: What is Ibugesic Plus Orange Flavour Suspension used for?
A: Ibugesic Plus Orange Flavour Suspension contains ibuprofen and paracetamol and is used in children for relief of fever and mild to moderate pain, when recommended by a healthcare professional.
Q: How should Ibugesic Plus Suspension be given to a child?
A: Shake the bottle well before each use and measure the prescribed dose with the supplied measuring device. Give it orally exactly as directed by the healthcare professional.
Q: Can Ibugesic Plus Suspension be given with food?
A: Yes. It can generally be given with or without food. Giving it with food or milk may help reduce stomach irritation, particularly in children who are sensitive to medicines.
Q: Can I give another paracetamol or ibuprofen medicine along with Ibugesic Plus?
A: Do not give another medicine containing paracetamol or ibuprofen unless specifically advised by a healthcare professional. Combining products with the same ingredients can lead to accidental overdose.
Q: What should I do if I miss a dose?
A: Give the missed dose when you remember, provided the next scheduled dose is not due soon. If it is nearly time for the next dose, skip the missed dose. Do not give two doses together.
Q: Can Ibugesic Plus be used for every type of fever?
A: It provides symptomatic relief from fever but does not address the underlying cause. If fever is persistent, unusually high, recurrent, or accompanied by concerning symptoms, seek medical evaluation.
Q: What are the common side effects of Ibugesic Plus Suspension?
A: Some children may experience nausea, vomiting, stomach discomfort, diarrhea, indigestion, or dizziness. Giving the medicine exactly as prescribed can help reduce the risk of adverse effects.
Q: How long can Ibugesic Plus Suspension be given to a child?
A: Use it for the duration recommended by the healthcare professional. Do not continue it for prolonged periods or repeatedly give it for recurring fever or pain without medical evaluation.
Q: How should Ibugesic Plus Orange Flavour Suspension be stored?
A: Store it according to the product label, away from excessive heat, moisture, and direct sunlight. Keep the bottle tightly closed and out of the reach of children.
Q: When should I seek medical advice for a child taking Ibugesic Plus?
A: Seek medical attention if the child develops severe or persistent abdominal pain, repeated vomiting, breathing difficulty, unusual drowsiness, signs of an allergic reaction, dehydration, or fever that does not improve or keeps returning.
References
1. Joseph. T. Dipiro. Pharmacotherapy. A Pathophysiologic Approach. Eighth edition. Page No: 1067-1068.
2. Derry, Christopher J et al. Single dose oral ibuprofen plus paracetamol (acetaminophen) for acute postoperative pain. Jun. 2013. [Accessed on 21st September 2026] 
3. Pinewood Laboratories Limited. [Revised in May 2019] [Accessed on 21st September 2026] 
4. MA Holder BCM. [Revised in February 2013] [Accessed on 21st September 2026]
5. Rosemont Pharmaceuticals Limited. Electronic Medicines Compendium (EMC) [Revised in October 2021] [Accessed on 21st September 2026]
6. Reckitt Benckiser Healthcare Limited, D. [Revised in October 2014] [Accessed on 21st September 2026]
Useful Diagnostic Tests
- Complete blood count
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