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Ibuprofen, Pseudoephedrine, and Chlorpheniramine


Related terms
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    Related terms
    • Brand Names: U.S.: Advil® Allergy Sinus;Advil® Multi-Symptom Cold
    • Brand Names: Canada: Advil® Cold and Sinus Nighttime;Advil® Cold and Sinus Plus;Children's Advil® Cold and Flu Multi-Symptom

    • It is used to ease pain.
    • It is used to treat nose stuffiness.
    • It is used to ease allergy signs.
    • Ibuprofen blocks chemicals that cause pain and swelling.
    • Pseudoephedrine shrinks swollen nose tissue and opens up passages.
    • Chlorpheniramine lowers or stops the body's reaction to the allergen.


    How to take

    • Take with or without food. Take with food if it causes an upset stomach.
    • Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Many times this drug is taken on an as needed basis.


    • Store at room temperature.
    • Protect from water. Do not store in a bathroom or kitchen.



    • This drug may raise the chance of ulcers or bleeding from the stomach or bowel. Talk with the doctor.
    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.


    • If you have an allergy to ibuprofen, pseudoephedrine, chlorpheniramine, or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have taken isocarboxazid, phenelzine, or tranylcypromine in the last 14 days. Monoamine oxidase inhibitors (eg, isocarboxazid, phenelzine, and tranylcypromine) must be stopped 14 days before this drug is started. Taking both at the same time could cause risky high blood pressure.
    • Do not use right before or after heart bypass surgery.
    • If you are more than 24 weeks pregnant.
    • If you are breast-feeding.


    • Wear disease medical alert ID (identification).
    • If you have asthma, talk with your doctor.
    • If you have high blood sugar (diabetes), talk with your doctor.
    • If you have an enlarged prostate, talk with your doctor.
    • If you have heart disease, talk with your doctor.
    • If you have high blood pressure, talk with your doctor.
    • If you have thyroid disease, talk with your doctor.
    • If you have had an ulcer or bleeding from your stomach or bowel, talk with your doctor.
    • Tell dentists, surgeons, and other doctors that you use this drug.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • If you are taking aspirin to stop a heart attack, talk with your doctor.
    • Talk with your doctor before using products that have aspirin, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain drugs, or vitamin E.
    • Limit your use of caffeine (for example, tea, coffee, cola) and chocolate. Use with this drug may cause nervousness, shakiness, and a fast heartbeat.
    • Avoid beer, wine, mixed drinks, or other drugs and natural products that slow your actions.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Use birth control that you can trust to stop pregnancy while taking this drug.

    Side Effects

    • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you.
    • Nervous and excitable.
    • Belly pain.
    • Hard stools (constipation).
    • Dry mouth. Good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. See a dentist often.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Not able to sleep.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Chest pain or pressure, a fast heartbeat, or passing out.
    • Very nervous and excitable.
    • Feeling very tired or weak.
    • Any bruising or bleeding.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)

    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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