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Dolan Suspension
Ibuprofen
Available in:
 DOLAN Suspension FP 30ML
 Dolan Suspension FP PDTCH 100 SUS 60ML
 Dolan Suspension FP OR 200MG SUS 60ML
 

PRODUCT DESCRIPTION/S
Dolan FP Forte Suspension, Dolan FP Suspension, and Dolan FP Suspension (Oral Drops):

Orange-colored and orange-flavored suspensions using the TasteRite Technology. TasteRite technology is a unique tastemasking system developed specifically for liquid dosage forms. This technology significantly reduces the bitterness of medicine so that children taste the flavor and not the medicine.

FORMULATION/S
Each 5 mL (1 teaspoonful) contains:

Ibuprofen………………………………………….100 or 200 mg

Each 2.5 mL suspension (Oral Drops) contains:

Ibuprofen………………………………………….100 mg

WHAT IS IN THE MEDICINE?
These products contain ibuprofen which belongs to a group of medicines called NSAIDs. Like other NSAIDs, ibuprofen works by changing the body’s chemical response to pain, swelling and fever resulting in relief of symptoms of inflammation (e.g., swelling, redness) and relief of pain and/or fever.

WHAT IS THE MEDICINE USED FOR?

  • For the relief of mild to moderate aches and pains such as teething pain, toothache, post-immunization pain, headache, earache, musculoskeletal pain, and post-surgery pain;
  • For the relief of minor aches and pains due to the common cold and flu;
  • For the relief of soft tissue inflammation and juvenile rheumatoid arthritis;
  • Also effective for fever reduction.

HOW MUCH AND HOW OFTEN SHOULD YOU USE THIS MEDICINE?

Like other NSAIDs, the lowest effective dose of ibuprofen should be used for the shortest possible time.

These medicines are given orally.

      Recommended oral dose in children:  5 to 10 mg/kg body weight per dose given every 6 to 8 hrs, or,

 as directed by a doctor.

     Dose for Pain and/or Fever:

Age Group

100 mg/2.5 mL Suspension

 (Oral Drops)

100 mg/5 mL Suspension

200 mg/5 mL Suspension

Dose given every 6 to 8 hrs as needed for pain and/or fever,

or, as directed by a doctor

Infants:

0 – 2 mos

0.5 to 1 mL

--

--

3 – 5 mos

1 to 1.5 mL

--

--

6 – 12 mos

1.5 to 2 mL

--

--

Children:

1 - 2 yrs

2 to 2.5 mL 

5 mL (1 tsp)

2.5 mL (1/2 tsp)

2 to 6 yrs

--

5 to 10 mL (1 to 2 tsp)

2.5 to 5 mL

(1/2 to 1 tsp)

7 to 12 yrs

--

10 mL (2 tsp)

5 mL (1 tsp)

 

  • Shake well before using.
  • Do not give more than directed.
  • Do not use more than 4 times a day.
  • Do not give longer than 10 days, unless directed by a doctor.

For patients with juvenile rheumatoid arthritis: The usual recommended dose is 7.5 to 12.5 mg/kg body weight per dose given every 6 hrs. Consultation with a doctor is strongly recommended for patients with this condition.

WHEN SHOULD YOU NOT TAKE THIS MEDICINE
Do not take this medicine:

  • If you are allergic to ibuprofen, aspirin and other NSAIDs. Ibuprofen, like other NSAIDs, may cause severe allergic reactions. Symptoms may include:
  • Hives (elevated, whitish or reddish patches on the skin with severe itching or pricking sensations)
  • Shock (anaphylactic) (a hypersensitivity reaction resulting in generalized skin lesions and itchiness, followed by low BP and often accompanied by difficulty of breathing)
  • Facial swelling
  • Skin reddening
  • Asthma (wheezing)
  • Skin rash
  • Skin blisters
  • Right before or after heart surgery
  • If you have a history of stroke, heart attack, uncontrolled high BP, or CHF.
  • If you have bronchospasm (constriction of air passages of the lungs), angioedema (rapid swelling that occurs in the tissue just below the surface of the skin), nasal polyps or allergic-type reactions after taking aspirin or other NSAIDs.
  • If you have or have ever had kidney disease.
  • If you develop signs and symptoms of liver abnormality (e.g., jaundice), stop taking this medicine and consult a doctor.

UNDESIRABLE EFFECTS
Undesirable effects from the use of ibuprofen are rare, but they may occur. Tell your doctor if you experience any undesirable effect.

Ibuprofen may cause stomach and intestinal side effects such as ulceration and/or bleeding; other undesirable effects are indigestion, heartburn, nausea, vomiting, eating disorder (anorexia), diarrhea, constipation, mouth ulcers (stomatitis), flatulence, bloating, and abdominal pain.

Ibuprofen may also cause harmful effects to the kidneys and the liver.

There have been occasional reports of undesirable effects involving the blood and blood-forming tissues.

There have also been occasional reports of dizziness, drowsiness, general ill feeling (malaise), lightheadedness, nervousness, headache, fatigue, mood swings (emotional lability), loss of sensation (paresthesia), hallucinations, and dream abnormalities.

Ibuprofen may cause undesirable effects involving the ears and eyes such as   ringing in the ears (tinnitus), decreased hearing, loss of visual sharpness (amblyopia), inflammation or infection of the membrane lining the eyelids (conjunctivitis), inflammation of the optic nerve (optic neuritis), double vision (diplopia), and cataracts.

Skin rashes have been observed. There have been rare reports of SJS, Lyell’s syndrome, and erythema multiforme which are serious types of allergy and may occur without warning. Symptoms of these serious types of allergy include multiple skin lesions, itch, fever, and joint pains.

Allergic reactions manifested as a syndrome of abdominal pain, fever chills, nausea and vomiting have occasionally occurred. Whole-body allergic reaction (anaphylaxis), constriction of air passages of the lungs, dry mouth, gingival ulceration, and stuffy nose (rhinitis) have also been reported.

Other undesirable effects are fluid retention, increased blood pressure, low BP, cerebrovascular accident (stroke), and palpitations

WHAT OTHER MEDICINE OR FOOD SHOULD BE AVOIDED WHILE TAKING THIS MEDICINE?

  • Aspirin decreases the amount of ibuprofen in the blood, while phenylbutazone, indomethacin, salicylates, and other NSAIDs (e.g., mefenamic acid, naproxen, diclofenac, indomethacin, ketoprofen) increase the risk of stomach and intestinal bleeding in patients receiving ibuprofen.
  • When taken with blood thinning (anticoagulant) medicines (e.g., warfarin, dicumarol) or together with thrombolytic agents (e.g., streptokinase), ibuprofen may cause stomach and intestinal bleeding.
  • Ibuprofen increases the amount of lithium in the blood, interfering with lithium elimination in the kidney.
  • Ibuprofen may cause acute reduction in kidney function and BP response to ACE inhibitors (e.g., captopril, enalapril).
  • Ibuprofen may reduce the effect of diuretics such as furosemide and thiazide.

WHAT SHOULD YOU DO IF YOU MISS A DOSE?
If you missed a dose, take the next dose if still needed for pain and/or fever or inflammation and the subsequent dose every 4 to 6 hrs thereafter.
Do not double the dose.

SIGNS AND SYMPTOMS OF OVERDOSAGE
The most frequently reported symptoms of ibuprofen overdose include abdominal pain, nausea, vomiting, fatigue (lethargy), and drowsiness. Other symptoms include headache, ringing in the ears (tinnitus), CNS depression, and convulsions. Excessive acidity of the blood (metabolic acidosis), coma, acute kidney failure, and absence of spontaneous breathing (apnea) may rarely occur.  

WHAT TO DO WHEN YOU HAVE TAKEN MORE THAN THE RECOMMENDED DOSAGE?
If more than the recommended dosage has been given, consult a doctor or contact a Poison Control Center right away.

CARE THAT SHOULD BE TAKEN WHEN TAKING THIS MEDICINE
This medicine may cause stomach bleeding. The chance is higher if you:

  • Are 60 yrs old or older
  • Have had stomach ulcers or bleeding problems
  • Take a blood thinning (anticoagulant) or steroid medicine (e.g., prednisone)
  • Take other drugs containing an NSAID (aspirin, naproxen, or others)
  • Have 3 or more alcoholic drinks every day while using this product
  • Take more than the recommended dose or longer than the directed duration of treatment
  • If stomach upset occurs, take this medicine with food or milk.
  • Long term continuous use may increase the risk of heart attack or stroke.
  • Do not use after the expiry date on the label.

WHEN SHOULD YOU CONSULT YOUR DOCTOR?
Ask a doctor before use if you have:

  • Problems or serious side effects from taking pain relievers or fever reducers
  • Stomach problems that last or come back, such as heartburn, upset stomach, or stomach pain
  • Ulcers
  • Bleeding problems
  • High BP
  • Heart or kidney disease
  • Taken a medicine to help reduce the amount of water in the body (diuretic)
  • Reached age 60 yrs or older

Ask a doctor before use if you are:

  • Taking any other drug containing an NSAID such as aspirin, naproxen, mefenamic acid and others
  • Taking a blood thinning (anticoagulant) or steroid medicine
  • Under a doctor’s care for any serious condition
  • Taking any other drug

Stop use and ask a doctor if:

  • You feel faint, vomit blood, or have bloody or black stools. These can be signs of stomach bleeding.
  • Pain gets worse or lasts more than 10 days
  • Fever gets worse or lasts more than 3 days
  • Stomach pain or upset gets worse or lasts
  • Redness and swelling is present in the painful area
  • Any new symptoms appear

AVAILABILITY
Dolan FP Forte 200 mg/5 mL Suspension in bottle of 60 mL.
Dolan FP 100 mg/5 mL Suspension in bottle of 60 mL.
Dolan FP 100 mg/2.5 mL Suspension (Oral Drops) in bottle of 15 mL.

 
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