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Drug Details

IBUMOUSSE

• Drug Class Description
  Non-steroidal anti-inflammatory drugs (topical NSAIDs).
• Generic Name
  Ibuprofen
• Presentation
  Non-greasy, fragrance-free, white aqueous cutaneous foam
• Description
  Ibuprofen 5.0% w/w.
• Indications
  

  For backache, rheumatic and muscular pain, and neuralgia. Ibumousse is also indicated for symptomatic relief of pain due to non-serious arthritic conditions.

• Adult Dosage
  

  Shake container before use. Hold container upright, then press nozzle to dispense the mousse into the palm of your hand. Gently massage the mousse into and around the affected areas until absorbed. The exact amount to be applied will vary, depending on the extent and severity of the condition, but it should normally be sufficient to apply 1 to 2 g (1 to 2 golf-ball sized quantities of mousse dispensed into the palm of the hand). This amount may be repeated 3 to 4 times daily, unless otherwise directed by the doctor.

  Treatment should not normally continue for more than a few weeks, unless recommended by a doctor.

  The same dosage and dosage schedule applies to all age groups, although the mousse is not normally recommended for children under 12 years, unless instructed by their doctor.

• Child Dosage
  Not recommended.
• Contra Indications
  

  Not to be used if allergic to any of the ingredients, or in cases of hypersensitivity to aspirin, ibuprofen or related painkillers (including when taken by mouth), especially where associated with a history of asthma, rhinitis or urticaria.

  Not to be used on broken or damaged skin, or where there is infection or other skin disease.

• Special Precautions
  

  This product is flammable. Do not spray near flames, burning cigarettes, electric heaters or similar objects.

  Keep away from the eyes and mucous membranes.

  Oral NSAIDs, including ibuprofen, can sometimes be associated with renal impairment or aggravation of active peptic ulcers, and they can induce allergic bronchial reactions in susceptible asthmatic patients. Although systemic absorption of topically applied ibuprofen is much less than for oral dosage forms, these complications can still occur in rare cases. For these reasons, patients with asthma, an active peptic ulcer or a history of kidney problems, should seek medical advice before using the mousse, as should patients already taking other painkillers.

  Patients should seek medical advice if symptoms worsen or persist.

  Keep out of the reach of children. For external use only. Wash hands after use unless treating them. Do not use excessively.

  The label will include statements to the following effect:

  Do not exceed the stated dose. Not recommended for children under 12 years without medical advice. For external use only. Not to be used during pregnancy or breastfeeding. Do not use if you are allergic to any of the ingredients or have experienced problems with aspirin, ibuprofen or related painkillers (including when taken by mouth). If symptoms persist consult your doctor or pharmacist. Keep out of the reach of children. Patients with asthma, an active peptic ulcer or a history of kidney problems should consult their doctor before use, as should patients already taking aspirin or other painkillers.

• Interactions
  

  Non-steroidal anti-inflammatory drugs may interact with blood pressure lowering drugs, and may possibly enhance the effects of anticoagulants, although the chance of either of these occurring with a topically administered preparation is extremely remote. Concurrent aspirin or other NSAIDs may result in an increased incidence of undesirable effects.

• Adverse Drug Reactions
  

  The cooling effect of the mousse may result in a temporary paling of the skin. Very rarely, susceptible patients may experience the following side effects with ibuprofen, but these are extremely uncommon when ibuprofen is administered topically. If they occur, treatment should be discontinued:-

  Hypersensitivity: hypersensitivity reactions have been reported following treatment with ibuprofen. These may consist of (a) non-specific allergic reactions and anaphylaxis, (b) respiratory tract reactivity comprising asthma, aggravated asthma, bronchospasm, or dyspnoea, or (c) assorted skin disorders, including rashes of various types, pruritus, urticaria, purpura, angioedema and, less commonly, bullous dermatoses (including epidermal necrolysis and erythema multiforme).

  Renal: renal impairment can occur in patients with a history of kidney problems.

  Gastrointestinal: side effects such as abdominal pain and dyspepsia have been reported.