What is in advil cold and sinus

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

HEALTH CANADA ADVISORY

June 8, 2021

Health Canada has issued new information concerning the use of non-steroidal anti-inflammatory drugs (NSAIDs). To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.

A previous advisory on non-steroidal anti-inflammatory drugs (NSAIDs) was issued on October 30, 2020.

Allergy: Some people who are allergic to acetylsalicylic acid (ASA) or other anti-inflammatory medications also experience allergic reactions to ibuprofen. Before you take this medication, inform your doctor about any previous adverse reactions you have had to medications, especially anti-inflammatory medications. Contact your doctor at once if you experience signs of an allergic reaction, such as skin rash, itching, difficulty breathing, or swelling of the face and throat.

Bleeding problems: If you have bleeding problems (e.g., hemophilia) or are taking anticoagulants (e.g., warfarin), you should not take this medication, unless recommended by your doctor.

Dependence and withdrawal: Physical dependence can occur with the use of pseudoephedrine for too long a period of time or at doses that are greater than the recommended amount. If this medication is stopped suddenly after using it for longer than recommended or at high doses, you may experience withdrawal symptoms such as anxiety, agitation, and hallucinations. If you have been taking this medication for a while, it should be stopped gradually as directed by your doctor.

Diabetes: Ibuprofen - pseudoephedrine may cause a loss of blood glucose control, and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using this medication.

If you have diabetes or are at risk for developing diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Drowsiness and dizziness: This medication can cause drowsiness and dizziness that may affect your ability to drive or operate machinery safely. If this medication affects you this way, do not perform these tasks.

Fluid retention: This medication can cause fluid retention. If you have heart failure or high blood pressure, fluid retention may worsen your condition. If you notice worsening of the symptoms of heart failure or your blood pressure increases while taking this medication, contact your doctor.

General: If your symptoms do not improve, contact your doctor. Do not use this medication for longer than 3 days for a fever or 5 days for pain or cold symptoms without consulting your doctor or pharmacist.

Glaucoma: This medication may cause the symptoms of glaucoma (increased pressure in the eye) to become worse. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Report any changes in vision to your doctor as soon as possible while you are taking this medication.

Heart problems: The cardiovascular system (heart and blood vessels) may be affected by the use of this medication. Ibuprofen can cause fluid to build up in the body. This alone can cause increased blood pressure and symptoms of congestive heart failure to become worse.

Pseudoephedrine can cause blood vessels to narrow, increasing blood pressure. It may also cause increased heart rate or irregular heartbeat. If you have a history of heart attack, angina, stroke or other conditions that can be worsened by changes to the heart and blood vessels, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Kidney problems:  This medication may cause kidney problems. If you have reduced kidney function, heart failure, are taking diuretics (e.g., hydrochlorothiazide, furosemide), or are a senior, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver function: Although rare, people taking ibuprofen-pseudoephedrine may have changes in liver function that produce abnormal liver test results. If you have a history of liver problems, discuss with your doctor or pharmacist how this medication may affect your medical condition and whether any special monitoring is needed.

Stomach ulcers and bleeding: Ibuprofen may cause ulcers or bleeding in the stomach or intestines. If you experience black, tarry stools, vomit that looks like coffee grounds, or stomach pain while taking this medication, contact your doctor immediately. If you have a history of stomach problems, discuss with your doctor or pharmacist how this medication may affect your medical condition and whether any special monitoring is needed.

Thyroid problems: If you have a thyroid condition, this medication may cause symptoms of overactive thyroid. If you are taking medications for an overactive thyroid or experience symptoms such as feeling hot all the time, weight loss without a change in your diet or amount of exercise you get, or feeling emotional, contact your doctor.

Urinary tract problems: This medication may cause bladder pain, painful or difficult urination, or increased frequency of urination. If you have an enlarged prostate gland, the difficulty urinating may be more pronounced. If these symptoms occur without an explanation (e.g., infection), stop taking this medication and contact your doctor.

Pregnancy: This medication should not be used during pregnancy. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: This medication should not be used while breast-feeding.

Children: The caplets and liquid-gels should not be given to children less than 12 years old. The liquid form of the medication should not be given to children less than 6 years old.

Seniors: Seniors may be more likely to experience side effects from this medication.

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