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Care Ibuprofen 5% Gel 100g £8.22
Care Ibuprofen 5% Gel 100g contains ibuprofen for the relief of pain and inflammation associated with backache, pain of non-serious arthritic conditions, joint (rheumatic) & muscular pain, sprains, strains sports injuries and neuralgia.
Ibuprofen belongs to a group of medicines called non-steroid anti-inflammatory drugs (NSAIDs), that help bring down a high temperature.
SUMMARY OF PRODUCT CHARACTERISTICS (SPC)
• Therapeutic indications
Topical analgesic and anti-inflammatory for backache, rheumatic and muscular pain, sprains, strains and sports injuries.
• Posology and method of administration
Strength 5% maximum
- Method of Administration
For topical application to the skin.
Adults, the elderly and children over 14 years: Squeeze 50 to 125mg (4 to 10cm) of the gel from the tube and lightly rub into the affected area until absorbed. The dose should not be repeated more frequently than every four hours and no more than 4 times in any 24 hour period. Wash hands after each application. Do not exceed the stated dose. Review treatment after 2 weeks, especially if the symptoms worsen or persist.
Children under 14 years: Do not use on children under 14 years of age except on the advice of a doctor.
Hypersensitivity to any of the constituents. Hypersensitivity to aspirin, or other non-steroidal anti-inflammatory drugs, asthma, rhinitis or urticaria.
Not to be used on broken or damaged skin.
• Special warnings and precautions for use
Apply with gentle massage only. Avoid contact with eyes, mucous membranes and inflamed or broken skin.
Discontinue if rash develops.
Hands should be washed immediately after use.
Not for use with occlusive dressings.
- The label will state:
Do not exceed stated dose.
Keep out of reach of children.
For external use only.
If symptoms persist consult your doctor or pharmacist.
Do not use if you are allergic to Ibuprofen or any of the ingredients, aspirin, or any other painkillers.
- Consult your doctor or pharmacist before use if:
You are taking aspirin or any other pain relieving medication.
You are pregnant.
Not recommended for children under 14 years.
Oral NSAIDs, including ibuprofen, can sometimes be associated with renal impairment, aggravation of active peptic ulcers, and can induce allergic bronchial reactions in susceptible asthmatic patients. Although the systemic absorption of topically applied ibuprofen is less than for oral dosage forms, these complications can occur in rare cases. For these reasons, patients with an active peptic ulcer, a history of kidney problems or asthma should seek medical advice before using Ibuprofen gel as should patients already taking other painkillers.
Patients should seek medical advice if symptoms worsen or persist.
Patients should be advised against excessive exposure to sunlight of area treated in order to avoid possibility of photosensitivity.
• Interaction with other medicinal products and other forms of interaction
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 adverse reactions.
• Pregnancy and lactation
Not to be used during pregnancy or lactation.
Although no teratogenic effects have been demonstrated, ibuprofen should be avoided during pregnancy. The onset of labour may be delayed and the duration of labour increased.
Ibuprofen appears in breast milk in very low concentrations but is unlikely to affect breast fed infants adversely.
• Effects on ability to drive and use machines
• Undesirable effects
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 reaction and anaphylaxis (b) respiratory tract reactivity comprising of asthma, aggravated asthma, brochospasm or dyspnoea, or (c) assorted skin disorders, including rashes of various types, pruritis, urticaria, purpura, angioedema and less commonly, bullous dermatoses (including epidermal necrolysis and erythema multiforme).
Gastro-intestinal: Side effects such as abdominal pain and dyspepsia have been reported.
Renal: Renal impairment can occur in patients with a history of kidney problems.
Overdosage with a topical presentation of ibuprofen gel is unlikely.
Symptoms of severe ibuprofen overdosage (eg following accidental oral ingestion) include headache, vomiting, drowsiness and hypotension. Correction of severe electrolyte abnormalities should be considered.
• Pharmacological properties
- Pharmacodynamic properties
ATC code: M02A A13, Antiinflammatory preparations, non-steroids for topical use.
The gel is for topical application. It contains the active ingredient, ibuprofen, a phenylpropionic acid derivative which exerts its anti-inflammatory and analgesic effects directly in inflamed tissues underlying the site of application, mainly by inhibiting prostaglandin biosynthesis. Because it is formulated in an aqueous/ alcoholic gel, the preparation also exerts a soothing and cooling effect when applied to the affected area.
- Pharmacokinetic properties
Specially formulated for external application, the active ingredient penetrates through the skin rapidly and extensively (approximately 22% of a finite dose within 48 hours), achieving high, therapeutically relevant local concentrations in underlying soft tissues, joints and the synovial fluid, whilst producing plasma levels that are unlikely to be sufficient to cause any systemic side-effects, other than in rare individuals who are hypersensitive to ibuprofen. Furthermore, there do not appear to be any appreciable differences between the oral and topical routes of administration regarding metabolism or excretion.
There are 16 reviews with an average rating of 4.93
NCbuyer from United States of AmericaOwner01 November 2016 21:41
For some reason the FDA has decided that we should pay $56 for a 2 ounce tube of 1% ibuprofen gel. My local pharmacy will compound a 2% gel in a 3 ounce size for $17.
This 5% gel is much much more effective than the 2% and costs less than half even with the postage.
I recommend both the company and this product very highly since it has a eliminated the pain in my legs.
SoFlaGalz from United States of AmericaOwner30 July 2015 20:17
This product is not available in the U.S. and I cannot figure out why. Topically applied ibuprofen is much more safe than taking it orally (passes through the liver). This gel is perfect for muscle soreness from too much time in the gym or minor injuries involving soft tissue. Vivomed always provides reasonable prices on high quality products such as this one. Even the shipping to the U.S. is very reasonably priced and very quick!
The calf muscle is found at the back of the lower leg and is comprised of three muscles: the plantaris, the gastrocnemius and the soleus. These 3 muscles are referred to as ‘the triceps surae’, and they attach to the Achilles tendon.
They are responsible for extending the foot (plantar flexion) and bending the leg at the knee joint.
The Achilles tendon attaches to the heel bone (the calcaneus). The soleus sits deep to the gastrocnemius, with the plantaris muscle and part of its tendon located between these two muscles.
A calf strain occurs as a result of these muscles being torn or pulled. When a muscle is stretched, small micro tears occur in the muscle fibres. The severity of these tears depends on the depth and suddenness of the stretch. There are three different degrees of calf strain: grade 1 is a mild strain, grade 2 moderate to severe pain and a grade 3 strain is a complete rupture.
A calf strain occurs when the calf muscles are over stretched. This can be caused by a sudden, abrupt movement or as a result of over use.
Insufficient warm up or cool down is a common cause of calf strain.
A sudden change of direction, explosive movement or increase in speed can result in the calf muscles becoming torn or strained.
Climbing or running up hills.
Wearing inappropriate footwear.
In a Grade 1 degree strain:
It is important not to ignore a calf strain, as this could cause further damage and lead to a grade 3 strain. The earlier the treatment, the better the outcome. In a grade 1 strain recovery is roughly 2 weeks. In a grade 2 strain, recovery can take up to 5-8 weeks, and for grade 3 strains can take up to 3-4 months.
Rest: to prevent further damage.
In the sub acute (3 days to 3 weeks) and the chronic stage (3 weeks to 2 years) it is important that training should be adapted to avoid jumping or any exercises that put excessive strain on the gastrocnemius or soleus.
A physiotherapist or sportsmassage therapist or sports therapist can advise when exercise should be resumed and what exercise would be appropriate.
Ice treatment: Ice, can be applied for 10-15 minutes, every 2-3 hours in the acute and sub- acute stage (frequency can be reduced according to recovery, and can be continued for as long as deemed necessary). Ice bands are an effective way of applying ice therapy. In the sub-acute stage (3days – 3 weeks) heat therapy can be applied.
Compression: to reduce swelling and restrict movement.
Strapping provides support. In a complete rupture the doctor might prescribe a cast to provide stability.
Elevation: Gravity will assist lymphatic drainage and aid venous return.
NSAIDS (anti-inflammatories) and paracetamol can be taken to aid pain relief. Medical advice should be sought, in case of possible side effects.
Orthotics can prevent overprontation. It is therefore, worth consulting a podiatrist, who can perform gait analysis and advise on appropriate foot wear.
Kinesiology taping aids recovery by assisting with lymphatic drainage, and the repair of damaged tissues.
A doctor or physiotherapist might recommend an MRI scan to assess the extent of rupture. In severe cases surgery might be performed.
A physiotherapist might prescribe ultrasound treatment, sound waves; which speeds up the repair process, by breaking down tissues and stretching them. It can also help alleviate pain.
Massage can help aid recovery, and improve joint mobility and range of movement. It should not be administered during the acute stage. If there is any underlying medical condition, such as a heart condition, it is important to seek medical advice before receiving massage.
A physiotherapist or sports massage therapist can recommend strengthening, flexibility and proprioceptive exercises in the sub-acute and the chronic stage of recovery. Exercises should focus on stretching and strengthening, focusing on the gastrocnemius and soleus muscles; for example calf and toe raises. The intensity of the exercises should be increased gradually and in a controlled way. Resistance bands are good for gentle stretching.
For injury prevention, it is essential that a warm up and cool down forms part of an exercise programme (10-20 minutes, depending on the duration of the programme).
Sophia Cross, BA (Hons) MA