Ibuprofen

- 200, 400 and 600 mg tablets (PO)

- 100 mg/5 ml, 200 mg/5 ml suspension (PO)

- 600 mg/ 100 ml, 800 mg/8 ml vials (IV)

- 5% gel (topic)

Executive Summary

(September 29, 2023)

Ibuprofen is the most extensively studied NSAIDs for the treatment of acute pain and is prescribed worldwide in EDs for both pediatric and adult patients (21).


Adult dose for pain or fever (16, 17, 28)

400-800 mg IV or PO over 30 min every 6-8 hours as needed (maximum 3200 mg/day).

Adult dose

Adult dose for pain or fever (16, 28)

400-800 mg IV or PO over 30 min every 6-8 hours as needed (maximum 3200 mg/day).

Pediatric dose

Pediatric dose for pain or fever (22, 26, 28)

10 mg/kg/dose IV or PO every 6-8 hours as needed (maximum 40 mg/kg/day).

Indications


Ibuprofen analgesic ceiling

Unitary doses of 400 mg, and the cumulative daily dose of 1200 mg may be the analgesic ceiling of ibuprofen for acute pain conditions.

IV administration

Advantages


Disadvantages: slow infusion

Cautions






Pregnancy and lactation

Pregnancy risk classification
NSAID use in pregnant women at 30 weeks gestation and later may cause premature closure of the fetal ductus arteriosus (25). It has been warned by the US FDA that NSAID use at 20 weeks gestation or later may lead to fetal renal dysfunction (19)


Lactation

References

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