Nuromol 200mg/500mg Pain Relief Tablets (24)

Product Summary

Nuromol contains two active ingredients: ibuprofen and paracetamol.

Ibuprofen belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs. NSAIDs work by reducing pain, reducing swelling and lowering high temperatures.

Paracetamol is an analgesic which works in a different way from ibuprofen to relieve pain and fever.

Nuromol is used for the temporary relief of mild to moderate pain associated with migraine, headache, backache, period pain, dental pain, rheumatic and muscular pain, the pain of non-serious arthritis, cold and flu symptoms, sore throat and fever.

Directions

• For oral administration and short-term use only.
• Take 1 tablet (or 2 if required), up to 3 times daily with food.
• Do not exceed 6 tablets in 24 hours and leave 6 hours between doses.
• Do not give to children under 18 years.
• If symptoms persist or worsen, consult your doctor.
• Do not take for more than 3 days.

Ingredients

• The active substances are ibuprofen and paracetamol. Each film-coated tablet contains 200 mg of ibuprofen and 500 mg of paracetamol.
• The other ingredients are croscarmellose sodium, microcrystalline cellulose, colloidal anhydrous silica, magnesium stearate, stearic acid. Film coating: polyvinyl alcohol, titanium dioxide, talc, macrogol, potassium aluminium silicate (E555), polysorbate.

Warnings and Restrictions

Take special care and check with a doctor or pharmacist before taking Nuromol if you:

• are elderly
• have asthma or have suffered from asthma
• have kidney, heart, liver or bowel problems
• have systemic lupus erythematosus (SLE), a condition of the immune system affecting connective tissue resulting in joint pain, skin changes and disorder of other organs or other mixed connective tissue diseases
• have gastrointestinal disorders or chronic inflammatory bowel disease (e.g. ulcerative colitis, Crohn’s disease
• are in the first 6 months of pregnancy or are breastfeeding
• are planning to become pregnant.

Anti-inflammatory/painkiller medicines such as ibuprofen may be associated with a small increased risk of heart attack or stroke, particularly when used at high doses.

Do not exceed the recommended dose or duration of treatment.

Discuss your treatment with your doctor or pharmacist before taking Nuromol if you:

• have heart problems including heart failure, angina (chest pain), or if you have had a heart attack, bypass surgery, peripheral artery disease (poor circulation in the legs or feet due to narrow or blocked arteries), or any kind of stroke (including ‘mini-stroke’ or transient ischaemic attack “TIA”)
• have high blood pressure, diabetes, high cholesterol, have a family history of heart disease or stroke, or if you are a smoker.

Do not take if you:

• have (or have had two or more episodes of) a stomach ulcer, perforation or bleeding
• are allergic to ibuprofen or any other ingredient of the product, Aspirin or other related painkillers
• are taking other NSAID painkillers or Aspirin with a daily dose above 75mg
• are in the last 3 months of pregnancy

Do not take with any other Paracetamol containing product.

Immediate medical advice should be sought in the event of an overdose, even if you feel well.

Taking other medicines

Do not take Nuromol with:

• other Paracetamol-containing products
• other NSAID-containing products such as Aspirin or Ibuprofen.

Nuromol may affect or be affected by some other medicines, such as:

• Corticosteroid tablets
• antibiotics (e.g. Chloramphenicol or Quinolones)
• anti-sickness medicines (e.g. Metoclopramide, Domperidone)
• anti-coagulants (thin blood/prevent clotting e.g. Aspirin / Acetylsalicylic acid, Warfarin, Ticlopidine)
• heart stimulants (e.g. glycosides)
• medicines for high cholesterol (e.g. Cholestyramine)
• diuretics (to help you pass water)
• medicines to reduce high blood pressure (ACE-inhibitors such as Captopril, beta-blockers such as Atenolol medicines, angiotensin-II receptor antagonists such as Losartan)
• medicines to suppress the immune system (e.g. Methotrexate, Ciclosporin, Tacrolimus)
• medicines for mania or depression (e.g. Lithium or SSRIs)
• Mifepristone (for pregnancy termination)
• HIV medicines (e.g. Zidovudine)

Some other medicines may also affect or be affected by the treatment of Nuromol.

You should therefore always seek the advice of your doctor or pharmacist before you use if you are unsure of anything.

Storage

• This medicine does not require any special storage conditions.
• Keep out of the sight and reach of children.
• Do not use this medicine after the expiry date which is stated on the blister and the carton. The expiry date refers to the last day of that month.
• Medicines should not be disposed of via wastewater or household waste.
• Ask your pharmacist how to dispose of medicines no longer required.
• These measures will help to protect the environment.

Pharmacist FAQs Answered

Why is Nuromol unique among other painkillers?

Nuromol stands out among other painkillers since it combines two best-selling painkillers—paracetamol and ibuprofen—in a single tablet. Although they work against pain and fever, they have different mechanisms of action within the body. Ibuprofen reduces inflammation and swelling, making it very effective for muscle pain, joint pains, menstrual cramps, and backache. Paracetamol works on blocking pain messages and reducing fever. This two-step approach may be more effective than either drug alone, particularly in diseases that include both pain and inflammation. However, it is essential to follow the dosing instructions to avoid exceeding safe doses within a day. Nuromol must only be used for short-term administration, and if the symptoms last longer than three days, you must consult your physician. Taking it for more than that without checking in could lead to stomach, liver, or heart side effects, even though it's an over-the-counter medication.

Why can't I take Nuromol for more than three days?

Although Nuromol is an excellent pain reliever, it's not meant to be used for extended periods of time—no more than three days—unless otherwise directed by your doctor. The more you use it, the higher the chance for dangerous side effects, like stomach ulcers, bleeding, kidney strain, or heart illness, especially if you consume it in high amounts or have an existing health condition. Furthermore, ongoing discomfort or fever after three days may be a sign of a medical condition that requires diagnosis and treatment by a healthcare professional. Consume over-the-counter drugs for an extended duration as this can dampen useful warning signs that your body is sending your way. If your symptoms persist, worsen, or change, consult your pharmacist or doctor—they can assist with establishing the cause and recommending safer long-term treatment or stronger medication if necessary.

What are the side effects I need to watch out for when taking Nuromol?

Although Nuromol is safe when used as directed, there are some individuals who may experience side effects. Mild common ones include stomach upset, heartburn, nausea, or mild dizziness. Severe (but rare) side effects include bleeding in the gut, ulcers, allergies (such as rash, swelling, or difficulty breathing), liver illness (especially with paracetamol), kidney damage, or even cardiac arrest or stroke risk, particularly in patients with existing heart disease or overdoses. Stop taking Nuromol and see a doctor immediately if you have black or bloody stools, persistent stomach cramps, yellowing of the skin or eyes, new swelling, or shortness of breath. It is also crucial not to mix Nuromol with alcohol or other drugs that contain paracetamol or NSAIDs as this may increase the risk of liver and stomach injury.

Should I take Nuromol along with my other medicines?

Nuromol can interact with many common medicines, so always check with your doctor or pharmacist before using it if you’re on regular treatments. Medicines that thin the blood (like warfarin), lower blood pressure (such as ACE inhibitors or beta-blockers), treat depression (like SSRIs), manage immune conditions (like methotrexate), or address HIV, stomach ulcers, or heart rhythm problems may all interact with Nuromol. These interactions can increase the risk of bleeding, kidney strain, or other harmful effects. Also, never combine Nuromol with other paracetamol or ibuprofen products, as this raises the risk of overdose. Even some over-the-counter cold or flu medicines may contain hidden paracetamol or NSAIDs, so read labels carefully. If you’re unsure, always ask your pharmacist—they can help review your medicines and ensure your combinations are safe.

What if I accidentally take too much Nuromol?

If you have accidentally taken a higher dose of Nuromol than prescribed, seek medical help immediately, even if you don't experience any symptoms. Paracetamol overdose is especially dangerous since liver damage may go on unnoticed and become fatal if not treated in time. An overdose of ibuprofen may cause serious stomach, kidney, or heart problems. Overdose symptoms may be nausea, vomiting, stomach pain, drowsiness, confusion, or jaundice, but waiting for them is unsafe. Bring the packaging of the medication with you when you visit the doctor or the hospital so they can figure out exactly what was taken and how much. Never try to "wait it out" at home; early treatment makes a big difference in preventing long-term damage. Store medicines beyond the reach of children to avoid accidental consumption.