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Ibuprofen is authorised in the world under the following brand names: Actiprofen, Adran, Advil, Advil Liqui-Gels, Amersol, Amibufen, Anco, Andran, Anflagen, Apo-Ibuprofen, Apsifen, Apsifen-F, Artril 300, Bluton, Brufanic, Brufen, Brufort, Buburone, Butylenin, Cap-Profen, Children's Advil, Children's Elixsure, Children's Ibuprofen, Children's Motrin, Codral, Dolgin, Dolgirid, Dolgit, Dolo-Dolgit, Dolocyl, Ebufac, Epobron, Femadon, Fenbid Spansule, Haltran, Ibu, Ibu-Attritin, Ibu-Slo, Ibu-Tab, Ibu-Tab 200, Ibufen, Ibumetin, Ibuprin, Ibuprocin, Ibuprohm, Ibutid, Ifen, Inabrin, Inoven, Junior Strength Advil, Junior Strength Ibuprofen, Junior Strength Motrin, Lamidon, Lebrufen, Lidifen, Liptan, Medipren, Midol, Midol 200, Motrin, Mynosedin, Napacetin, NeoProfen, Nobfelon, Nobfen, Nobgen, Novogent N, Novoprofen, Nuprin, Nurofen, Pantrop, Paxofen, Pedia-Profen, Pediaprofen, Pediatric Advil, Profen, Rafen, Rebugen, Roidenin, Rufen, Seclodin, Suspren, Tab-Profen, Tabalon, Trendar, Urem.
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| Relevant Evaluation Criteria | Scenario/Model Outcome | |
| Information Gathering | ||
| 1. Gather essential information about the patient’s symptoms, including: | ||
| a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) | Patient does not have any complaints. However, on inquiry of supplementation taken at home, patient says she regularly takes a multivitamin with extra nutrients to reduce stress, an antioxidant supplement plus beta-carotene once daily for vision, and calcium tablets twice daily for osteoporosis prevention. | |
| b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) | N/A | |
| c. description of the patient’s efforts to relieve the symptoms | N/A | |
| 2. Gather essential patient history information: | ||
| a. patient’s identity | Katherine Forest | |
| b. patient’s age, sex, height, and weight | 37-year-old female, 5 ft 8 in, 130 lb | |
| c. patient’s occupation | Postal worker and mother of 4 children | |
| d. patient’s dietary habits | Cereal or toast and fruit for breakfast; soup or frozen meal for lunch; dinner varies between fast-food meals and easy-to-prepare meals at home. | |
| e. patient’s sleep habits | N/A | |
| f. concurrent medical conditions, prescription and nonprescription medications, and dietary supplements | Ibuprofen 400 mg twice daily, levothyroxine 88 meg daily | |
| g. allergies | No known allergies | |
| h. history of other adverse reactions to medications | Family history of glaucoma and osteoporosis | |
| Assessment and Triage | ||
| 3. Differentiate the patient’s signs/symptoms and correctly identify the patient’s primary problem(s). | Taking multiple supplements can increase the risk of exceeding the UL for various nutrients. No evidence exists that this practice is beneficial, and concern exists that long-term supplementation of certain nutrients in doses exceeding the UL may potentially have negative effects. | |
| 4. Identify exclusions for self-treatment. | None | |
| 5. Formulate a comprehensive list of therapeutic alternatives for the primary problem to determine if triage to a medical practitioner is required, and share this information with the patient. | Options include:
(1) Focus on only potential drug-nutrient interactions. (2) Discuss the role of balanced nutrition as the ideal route of taking vitamins and minerals. Identify nutritional needs unique to this geriatric client and where supplementation may be recommended. (3) Take no action. |
|
| Plan | ||
| 6. Select an optimal therapeutic alternative to address the patient’s problem, taking into account patient preferences. | Assess the client’s perceived need for the nutrient supplements.
Evaluate dietary intake from food groups, encouraging at least 5 servings of produce daily, 3 servings of low-fat dairy products, 2 servings of protein, and 6 servings of whole grain food sources daily. Discuss the vitamin and mineral content of the various supplements and the total intake in comparison with the dietary reference intakes. Conversion of units of measure for vitamin A may be necessary to assess total intake. For example, if the multivitamin provides 3500 IU of vitamin A and the antioxidant supplement plus beta-carotene provides 25,000 IU of beta-carotene, the patient’s intake of vitamin A is likely excessive. The dietary reference intake for this client is 700 meg as RAE (2330 IU) with a UL of 3 mg (9990 IU) daily. To convert the client’s supplemented intake to micrograms of RAE per day, you note that 1 meg as RAE = 10 IU vitamin A activity as beta-carotene = 3.33 IU vitamin A activity as retinol. This calculates to 3551 meg as RAE daily in supplements alone. Suggest limiting vitamin supplementation to a U.S. Pharmacopeia-approved multivitamin with no more than 100% of dietary reference intake for vitamins and minerals. |
|
| 7. Describe the recommended therapeutic approach to the patient. | Unless specifically recommended by your primary care provider or ophthalmologist, reconsider taking the supplement for vision if you are taking a U.S. Pharmacopeia-approved multivitamin with minerals. Take the multivitamin and the calcium supplement at different times. Separate both of these supplements from the levothyroxine. | |
| 8. Explain to the patient the rationale for selecting the recommended therapeutic approach from the considered therapeutic alternatives. | Your current supplemental intake for vitamin A well exceeds the dietary reference intake. Instead of taking multiple supplements, optimize your nutrient intake by eating whole grains, fruits, and vegetables. In addition to fiber and many commonly recognized vitamins and minerals, fruits and vegetables provide lutein, a carotenoid associated with reduced risk of age-related macular degeneration when consumed regularly. Also choose low-fat dairy products and protein sources daily. Complementing a balanced diet with a daily multivitamin with minerals is reasonable to ensure adequate nutrient intake when the regular intake of healthy meals becomes difficult. If vitamin D intake is not sufficient between dietary sources and the multivitamin, a calcium product with vitamin D may be recommended. | |
| Patient Education | ||
| 9. When recommending self-care with nonpre-scription medications and/or nondrug therapy, convey accurate information to the patient. | Criterion does not apply in this case. | |
Synonyms of Ibuprofen:
Ibuprophen, P-Isobutylhydratropic Acid, Para-Isobutylhydratropic Acid
How can i get Ibuprofen online over the counter?
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Therapeutic classes of Ibuprofen:
Analgesics, Analgesics, Non-Narcotic, Anti-inflammatory Agents, Antipyretics, Cyclooxygenase Inhibitors, Nonsteroidal Anti-inflammatory Agents (NSAIAs)
Dosage forms of Ibuprofen:
| Form | Route | Strength |
|---|---|---|
| Capsule | Oral | 200 mg |
| Concentrate | Intravenous | 100 mg/ml |
| Suspension | Oral | 100 mg/5 ml |
| Suspension | Oral | 40 mg/ml |
| Tablet | Oral | 200 mg |
| Tablet | Oral | 400 mg |
| Tablet | Oral | 600 mg |
| Tablet | Oral | 800 mg |
| Tablet, chewable | Oral | 100 mg |
| Tablet, chewable | Oral | 50 mg |
| Tablet, film coated | Oral | 100 mg |
| Tablet, film coated | Oral | 200 mg |
| Tablet, film coated | Oral | 400 mg |
| Tablet, film coated | Oral | 600 mg |
| Tablet, film coated | Oral | 800 mg |
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