Publisher ibuprofen and paracetamol advice sheet 13 oct 2008 v05
Steve Snelling BSc
Jack Taylor BSc.
Jamie Street BSc.
Craig Medhurst BSc.
For Details of Our Charges Or To Make An
IBUPROFEN & PARACETAMOL
Further Information And Advice Is Available On The
Chartered Society of Physiotherapy (CSP)
INFLAMATION & PAIN
British Association of Sports Rehabilitators (BASRaT)
Association of Chartered Physiotherapists in Orthopaedic
Medicine and Injection Therapy (ACPOMIT)
Organisation of Chartered Physiotherapists In
Association of Chartered Physiotherapists in
Association of Chartered Physiotherapists in
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The information contained here is not intended to replace
health Clinical Knowledge summaries web site advice (12
ment here is to break the cycle. Anti-inflamatories and
in any way the advice or instructions accompanying the
individual products, or those given by your General
Practitioner, Pharmacist or medical team.
Oral non-steroidal anti-inflammatory drugs (NSAIDs) can
Dosage Information From
also help to reduce swelling and inflammation. However,
They are intended to supplement your knowledge of the
NSAIDs should only be considered for use 48 hours after
British National Formulary www.BNF.ORG
the injury has occurred because if they are used before
medication to allow you to make a more informed deci-
this time, they MAY adversely affect the healing process.
sion in relation to your current condition and whether or
So You Will Need To Decide For Yourself If
Max Daily Dosage 2.4 grams
Both Ibuprofen and Paracetamol are available for pur-
You Take Them!!!!
chase without a prescription from stores such as Sains-
1.2 – 1.8 grams daily in 3 – 4 di-
bury's, Tesco's, corner shops and garages—so they are
About Ibuprofen & Paracetamol
vided doses preferably after food.
Ibuprofen & Paracetamol are often combined together
Both Paracetamol and to a greater degree Ibuprofen can
with a view to ‘dampening down’ any inflammatory
react with a large range of other drugs and have adverse
reaction, and reducing pain. This is important for a num-
effects on existing conditions such as liver, kidney dis-
maximum daily dose.
1. The body is generally considered to over react in its
If you are currently taking or have taken, any other
inflammatory response to injury. Dampening this
form of medication prescribed or otherwise you
down MAY reduce the post injury rehabilitation pe-
should satisfy yourself that there will not be a reac-
riod involved with the body dealing with these excess
tion between those and Paracetamol or Ibuprofen
2. Inflammatory substances are generally irritant to
Anti-Inflammatories You Decide!!
nerve endings the result of which is you feel pain and
0.5 – 1.0gram every 4 – 6 hours up to a maximum of 4
3. Inflammation in the tissues increase pressure on pain
Inflammation is the body’s natural response to injury and is
receptors; this increased pressure is perceived by you
E.g. Two 500mg on rising in the morning with breakfast,
a necessary part of the healing process. Without inflamma-
another two 500mg at lunch or late afternoon and a final two
The Pain/Spasm Cycle
Sometimes however, the inflammatory response may be
excessive. In these circumstances the use of Non-Steroidal
Pain and spasm are closely linked and interdependent.
Anti-Inflammatory Drugs (NSAID’s) such as Ibuprofen
Pain leads to spasm, spasm leads to more pain, which in
help but you should be aware that there is conflicting
turn leads to more spasm. The net result is that long after
research in relation to these types of drugs and their effect
the initial trigger for the pain has subsided the cycle con-
tinues as it has become self-sustaining. The aim of treat-
This conflict is reflected in The NHS National Library for
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