Publisher ibuprofen and paracetamol advice sheet 13 oct 2008 v05

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Steve Snelling BSc
Jack Taylor BSc.
Sports Rehabilitation
Jamie Street BSc.
Craig Medhurst BSc.
For Details of Our Charges Or To Make An ADVICE SHEET
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 WWW.PHIZBIZ.COM
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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 Ibuprofen
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.
Paracetamol
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
grams daily.
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 MAY 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 WWW.PHIZBIZ.COM
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