Midol IB

Midol IB is a nonsteroidal anti-inflammatory drug (NSAID).

Midol IB is used to lower fever and relieve pain or inflammation from various conditions like headache, toothache, back pain, arthritis, menstrual cramps, or minor injuries. Midol IB can be given to adults and children who are at least 6 months old.

Midol IB may also be used for reasons not mentioned in this medication guide.

Use exactly as directed on the label, or as prescribed by your doctor. Use the lowest dose that works for your condition.

An Midol IB overdose can harm your stomach or intestines. The maximum amount of ibuprofen for adults is 800 milligrams per dose or 3200 mg per day (4 maximum doses).

A child's dose of ibuprofen depends on the child's age and weight. Carefully follow the dosing instructions with children's Midol IB for your child's age and weight. Ask a doctor or pharmacist if you have questions.

Take Midol IB with food or milk to reduce stomach upset.

Shake the oral suspension (liquid) before measuring a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

You must chew the chewable tablet before swallowing it.

Store at room temperature away from moisture and heat. Do not let the liquid medicine freeze.

Midol IB can raise your chances of having a fatal heart attack or stroke. Do not take Midol IB right before or after heart bypass surgery (coronary artery bypass graft, or CABG). This medicine may also lead to stomach or intestinal bleeding, which can be life-threatening.

Midol IB can increase your risk of a fatal heart attack or stroke, even if you do not have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Midol IB may also cause stomach or intestinal bleeding, which can be fatal. These conditions can happen without warning while you are using this medicine, especially in older adults.

You should not use Midol IB if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

Ask a doctor or pharmacist if this medicine is safe to use if you have ever had:

• heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke;
• a heart attack, stroke, or blood clot;
• stomach ulcers or bleeding;
• liver or kidney disease;
• asthma; or
• if you take aspirin to prevent heart attack or stroke.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

If you are pregnant, you should not take Midol IB unless your doctor tells you to. Taking an NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy.

Do not give Midol IB to a child younger than 6 months old without the advice of a doctor.

Get emergency medical help if you have signs of an allergic reaction (hives, difficulty breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Get emergency medical help if you have signs of a heart attack or stroke: chest pain that spreads to your jaw or shoulder, sudden numbness or weakness on one side of your body, slurred speech, leg swelling, or feeling short of breath.

Midol IB may cause serious side effects. Stop using Midol IB and call your doctor immediately if you have:

• changes in your vision;
• shortness of breath (even with mild exertion);
• swelling or rapid weight gain;
• a skin rash, no matter how mild;
• signs of stomach bleeding—bloody or tarry stools, coughing up blood, or vomit that looks like coffee grounds;
• liver problems—nausea, upper stomach pain, itching, feeling tired, flu-like symptoms, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
• low red blood cells (anemia)—pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating; or
• kidney problems—little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath.

Common side effects of Midol IB may include:

• nausea, vomiting, gas;
• bleeding; or
• dizziness, headache.

This is not a complete list of side effects, and others may occur. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Since Midol IB is taken as needed, you might not have a regular dosing schedule. If you miss a dose and it’s almost time for your next one, just skip the missed dose. Do not take two doses at once.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. Symptoms of overdose may include nausea, vomiting, stomach pain, drowsiness, black or bloody stools, coughing up blood, shallow breathing, fainting, or coma.

Before using other medicines for pain, fever, swelling, or cold/flu symptoms, ask a doctor or pharmacist. They may have ingredients similar to Midol IB (such as aspirin, this medicine, ketoprofen, or naproxen).

Do not take aspirin unless your doctor instructs you to.

If you take aspirin to prevent a stroke or heart attack, using Midol IB can make aspirin less effective in protecting your heart and blood vessels. If you use both medicines, take this medicine at least 8 hours before or 30 minutes after you take aspirin (non-enteric coated form).

Avoid drinking alcohol. It may raise your risk of stomach bleeding.

Ask your doctor before using Midol IB if you take an antidepressant. Taking certain antidepressants with an NSAID may cause you to bruise or bleed easily.

Ask a doctor or pharmacist before using Midol IB with any other medications, especially:

• cyclosporine;
• lithium;
• methotrexate;
• a blood thinner (warfarin, Coumadin, Jantoven);
• heart or blood pressure medication, including a diuretic or "water pill"; or
• steroid medicine (such as prednisone).

This list is not complete. Other drugs may affect Midol IB, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.