Almus Ibuprofen and Codeine 200mg/12.8mg – 32 Tablets

Description

Almus Ibuprofen and Codeine 200mg/12.8mg – 32 Tablets

Almus Ibuprofen and Codeine 200mg/12.8mg Tablets provide dual-action pain relief, combining an anti-inflammatory (ibuprofen) with a mild opioid painkiller (codeine) for effective relief of moderate pain that has not responded to ibuprofen or paracetamol alone. This medicine is suitable for adults and adolescents aged 12 years and over for short-term use only.

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How It Works

Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that works by reducing the production of prostaglandins — chemicals in the body that cause pain, swelling, and inflammation. Codeine phosphate is an opioid analgesic that acts on pain receptors in the brain and spinal cord to reduce the way you feel pain, providing an added level of relief when ibuprofen alone is not enough.

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Directions for Use

Adults and adolescents aged 12 years and over: Take 1–2 tablets up to three times a day as needed, leaving at least 6 hours between doses. Do not take more than 6 tablets in any 24-hour period. Swallow the tablets whole with a full glass of water, preferably with food or milk to reduce the chance of stomach upset. This medicine should not be used for more than 3 days without seeking medical advice. Do not use in children under 12 years of age. Always read the patient information leaflet before use. If you are unsure about the correct dose, speak to your PillSorted pharmacist.

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Active Ingredients

• Ibuprofen 200mg per tablet
• Codeine phosphate hemihydrate 12.8mg per tablet

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Possible Side Effects

• Nausea, vomiting, or indigestion
• Constipation or diarrhoea
• Dizziness or drowsiness
• Headache
• Stomach pain or discomfort
• Skin rash or itching
• Dependence or addiction with prolonged use (codeine)
• Difficulty breathing or shortness of breath (seek urgent help)
If you experience any serious side effects, stop taking this medicine and seek medical advice immediately.

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Who Should Not Take This Medicine

• Children under 12 years of age
• Anyone who is allergic to ibuprofen, codeine, aspirin, or other NSAIDs
• People who have or have had a stomach ulcer, gastrointestinal bleeding, or perforation
• Those with severe kidney, liver, or heart failure
• People with asthma triggered by aspirin or other NSAIDs
• Individuals who metabolise codeine very rapidly (ultra-rapid metabolisers)
• Women in the last trimester of pregnancy
• Anyone using other opioid-containing medicines without medical supervision

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Interactions

This medicine may interact with a number of other medicines, including other NSAIDs or aspirin, blood thinners (such as warfarin), antidepressants (including SSRIs and MAOIs), blood pressure medicines, diuretics (water tablets), lithium, methotrexate, and other medicines that cause drowsiness or sedation. Combining codeine with sedatives, sleeping tablets, or medicines for anxiety can increase the risk of serious breathing problems. Tell your PillSorted pharmacist or doctor about all medicines you are currently taking, including herbal remedies and supplements.

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Pregnancy and Breastfeeding

This medicine should not be used during the last trimester (3 months) of pregnancy as it may harm the unborn baby or cause complications during labour. Use in the first and second trimesters should be avoided unless clearly necessary and under medical supervision. Codeine passes into breast milk and can cause harmful sedation in a breastfed infant, so this medicine must not be used while breastfeeding. Speak to your doctor or PillSorted pharmacist before use if you are pregnant, trying to conceive, or breastfeeding.

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Alcohol

You should avoid drinking alcohol while taking this medicine. Both codeine and alcohol have a sedative effect on the central nervous system, and combining them can increase the risk of dizziness, drowsiness, and impaired judgement. Alcohol can also worsen the risk of stomach irritation or bleeding caused by ibuprofen.

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Driving and Operating Machinery

This medicine may cause drowsiness, dizziness, or blurred vision, particularly when you first start taking it. Codeine in particular can impair your ability to react and concentrate. You should not drive or operate heavy machinery if you are affected. If you are unsure how this medicine affects you, avoid driving until you know how you respond.

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Storage

Store below 25°C in a dry place, away from direct sunlight and heat. Keep the tablets in their original packaging. Keep out of sight and reach of children. Do not use after the expiry date shown on the packaging.

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Important Information

• This product is a medicine. Speak to your doctor or PillSorted pharmacist before taking this product if you have an underlying medical condition or are taking any other medication or complementary therapy.
• If symptoms worsen or persist, contact your doctor.
• If pregnant, trying to conceive or breastfeeding, seek medical advice before use.
• If you suffer from allergies, confirm suitability with your PillSorted pharmacist before use.
• Store out of sight and reach of children.
• Read the enclosed patient information leaflet carefully before use.
• Contact your GP where appropriate.

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Patient Information Leaflet

For the full Patient Information Leaflet (PIL) for this medicine, visit the electronic Medicines Compendium (EMC). For further information about this medicine, visit NHS.uk.

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This content has been medically reviewed and approved by Zeinab Ardeshir (GPhC 2075730), Superintendent Pharmacist at PillSorted (GPhC-registered online pharmacy 9011258). Last reviewed: February 2026.

Brand	Nurofen