Painkillers, ibuprofen - Considerations 

Do not take ibuprofen if you have:

• a history of hypersensitivity (a strong, unpleasant reaction) to aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs)
• a peptic ulcer (an open sore that develops on the inside lining of the stomach or small intestine) or you have had one in the past
• severe heart failure (when your heart is not pumping blood around your body very efficiently)
• severe liver disease

Using it with caution

Use ibuprofen with caution if you have:

• asthma, when the airways of the lungs are inflamed
• kidney problems
• liver problems
• a connective tissue disorder such as lupus, an autoimmune condition that affects many parts of the body
• Crohn’s disease, which is inflammation of the lining of the digestive system
• ulcerative colitis, a long-term condition that affects the colon (large intestine)
• previously had any bleeding in your stomach
• high blood pressure (hypertension)
• peripheral arterial disease (narrowing of the arteries)
• any problems with your heart, such as angina (symptoms caused by a restricted blood supply to the heart), heart attacks (when the blood supply to your heart is blocked) or mild or moderate heart failure
• cerebrovascular disease (problems with the blood supply in the brain) such as a stroke, when the blood supply to the brain is restricted or interrupted

If you have any queries about using your medicines, speak to your GP or pharmacist, or call NHS Direct on 0845 4647.

Ibuprofen and older people

Ibuprofen should also be used with caution in older people because they are at increased risk of developing more serious side effects.

For example, bleeding is more common among older people and is more likely to have a serious outcome. See Ibuprofen - side effects for more information. Older people are also more likely to have a heart or kidney problem, which ibuprofen can make worse. 

Pregnancy and breastfeeding

Do not take ibuprofen if you are pregnant. Instead, you can take paracetamol to help ease short-term pain or reduce a high temperature (fever).

If absolutely necessary, you can take ibuprofen during the second trimester of your pregnancy (weeks 14 to 26). However, avoid taking ibuprofen during the first trimester (up to week 13) and third trimester (from week 27 until the birth) unless it is recommended by your doctor.

Ibuprofen can be used with caution while breastfeeding. Check the patient information leaflet for the manufacturer’s recommendations. Ibuprofen may be present in breast milk, although the amount should be too small to be harmful. It is recommended that you take paracetamol instead of ibuprofen, if possible.