Consumer medicine information

Sudafed Sinus + Anti-inflammatory Pain Relief Caplets

Ibuprofen; Pseudoephedrine hydrochloride

BRAND INFORMATION

Brand name

Sudafed Sinus + Anti-inflammatory Pain Relief Caplets

Active ingredient

Ibuprofen; Pseudoephedrine hydrochloride

Schedule

S3

 

Consumer medicine information (CMI) leaflet

Please read this leaflet carefully before you start using Sudafed Sinus + Anti-inflammatory Pain Relief Caplets.

What is in this leaflet

This leaflet answers some common questions about SUDAFED® Sinus + Anti-inflammatory Pain Relief caplets.

It does not contain all the available information. It does not take the place of talking to your pharmacist or doctor.

All medicines have risks and benefits. Your pharmacist or doctor has weighed the risks of you taking SUDAFED® Sinus + Anti-inflammatory Pain Relief against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, ask your pharmacist or doctor.

Keep this leaflet with the medicine. You may need to read it again.

What SUDAFED® Sinus + Anti-inflammatory Pain Relief is used for

SUDAFED® Sinus + Anti-inflammatory Pain Relief provides relief of the symptoms of sinus pain with sinus congestion caused by cold and flu, allergic rhinitis and sinusitis.

Pseudoephedrine belongs to a group of medicines called sympathomimetic decongestants. It works by reducing congestion in the upper respiratory tract, including the nose, nasal passages and sinuses, and making it easier to breathe.

Ibuprofen belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).

Ask your pharmacist or doctor if you have any questions about this medicine. Your pharmacist or doctor may have given it for another reason.

This medicine is only available from your pharmacist.

Before you take SUDAFED® Sinus + Anti-inflammatory Pain Relief

When you must not take it

Do not take SUDAFED® Sinus + Anti-inflammatory Pain Relief if you have an allergy to:

  • any medicine containing pseudoephedrine
  • any medicine containing ibuprofen, aspirin or other NSAIDs
  • any of the ingredients listed at the end of this leaflet.

Some of the symptoms of an allergic reaction may include:

  • shock
  • shortness of breath
  • wheezing or difficulty breathing
  • swelling of the face, lips, tongue or other parts of the body
  • skin reddening, blisters, rash, itching or hives on the skin.

Do not take this medicine if you have:

  • very high blood pressure
  • severe coronary artery disease (heart disease caused by poor blood flow or narrowing of the blood vessels of the heart)
  • taken monoamine oxidase inhibitors, medicines used to treat depression, in the last 14 days
  • asthma that is sensitive to aspirin or NSAIDs
  • a stomach or duodenal ulcer
  • recently vomited blood or material that looks like coffee grounds
  • recently bled from the back passage (rectum), had black sticky bowel motions or bloody diarrhoea.
  • alcohol dependence

Do not take this medicine right before or after heart surgery.

Do not take this medicine if you are pregnant or plan to become pregnant. It may affect your developing baby. Your pharmacist or doctor will discuss the benefits and possible risks of taking the medicine during pregnancy.

Do not take this medicine after the expiry date (EXP) printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.

If you are not sure whether you should start taking this medicine, talk to your pharmacist or doctor.

Before you start to take it

Tell your pharmacist or doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your pharmacist or doctor if you have or have had any of the following medical conditions:

  • high blood pressure
  • overactive thyroid gland
  • diabetes
  • heart disease and poor blood flow in the blood vessels of the heart
  • glaucoma (high pressure in the eyes)
  • fluid retention
  • prostate problems
  • liver or kidney disease
  • asthma
  • gastrointestinal disease
  • stomach or duodenal ulcer
  • signs of gastrointestinal bleeding, such as vomiting blood or bleeding from the back passage (rectum).

Talk to your pharmacist or doctor about taking this medicine if you are over 65 years of age. Taking this medicine may increase the risk of you getting stomach, heart or kidney problems.

Ask your pharmacist or doctor about taking the medicine if you are breastfeeding. Small amounts of pseudoephedrine and ibuprofen pass into the breast milk.

Your pharmacist or doctor will discuss the potential benefits and risks of taking the medicine if you are breastfeeding.

If you have not told your pharmacist or doctor about any of the above, tell him/her before you start taking SUDAFED® Sinus + Anti-inflammatory Pain Relief.

Taking other medicines

Tell your pharmacist or doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and SUDAFED® Sinus + Anti-inflammatory Pain Relief may interfere with each other. These include:

  • medicines used to treat depression
  • medicines used to treat high blood pressure
  • medicines used to treat urinary tract infections and bladder problems
  • medicines used to treat behavioural disorders
  • phenylephrine, a medicine used to treat congestion
  • appetite suppressants
  • warfarin, a medicine used to prevent blood clots
  • lithium, a medicine used to treat mood swings and some types of depression
  • medicines used to lower blood pressure
  • diuretics
  • methotrexate, a medicine used to treat arthritis and some types of cancer
  • medicines used to treat heart conditions
  • medicines such as prednisone, prednisolone and cortisone, which reduce the activity of your immune system
  • zidovudine, a medicine used to treat HIV infection
  • aspirin, salicylates and other non-steroidal anti-inflammatory drugs (NSAIDs)
  • medicines used to treat diabetes.

These medicines may be affected by SUDAFED® Sinus + Anti-inflammatory Pain Relief or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

Your doctor and pharmacist will have more information on these and other medicines to be careful with or avoid while taking this medicine.

How to take SUDAFED® Sinus + Anti-inflammatory Pain Relief

Follow all directions given to you by your pharmacist or doctor carefully. They may differ from the information contained in this leaflet.

If you do not understand the instructions on the box, ask your pharmacist or doctor for help.

How much to take

The recommended dose of SUDAFED® Sinus + Anti-inflammatory Pain Relief, for adults and children over 12 years, is 1 or 2 caplets every 4 to 6 hours when necessary.

Do not exceed 6 caplets in 24 hours.

Do not take more than the recommended dose.

Excessive use may increase the risk of heart attack, stroke or liver damage.

How long to take it

As SUDAFED® Sinus + Anti-inflammatory Pain Relief contains ibuprofen, it should not be used for more than a few days at a time except on medical advice.

If you forget to take it

If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.

Otherwise, you may take a dose as soon as you remember if you think you need it.

Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.

Your next dose should be taken in 4 to 6 hours if you think you need it.

If you are not sure what to do, ask your pharmacist or doctor.

If you take too much (overdose)

Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much SUDAFED® Sinus + Anti-inflammatory Pain Relief. Do this even if there are no signs of discomfort or poisoning.

While you are using SUDAFED® Sinus + Anti-inflammatory Pain Relief

Things you must do

Talk to your pharmacist or doctor if your symptoms do not improve, worsen, or if new symptoms appear. Your pharmacist or doctor will assess your condition and decide if you should continue to take the medicine.

Things you must not do

Do not take SUDAFED® Sinus + Anti-inflammatory Pain Relief to treat any other complaints unless your pharmacist or doctor tells you to.

Do not give your medicine to anyone else, even if they have the same condition as you.

Do not take more than the recommended dose unless your pharmacist or doctor tells you to.

Things to be careful of

If you are over 65 years of age, talk to your pharmacist or doctor about taking this medicine. Taking this medicine may increase the risk of you getting unwanted effects, such as stomach or heart problems.

Be careful driving or operating machinery until you know how SUDAFED® Sinus + Anti-inflammatory Pain Relief affects you. This medicine may cause dizziness in some people. If this happens, do not drive or operate machinery.

Side effects

Tell your pharmacist or doctor as soon as possible if you do not feel well while you are taking SUDAFED® Sinus + Anti-inflammatory Pain Relief.

This medicine helps most people with sinus congestion and sinus pain, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them.

Ask your pharmacist or doctor to answer any questions you may have.

It is rare to get side effects from ibuprofen or pseudoephedrine if taken for a short period of time and in the doses contained in OTC medicines.

Tell your pharmacist or doctor if you notice any of the following and they worry you:

  • blurred vision
  • dry mouth
  • oral discomfort (burning sensation or irritation in the mouth)
  • nausea, vomiting, heartburn, indigestion or abdominal pain
  • loss of appetite
  • diarrhoea
  • constipation
  • difficulty urinating
  • drowsiness
  • weakness
  • fatigue
  • dizziness
  • difficulty sleeping
  • nervousness
  • excitability
  • restlessness
  • fear or anxiety
  • headache
  • high blood pressure
  • rapid or irregular heart beat
  • palpitations
  • low body temperature
  • tremor
  • hallucinations
  • thirst
  • tinnitus

The above list includes the more common side effects of your medicine. They are usually mild.

Tell your doctor as soon as possible if you notice any of the following:

  • get sunburnt more easily than usual.

The above side effect is rare at low doses of this medicine and when used for a short period of time.

If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:

  • shock
  • urine/fluid retention
  • vomiting blood or bleeding from the back passage
  • chest pain
  • shortness of breath
  • wheezing or difficulty breathing
  • swelling of the face, lips, tongue or other parts of the body
  • skin reddening, blisters, rash, itching or hives on the skin.

The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare at low doses of this medicine and when used for a short period of time.

Tell your pharmacist or doctor if you notice anything that is making you feel unwell.

Other side effects not listed above may also occur in some people.

After using SUDAFED® Sinus + Anti-inflammatory Pain Relief

Storage

Keep your medicine in the original pack until it is time to take.

Keep your medicine in a dark dry place where the temperature stays below 30°C.

Do not store SUDAFED® Sinus + Anti-inflammatory Pain Relief or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.

Keep your medicine where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Disposal

Ask your pharmacist what to do with any medicine that is left over, or if the expiry date has passed.

Product description

What it looks like

SUDAFED® Sinus + Anti-inflammatory Pain Relief caplets are white, capsule-shaped, film-coated tablets.

SUDAFED® Sinus + Anti-inflammatory Pain Relief caplets are available in blister packs of 24 caplets.

Ingredients

SUDAFED® Sinus + Anti-inflammatory Pain Relief caplets contain 30 mg of pseudoephedrine hydrochloride and 200 mg of ibuprofen as the active ingredients.

SUDAFED® Sinus + Anti-inflammatory Pain Relief caplets also contain the following inactive ingredients:

  • candelilla wax
  • microcrystalline cellulose
  • croscarmellose sodium
  • sodium lauryl sulfate
  • stearic acid
  • methyl hydroxybenzoate
  • propyl hydroxybenzoate
  • Opadry Aqueous Film Coating YS-1-7034 Clear UK
  • Opadry Aqueous Film Coating YS-1-7717 White UK.

This medicine does not contain lactose, sucrose, gluten, tartrazine or any other azo dyes.

Name and Address of Sponsor

Johnson & Johnson Pacific
45 Jones Street
Ultimo NSW 2007
Australia

SUDAFED is a registered trademark.

This leaflet was updated in April 2017.

Australian Register Number:
AUST R 80163

Published by MIMS October 2017

BRAND INFORMATION

Brand name

Sudafed Sinus + Anti-inflammatory Pain Relief Caplets

Active ingredient

Ibuprofen; Pseudoephedrine hydrochloride

Schedule

S3

 

1 Name of Medicine

Pseudoephedrine hydrochloride; ibuprofen.

2 Qualitative and Quantitative Composition

Sudafed Sinus + Anti-inflammatory Pain Relief caplets contain pseudoephedrine hydrochloride 30 mg and ibuprofen 200 mg.
Sudafed Sinus + Anti-inflammatory Pain Relief caplets also contain: methyl hydroxybenzoate, propyl hydroxybenzoate. For the full list of excipients, see Section 6.1 List of Excipients.

3 Pharmaceutical Form

Sudafed Sinus + Anti-inflammatory Pain Relief caplets are white, capsule-shaped, film-coated tablets.

4 Clinical Particulars

4.1 Therapeutic Indications

Sudafed Sinus + Anti-inflammatory Pain Relief provides relief of symptoms of sinus pain with sinus congestion occurring as a result of cold and flu, allergic rhinitis or sinusitis.

4.2 Dose and Method of Administration

The recommended dosage of Sudafed Sinus + Anti-inflammatory Pain Relief for adults and children over 12 years is 1 or 2 caplets with fluid every four to six hours when necessary. Do not exceed 6 caplets in 24 hours.
Sudafed Sinus + Anti-inflammatory Pain Relief should not be used for children under 12 years of age.
Sudafed Sinus + Anti-inflammatory Pain Relief should not be used for more than a few days at a time except on medical advice, in which case the patient should be reviewed regularly with regards to efficacy, risk factors and ongoing need for treatment. Excessive use can increase the risk of heart attack, stroke or liver damage.

4.3 Contraindications

Sudafed Sinus + Anti-inflammatory Pain Relief is contraindicated for use in patients:
with known hypersensitivity or idiosyncratic reaction to pseudoephedrine or ibuprofen (or any of the other ingredients in the product), other nonsteroidal anti-inflammatory drugs or other salicylates;
with severe hypertension or coronary artery disease;
taking monoamine oxidase inhibitors (MAOIs) or who have taken MAOIs within the previous 14 days;
known hypersensitivity to aspirin and other NSAIDs;
asthma that is aspirin or NSAID sensitive;
active gastrointestinal bleeding or peptic ulceration;
renal impairment;
heart failure;
severe liver impairment;
undergoing treatment of perioperative pain in setting of coronary artery bypass surgery (CABG);
right before or after heart surgery.
Use of ibuprofen is contraindicated during the third trimester of pregnancy.
Use of ibuprofen is contraindicated right before or after heart surgery.
Sudafed Sinus + Anti-inflammatory Pain Relief should not be taken with other products containing ibuprofen or with other anti-inflammatory medicines.
See Section 4.5 Interactions with Other Medicines and Other Forms of Interactions for additional information.

4.4 Special Warnings and Precautions for Use

Identified precautions.

Sudafed Sinus + Anti-inflammatory Pain Relief should be used with caution in patients with hypertension, hyperthyroidism or thyroid disease, diabetes mellitus, coronary heart disease, ischaemic heart disease, glaucoma, prostatic hypertrophy, previous history of gastrointestinal haemorrhage or ulcers, asthma who have not previously taken an NSAID, cardiac impairment or heart disease, fluid retention, alcohol dependence, pregnancy (see Section 4.6 Fertility, Pregnancy and Lactation, Use in pregnancy) and patients: taking a diuretic, taking anticoagulants, taking corticosteroids.
Due to the ibuprofen component, this medicine should be taken with caution when using other products containing aspirin and salicylates.
Ibuprofen may cause a severe allergic reaction, especially in patients allergic to aspirin. Symptoms include hives, facial swelling, asthma (wheezing), shock, skin reddening, rash or blisters with or without pyrexia or erythema. If any of these symptoms occur, patients should stop use and seek medical help right away.
Ibuprofen has very rarely been reported to cause Vanishing Bile Duct Syndrome. Patients should seek medical advice if they develop a sudden onset abdominal pain or chronic abdominal pain associated with loss of appetite and/or new onset itching.
Due to the pseudoephedrine component, this medicine should be discontinued and medical advice sought if sudden abdominal pain, rectal bleeding or other symptoms of ischaemic colitis develop.
If signs and symptoms such as formation of small pustules occur, with or without pyrexia or erythema, then treatment with this medicine should be discontinued and a physician should be consulted.
Ibuprofen treats fever and pain which sometimes can be signs of a serious underlying condition. If symptoms persist or get worse, or if new symptoms occur, patients should stop use and consult a physician.
See Section 4.5 Interactions with Other Medicines and Other Forms of Interactions for additional information.

Cardiovascular and cerebrovascular effects.

Observational studies have indicated that NSAIDs may be associated with an increased risk of serious cardiovascular events, including myocardial infarction, stroke and Kounis Syndrome, which may increase with dose or duration of use.
Patients with cardiovascular disease, history of atherosclerotic cardiovascular disease or cardiovascular risk factors may also be at greater risk.
Patients should be advised to remain alert for such cardiovascular events, even in the absence of previous cardiovascular symptoms. Patients should be informed about signs and/or symptoms of serious cardiovascular toxicity and the steps to take if they occur.
Fluid retention, hypertension and oedema have been reported in association with NSAID therapy. Patients taking antihypertensives with NSAIDs may have an impaired antihypertensive response.
Sudafed Sinus + Anti-inflammatory Pain Relief should be used with caution in patients with hypertension (see Section 4.3 Contraindications, heart failure).

Use in hepatic impairment.

Sudafed Sinus + Anti-inflammatory Pain Relief should be used with caution for patients with severe hepatic dysfunction or impairment.
As with other NSAIDs elevations of one or more liver function tests may occur in up to 15% of patients. These abnormalities may progress, may remain essentially unchanged, or may resolve with continued therapy. Meaningful elevations (three times the upper limit of normal) of ALT or AST occurred in controlled clinical trials in less than 1% of patients.
Patients should be advised to remain alert for hepatotoxicity and be informed about the signs and/or symptoms of hepatotoxicity (e.g. nausea, fatigue, lethargy, pruritus, jaundice, abdominal tenderness in the right upper quadrant and "flu-like" symptoms).

Use in renal impairment.

Sudafed Sinus + Anti-inflammatory Pain Relief should be used with caution for patients with severe kidney dysfunction or impairment.

Use in the elderly.

Ibuprofen should not be taken by adults over the age of 65 without careful consideration of co-morbidities and co-medications because of an increased risk of adverse effects, in particular, heart failure, gastro-intestinal ulceration and renal impairment (also see Section 4.3 Contraindications).

Paediatric use.

Sudafed Sinus + Anti-inflammatory Pain Relief should not be used for children under 12 years of age.

Effects on laboratory test.

No data available.

4.5 Interactions with Other Medicines and Other Forms of Interactions

The following interactions with pseudoephedrine have been noted:
Antidepressant medication, e.g. tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) - may cause a serious increase in blood pressure or hypertensive crisis.
Other sympathomimetic agents, such as decongestants, appetite suppressants and amphetamine-like psychostimulants - may cause an increase in blood pressure and additive effects.
Methyldopa and β-blockers - may cause an increase in blood pressure.
Urinary acidifiers enhance elimination of pseudoephedrine.
Urinary alkalinisers decrease elimination of pseudoephedrine.
The following interactions with ibuprofen have been noted:
Anticoagulants, including warfarin - ibuprofen interferes with the stability of INR and may increase risk of severe bleeding and sometimes fatal haemorrhage, especially from the gastrointestinal tract. Ibuprofen should only be used in patients taking warfarin if absolutely necessary and they must be closely monitored.
Ibuprofen may decrease the cardioprotective and antiplatelet activity of aspirin.
Ibuprofen may decrease renal clearance and increase plasma concentration of lithium.
Ibuprofen may reduce the antihypertensive effect of ACE inhibitors, beta-blockers and diuretics and may cause natriuresis and hyperkalemia in patients under these treatments.
Ibuprofen reduces methotrexate clearance.
Ibuprofen may increase plasma levels of cardiac glycoside.
Ibuprofen may increase the risk of gastrointestinal bleeding especially if taken with corticosteroids or with alcohol use.
Ibuprofen may prolong bleeding time in patients treated with zidovudine.
Alcohol use may increase the risk of gastrointestinal bleeding when taking drugs in the NSAID class, including ibuprofen. Therefore, caution should be taken when using ibuprofen with alcohol.
Ibuprofen may also interact with probenecid, antidiabetic medicines and phenytoin.

4.6 Fertility, Pregnancy and Lactation

Effects on fertility.

No data available.
(Category C)
Data from epidemiological studies suggest an increased risk of miscarriage after the use of a prostaglandin synthesis inhibitor in early pregnancy.
Pseudoephedrine has been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human foetus having been observed. Studies in animals are inadequate or may be lacking, but available data shows no evidence of an increased occurrence of foetal damage.
Ibuprofen inhibits prostaglandin synthesis and, when given during the latter part of pregnancy, may cause closure of the foetal ductus arteriosus, foetal renal impairment, inhibition of platelet aggregation and may delay labour and birth. Use of ibuprofen is thus contraindicated during the third trimester of pregnancy, including the last few days before expected birth.
Further, there is insufficient experience about the safety of use of ibuprofen in humans during pregnancy. Sudafed Sinus + Anti-inflammatory Pain Relief should therefore not be used during the first six months of pregnancy unless the potential benefits to the patient outweigh the possible risk to the foetus.
 Pseudoephedrine is secreted in breast milk in small amounts. It has been estimated that 0.5% to 0.7% of a single dose of pseudoephedrine ingested by the mother will be excreted in the breast milk over 24 hours. Therefore, it is not recommended for breastfeeding mothers unless the potential benefits to the patient are weighed against the possible risk to the infant.
Ibuprofen appears in breast milk in very low concentrations and is unlikely to affect the breast fed infant adversely.

4.7 Effects on Ability to Drive and Use Machines

It is not known if the combination of ibuprofen and pseudoephedrine has an effect on the ability to drive and use machines.

4.8 Adverse Effects (Undesirable Effects)

Children and the elderly are more likely to experience adverse effects than other age groups.

Clinical trial data.

The safety of the combination of ibuprofen and pseudoephedrine from clinical trial data is based on data from 4 double-blind placebo-controlled single dose randomized studies in the treatment of sinus headache.
Table 1 includes adverse events that occurred where greater than one event was reported, and the incidence was greater than placebo and in 1% of patients or more.

Post marketing data.

Adverse drug reactions identified during post-marketing experience with ibuprofen, pseudoephedrine and the combination of ibuprofen/ pseudoephedrine appear in Table 2. The frequency category was estimated from spontaneous reporting rates: Very common ≥ 1/10; Common ≥ 1/100 and < 1/10; Uncommon ≥ 1/1,000 and < 1/100; Rare ≥ 1/10,000 and < 1/1,000; Very rare < 1/10,000; Not known (cannot be estimated from the available data).

Reporting suspected adverse effects.

Reporting suspected adverse reactions after registration of the medicinal product is important. It allows continued monitoring of the benefit-risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions at: https://www.tga.gov.au/reporting-problems.

4.9 Overdose

Ibuprofen.

The toxicity of ibuprofen overdose is dependent upon the amount of drug ingested and the time elapsed since ingestion. Individual response may vary, and each case should be evaluated individually. Although uncommon, serious toxicity and death have been reported in association with acute ibuprofen overdose.
The most frequently reported symptoms of acute ibuprofen overdose include abdominal pain, nausea, vomiting, lethargy and drowsiness. Other central nervous system symptoms following acute overdose include headache, tinnitus, CNS depression and seizures. Metabolic acidosis, coma, acute renal failure, renal tubular acidosis, rhabdomyolysis, hypothermia, fulminant hepatic failure and apnea (primarily in very young children) may rarely occur, and are more common with severe overdoses of more than 400 mg/kg. Cardiovascular toxicity, including hypotension, bradycardia, tachycardia and atrial fibrillation, also have been reported. Onset of symptoms usually occurs within 4 hours.

Pseudoephedrine.

Overdosage may result in nausea, vomiting, sympathomimetic symptoms including central nervous system stimulation, insomnia, tremor, mydriasis, anxiety, agitation, hallucinations, seizures, palpitations, tachycardia, hypertension, and reflex bradycardia. Other effects may include dysrhythmias, hypertensive crisis, intracerebral hemorrhage, myocardial infarction, psychoses, rhabdomyolysis, hypokalemia, and ischemic bowel infarction. Drowsiness has been reported with overdose in children. In case of overdose, immediately contact the Poisons Information Centre (in Australia, call 13 11 26; in New Zealand call 0800 764 766) for advice.

5 Pharmacological Properties

5.1 Pharmacodynamic Properties

Mechanism of action.

Pseudoephedrine has direct and indirect sympathomimetic activity and is an effective decongestant in the upper respiratory tract. It is a stereoisomer of ephedrine and has a similar action, but has been found to have less pressor activity and fewer central nervous system (CNS) effects.
Sympathomimetic agents are used as nasal decongestants to provide symptomatic relief. They act by causing vasoconstriction resulting in redistribution of local blood flow to reduce oedema of the nasal mucosa, thus improving ventilation, drainage and nasal stuffiness.
Ibuprofen possesses analgesic, antipyretic and anti-inflammatory properties, similar to other non-steroidal anti-inflammatory drugs (NSAIDs). Its mechanism of action is unknown, but is thought to be through peripheral inhibition of cyclooxygenases and subsequent prostaglandin synthetase inhibition.

Clinical trials.

No data available.

5.2 Pharmacokinetic Properties

Pseudoephedrine is readily absorbed from the gastrointestinal tract. It is largely excreted unchanged in the urine together with small amounts of its hepatic metabolite. It has a half-life of about 5-8 hours; elimination is enhanced and half-life reduced accordingly in acid urine.
Ibuprofen is well absorbed from the gastrointestinal tract. It is highly bound (90-99%) to plasma proteins and is extensively metabolised to inactive compounds in the liver, mainly by glucuronidation. Both the inactive metabolites and a small amount of unchanged ibuprofen are excreted rapidly and completely by the kidney, with 95% of the administered dose eliminated in the urine within four hours of ingestion. The elimination half-life of ibuprofen is in the range of 1.9 to 2.2 hours.

5.3 Preclinical Safety Data

Genotoxicity.

No data available.

Carcinogenicity.

No data available.

6 Pharmaceutical Particulars

6.1 List of Excipients

Candelilla wax, microcrystalline cellulose, croscarmellose sodium, sodium lauryl sulfate, stearic acid, methyl hydroxybenzoate, propyl hydroxybenzoate, Opadry Aqueous Film Coating YS-1-7034 Clear UK, Opadry Aqueous Film Coating YS-1-7717 White UK.

6.2 Incompatibilities

Incompatibilities were either not assessed or not identified as part of the registration of this medicine.

6.3 Shelf Life

2 years.

6.4 Special Precautions for Storage

Store below 25°C. Keep in a dry dark place.

6.5 Nature and Contents of Container

Sudafed Sinus + Anti-inflammatory Pain Relief caplets are available in blister packs of Alu/PVC/PVDC in the following sizes: 4 caplets; 12 caplets; 24 caplets.

6.6 Special Precautions for Disposal

In Australia, any unused medicine or waste material should be disposed of by taking to your local pharmacy.

6.7 Physicochemical Properties

Chemical structure.

Pseudoephedrine hydrochloride:

CAS number.

CAS Registry Number: 345-78-8.
Ibuprofen:

CAS number.

CAS Registry Number: 15687-27-1.

7 Medicine Schedule (Poisons Standard)

Pharmacist Only Medicine (Schedule 3).

Summary Table of Changes