Antenatal monitoring for oligohydramnios and ductus arteriosus constriction should be considered after exposure to Nuromol Dual Action for several days from gestational week 20 onward.

Adverse events which have been associated with Ibuprofen alone or Paracetamol alone are given below, tabulated by system organ class and frequency.Symptoms may be limited to nausea or vomiting and may not reflect the severity of overdose or the risk of organ damage. overdose Paracetamol can cause acute hepatic failure, hepatic failure, hepatic necrosis and liver injury (see section 4. When this product was taken with food peak ibuprofen plasma levels were lower and delayed by a median of 25 minutes, but overall extent of absorption was equivalent. Some pharmacodynamic studies show that when single doses of ibuprofen 400 mg was taken within 8 h before or within 30 min after immediate release acetylsalicylic acid dosing (81 mg), a decreased effect of acetylsalicylic acid on the formation of thromboxane or platelet aggregation occurred. Nuromol Dual Action starts working faster than Ibuprofen and last longer than Paracetamol alone providing up to 9 hours of pain relief.

Care is advised in the administration of Paracetamol to patients with severe renal or severe hepatic impairment. Adults over 18 years old and elderly: take 1 tablet (or 2 if required), up to 3 times daily with food. If required the patient should be given intravenous-N-acetylcysteine, in line with the established dosage schedule. include agranulocytosis, anaemia, aplastic anaemia, haemolytic anaemia leucopenia, neutropenia, pancytopenia and thrombocytopenia. In relation to taking paracetamol and ibuprofen in combination, there is no evidence to suggest that this will potentiate the toxic effects of paracetamol and there is a lower rate of reported adverse events with the combination compared with the individual actives alone.Dual action pain relief for pain which requires a stronger analgesic than ibuprofen or paracetamol alone. Immediate medical advice should be sought in the event of an overdose, even if the patient feels well, because of the risk of delayed, serious liver damage. Film Coating: Polyvinyl Alcohol, Titanium Dioxide, Talc, Macrogol, Potassium Aluminium Silicate (E 555), Polysorbate. In concomitant use with other NSAID containing products, including cyclo-oxygenase-2 (COX-2) specific inhibitors and doses of acetylsalicylic acid above 75 mg daily – increased risk of adverse reactions (see Section 4.