Ibuprofen and paracetamol can be safely taken together, though this combination is not recommended for long-term use in chronic pain. This particular combination is sometimes used as an alternative to opioid-based painkillers, such as codeine, for the management of short-term moderate pain.
The potential risk of using them both together is that you will get confused with how much you have given and then give your child too much. Remember that: Paracetamol can be given every 4-6 hours - MAXIMUM FOUR DOSES IN 24 HOURS. Ibuprofen can be given every 6-8 hours - MAXIMUM THREE DOSES IN 24 HOURS.
The primary difference is that ibuprofen is a non-steroidal anti-inflammatory drug (NSAID), meaning that it treats inflammation. Paracetamol does not. For example, paracetamol can be taken to treat the pain of arthritis, but it will not treat the inflammation which is causing the pain.
Because ibuprofen has a strong anti-inflammatory effect, it is more effective than paracetamol at controlling certain types of pain, including rheumatoid arthritis, period pain, and muscular injuries.
It does not possess anti- inflammatory activity. It provides relief from mild to moderate pain and fever. The combination of immediate release and sustained release paracetamol provides pain relief, which may last up to 8 hours.
Panadol Osteo is a bi-layer tablet incorporating an immediate release and a sustained release dose to help manage osteoarthritis pain. It can provide long-lasting relief from persistent pain. Panadol Osteo can be a convenient choice, containing a higher dose of paracetamol than regular Panadol tablets.
Do not take this medicine if you are taking other prescription or non- prescription medicines containing paracetamol to treat pain, fever, symptoms of cold and flu, or to aid sleep. Always read and follow the label.
Can I Use Panadol with other Paracetamol-based Medicines? No, it is not recommended that you take Panadol with any other medicines that contain paracetamol. You should always consult your doctor before taking Panadol if you regularly drink alcohol.
Do not use for more than a few days at a time unless your doctor tells you to. Do not take more than the recommended dose unless your doctor tells you to. Do not use PANADOL OSTEO to treat any other complaints unless your pharmacist or doctor tells you to.
Safety of paracetamol/ibuprofen combinations
However, one study of 13 weeks found use of combined paracetamol/ibuprofen may increase the risk of bleeding over and above that associated with the individual drugs, suggesting caution should apply to long-term use.
Paracetamol and ibuprofen can be given together, but you can stagger them so that every few hours, if needed, the child can have some medication. For example, you can give paracetamol at 8am, ibuprofen at 11am and paracetamol again at 2pm (i.e. six hours after the first dose of paracetamol).
You should start to feel better 20 to 30 minutes after taking ibuprofen tablets, capsules, granules or liquid.
Ibuprofen for adults (Nurofen)
Other brand names: Brufen, Calprofen, Fenbid, Ibugel, Ibuleve. Find out how ibuprofen treats pain and swelling (inflammation), and how to take it.
Unless a doctor instructs otherwise, a person should not take ibuprofen for longer than 10 days in a row.
Specifically, drugs that slow down breathing rate, such as opioids, alcohol, antihistamines, CNS depressants, or general anesthetics, should not be taken together because these combinations increase the risk of life-threatening respiratory depression.
Panadol Osteo, however, is specifically designed to treat persistent pain associated with osteoarthritis, as well as muscular aches and pains. It contains a higher dosage of Panadol's active ingredient – paracetamol – with 665mg. Regular Panadol contains 500mg of paracetamol, by comparison.
Paracetamol provides relief of pain and high temperatures within 30 minutes of taking a dose.
Regular Panadol Osteo – This is the same as regular Panadol (Paracetamol) however the dose per tablet is slightly higher. This means that you should only take up to a maximum of 6 tablets per day rather than the usual 8 for Panadol.
In general, acetaminophen (the active ingredient contained in Panadol Osteo) is well-tolerated when administered in therapeutic doses. The most commonly reported adverse reactions have included nausea, vomiting, constipation. Injection site pain and injection site reaction have been reported with the IV product.
Taking paracetamol with other painkillers
It's safe to take paracetamol with other types of painkiller that do not contain paracetamol, such as ibuprofen, aspirin or codeine. Do not take paracetamol alongside other medicines that contain paracetamol.
Ibuprofen is used in a very similar way to paracetamol; it treats pain but can also be used to treat fever. The main difference is that ibuprofen reduces inflammation.
Conclusion: The IPSO study shows that for the treatment of osteoarthritic pain, ibuprofen 400 mg at a single and multiple dose (1200 mg/day) for 14 days is more effective than paracetamol, either as a single dose of 1000 mg or a multiple dose (3000 mg/day).
Nonsteroidal Anti-Inflammatory Drugs
NSAIDs are the most effective oral medicines for OA. They include ibuprofen (Motrin, Advil) naproxen (Aleve) and diclofenac (Voltaren, others). All work by blocking enzymes that cause pain and swelling.
No interactions were found between Panadol and Panamax. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.