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Ibuprofen 400 mg Rectal Suppository

The Ibuprofen 400 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release the active medication, ibuprofen, for both local and systemic absorption. This formulation is specifically used to treat a variety of disease states, including pain, inflammation, and fever. It provides an alternative route of administration for patients who may have difficulty swallowing oral medications or for those who require immediate onset of pain relief. The rectal administration can be particularly useful in managing conditions such as arthritis, dysmenorrhea, and other musculoskeletal disorders.

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Formula Information

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The Ibuprofen 400 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release the active medication, ibuprofen, for local or systemic absorption. This route of administration can be particularly beneficial for patients who may have difficulty swallowing oral medications or for those who require rapid onset of action. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances in the body that cause inflammation, pain, and fever.

Ibuprofen suppositories are used to treat various disease states characterized by pain and inflammation. These include conditions such as arthritis, where the anti-inflammatory properties of ibuprofen can help reduce joint swelling and alleviate pain. They are also effective in managing mild to moderate pain from various causes, including headaches, muscle aches, and menstrual cramps. Additionally, ibuprofen suppositories can be used to reduce fever. The rectal administration of ibuprofen may offer advantages in situations where oral administration is compromised, such as post-operative care or during episodes of nausea and vomiting.

When using Ibuprofen 400 mg Rectal Suppositories, it is important for both patients and prescribers to be aware of potential side effects, which can include gastrointestinal disturbances, allergic reactions, and an increased risk of cardiovascular events or renal impairment with long-term use. As with all NSAIDs, careful consideration should be given to the patient's overall health status, including any pre-existing conditions or concurrent medications that may interact with ibuprofen.

For optimal therapeutic outcomes, the suppositories should be stored properly and used according to the prescribed dosage and frequency. Patients should be instructed on the correct method of insertion to ensure the suppository is placed beyond the anal sphincter, which will help in proper dissolution and absorption of the medication. It is also important to maintain good hygiene practices to prevent the introduction of pathogens into the rectal area.

If you have any questions or require further information about the Ibuprofen 400 mg Rectal Suppository formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and effective use of this medication.

Drug Interactions

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Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances that mediate inflammation and pain. When formulated as a 400 mg rectal suppository, ibuprofen provides systemic absorption through the rectal mucosa, which can be beneficial for patients who may have difficulty swallowing oral medications or for those who require medication to bypass the gastrointestinal tract due to vomiting or other conditions.

Despite the different route of administration, ibuprofen rectal suppositories can still interact with other medications and substances. It is important to consider potential drug interactions to avoid adverse effects or reduced efficacy of treatment. Ibuprofen should be used with caution in combination with other NSAIDs, including aspirin, as this may increase the risk of gastrointestinal bleeding or ulcers. Concurrent use with anticoagulants such as warfarin or heparin can also increase the risk of bleeding. Patients taking antihypertensive medications, including ACE inhibitors, diuretics, and beta-blockers, should be monitored as ibuprofen can reduce the efficacy of these drugs.

Additionally, ibuprofen may interact with selective serotonin reuptake inhibitors (SSRIs), increasing the risk of gastrointestinal bleeding. Care should be taken when used with methotrexate or lithium, as ibuprofen can increase the plasma levels of these drugs, potentially leading to toxicity. Patients on cyclosporine or tacrolimus may have an increased risk of nephrotoxicity when taking ibuprofen. Use with corticosteroids can exacerbate the risk of gastrointestinal side effects. Furthermore, ibuprofen can attenuate the effects of diuretics and antihypertensive agents, and may interact with digoxin, leading to increased digoxin levels.

Patients with a history of cardiac conditions should be aware that ibuprofen, like other NSAIDs, can potentially lead to an increased risk of thrombotic events, such as heart attack and stroke, especially with long-term use. Ibuprofen should be used with caution in patients with renal or hepatic impairment, as these conditions can alter drug metabolism and excretion, leading to increased risk of adverse effects.

It is essential for patients and prescribers to review all current medications, including over-the-counter drugs and herbal supplements, before starting treatment with ibuprofen rectal suppositories. Adjustments to therapy or additional monitoring may be necessary to safely use this medication. If you have any questions or concerns regarding potential drug interactions with ibuprofen rectal suppositories, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Ibuprofen 400 mg Rectal Suppository is a solid dosage form designed to be inserted into the rectum, where it dissolves or melts at body temperature. Upon administration, the suppository base, typically made from substances like cocoa butter or a synthetic substitute, begins to melt due to the warmth of the body, allowing the active ingredient, ibuprofen, to be released.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, chemicals in the body responsible for pain, fever, and inflammation. It does this by blocking the activity of an enzyme called cyclooxygenase (COX), which is necessary for prostaglandin synthesis. By reducing the levels of prostaglandins, ibuprofen effectively decreases inflammation and pain.

When administered rectally as a suppository, ibuprofen can provide several advantages, especially for patients who may have difficulty swallowing oral medications or for those who are experiencing nausea and vomiting. The rectal route can also be beneficial when a rapid onset of action is desired or when medications are likely to be destroyed by the acidic environment of the stomach or inactivated by the liver when taken orally (first-pass metabolism).

The Ibuprofen 400 mg Rectal Suppository is used to treat various disease states characterized by pain and inflammation. These include conditions such as arthritis, where joint inflammation causes pain and stiffness; dysmenorrhea, which is painful menstruation; and other acute pain situations like post-operative pain or injury. By providing ibuprofen via the rectal route, the medication can be absorbed directly into the bloodstream, bypassing the gastrointestinal tract, which can lead to a reduction in gastrointestinal side effects commonly associated with oral NSAIDs.

It is important for both patients and prescribers to understand that while the rectal administration of ibuprofen can offer a more favorable pharmacokinetic profile for some individuals, it is essential to use the suppository as directed to ensure proper dosing and effectiveness. Additionally, patients should be aware of the potential side effects of NSAIDs, including an increased risk of bleeding, ulcers, and kidney or liver problems, and should discuss any concerns with their healthcare provider.

If you have any questions about the Ibuprofen 400 mg Rectal Suppository or its use in treating specific conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage pain and inflammation with this formulation.

Other Uses

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The ibuprofen 400 mg rectal suppository is primarily indicated for the relief of pain and reduction of fever. While these are the common uses associated with this medication, ibuprofen as an active ingredient has anti-inflammatory properties which make it useful for a variety of other conditions. For example, this formulation could be particularly beneficial for individuals who experience difficulty swallowing oral medications or for patients with nausea or vomiting, where oral administration is not practical.

Additionally, the rectal route can be beneficial in situations where a quick onset of action is desirable, such as in acute flare-ups of chronic inflammatory conditions like ankylosing spondylitis or rheumatoid arthritis. The suppository can bypass the gastrointestinal system, providing pain relief without the associated gastric irritation that can occur with oral ibuprofen, making it a suitable alternative for individuals with a history of gastritis, ulcers, or other GI conditions aggravated by NSAID use.

It's also worth noting that the rectal administration of ibuprofen can achieve sustained plasma concentration levels, which might be advantageous for chronic pain management. This can provide a steadier state of analgesia for conditions that require longer-term management of pain and inflammation. For dysmenorrhea, ibuprofen suppositories can offer localized relief without the systemic side effects.

For pediatric or geriatric patients who may have difficulty with oral dosing, this formulation can provide a more comfortable and manageable option. These suppositories are also an alternative in postoperative settings, especially where patients might not be fully conscious or have compromised oral intake.

In all cases, it is important to consider the individual patient's needs, contraindications, and potential interactions with other medications. As with any medication, use of the ibuprofen rectal suppository should be under the guidance of a healthcare professional who can monitor for effectiveness and any adverse effects. If there are any questions regarding the use of ibuprofen 400 mg rectal suppositories for indications beyond pain and fever reduction, or for guidance on potential benefits for specific patient circumstances, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is an Ibuprofen 400 mg Rectal Suppository?

An Ibuprofen 400 mg Rectal Suppository is a solid dosage form designed to be inserted into the rectum, where it dissolves or melts to release the medication ibuprofen for relief of pain, inflammation, or fever, either locally or systemically throughout the body.

How does this suppository work?

Once inserted into the rectum, the suppository begins to dissolve or melt due to body heat. This process releases the ibuprofen, which is then absorbed by the rectal mucosa into the bloodstream, providing the intended therapeutic effects.

Who can use Ibuprofen Rectal Suppositories?

Ibuprofen Rectal Suppositories are generally used by individuals who may have difficulty swallowing oral medications, such as children, elderly patients, or those with nausea or vomiting, as well as others who require an alternative route for drug administration.

How do you properly insert an Ibuprofen Rectal Suppository?

To insert the suppository, wash your hands thoroughly. Lie on your side with your lower leg straightened out and your upper leg bent forward. Gently but firmly push the suppository, tapered end first, into the rectum so it is far enough to be retained. Remain lying down for a few minutes to ensure retention of the suppository.

How often should I use Ibuprofen Rectal Suppositories?

The frequency of use should be directed by your healthcare provider, but it is typically taken every 6 to 8 hours as needed. Do not exceed the recommended dose without consulting a doctor.

Can I use this suppository if I am pregnant or breastfeeding?

Pregnant or breastfeeding women should only use ibuprofen under the guidance of a healthcare professional, as it can potentially affect the fetus or infant.

Are there any side effects of Ibuprofen Rectal Suppositories?

As with any medication, ibuprofen can cause side effects. These may include rectal irritation, abdominal pain, diarrhea, and other gastrointestinal disturbances. If you notice any severe or persistent side effects, contact a healthcare provider immediately.

Can Ibuprofen Rectal Suppositories be used with other medications?

As ibuprofen can interact with other medications, leading to increased risk of side effects or reduced effectiveness, you should always consult with a healthcare provider before combining it with other drugs.

How should I store Ibuprofen Rectal Suppositories?

Store them at room temperature, away from moisture and heat. Keep them in their original packaging until it is time to use them, and keep them out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, insert the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double up on the suppository to make up for a missed dose.

Can children use Ibuprofen Rectal Suppositories?

Children can use Ibuprofen Rectal Suppositories, but the dose may need to be adjusted for their age and weight. Always consult a pediatrician before administering any medication to a child.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.