World
NHS Issues Urgent Warning About Ibuprofen and Supplements

Millions of people using ibuprofen for pain relief are being urged by the NHS to avoid combining the medication with a specific natural supplement. The warning highlights ginkgo biloba as a substance that significantly increases the risk of bleeding when taken alongside ibuprofen. This reminder coincides with the widespread use of ibuprofen, which is available over the counter in many supermarkets and pharmacies across the UK, although stronger formulations require a doctor’s prescription.
Ibuprofen is commonly used to alleviate pain and inflammation associated with a variety of conditions, including back pain, period pain, toothaches, and symptoms related to colds, flu, or COVID-19. According to the NHS website, users typically take between three to four doses daily in various forms such as tablets, capsules, or granules mixed with liquid. The duration of ibuprofen’s effectiveness in the body depends on the dosage, with clear instructions provided on the packaging.
Guidelines and Recommendations
The NHS recommends taking ibuprofen with food or a drink of milk to minimize stomach upset, noting that taking the medication just after meals may delay its onset of action. For temporary pain, such as toothaches or menstrual discomfort, it may only be necessary to use ibuprofen for one or two days. However, individuals with chronic health conditions might need to use it for longer periods.
While ibuprofen can be safely combined with paracetamol or codeine, it is essential to avoid using it with other non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin or naproxen without consulting a healthcare professional. Mixing these medications can heighten the risk of gastrointestinal side effects, such as stomach pain.
The NHS reassures users that they can maintain their regular eating and drinking habits while using ibuprofen. Nonetheless, excessive alcohol consumption should be avoided, as it may lead to stomach irritation.
Warning About Ginkgo Biloba
A crucial warning has been issued regarding the use of ginkgo biloba with ibuprofen. The NHS states: “It’s best not to take ginkgo biloba with ibuprofen as it can increase the chance of bleeding.” This herbal supplement is often marketed for its potential to enhance brain function and improve blood circulation, but both ginkgo biloba and ibuprofen can inhibit blood clotting. This combined effect poses a risk of serious harm in the event of an injury.
Common side effects of ibuprofen may affect approximately one in 100 users, including symptoms such as stomach pain, nausea, and dizziness. In rare cases, users may experience more serious reactions, including anaphylaxis, a severe allergic response. The NHS advises anyone experiencing these serious side effects to discontinue use immediately and seek medical assistance by contacting a healthcare provider or calling 111.
Patients are encouraged to report any suspected side effects through the Yellow Card safety scheme, which helps monitor the safety of medications in the UK. This proactive approach ensures that healthcare authorities can maintain oversight on the medications that millions rely on for pain management.
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