How Long Can You Use Over The Counter Ibuprofen For?

It is not recommended to use over the counter ibuprofen for more than 10 consecutive days unless directed by your doctor.

Question

I had a tooth extracted on Monday and have been taking OTC ibuprofren (200 mg) every 4 hrs. This seems to help greatly with the pain. Can I take this much for a few days until the healing gets better?

Asked by Judi On Nov 07, 2018

Answered by
Medical Content Reviewed By PharmacistAnswers Staff

On Nov 08, 2018
Ibuprofen Gels

Overview

As a general rule of thumb, over the counter ibuprofen should be used at the lowest effective dose for the shortest possible duration to reduce the risk of adverse effects.


Labeling for over the counter ibuprofen products recommend:

  • A maximum dose of 1,200 mg per day (six 200 mg tablets).
  • maximum 10 days of therapy, unless directed by a clinician.


About Ibuprofen

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). It belongs to the propionic acid chemical class of NSAIDs. It is available generically and in several brand name products (e.g. Advil, Motrin).


Ibuprofen is utilized for many purposes, including for:

  • Dental pain
  • Fever
  • Headaches or migraines
  • Osteoarthritis (OA)
  • Rheumatoid arthritis (RA)
  • Menstrual pains
  • Minor aches and pains


While effective, extended or chronic use of ibuprofen can result in a variety of side effects, including:

  • Gastritis
  • Ulceration
  • GI bleeding


In fact, all NSAIDs carry an increased risk of serious gastrointestinal adverse effects including:

  • Bleeding
  • Ulceration
  • Perforation of the stomach or intestines
  • Increased risk of serious cardiovascular (CV) events (e.g. heart attack and stroke)


Prolonged use of ibuprofen can increase the risk of these adverse effects.


Due to the risks of ibuprofen use, it is important to use cautiously if you:

  • Have a history of or active GI disease (e.g. peptic ulcer disease or GI bleeding).
  • Are on concomitant oral corticosteroid therapy.
  • Are on concomitant anticoagulant, anti-platelet or anti-hypertensive therapy (including low-dose aspirin).
  • Are on chemotherapy.
  • Are a tobacco user or are an alcoholic.
  • Have a history of ulcerative colitis, or Crohn's disease.
  • Have been diagnosed with renal failure.
  • Have been diagnosed with heart disease.


Ibuprofen, while available over the counter as 200 mg tablets, is also available in higher, prescription only strengths:

  • 400 mg
  • 600 mg
  • 800 mg


Ibuprofen Limits

If you are prescribed ibuprofen, it may be for longer than 10 days. However, 10 days of continuous use is the limit for over the counter use. A longer duration of therapy should only be at the direction of your doctor.


Additionally, the maximum daily dose for over the counter ibuprofen use is 1,200 mg. For prescription use, the maximum daily dose is 3,200 mg per day.


Additional Info

Additional information regarding ibuprofen can be found here:

About the Pharmacist

Dr. Brian Staiger Pharm.D

Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of PharmacistAnswers.com. He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. Please feel free to reach out to him directly if you have any inquiries or want to connect! He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Brian.Staiger@PharmacistAnswers.com Office: 716-389-3076

Recent Questions