Drug Notebook

FDA Alerts

    Cardiovascular Risk
  • Possible increased risk of serious (sometimes fatal) cardiovascular thrombotic events (e.g., MI, stroke). Risk may increase with duration of use. Individuals with cardiovascular disease or risk factors for cardiovascular disease may be at increased risk. (See Cardiovascular Effects under Cautions.)
  • Contraindicated for the treatment of pain in the setting of CABG surgery.
    GI Risk
  • Increased risk of serious (sometimes fatal) GI events (e.g., bleeding, ulceration, perforation of the stomach or intestine). Serious GI events can occur at any time and may not be preceded by warning signs and symptoms. Geriatric individuals are at greater risk for serious GI events. (See GI Effects under Cautions.)

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flurbiprofen
(flure BI proe fen)

What is flurbiprofen?
Flurbiprofen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Flurbiprofen works by reducing hormones that cause inflammation and pain in the body. Flurbiprofen is used to treat pain or inflammation caused by arthritis. Flurbiprofen may also be used for purposes other than those listed in this medication guide.

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What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.

Ansaid 100MG Tablets PFIZER U.S.60/$156.79 or 180/$443.63
Flurbiprofen 100MG Tablets TEVA PHARMACEUTICALS USA60/$21.99 or 180/$52.99
Flurbiprofen 50MG Tablets MYLAN60/$18.99 or 180/$51.97

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What are the possible side effects of flurbiprofen?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking flurbiprofen and seek medical attention or call your doctor at once if you have any of these serious side effects:

  • chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;

  • black, bloody, or tarry stools, coughing up blood or vomit that looks like coffee grounds;

  • urinating less than usual or not at all;

  • pain, burning, or bleeding when you urinate;

  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

  • fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or

  • bruising, severe tingling, numbness, pain, muscle weakness.

Keep taking flurbiprofen and talk to your doctor if you have any of these less serious side effects:

  • upset stomach, mild heartburn or stomach pain, diarrhea, constipation; bloating, gas;

  • dizziness, headache, nervousness;

  • skin itching or rash;

  • dry mouth;

  • increased sweating, runny nose;

  • blurred vision; or

  • ringing in your ears.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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How should I take flurbiprofen?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. The maximum amount of flurbiprofen for adults is 400 milligrams (mg) per day. Know the amount of flurbiprofen in the specific product you are taking. If you take flurbiprofen for a long period of time, your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor.

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What is the most important information I should know about flurbiprofen?
This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking flurbiprofen. Older adults may have an even greater risk of these serious gastrointestinal side effects.

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What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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What other drugs will affect flurbiprofen?
Before taking flurbiprofen, tell your doctor if you are taking any of the following drugs: a blood thinner such as warfarin (Coumadin; a diuretic (water pill) such as furosemide (Lasix); cyclosporine (Gengraf, Neoral, Sandimmune); lithium (Eskalith, Lithobid); methotrexate (Rheumatrex, Trexall); steroids (prednisone and others); aspirin or NSAIDs (non-steroidal anti-inflammatory drugs) such as diclofenac (Voltaren), etodolac (Lodine), fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), naproxen (Aleve, Naprosyn), piroxicam (Feldene), and others;

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Can I take this if I am pregnant or trying to get pregnant or if I am breastfeeding?

Flurbiprofen has been assigned to pregnancy category B by the FDA. Animal studies have failed to reveal evidence of teratogenicity. There are no controlled data in human pregnancy. Use late in pregnancy may result in premature closure of the ductus arteriosus and prolong labor and delivery. Flurbiprofen is only recommended for use during pregnancy when benefit outweighs risk. Flurbiprofen should be avoided near term.

Flurbiprofen is excreted into human milk in small amounts. While the manufacturer recommends avoidance of flurbiprofen during lactation, other authors have concluded that flurbiprofen is safe during lactation.

Peak flurbiprofen concentrations in milk averaged 0.09 mcg/mL in ten women at least one month postpartum following oral administration of flurbiprofen 100 mg. The mean milk to plasma ratio was 0.02. The maximum recovery of the dose in breast milk averaged 0.07%. A more recent study found similar results in 12 women, three to five days postpartum, who received flurbiprofen 50 mg four times a day for nine doses. Milk concentrations were below the level of detection (<0.05 mcg/mL) in 10 of 12 women. In the other two women, milk concentrations ranged from 0.06 to 0.07 mcg/mL. The authors concluded that flurbiprofen is safe during lactation in the early postpartum period.

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Who should NOT use this medication?

  • Known hypersensitivity to flurbiprofen or any ingredient in the formulation.
  • History of asthma, urticaria, or other sensitivity reaction precipitated by aspirin or other NSAIAs.
  • Treatment of perioperative pain in the setting of CABG surgery.

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What does my medication look like?
Flurbiprofen is available with a prescription under the brand name Ansaid. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you. Ansaid 50 mg--oval, white, film-coated tablets Ansaid 100 mg--oval, blue, film-coated tablets

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What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a flurbiprofen overdose may include nausea, vomiting, stomach pain, dizziness, drowsiness, black or bloody stools, coughing up blood, urinating less than usual or not at all, shallow breathing, fainting, or coma.

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What should I discuss with my healthcare provider before taking flurbiprofen?
Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects.

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Can I stop taking the medication if I feel better?
If you are taking an analgesic for pain and you are no longer experiencing the pain you may stop using the medication. In general, pain medications are to be used on an as needed basis.

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I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.

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Where can I get more information?
More Information

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