I was looking for an answer to my suspicion that advil has been causing my vertigo when I came across your question...my vertigo started about a year ago now and I have been trying to figure out if there is a common variable for each episode...what I have come up with is that each time I experienced vertigo I was taking advil . Like you, I also had alot of pain in my neck and shoulders and I was using advil alot just to get through the day. My vertigo let up when I started going to massage therapy to help with the kinks in my neck and shoulders...I had no more pain, stopped taking advil, and stopped having vertigo. I'm wondering now if it is related to the pain in my neck and shoulders or the advil? But when I first started having vertigo I was taking advil everyday for about 10 days because I had started taking a prescription of which a side effect was headaches.The experienced frightened me and I stop taking the medication (ranidine150-for stomach acid) and the headaches stopped. I was taking alot of advil at the time. I can't remember if I had sore neck and shoulders and so I can't rule that out. I've had my ears checked, eyes checked, and a CAT scan as well and all these have come back perfect.
I found this information on advil (Ibuprofen) and if you read where it says "adverse reactions" you will see vertigo on the list of CNS.
Ibuprofen
(eye-BYOO-pro-fen)
Trade Name(s):
# Advil Tablets
200 mg
# Advil Liqui-Gels Capsules
200 mg
# Advil Migraine Capsules
200 mg
# Children's Advil Tablets, chewable
# 50 mg Suspension
100 mg/5 mL
# Children's Motrin Tablets, chewable
# 50 mg Suspension
100 mg/5 mL
# Genpril Tablets
200 mg
# Haltran Tablets
200 mg
# Infant's Motrin Oral drops
40 mg/mL
# Junior Strength Advil Tablets, chewable
100 mg
# Junior Strength Motrin Tablets
# 100 mgTablets, chewable
100 mg
# Menadol Tablets
200 mg
# Midol Maximum Strength Cramp Formula Tablets
200 mg
# Motrin Tablets
# 400 mgTablets
# 600 mgTablets
800 mg
# Motrin IB Tablets
200 mg
# Motrin Migraine Pain Tablets
200 mg
# Nuprin Tablets
200 mg
# PediaCare Fever Suspension
# 100 mg/5 mL Oral drops
40 mg/mL
# Pediatric Advil Drops Suspension
100 mg/2.5 mL
Actiprofen
Alti-Ibuprofen
Apo-Ibuprofen
Novo-Profen
Nu-Ibuprofen
Indicates Canadian trade names.
Class: Analgesic NSAID
Action:
Decreases inflammation, pain, and fever, probably through inhibition of cyclooxygenase activity and prostaglandin synthesis.
Indications:
Relief of symptoms of rheumatoid arthritis, osteoarthritis, mild-to-moderate pain, primary dysmenorrhea, reduction of fever. Unlabeled use(s):Symptomatic treatment of juvenile rheumatoid arthritis, sunburn, resistant acne vulgaris.
Contraindications:
Hypersensitivity to aspirin, iodides, or any other NSAID.
Route/Dosage:
Rheumatoid Arthritis and Osteoarthritis
Adults:
PO 300 to 800 mg tid to qid, not to exceed 3.2 g/day.
Mild-to-Moderate Pain
Adults:
PO 400 mg q 4 to 6 hr prn.
Primary Dysmenorrhea
Adults:
PO 400 mg q 4 hr prn.
Juvenile Arthritis
Children:
PO 30 to 40 mg/kg/day in 3 to 4 divided doses.
Fever Reduction
Children 1 to 12 yr: 39.2°C (102.5°F) recommended dose
PO 5 mg/kg; > 39.2°C (102.5°F) recommended dose
PO 10 mg/kg; max daily dose 40 mg/kg.
OTC Use (Minor Aches/Pains, Dysmenorrhea, Fever Reduction)
PO 200 mg q 4 to 6 hr. Do not exceed 1.2 g in 24 hr or take for pain for > 10 days or for fever for > 3 days, unless directed by health care provider. Use smallest effective dose.
Interactions:
Beta-blockers: Antihypertensive effect may be decreased.
Digoxin: Ibuprofen may increase digoxin serum levels.
Lithium: May increase lithium levels.
Loop diuretics: Diuretic effects may be decreased.
Methotrexate: May increase methotrexate levels.
Warfarin: May increase risk of gastric erosion and bleeding.
Lab Test Interferences:
None well documented.
Adverse Reactions:
CV:
Peripheral edema; water retention; worsening or precipitation of CHF.
CNS:
Dizziness; lightheadedness; drowsiness; vertigo; headaches; aseptic meningitis.
DERM:
Rash; pruritus; erythema.
EENT:
Visual disturbances; photophobia; tinnitus.
GI:
Gastric distress; occult blood loss; diarrhea; vomiting; nausea; heartburn; dyspepsia; anorexia; constipation; abdominal distress/cramps/pain; flatulence; indigestion; GI tract fullness.
GU:
Menometrorrhagia; hematuria; cystitis; acute renal insufficiency; interstitial nephritis; hyperkalemia; hyponatremia; renal papillary necrosis.
OTHER:
Muscle cramps.
Precautions:
Pregnancy: Undetermined.
Lactation: Undetermined.
Children: Safety and efficacy not established.
Elderly: Increased risk of adverse reactions.
GI effects: Serious GI toxicity (eg, bleeding, ulceration, perforation) can occur at any time, with or without warning symptoms.
Renal effects: Increased risk of dysfunction in patients with preexisting renal disease.
Patient Care Considerations
Administration/Storage:
* Give medication soon after meals or with food, milk, or antacids to minimize GI irritation.
Assessment/Interventions:
* Obtain complete patient history, including drug history and any known allergies.
* Notify health care provider if visual changes or indications of GI distress or liver or renal impairment occur.
* Monitor patient's following cardiac status: BP, pulse (eg, quality and rhythm), edema, tachycardia, palpitations.
* Assess renal function before and during therapy. Monitor serum creatinine, Ccr, and BUN in patients with renal impairment.
* Document any changes in liver function (AST, ALT), eye examinations, and Hgb and Hct in patients on long-term therapy.
* Notify health care provider if indigestion, epigastric pain, unusual bleeding or bruising, or dark tarry stools occur.
OVERDOSAGE: SIGNS & SYMPTOMS
Drowsiness, lethargy, GI irritation/bleeding, nausea, vomiting, tinnitus, sweating, acute renal failure, epigastric pain, metabolic acidosis
Patient/Family Education:
* Tell patient to take medication soon after meals or with food, milk, or antacids.
* Tell patient to avoid alcohol and medications containing aspirin, such as cold remedies.
* Advise patient to discontinue drug and notify health care provider if any of the following occur: persistent GI upset or headache, skin rash, itching, visual disturbances, black stools, weight gain or edema, changes in urine pattern, joint pain, fever, blood in urine.
* Instruct patient not to take otc preparation for > 3 days for fever and > 10 days for pain and to notify health care provider if condition does not improve.
* Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness.
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