Ibuprofen, Menthol

Indications

Ibuprofen, Menthol is used for: IBUPROFEN
For symptomatic treatment of rheumatoid arthritis, juvenile rheumatoid arthritis and osteoarthritis. May be used to treat mild to moderate pain and for the management of dysmenorrhea. May be used to reduce fever. Has been used with some success for treating ankylosing spondylitis, gout and psoriatic arthritis. May reduce pain, fever and inflammation of pericarditis. May be used iv with opiates to relieve moderate to severe pain. Ibuprofen lysine may be used iv to treat patent ductus arteriosus (pda) in premature neonates
MENTHOL
Used to treat occasional minor irritation, pain, sore mouth, and sore throat as well as cough associated with a cold or inhaled irritants

Adult Dose

Child Dose

Renal Dose

Administration

Contra Indications

Precautions

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Ibuprofen, Menthol :

Mechanism of Action

IBUPROFEN
The exact mechanism of action of ibuprofen is unknown. Ibuprofen is a non-selective inhibitor of cyclooxygenase, an enzyme invovled in prostaglandin synthesis via the arachidonic acid pathway. Its pharmacological effects are believed to be due to inhibition cylooxygenase-2 (cox-2) which decreases the synthesis of prostaglandins involved in mediating inflammation, pain, fever and swelling. Antipyretic effects may be due to action on the hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation. Inhibition of cox-1 is thought to cause some of the side effects of ibuprofen including gi ulceration. Ibuprofen is administered as a racemic mixture. The r-enantiomer undergoes extensive interconversion to the s-enantiomer in vivo. The s-enantiomer is believed to be the more pharmacologically active enantiomer
MENTHOL
Menthol primarily activates the cold-sensitive trpm8 receptors in the skin. Menthol, after topical application, causes a feeling of coolness due to stimulation of 'cold' receptors by inhibiting ca++ currents of neuronal membranes. It may also yield analgesic properties via kappa-opioid receptor agonism