MedPath

Ibuprofen

Generic Name
Ibuprofen
Brand Names
Addaprin, Advil, Advil Cold and Sinus, Advil Congestion Relief, Advil PM, Advil Sinus Congestion and Pain, Alivio, Caldolor, Cedaprin, Children's Ibuprofen, Diphen, Duexis, Ibu, Ibutab, Junior Strength Motrin, Motrin, Motrin PM, Neoprofen, Nuprin, Pedea, Proprinal, Reprexain, Sudafed PE Head Congestion Plus Pain, Vicoprofen, Wal-profen Congestion Relief and Pain, Ibuprofen Gen.Orph
Drug Type
Small Molecule
Chemical Formula
C13H18O2
CAS Number
15687-27-1
Unique Ingredient Identifier
WK2XYI10QM
Background

Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) derived from propionic acid and it is considered the first of the propionics. The formula of ibuprofen is 2-(4-isobutylphenyl) propionic acid and its initial development was in 1960 while researching for a safer alternative for aspirin. Ibuprofen was finally patented in 1961 and this drug was first launched against rheumatoid arthritis in the UK in 1969 and USA in 1974. It was the first available over-the-counter NSAID.

On the available products, ibuprofen is administered as a racemic mixture. Once administered, the R-enantiomer undergoes extensive interconversion to the S-enantiomer in vivo by the activity of the alpha-methylacyl-CoA racemase. In particular, it is generally proposed that the S-enantiomer is capable of eliciting stronger pharmacological activity than the R-enantiomer.

Indication

Ibuprofen is the most commonly used and prescribed NSAID. It is a very common over-the-counter medication widely used as an analgesic, anti-inflammatory and antipyretic.

The use of ibuprofen and its enantiomer Dexibuprofen in a racemic mix is common for the management of mild to moderate pain related to dysmenorrhea, headache, migraine, postoperative dental pain, spondylitis, osteoarthritis, rheumatoid arthritis, and soft tissue disorder.

Due to its activity against prostaglandin and thromboxane synthesis, ibuprofen has been attributed to alteration of platelet function and prolongation of gestation and labour.

As ibuprofen is a widely used medication, the main therapeutic indications are:

Associated Conditions
Acute Pain, Ankylosing Spondylitis (AS), Common Cold, Cystic Fibrosis (CF), Fever, Gastric Ulcer, Gout, Headache, Insomnia, Juvenile Idiopathic Arthritis (JIA), Menstrual Distress (Dysmenorrhea), Migraine, Mild pain, Nasal Congestion, Osteoarthritis (OA), Pain, Pain, Inflammatory, Patent Ductus Arteriosus (PDA), Pericarditis, Primary Dysmenorrhoea, Rheumatoid Arthritis, Severe Pain, Sinus pressure, Mild to moderate pain, Minor aches and pains, Moderate Pain

Pain Control Without Opioids

Phase 3
Withdrawn
Conditions
Perioperative Pain
Interventions
First Posted Date
2021-03-24
Last Posted Date
2022-09-10
Lead Sponsor
Hackensack Meridian Health
Registration Number
NCT04813991
Locations
🇺🇸

Hackensack University Medical Center, Hackensack, New Jersey, United States

Non-Opioid Pain Medications After Intracapsular Adenotonsillectomy

Phase 1
Terminated
Conditions
Adenotonsillectomy
Opioid Use
Post-operative Analgesia
Interventions
Other: Opioid disposal education
Other: Opioid disposal pouch
First Posted Date
2021-03-10
Last Posted Date
2024-08-16
Lead Sponsor
David Chi, MD
Target Recruit Count
73
Registration Number
NCT04791761
Locations
🇺🇸

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States

Pain Management During Screening for Retinopathy of Prematurity

Completed
Conditions
Retinopathy of Prematurity
Pain Management
Interventions
First Posted Date
2021-02-23
Last Posted Date
2021-02-23
Lead Sponsor
Istanbul Medeniyet University
Target Recruit Count
44
Registration Number
NCT04767178
Locations
🇹🇷

Medeniyet University, Istanbul, Turkey

Comparative Analgesic Effects of Paracetamol/Codeine and Ibuprofen on Pain After Third Molar Surgery

Phase 4
Completed
Conditions
To Control Pain After Third Molar Surgery
Interventions
First Posted Date
2021-01-29
Last Posted Date
2021-01-29
Lead Sponsor
University of Roma La Sapienza
Target Recruit Count
120
Registration Number
NCT04730297
Locations
🇮🇹

Maria Paola Cristalli, Roma, Italy

Ibuprofen Versus Indomethacin Following Emergent Cerclage Placement

Not Applicable
Conditions
Preterm Labor
Interventions
First Posted Date
2021-01-27
Last Posted Date
2023-12-05
Lead Sponsor
Woman's
Target Recruit Count
100
Registration Number
NCT04726085
Locations
🇺🇸

Woman's Hospital, Baton Rouge, Louisiana, United States

Efficacy of Intravenous Paracetamol and Ibuprofen on Postoperative Pain and Morphine Consumption in Hysterectomy

Not Applicable
Completed
Conditions
Postoperative Pain Management
Interventions
First Posted Date
2020-12-31
Last Posted Date
2022-03-11
Lead Sponsor
Inonu University
Target Recruit Count
66
Registration Number
NCT04691856
Locations
🇹🇷

Sedat Akbas, Malatya, Türkiye-Türkçe, Turkey

Flotetuzumab for the Treatment of Relapsed or Refractory Advanced CD123-Positive Hematological Malignancies

Phase 1
Active, not recruiting
Conditions
Recurrent Acute Leukemia
Recurrent B Acute Lymphoblastic Leukemia
Recurrent Blastic Plasmacytoid Dendritic Cell Neoplasm
Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Refractory Hairy Cell Leukemia
Refractory Hematologic Malignancy
Refractory Hodgkin Lymphoma
Refractory T Acute Lymphoblastic Leukemia
Systemic Mastocytosis
Interventions
First Posted Date
2020-12-23
Last Posted Date
2024-12-31
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
13
Registration Number
NCT04681105
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Paracetamol / Ibuprofen for Postpartum Pain in the Early Postpartum Period

Not Applicable
Completed
Conditions
Pain
Interventions
First Posted Date
2020-12-04
Last Posted Date
2024-02-20
Lead Sponsor
Tel-Aviv Sourasky Medical Center
Target Recruit Count
107
Registration Number
NCT04653506
Locations
🇮🇱

Tel Aviv Medical Center, Tel Aviv, Israel

An Evaluation of Pain Outcomes of Ketorolac Administration in Children Undergoing Circumcision

Phase 2
Completed
Conditions
Pain, Postoperative
Phimosis
Balanitis
Paraphimosis
Interventions
First Posted Date
2020-11-30
Last Posted Date
2024-08-02
Lead Sponsor
Alberta Children's Hospital
Target Recruit Count
100
Registration Number
NCT04646967
Locations
🇨🇦

Alberta Children's Hospital, Calgary, Alberta, Canada

Efficacy and Safety of S (+) - Ibuprofen in Osteoarthritis Pain

Phase 2
Completed
Conditions
Osteoarthritis
Interventions
Drug: S (+) - Ibuprofen
First Posted Date
2020-11-19
Last Posted Date
2023-07-17
Lead Sponsor
Apsen Farmaceutica S.A.
Target Recruit Count
176
Registration Number
NCT04637529
Locations
🇧🇷

Apsen Farmacêutica S.A., São Paulo, Brazil

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