Ibuprofen: Uses, Dose, Risks, and Smart Tips

Ibuprofen is a common pain reliever and anti-inflammatory you can buy without a prescription. It eases headaches, muscle aches, toothaches, menstrual cramps, minor injuries, and fever. As an NSAID, it reduces pain by blocking enzymes that cause inflammation. That makes it a solid choice for short-term pain and swelling.

Typical adult dosing is 200–400 mg every 4–6 hours as needed. For over-the-counter use don’t exceed 1,200 mg per day unless a doctor tells you otherwise. Some prescription plans allow up to 2,400 mg daily under medical supervision. Take ibuprofen with food or milk to cut down on stomach upset. Use the lowest dose that controls symptoms and stop once you feel better.

What to watch for

Look out for stomach pain, heartburn, or black, tarry stools—these can mean internal bleeding. If you see those signs, stop ibuprofen and get medical help. Ibuprofen can raise blood pressure, cause fluid retention, and affect kidney function, especially if you’re dehydrated or already have kidney disease. People with heart disease, uncontrolled high blood pressure, or a history of stomach ulcers should check with their doctor before using ibuprofen.

Ibuprofen can make asthma worse for some people. If ibuprofen triggers wheeze or breathing trouble, avoid it and ask your clinician for alternatives. Also note that NSAIDs can slow down healing of some injuries; for long-term care, a doctor can recommend safer options and monitoring.

Interactions, kids, pregnancy, and older adults

Drug interactions matter. Don’t mix ibuprofen with other NSAIDs like naproxen unless advised. High-dose ibuprofen can interfere with low-dose aspirin’s heart protection. Combining ibuprofen with blood thinners, some antidepressants (SSRIs), or certain blood pressure drugs can raise bleeding or kidney risk. Tell your provider about all medicines and supplements you take.

For children use weight-based dosing on the product label or follow a pediatrician’s directions—common guidance is about 5–10 mg per kg per dose every 6–8 hours (check the packaging). Never give ibuprofen to infants under six months without medical advice. Pregnant people should avoid ibuprofen, especially after 30 weeks gestation, because it can affect the baby’s circulation. Older adults are more prone to stomach, kidney, and heart issues; start low and check with a doctor.

Practical tips: try non-drug measures first—rest, ice for sprains, or heat for tight muscles. Don’t mix alcohol with ibuprofen; alcohol raises stomach bleeding risk. Topical NSAIDs or acetaminophen might be safer for some pain types. If pain or fever lasts more than a few days, or you develop rash, swelling, shortness of breath, or signs of bleeding, stop ibuprofen and seek care.

If you need ongoing pain control, talk with your doctor about monitoring plans, alternatives like physical therapy or targeted treatments, and how to use the lowest effective dose safely. That keeps pain manageable while lowering the chance of side effects.