Description
Dual-Action Relief for Moderate Pain When Standard Painkillers Are Not Enough
Almus Ibuprofen and Codeine Tablets Overview
CONTAINS OPIOID – Can cause Addiction. Use For NO MORE THAN 3 DAYS
Almus Ibuprofen and Codeine Tablets are a combination pain relief medicine used for the short-term treatment of moderate pain when simple painkillers such as paracetamol or ibuprofen alone have not provided sufficient relief. They combine ibuprofen, an anti-inflammatory painkiller, with codeine, an opioid analgesic, to deliver enhanced pain control.
In the UK, ibuprofen and codeine combination tablets are available as an over-the-counter pharmacy medicine for short-term use in adults.
Understanding Moderate Pain
Why some pain needs combination treatment
Moderate pain may involve both inflammation and heightened pain signalling, such as after dental procedures, injury, surgery, or during acute musculoskeletal flare-ups. In these situations, targeting pain through more than one mechanism can provide improved relief.
Why combination analgesics are used
Combination painkillers work by addressing pain through different pathways, offering stronger relief than single-ingredient medicines while still being suitable for short-term use.
What Are Almus Ibuprofen and Codeine Tablets?
These tablets contain:
- Ibuprofen – a non-steroidal anti-inflammatory drug (NSAID) that reduces inflammation, swelling and pain
- Codeine phosphate – a weak opioid that acts centrally to reduce pain perception
Together, they provide broader pain control than either medicine alone.
How Do Almus Ibuprofen and Codeine Tablets Work?
Anti-inflammatory action
Ibuprofen inhibits cyclo-oxygenase (COX) enzymes, reducing the production of prostaglandins that drive pain, swelling and inflammation.
Central pain relief
Codeine is converted in the body to morphine in small amounts, where it acts on opioid receptors in the central nervous system to reduce pain signals.
Combined effect
This dual mechanism makes the combination effective for pain that is both inflammatory and centrally mediated.
What These Tablets Help With — and What They Do Not
What they help with
Almus Ibuprofen and Codeine Tablets are used to relieve:
- dental pain
- back pain
- muscular aches and sprains
- injury-related pain
- period pain when severe
- pain following minor surgery
They are intended for short-term use only.
What they do not treat
These tablets do not:
- cure underlying medical conditions
- treat chronic pain long-term
- relieve nerve pain effectively
- replace medical assessment for persistent pain
Ongoing pain requires professional review.
Who Are Almus Ibuprofen and Codeine Tablets For?
This medicine may be suitable for:
- adults with moderate pain
- people whose pain has not responded to paracetamol or ibuprofen alone
- short-term use where stronger pain relief is required
A pharmacist can confirm suitability.
Who Should Avoid This Medicine
Almus Ibuprofen and Codeine Tablets should not be used if:
- you have stomach ulcers or a history of gastrointestinal bleeding
- you are allergic to ibuprofen, codeine or other opioids
- you have breathing problems
- you are pregnant or breastfeeding
- you have kidney, liver or heart disease without advice
They are not suitable for children under 18 years.
How to Take Almus Ibuprofen and Codeine Tablets
Tablets should be taken with or after food and swallowed with water. Use the lowest effective dose for the shortest possible time.
Do not take for more than 3 days unless advised by a healthcare professional.
Safety, Warnings and Side Effects
Common side effects include nausea, dizziness, drowsiness, constipation and indigestion. Codeine can cause dependence if used for longer than recommended.
Avoid alcohol while taking this medicine.
Risk of Dependence and Overuse
Codeine-containing medicines should only be used short term. Regular use can lead to tolerance, dependence and withdrawal symptoms.
If pain persists beyond a few days, seek medical advice rather than continuing treatment.
When to Seek Medical Advice
Speak to a GP or pharmacist if:
- pain does not improve within 3 days
- pain worsens
- you experience stomach pain, black stools or vomiting blood
- you feel excessively drowsy or unwell
Urgent advice is needed if overdose is suspected.
How This Combination Compares to Other Painkillers
Ibuprofen and codeine vs ibuprofen alone
The combination provides stronger pain relief by adding central pain control to anti-inflammatory action.
Ibuprofen and codeine vs paracetamol combinations
Paracetamol combinations do not reduce inflammation. Ibuprofen-based combinations may be more effective where inflammation is present.
Almus Ibuprofen and Codeine Tablets Summary
Almus Ibuprofen and Codeine Tablets provide effective short-term relief from moderate pain by combining anti-inflammatory and opioid pain-relieving action. When used correctly and briefly, they can help manage pain that has not responded to standard treatments.
Persistent or severe pain should always be assessed by a healthcare professional.





