Pharmaceutical Medicine Questions Pharmacist

Ibuprofen 800 mg concern?

Is one square of dark (70% cocoa) chocolate enough food to take with one 800 mg ibuprofen? Before or after the ibuprofen?


8 Answers

It is not a requirement to take ibuprofen with food. If taking low-dosages of ibuprofen (up to 1200mg/day in split doses for 1 to 7 days) on an empty stomach, this will give you faster pain relief than taking it with food. Food increases the time it takes for ibuprofen to be absorbed, although it won't affect how much is absorbed.

The risk of gastric irritation has more to do with other risk factors that may be present, such as:

Older age (>65 years)
Use of other medications that also increase gastric irritation, such as aspirin, SSRI antidepressants (eg, citalopram, fluoxetine), anticoagulants (such as warfarin or dabigatran), or prednisone
Alcohol use
Higher dosages of ibuprofen (more than 1200mg/day), including prescription dosages (this increases the risk 2 to 3 fold)
Duration of ibuprofen use
Helicobacter pylori infection
History of smoking
Previous history of gastric ulcers, bleeding ulcers, or GERD
Recent surgery
No, it may not be enough. To be safe, you can take it with a glass of milk.
No. You should have more food in your stomach.

Eat first. Full glass of water or juice after.

More food can mean full glass of whole milk, protein shake, peanut butter and jelly sandwich, hamburger, etc. You need at least a small meal, not just a bit of candy. A main reason why is the food helps ensure the tablet doesn't just sit and marinate in your stomach, which can lead to an ulcer. Chasing with water busts up the tablet and spreads it around, ensuring it's not stuck in one place. It moves through with the water and food, decreasing the chances of ulceration.
Probably not, depending on whether you have a "strong stomach." It's a matter of protecting your stomach lining from erosion by ibuprofen or another NSAID (NonSteroidalAntiInflammatoryDrug) like Naprosyn, Aleve, Voltaren, etc. 800mg is the largest available oral dose of ibuprofen available--you need a little more protection than a small square of chocolate. Thank you for the interesting question!
Hi there, it is okay if you’re just taking it once. If you’re having to take more than one 800mg tablet throughout the day, you should be eating more as it can cause stomach upset with anything less.
Yes that is fine. Some people don’t have any GI discomfort when taking ibuprofen, while others do. There’s not a set amount of food required, but I would suggest at minimum a few crackers.
It is recommended you take it with a cracker or something bland if you don't want to take with a regular meal. Just remember that food is something you chew, so no shakes/smoothies. The caffeine in your chocolate may interact with your ibuprofen as well.
Taking Ibuprofen with food is to help prevent stomach upset and reduce acid in the stomach. If you eat the chocolate and no stomach upset occurs, then it should be enough. However, if you eat the chocolate and stomach upset occurs, then you need to try to eat a little more. You can also drink a glass of milk, which should help. Eat the chocolate before you take the Ibuprofen.