Ibuprofen-paracetamol shares the same adverse effects as other NSAIDs:
GI Effects: Like all other NSAIDs, the most frequent adverse effects of ibuprofen involves the GI tract and include: Gastric mucosal damage resulting in ulceration and/or mucosal bleeding; other GI effects are dyspepsia, heartburn, nausea, vomiting, anorexia, diarrhea, constipation, stomatitis, flatulence, bloating, epigastric and abdominal pain.
Renal Effects: Acute renal failure with acute tubular necrosis, polyuria, increase urea and BUN in the blood (azotemia), cystitis, hematuria and decreased creatinine clearance have been reported.
Hepatic Effects: Jaundice and transient increase in serum AST (SGOT), ALT (SGPT) and serum alkaline phosphatase have occurred in few patients during NSAID therapy including ibuprofen.
Hematologic Effects: Neutropenia, agranulocytosis, aplastic anemia, hemolytic anemia and thrombocytopenia have been reported.
CNS Effects: Dizziness, drowsiness, malaise, lightheadedness, nervousness, headache, fatigue, emotional lability, paresthesia, hallucinations, dream abnormalities and pseudotumor cerebri have been reported.
Otic and Ocular Effects: Tinnitus, decreased hearing, amblyopia, conjunctivitis, optic neuritis, diplopia and cataracts have been reported.
Dermatologic Effects: Urticaria, vesiculobullous, erythematous macular rashes, erythema multiforme, exfoliative dermatitis, toxic epidermal necrolysis and photosensitivity.
Others: Fluid retention, increased blood pressure, hypotension, cerebrovascular accident and palpitations have been reported.
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