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Ongestive heart failure CHF Tell your healthcare provider right away if you have some or all of the following symptoms of CHF: welling in the arms or legsshortness of breathunexplained weight gainfatigueSerious skin reaction. Tell your healthcare provider right away if you have some or all of the following symptoms of a potentially serious skin reaction: ashblisteringitchingfeverStomach bleeding and/or ulceration: Tell your healthcare provider right away if you have some or all of the following symptoms of stomach bleeding: bdominal painblood in stools black or tarry stools oughing up of bloodindigestion or general stomach discomfortLiver toxicity: Tell your healthcare provider right away if you have some or all of the following symptoms of liver dysfunction: lu-like symptomsfatiguenauseayellowing of the skin or eyesKidney damage.Do not start, stop, or change the dosage of any medicines without your doctor's approval.

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This effect may be exaggerated in patients with underlying hemostatic defects see CONTRAINDICATIONS Ibuprofen has been shown to displace bilirubin from albumin binding-sites; therefore, it should be used with caution in patients with elevated total bilirubin.Oral: Administer with food or milk.

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If clinical signs and symptoms consistent with liver disease develop, or if systemic manifestations occur e.Over-the-counter NSAIDs nsaids and ibuprofen available in both adult strength and children's strength. Ibuprofen and naproxen are also found in combination products, such as cough and cold medicines.

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