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Nurofen Stopgrip

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Nurofen Stopgrip

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Method of action: Antitussive, Nasal Preparations

Treatment option: Blocked Nose, Cold

Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Nurofen Stopgrip

Quick Facts

Property Description
Active Ingredients Ibuprofen and Pseudoephedrine Hydrochloride
Form Film-coated tablets or capsules
Pharmacological Class NSAID and Sympathomimetic Decongestant
Common Use Multi-symptom relief for cold and flu
Origin Synthetic

What is Nurofen Stopgrip and What is its Core Classification?

Nurofen Stopgrip is defined as a synthetic, fixed-dose combination medicinal product intended for oral administration, typically provided as film-coated tablets or capsules. This preparation is sold as an Over-The-Counter (OTC) product. Pharmacologically, it falls under two principal classes: the Non-Steroidal Anti-Inflammatory Drug (NSAID) group and the Sympathomimetic Decongestant group, a classification recognized for its dual action. This structure reflects a design choice to manage two distinct categories of cold and flu symptoms within a single preparation.


Composition and Dual-Active Ingredients: Ibuprofen and Pseudoephedrine

The formulation relies on two separate active ingredients: Ibuprofen and Pseudoephedrine Hydrochloride. Ibuprofen, a propionic acid derivative, serves as the analgesic and antipyretic component, primarily addressing discomfort related to aches and fever. Pseudoephedrine Hydrochloride is classified as an adrenergic agonist and functions as the specific nasal decongestant. The presence of these two clinically recognized substances in Nurofen Stopgrip ensures the medicine provides a focused response for patients experiencing both fever and congestion simultaneously.


General Purpose: Multi-Symptom Cold and Flu Relief

The general therapeutic purpose of Nurofen Stopgrip is to deliver targeted multi-symptom relief from the discomforts associated with the common cold and flu. By uniting the fever-reducing and pain-relieving properties of Ibuprofen with the decongestant action of Pseudoephedrine, the product aims to mitigate generalized malaise, headache, and the specific difficulty of breathing due to nasal and sinus swelling. This combination formulation is widely recognized for its convenience when both systemic symptoms and nasal obstruction are present.

Regulatory References

  1. Pseudoephedrine Drug Information
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What side effects are possible with Nurofen Stopgrip?

Possible Side Effects and Safety Information

Nurofen Stopgrip is a combination product containing ibuprofen (a Non-Steroidal Anti-Inflammatory Drug or NSAID) and pseudoephedrine (a nasal decongestant). The safety profile is determined by the risks associated with both active substances.

Adverse Reactions

Classification System-Organ Class Examples
Uncommon Headache, dizziness, digestive issues (e.g., dyspepsia, nausea, abdominal pain), skin rash, and hypersensitivity reactions such as pruritus or urticaria.
Rare Diarrhoea, constipation, vomiting, flatulence.
Very Rare Severe hypersensitivity reactions (including anaphylaxis, angioedema), aseptic meningitis, severe blood disorders, and severe cutaneous reactions (e.g., Stevens-Johnson syndrome, Toxic Epidermal Necrolysis).

Serious Safety Concerns

The most serious documented risks include Gastrointestinal (GI) Bleeding, Ulceration, and Perforation, which can be fatal and may occur without prior warning. The risk of these GI events is higher with increasing NSAID dose, in the elderly, and in patients with a history of GI disease.

Cardiovascular Risks are also significant. Use of ibuprofen, particularly at high doses (2400 mg daily or higher) and in long-term treatment, may be associated with a small increased risk of serious arterial thrombotic events, such as myocardial infarction (heart attack) or stroke. The pseudoephedrine component is associated with risks of Posterior Reversible Encephalopathy Syndrome (PRES) and Reversible Cerebral Vasoconstriction Syndrome (RCVS), which are rare but serious conditions affecting cerebral blood vessels.

Restrictions and Special Populations

To minimize risk, the lowest effective dose should be used for the shortest possible duration. Use is contraindicated in patients with severe or uncontrolled hypertension, severe acute or chronic kidney disease or failure, and those with a history of serious cardiovascular or cerebrovascular events. Use during the third trimester of pregnancy is contraindicated.

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Overdose and Emergency Response

The official regulatory documents state that an overdose of Nurofen Stopgrip may result in a diverse set of documented clinical manifestations affecting multiple physiological systems. These presentations include central nervous system (CNS) effects such as severe drowsiness, confusion, agitation, restlessness, and severe headache. Gastrointestinal distress is commonly reported, characterized by vomiting, abdominal pain, and diarrhea; aural symptoms like tinnitus (ringing in the ears) are also documented. Cardiovascular effects may present as tachycardia (fast heart rate) and palpitations.

Overdose is documented as having the potential for severe, life-threatening outcomes, including seizures, coma, respiratory failure, and circulatory collapse. Specific severe warnings address the risk of acute kidney injury and significant gastrointestinal bleeding, as well as the potential for cerebral complications like Posterior Reversible Encephalopathy Syndrome (PRES) and Reversible Cerebral Vasoconstriction Syndrome (RCVS).

Seek immediate medical attention or contact a Poison Control Center right away for any suspected overdose. Immediate medical assistance is required if severe neurological symptoms are noted, such as sudden severe headache, seizures, confusion, or visual disturbances. The regulatory management plan for overdose emphasizes providing symptomatic and supportive treatment and requires hospital observation for monitoring vital signs, as no specific antidote is known for the active ingredients. Elderly patients and those with pre-existing severe hypertension or renal impairment are noted to be at a heightened risk for severe outcomes.

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Therapeutic Uses of Nurofen Stopgrip

What Nurofen Stopgrip Treats: Main Uses and Benefits

Nurofen Stopgrip is commonly used in conditions characterized by periods of heightened symptoms, providing supportive symptomatic relief across key domains for the common cold and flu. It is considered relevant in clinical settings marked by heightened patient distress caused by simultaneously occurring manifestations. The combination is generally indicated for relieving multiple symptoms associated with these illnesses.

The primary use is to address groups of symptoms that appear suddenly or fluctuate, including fever, headache, body aches, and nasal congestion with associated sinus pressure. It supports patients during difficult episodes by easing distress and may assist with maintaining functional stability.

“This medication is applied in addressing the core problem of having both systemic discomfort and nasal obstruction during an acute illness.”

The medication is applied in addressing the core problem of having both systemic discomfort and nasal obstruction during an acute illness. It provides support that may contribute to easing the overall symptom load and contributes to day-to-day comfort.


Quick Fact: Symptomatic Support for Co-Occurring Manifestations

Symptom Domain Key Symptom Focus Therapeutic Goal
Systemic Discomfort Fever, Headache, Body Aches May contribute to easing the overall symptom load
Nasal Obstruction Blocked Nose, Sinus Pressure May assist with maintaining functional stability

Regulatory References

  1. NIH DailyMed drug information
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Eligibility and Restrictions for Use

Who Can and Cannot Use Nurofen Stopgrip?

Eligibility for Nurofen Stopgrip (Ibuprofen/Pseudoephedrine) is strictly defined by regulatory guidelines. The medicine is authorized for use only in adults and adolescents aged 12 years and older. It is contraindicated and must not be used by children under 12.


Contraindicated Populations

Absolute non-eligibility is tied to severe pre-existing health conditions or drug incompatibilities. Use is prohibited in patients with severe coronary heart disease, uncontrolled hypertension, severe heart, renal, or hepatic failure, and a history of active or recurrent peptic ulcers or gastrointestinal bleeding. Patients who have taken a Monoamine Oxidase Inhibitor (MAOI) in the last 14 days are also excluded.


Conditional Use and Restrictions

The medicine is contraindicated during the last trimester of pregnancy; use in the first two trimesters and while breastfeeding requires consultation. Caution is mandatory for the elderly population and those with conditions such as mild-to-moderate organ impairment, asthma, or inflammatory bowel disease.

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What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory documentation structures the interaction profile of Nurofen Stopgrip based on its two active components, Ibuprofen and Pseudoephedrine.


Mandatory Regulatory Restrictions

Co-administration with Monoamine Oxidase Inhibitors (MAOIs) is strictly contraindicated and must be avoided for 14 days following the cessation of MAOI treatment due to the Pseudoephedrine component.


Documented Pharmacodynamic and Exposure Interactions

Interacting Agent Category Officially Documented Outcome
Other NSAIDs and Aspirin Additive risk of gastrointestinal (GI) bleeding and ulceration (Ibuprofen component).
Anticoagulants (e.g., Warfarin) Increased risk of serious bleeding events and interference with hemostasis.
Antihypertensive Agents Diminished antihypertensive effect; increased risk of renal impairment with Diuretics.
Lithium or Methotrexate Decreased renal clearance, leading to an officially documented increase in plasma concentrations of these medicines.
Sympathomimetic Agents Increased sympathetic effects, including elevated blood pressure (Pseudoephedrine component).

Substance Interaction Notes

Consumption of Alcohol is officially documented to increase the risk of serious stomach bleeding due to the Ibuprofen component. Regulatory labeling advises that prolonged, regular use of Ibuprofen may interfere with the antiplatelet activity of low-dose Aspirin, impacting its cardioprotective effect.

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Mechanism of Action

Inhibition of Inflammatory Mediator Synthesis

This mechanism involves Ibuprofen acting as a non-selective inhibitor of COX-1 and COX-2 enzymes. By blocking these enzymes, the drug prevents the conversion of arachidonic acid into prostaglandins (PGE2), which function as key lipid mediators in inflammatory signaling and thermoregulation. This physiological action reduces the activation of peripheral nociceptors and causes a re-lowering of the hypothalamic temperature set-point.


alpha-Adrenergic Vasoconstriction for Vascular Tone

The second mechanism is driven by Pseudoephedrine, which modulates the sympathetic nervous system by stimulating alpha-adrenergic receptors on blood vessels in the nasal and sinus lining. This stimulation causes the smooth muscles of the arterioles to contract (vasoconstriction). The resulting physiological change is a reduction in the blood flow and localized edema of the nasal mucosa, which results in the physical reduction of localized mucosal edema and increased airway patency.


Dual Mechanistic Complementarity

Nurofen Stopgrip operates through a strategy of mechanistic complementarity, engaging two distinct biological pathways to influence independent physiological systems. This approach combines the systemic action of enzyme inhibition (on the eicosanoid system) with the localized action of receptor agonism (on the sympathetic nervous system's vascular tone), which contributes to the observed multiple mechanistic effects.

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Dosage and Administration Information

Administration and Dosage Protocol

Nurofen Stopgrip is administered exclusively via the oral route as a fixed-dose tablet or capsule, containing 200 mg of Ibuprofen and 30 mg of Pseudoephedrine Hydrochloride. Official usage protocols require that the medicine be swallowed whole with water.

Standard Dosing Regimens

The standard administration pattern for adults and adolescents aged 12 years and over involves an initial dose of one or two tablets or capsules. Subsequent doses, if needed, should also be one or two tablets or capsules, administered up to a maximum of three times per day (TID). A minimum dosing interval of at least four hours must be maintained between administrations to comply with regulatory standards.

The maximum daily dose is strictly limited to six tablets or capsules in any 24-hour period. This corresponds to a total intake of 1200 mg of Ibuprofen and 180 mg of Pseudoephedrine Hydrochloride. The overall goal of administration is to employ the lowest effective dose for the shortest duration necessary, as consistent with official guidelines.

Duration and Population Constraints

This medication is strictly authorized for short-term use only. For adults, the maximum treatment duration is generally restricted to ten consecutive days. For adolescents between 12 and 18 years, the duration is typically limited to three consecutive days. The product is explicitly not authorized for use in children under 12 years of age. No specific dose adjustment is typically required for older adults.

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Recent Clinical Evidence

Research Evidence / Overview of Studies for Nurofen Stopgrip

The clinical research for Nurofen Stopgrip, a fixed-dose combination of Ibuprofen and Pseudoephedrine, has primarily focused on understanding how the two active ingredients function together and how they relate to symptom patterns associated with the common cold and flu. The evidence base includes different types of studies, such as randomized trials, observational studies, and highly specific formulation research.


Evidence for Multi-Symptom Cold and Flu Relief

Research has explored this combination in studies involving conditions characterized by periods of heightened symptoms related to the common cold and flu. Studies conducted during periods of increased symptom activity were primarily designed to evaluate outcomes related to systemic or functional imbalance and patient-reported outcomes describing perceived discomfort. These outcomes included the overall symptom burden, as well as the intensity of individual symptoms like fever, body aches, and nasal congestion.

Observational research exploring short-term symptom changes described patterns observed in the study populations, where symptom intensity scores related to both systemic and nasal issues were monitored across the study period. Studies focusing on episodes where symptoms become more noticeable explored how symptom intensity scores were measured when the product was used early in the illness.

Comparative Studies and Formulation Integrity

For regulatory review, research explores whether the two ingredients are associated with interference in each other's processing in the body. This evaluation is primarily conducted through Pharmacokinetic (PK) studies. These are randomized, crossover trials that monitor outcomes related to drug absorption (e.g., Cmax and AUC).

These findings describe patterns observed in the studies, where the combination formulation appeared to align with a similar rate and extent of absorption for both ingredients. This evidence contributes to the broader evidence landscape by exploring whether the Ibuprofen and Pseudoephedrine in the fixed dose were associated with interference in each other's processing in the body.


Populations Included in Clinical Research

The combination product was evaluated in adults and adolescents (ge 12 years) experiencing acute episodes of the common cold or flu. Research exploring short-term symptom changes was conducted in these age groups.

In addition to the primary target population, studies explored the product's characteristics in children. Pharmacokinetic (PK) studies monitored drug absorption in symptomatic children in younger age groups (for example, 2 to 5 years and 6 to 11 years). Research in these subgroups provides data on how the body handles the ingredients across different ages, though these specific studies did not focus on clinical efficacy in these young groups.

Acute Use and Follow-up Duration

Clinical efficacy studies related to episodic or acute changes in symptoms typically monitor responses over defined time intervals. Research examined outcomes related to physical discomfort during the initial stages of a cold or flu.

The follow-up durations were limited across the main clinical studies. Research exploring short-term symptom changes typically focused on the acute phase of illness, with clinical observation periods often extending only up to three to five days. This limited follow-up duration means that studies were relevant in trials assessing short-term or episodic symptom patterns, but do not provide information on sustained or long-term outcomes.

Key Studies & References

  1. DailyMed - Drug Label Information (Ibuprofen/Pseudoephedrine combination)
  2. MedlinePlus Drug Information: Pseudoephedrine
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Frequently Asked Questions (FAQ)

Common questions about Nurofen Stopgrip (FAQ)

Q: How is Nurofen Stopgrip different from plain Nurofen (ibuprofen)?

A: Nurofen Stopgrip is a combination medicine that contains two active ingredients: Ibuprofen and Pseudoephedrine Hydrochloride. Ibuprofen is an anti-inflammatory and pain reliever. Pseudoephedrine acts as a nasal decongestant. Plain Nurofen products, by comparison, typically contain only Ibuprofen.

Q: Can Nurofen Stopgrip be taken for a headache and a runny nose at the same time?

A: Yes, official documentation states that this medicine is indicated for the temporary relief of multiple symptoms associated with cold and flu. This includes both systemic symptoms like a headache, as well as symptoms caused by localized swelling like nasal congestion and a runny nose.

Q: Is it common to feel drowsy after taking Nurofen Stopgrip?

A: Official product information does not generally list drowsiness or sedation as a common side effect of Nurofen Stopgrip. However, uncommon central nervous system effects such as dizziness or headache have been reported. Patient experiences with the medicine should be noted.

Q: What is the main function of the decongestant component in Nurofen Stopgrip?

A: The decongestant component, Pseudoephedrine, works by stimulating receptors on blood vessels in the nasal passages. This causes the vessels to narrow (vasoconstriction), which reduces localized swelling and mucous build-up. This action is associated with the reduction of swelling and, consequently, the relief of nasal and sinus pressure.

Q: Has Nurofen Stopgrip been studied in pediatric populations?

A: The medicine is explicitly authorized for use only in adolescents aged 12 years and over, and adults. While research, such as Pharmacokinetic studies, has been conducted in younger children (aged 2 to 11) to understand how their bodies handle the ingredients, these studies were not focused on clinical efficacy, and the product is not authorized for use in children under 12.

Q: Can I take Nurofen Stopgrip if I have a history of heart problems?

A: Official regulatory warnings state that the medicine is contraindicated (should not be used) if a person has severe or uncontrolled high blood pressure, or severe acute or chronic heart failure. It is also contraindicated following a recent heart attack or stroke. Official warnings recommend caution for individuals with cardiovascular risk factors.

Q: What are the official sources for information on Nurofen Stopgrip safety?

A: Authoritative information on the drug’s safety, indications (purpose), and known risks is contained within documents published by governmental regulatory bodies. Key sources include the Summary of Product Characteristics (SmPC) from the European Medicines Agency (EMA) and similar drug labels issued by agencies such as the FDA, MHRA, or Health Canada.

Q: Do official documents state any specific storage conditions for Nurofen Stopgrip?

A: Yes, official product information outlines specific storage conditions required to maintain the medicine's integrity. These often specify that the medicine should not be stored above a certain temperature (e.g., 25 C) and should be kept in the original packaging.

Q: Can people with diabetes use Nurofen Stopgrip safely?

A: Official warnings specify that the medicine should be used with caution in patients with diabetes mellitus. This caution is primarily due to the Pseudoephedrine component. Official warnings recommend caution for individuals with diabetes mellitus.

Q: Can people who are lactose intolerant take Nurofen Stopgrip tablets?

A: The full ingredients list, including non-active components (excipients), is provided in the official product information. This document notes that the tablets may contain excipients like lactose, which would make them potentially unsuitable for individuals with a known lactose intolerance or rare hereditary problems of galactose intolerance.

Q: What is the primary way the body removes Nurofen Stopgrip after it's taken?

A: Pharmacokinetic studies describe how the body processes the medicine. Both active ingredients, Ibuprofen and Pseudoephedrine, are absorbed and then metabolized (broken down) primarily in the liver. The body then removes the active ingredients and their metabolites mainly via the kidneys (urinary excretion).

Q: Why is Nurofen Stopgrip often labeled as an 'all-in-one' cold remedy?

A: The combination is often referred to as a multi-symptom or 'all-in-one' remedy because it contains two distinct ingredients that target different types of cold symptoms. Ibuprofen targets systemic symptoms like pain and fever, while Pseudoephedrine targets localized nasal symptoms like congestion and blocked sinuses.

Q: Do any official documents describe potential long-term effects of Nurofen Stopgrip?

A: Official administration protocols state that the product is strictly authorized for short-term use only, typically a maximum of 10 days for adults. Regulatory warnings highlight that using the medicine at high doses or over prolonged periods (longer than four weeks) is associated with an increased risk of serious adverse effects, particularly GI bleeding and renal impairment.

Q: What happens if I miss a dose of Nurofen Stopgrip?

A: Official labeling advises against taking a double dose to compensate for a missed one. Instead, patients are directed to simply take the next scheduled dose as planned. The required minimum dosing interval of at least four hours must be maintained between administrations.

Q: What is the regulatory status of Nurofen Stopgrip in different countries?

A: The exact regulatory status, such as whether it requires a prescription or is available over-the-counter (OTC), varies by country. In many regions, the medicine is classified as a Pharmacy medicine (requiring pharmacist supervision) due to the presence of Pseudoephedrine.

Q: Can Nurofen Stopgrip be taken on an empty stomach?

A: While the medicine can be swallowed whole with water, official documentation advises that taking the medicine with food or milk may help minimize the risk of gastrointestinal adverse effects.

Q: Does Nurofen Stopgrip interact with caffeine?

A: Caffeine is not generally listed as a formal, prohibited interaction in core regulatory documents. However, since the Pseudoephedrine component is a type of stimulant, caution is advised when taking it with other stimulants, including caffeine, as this combination could potentially increase sympathetic nervous system effects like elevated heart rate or blood pressure.

Q: Can people with high blood pressure use Nurofen Stopgrip?

A: The medicine is contraindicated (should not be used) in patients who have severe or uncontrolled hypertension. For patients with a history of hypertension, regulatory warnings note that Ibuprofen can be associated with fluid retention and new or worsening high blood pressure. Official warnings note that use in patients with a history of hypertension requires caution.

Q: What kind of studies have been done on the effectiveness of Nurofen Stopgrip?

A: Clinical evidence includes different study types, such as randomized trials and observational studies. These studies primarily focus on short-term symptom relief, examining patient-reported outcomes for both systemic discomfort (pain, fever) and nasal discomfort (congestion). Pharmacokinetic studies also confirm how the two ingredients are absorbed when taken together.

Q: Is the research on Nurofen Stopgrip published by official bodies?

A: Regulatory bodies like the EMA and FDA require that all clinical evidence and safety data be submitted and reviewed before the drug is authorized. While the primary research itself is usually published by the sponsor, summaries of this evidence are contained within the publicly accessible official drug information documents issued by the regulatory agencies.

Q: Are there any food or diet restrictions while using Nurofen Stopgrip?

A: Official documentation explicitly advises that the consumption of alcohol is documented to increase the risk of serious stomach bleeding due to the Ibuprofen component. No other specific food or diet restrictions are typically highlighted as formal contraindications in core regulatory documents.

Q: Do official documents mention any potential for addiction with Nurofen Stopgrip?

A: Regulatory documents do not mention a potential for physical addiction to the active ingredients (Ibuprofen and Pseudoephedrine). Regulatory documents define protocols for safe, short-term use, which includes adherence to the recommended dosing schedule and maximum treatment duration.

Q: What is the role of the anti-inflammatory part of Nurofen Stopgrip?

A: The anti-inflammatory part, Ibuprofen, is a Non-Steroidal Anti-Inflammatory Drug (NSAID) whose primary role is to inhibit the production of inflammatory mediators known as prostaglandins. This action helps to reduce fever, relieve pain, and lessen the swelling associated with cold and flu symptoms.

Q: How does Nurofen Stopgrip compare to single-ingredient cold medicines in terms of use conditions?

A: Since Nurofen Stopgrip is a combination product, it carries the full range of warnings and contraindications of both Ibuprofen and Pseudoephedrine. This gives it a broader set of use restrictions compared to single-ingredient cold medicines, especially concerning interactions with other drugs, co-morbidities like heart issues, and required caution for certain patient populations.

Q: Does Nurofen Stopgrip have an impact on kidney function?

A: Official warnings state that the medicine is contraindicated in patients with severe acute or chronic kidney failure. The Ibuprofen component, particularly with long-term or high-dose use, is associated with a risk of renal impairment (reduced kidney function), and caution is always advised.

Q: Is Nurofen Stopgrip available in different strengths?

A: Official regulatory documents define the product by its specific fixed combination dose: 200 mg of Ibuprofen and 30 mg of Pseudoephedrine Hydrochloride. Other variations of this specific fixed-dose combination are not typically described in the core regulatory summary.

Q: What are the signs of a serious, but rare, side effect from Nurofen Stopgrip?

A: Serious and rare side effects are officially documented in the product information. Signs of a severe hypersensitivity reaction can include difficulty breathing, swelling of the face, throat, or tongue, and rapid heart rate. Signs of severe skin reactions (like SJS) can include a rash, blistering, or peeling skin.

Q: Is it okay to drive after taking Nurofen Stopgrip?

A: Official product information advises that the medicine generally has no known direct influence on driving ability. However, if a patient experiences adverse effects such as uncommon side effects like headache or dizziness, official advice indicates that they should avoid driving or operating machinery.

Q: Can people with asthma use Nurofen Stopgrip?

A: The medicine should be used with caution in patients who have a history of bronchial asthma. Official documents warn that, as an NSAID, the product carries a potential risk of precipitating or aggravating asthma or bronchospasm (narrowing of airways) in susceptible patients.

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How should Nurofen Stopgrip be stored and disposed of?

The storage and disposal of Nurofen Stopgrip must comply strictly with official regulatory requirements to ensure product stability and safety.

Official Storage Requirements

Requirement Constraint
Temperature Store below 25 C
Packaging Keep in the original package (carton and blister)
Child Safety Keep out of the sight and reach of children

Official Disposal Rules

Unused or expired medicine must not be discarded through regular household waste or wastewater. Disposal must follow pharmaceutical waste handling guidelines.

Consumers should ask a pharmacist how to dispose of medicines no longer required, in accordance with local regulations for medicine collection programs.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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