GNH USA

Europe — EMA

Kivenul

GNH USA supplies Kivenul (Ibuprofen/Paracetamol), a Combination NSAID/analgesic for mild to moderate pain and fever. Request a quote for global supply.

Ibuprofen, Paracetamol

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What is Ibuprofen, Paracetamol?

Ibuprofen and Paracetamol, the active ingredients in Kivenul, are a Combination NSAID/analgesic presented as an oral tablet for oral use. It provides pain relief and reduces fever in adults and children.

GNH USA supplies Kivenul as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Ibuprofen, Paracetamol used for?

Kivenul, a combination of ibuprofen and paracetamol, acts on inflammatory and pain pathways to manage mild to moderate pain and fever.

- Headache: alleviates pain and reduces temperature. - Musculoskeletal pain: provides analgesia and anti‑inflammatory effect. - Fever: lowers body temperature in acute febrile states.

What are the side effects of Ibuprofen, Paracetamol?

Kivenul may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects: - Nausea: occasional upset stomach. - Dyspepsia: indigestion or heartburn. - Dizziness: transient light‑headedness. - Headache: mild to moderate intensity. - Rash: mild skin irritation. - Diarrhoea: loose stools.

Serious or Rare Side Effects: - Gastrointestinal bleeding: potentially life‑threatening ulceration. - Hepatic injury: rare but may cause elevated liver enzymes. - Renal impairment: reduced kidney function in susceptible individuals. - Stevens‑Johnson syndrome: severe skin reaction. - Anaphylaxis: acute allergic response requiring emergency care. - Severe neutropenia: marked reduction in white blood cells.

What precautions apply to Ibuprofen, Paracetamol?

When using Kivenul, consider the following safety measures.

- Assess renal function: monitor in patients with kidney disease. - Avoid in known hypersensitivity: discontinue if allergic reactions occur. - Use lowest effective dose: limit duration to the shortest period needed. - Caution with alcohol: increased risk of gastrointestinal irritation. - Avoid in third‑trimester pregnancy: potential fetal complications. - Store at ambient temperature: keep in the original pack, protect from moisture.

What does Ibuprofen, Paracetamol interact with?

Kivenul can interact with several medicines; awareness helps prevent adverse outcomes.

Major Interactions (Avoid): - Anticoagulants (warfarin, DOACs): increased bleeding risk. - Other NSAIDs or COX‑2 inhibitors: additive gastrointestinal toxicity. - Lithium: ibuprofen may raise lithium serum levels.

Moderate Interactions (Monitor Closely): - ACE inhibitors or ARBs: monitor renal function and blood pressure. - Alcohol: may enhance hepatotoxicity of paracetamol.

Frequently asked questions

What is Kivenul used for?+
Kivenul is a fixed‑dose combination of ibuprofen and paracetamol indicated for the relief of mild to moderate pain such as headache, musculoskeletal discomfort, and for the reduction of fever in both adult and pediatric patients.
How does ibuprofen/paracetamol work in Kivenul?+
Ibuprofen blocks cyclooxygenase enzymes, lowering peripheral prostaglandin production and reducing inflammation and pain. Paracetamol works mainly in the central nervous system to inhibit COX activity and modulate the endocannabinoid system, providing analgesic and antipyretic effects without strong peripheral anti‑inflammatory action.
What is the usual dose of Kivenul?+
The appropriate dose of Kivenul is determined by the prescribing healthcare professional based on the patient’s age, weight, clinical condition, and response to therapy. Patients should follow the prescriber’s instructions and not exceed the recommended amount.
Is Kivenul safe during pregnancy or breastfeeding?+
Safety of Kivenul in pregnancy or lactation has not been fully established. It is generally avoided in the third trimester because of potential fetal risks, and caution is advised throughout pregnancy and while breastfeeding. Consultation with a healthcare provider is essential before use.
How do I order Kivenul from GNH USA?+
To place an order, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Kivenul compare with other pain relievers?+
Kivenul combines an NSAID (ibuprofen) with a centrally acting analgesic (paracetamol), offering dual mechanisms of action. Compared with single‑ingredient products, this combination can provide broader pain relief and antipyretic effect, potentially allowing lower individual doses and reducing the risk of side effects associated with higher doses of a single agent.
What are the storage requirements for Kivenul?+
Kivenul should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct sunlight, and ensure they are out of reach of children.
How is Kivenul administered?+
Kivenul is taken orally, usually with a glass of water. It may be taken with or without food, but taking it with food can help minimise gastrointestinal discomfort. The exact administration schedule should follow the prescriber’s guidance.
What are the most serious risks associated with Kivenul?+
Serious risks include gastrointestinal bleeding or ulceration, severe liver injury, renal impairment, and rare hypersensitivity reactions such as Stevens‑Johnson syndrome or anaphylaxis. Patients should seek immediate medical attention if they notice signs of bleeding, jaundice, severe rash, or difficulty breathing.
Who should not use Kivenul?+
Kivenul should be avoided by individuals with known hypersensitivity to ibuprofen, paracetamol, or any component of the formulation, those with active peptic ulcer disease, severe liver or kidney impairment, and pregnant women in the third trimester. Consultation with a healthcare professional is required before use in any of these situations.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Ibuprofen, Paracetamol
Route
Oral Use
Manufacturer
Sandoz Pharmaceuticals D.D.
Origin
EU

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