♪ Bob and Brad ♪
♪ the two most famous ♪
♪ physical therapist ♪
♪ on the internet. ♪
- Hi folks, Brad Heineck, physical therapist.
- Hi, I'm Chris the Pharmacist.
- And I'm exactly one half
of the Bob and Brad physical therapy channel,
but Bob's not here today
'coz we have somebody better.
We've got Chris, we're gonna talk about Advil.
Everything you need to know,
if you wanna go learn the basics of it and some details,
how much you take, et cetera. Won't take very long.
We do have a give away I wanna talk about.
- Yeah. - This is our wall anchor.
You're going to get four of 'em to a set.
You can put 'em on the wall
like we have over here.
We'll get a little pan shot there
and we have a brief example of how to use it.
You have to have wooden studs in your house
like most houses do,
bounce it in per directions
and lock on your tube and go ahead.
- Do some Ws. - Yeah.
- All right. - I wouldn't do it like this,
so make sure you put 'em into a real wall.
- Yeah. Yeah. - It works much more.
- It's gonna be a rough face shot that's for sure.
- Okay. All right, Chris,
let's talk about Advil. What is it?
- Advil is ibuprofen, so also known as Motrin.
So it's been around for a long, long time.
- That's the same thing.
- Yeah. Motrin, Advil, ibuprofen. All three are synonymous.
So I usually just use ibuprofen,
'coz it's the easiest thing for me to remember.
The reality of it, it comes as a 200 milligram tablet,
comes as a liquid form for kids
or people that can't swallow well.
- Kids, is that 12 and under?
- Yeah. You can use it,
yeah, I mean, you can use it as low as,
really, a year or less depending upon
'coz we use it as fever reducers for kids.
- Yeah.
- So if they've been really sick,
we dose it down to their body weight.
So it's not gonna be just a package.
I mean the, the concentration
that ibuprofen comes in liquid form
is a hundred milligrams per five milliliter, you know?
So it's that point, so we find, let's say, you know, Jesus.
- Is that kids as in infants?
- Yeah. Yeah. Babies.
- Yeah. So you gonna
- So if you had, yeah, you're gonna dose it down
and you would tell us the child's weight,
we would calculate out the proper weight.
- Okay. - And give you a dose.
- Okay. - So either talk
to your doctor, your nurse, or your pharmacist
- Okay - to get the appropriate dose.
- Sure. - You know,
sometimes, you know
they get a vaccine, they're uncomfortable,
they got an ear infection going on,
really fever's uncomfortable.
So you provide the ibuprofen, reduces it.
So, in absence of an allergy
which would be one of the reasons we wouldn't take it.
So if it's, and it's got cross reactivity with aspirin.
So if you have an aspirin allergy,
- Mm hmm
- definitely don't wanna use ibuprofen,
- Okay.
- unless your doctor's kind of tested you
and given you approval to safely use it.
- And that's all ages?
- All ages.
- Yep. That's forever or never.
It's good to know.
- Yep. You bet.
But, you know, the other utility for adults,
and the cool thing about ibuprofen, it works for pain,
it works for fever reduction, and its biggest utility is,
it's an anti-inflammatory.
So rules for pain.
So you got the sprained ankle, you got the bum knee,
the bad back, you got the headache or you got a cold fever,
COVID, whatever you got, you know, you can use it to
- So swelling is the inflammation?
- Yeah. So it's gonna help to contain that.
So, 'coz oftentimes that's a byproduct of pain,
you got all that, let's say I blew my knee out.
Swelling here, it's stretching,
it's pressing on those nerves,
it's uncomfortable.
We can reduce some of that swelling obviously
with ice and other things too,
but the ibuprofen's gonna work from the inside out
to try and give you some comfort and some pain
- Take that pressure off. - Take the pressure off,
but it's also analgesic,
so not only is it reducing the inflammation
but it's telling your body,
"Hey, I don't care as much about the pain.
So you're little bit more comfortable, so you can rest
and allow your body's natural healing capabilities
to kick in."
- Okay.
- So dosing
- Oh dosing. - Yeah. Yeah. Dosing.
So it comes as a 200 milligram tablet.
So basically 12 on up, it's gonna be one to two tablets
every four to six hours apart as you need
to a maximum of eight tablets.
So in the day, oftentimes doctors may suggest it,
because it's a 200 milligram tablet,
they'll tell you to maybe take more per their guidance.
- Sure. - So oftentimes
you'll hear that from physicians to say,
"Ah, just take this,
but we're gonna have you take a little bit more."
But you know, the maximum dose
that we really don't want people to do
is just two tablets every four to six hours apart.
Eight in a day is kind of your max.
'Coz we wanna protect our stomachs.
One of the side effects of this, actually,
long term use of ibuprofen is stomach ulceration.
So we do have to be careful with that.
- What's long term considered?
- Well it's gonna be, you know,
months of regular consistent use.
So let's say you've got osteoarthritis,
sometimes people get a lot of pain,
it's the wear and tear arthritis.
So as we age, I'm just picking on it, but,
you know, it's something that we would use
probably for more than just your average bear,
'coz it doesn't go away.
We haven't invented something to fix that yet.
- Just managing it.
- Yeah. So, you know I'm, and that way
I would see you for physical therapy
to try and come up with other ways to go non-drug,
but, in the short term we would like it.
But if you're using it all the time,
there are some risks to the stomach,
there are some risks to the kidneys.
- Okay. - So we do have to be careful.
And the other unique thing rather for people with ibuprofen,
if you're on blood thinners, it's an absolute no-no.
So if you're taking drugs like warfarin, eliquis, xarelto,
you know, brilinta, clopidogrel,
these are all things that would,
your pharmacist would tell you
and your doctor would tell you
that you cannot use anti-inflammatories
- Okay - like ibuprofen.
- All right.
- It can be dangerous,
it can cause the bleeding stroke, which are the
- Oh?
- yeah, three percent survivability on the,
on a worst case scenario
- Sure - it's not a,
not an area we want to go in.
- Right. Okay. That's really good information
- But, for pain and inflammation,
I, I, it's my favorite go-to choice
for recommendation to patients.
So if they're not on,
if I'm not checking off kidney problems,
blood pressure problems, blood thinners or allergies,
it's my go-to choice.
- Sure. Okay.
- So, 'coz you're gonna come in to see your pharmacist
or your doctor and they're gonna tell you,
"Yeah. Any problems? No, go through our list.
Okay. Why don't we try some ibuprofen?"
- So, as a rule of thumb, I mean,
if someone has a, an acute problem,
they use it, that, two times, four times a day,
three to four times a day. - Yeah.
- How many days in a row?
- Yeah, we would say up to seven.
- Okay.
- So that's kind of that benchmark.
And if you're, if you're getting worse
while you're taking it,
or if you get to day seven
and things just haven't improved,
it's definitely time to contact your doctor.
We have to get the pros in there
that can really figure out
maybe the crux of the matter
to ensure that we can get you back to well.
- Right. In case there's something else going on.
- Exactly.
- It could be more serious.
- Uh! - Oh! Go ahead.
- Tough on the tummy.
So you always wanna take like some food,
food or at least a glass of milk.
- Before or after you eat?
- Well, I would actually have it after you eat.
So this way you got something in there.
It's, and it's not so much that it's, you know,
it's acidic and it's gonna burn a hole in your tummy.
- Yeah. - It's not what happens,
but it's, it reduces prostaglandin.
It slows down the absorption, helps your body
to kind of pick it up and make sure it's minimal.
- So, whatever you, as long as you eat something.
- A little something is kind of how to take.
- And if you're in a big hurry,
I think you've told me, at least gotta have some milk
- At least milk,
and we'd like you to stay hydrated,
'coz it likes to go through those kidneys.
So we do want to take care of that.
So people that have renal problems,
it's another thing that you have to reduce the dose greatly
or talk to your doctor if it's even safe for you.
- Okay. So just drinking water.
- Water is ideal.
- Yep. Okay. And what kind should you buy?
What is the best?
- Well, basically anything that's inexpensive is fine.
So the brand names are Advil and Motrin
- Mm hmm.
- and ibuprofen's always right next to it.
I would tell you if you're going
to your local pharmacy, grocery store, gas station,
if they've got an equivalent generic of, you know,
- If it says ibuprofen on it
and some unusual name
you haven't heard of, - Two hundred milligram.
Yeah. You're good. - It's good.
- Yes. And that's, you know,
there's no reason to spend more for a shiny prettier box.
So just buy the cheap stuff,
it works the same, your body doesn't care what's,
what the name on the box is.
It cares what it does in the body.
And that's, that's the important thing.
That's the takeaway.
- Yes. So I think did we, did we have, hit anything Danny?
Anything else there you wanna know?
- I hope we got her.
- All right. Thank you, Chris.
- You're welcome.
Good day guys!