Combiflam Tablet: How It Works, Dosage, and Side Effects
Written by Medicover Team and Medically Reviewed by Dr Supriya Lankepillewar, General-medicine
Combiflam is a widely prescribed medication that combines two powerful painkillers, paracetamol and ibuprofen, to provide effective relief from pain, fever, and inflammation. It is commonly used to manage conditions such as headaches, muscle pain, period pain, toothaches, and joint pain.
Known for its quick action and effectiveness, Combiflam is a go-to choice for short-term symptom relief, but it'should always be used under medical guidance to ensure safety.
Combiflam is a combination medication containing Paracetamol (325 mg) and Ibuprofen (400 mg) per tablet, known as the Combiflam composition. Paracetamol acts as an analgesic (pain reliever) and antipyretic (fever reducer), while Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), reduces pain and inflammation.
This dual-action formula makes Combiflam effective for a wide range of symptoms. It is available in tablet form for adults and as Combiflam Syrup for children aged 6 months and above, ensuring accessibility for different age groups.
Combiflam offers relief for various conditions, making it a versatile medication.
While primarily used for the conditions listed above, Combiflam may also be prescribed for other pain-related issues as determined by a healthcare provider. For children, Combiflam Syrup is used to relieve fever, toothache, headache, and muscle pain, making it a suitable option for pediatric care under medical supervision.
Combiflam's effectiveness comes from the combined action of its two active ingredients:
This dual mechanism allows Combiflam to provide comprehensive relief, typically within 30 minutes of administration, with effects lasting around 6 hours.
Combiflam is available in multiple strength combinations of Paracetamol and Ibuprofen, designed to offer flexibility in treating varying degrees of pain, inflammation, and fever.
These dosage strengths are prescribed based on the severity of symptoms, patient age, and medical history. Always follow your doctor's instructions to ensure safe usage.
Combiflam comes in two primary dosage forms to suit patient preferences and clinical needs:
Each form of Combiflam is formulated to deliver effective relief while maintaining safety across different age groups and health conditions.
Combiflam should always be taken as prescribed by a healthcare provider to ensure safety and effectiveness. General guidelines include:
| Patient Group | Condition/Parameter | Dosage Adjustment Guidance |
|---|---|---|
| Kidney Patients | Creatinine Clearance (CrCl) < 10 mL/min | Paracetamol: Administer at minimum 8-hour intervals; avoid chronic use. |
| Glomerular Filtration Rate (GFR) 30-60 mL/min | Avoid Ibuprofen use during intercurrent illness due to increased AKI risk. | |
| GFR < 30 mL/min | Avoid Ibuprofen use entirely. | |
| Advanced renal disease | Avoid Ibuprofen unless benefits outweigh risks; monitor renal function closely. | |
| Hepatic Impairment Patients | Hepatic dysfunction | Use Paracetamol with caution. |
| Chronic hepatic disease | Use the smallest effective Paracetamol dose for the shortest duration. | |
| Ibuprofen dosage guidelines | Not well established; use with caution. | |
| Pediatric Patients | Paracetamol metabolism | Primarily excreted as sulfate conjugate due to immature glucuronide pathways; adult-like metabolism achieved by age 12. |
| Ibuprofen pharmacokinetics | Half-life 0.9-2.3 hours; higher volume of distribution in children <2.5 years; adolescent kinetics similar to adults. |
Key Instructions:
If you miss a dose, take it as soon as you remember. However, if itand's nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to compensate.
An overdose of Combiflam can be dangerous, potentially causing:
What to Avoid:
In case of overdose or severe symptoms, visit our Hospital for proper care.
Get a second opinion from trusted experts and makeconfident, informed decisions.
Get Second OpinionWhile Combiflam is generally safe when used as directed, it can cause side effects. Combiflam side effects include:
Advice: If you experience severe or persistent side effects, stop taking Combiflam and consult your doctor immediately. Persistent nausea, vomiting, or signs of dehydration (e.g., dark urine or reduced urination) require urgent medical attention.
If you experience severe or persistent side effects, stop taking Combiflam and consult our General Medicine or Orthopedics specialists immediately.
Combiflam is not suitable for everyone and requires caution in certain cases. Avoid Combiflam if you:
Combiflam can interact with other medications, potentially affecting its effectiveness or increasing side effects. Key interactions include:
Some herbal products or supplements may interact with Combiflam, so always inform your doctor about all medications and supplements you are taking to avoid complications.
Proper storage ensures Combiflam remains effective:
Improper storage can degrade the active ingredients, reducing effectiveness or making the medicine unsafe. Exposure to heat, moisture, or light may cause chemical changes.
| Combiflam | Flexon |
|---|---|
| Manufacturer: Sanofi India Ltd Salt Composition: Ibuprofen (400mg) + Paracetamol (325mg) Uses:
|
Manufacturer: Aristo Pharmaceuticals Pvt Ltd Salt Composition: Ibuprofen (400mg) + Paracetamol (325mg) Uses:
|

Still have questions? Speak with our experts now!
040-68334455Combiflam is used to relieve pain, reduce inflammation, and lower fever. It combines ibuprofen and paracetamol, making it effective for headaches, toothaches, menstrual pain, and joint or muscle pain.
Paracetamol is a single-ingredient medicine for pain and fever, while Combiflam combines paracetamol with ibuprofen to provide both pain relief and anti-inflammatory effects.
Yes, long-term or excessive use of Combiflam can cause gastrointestinal problems, kidney issues, or allergic reactions. It should always be taken as directed by a healthcare provider.
Combiflam may affect kidney function, especially with prolonged use or in people with existing kidney conditions. Use with caution and under medical advice.
Combiflam is not commonly associated with drowsiness, but individual reactions can vary. If you feel sleepy after taking it, consult your doctor.
Yes, Combiflam can help ease throat pain due to its anti-inflammatory and pain-relieving properties, but it should not replace targeted treatment for infections.
Combiflam may be given to children only in child-appropriate formulations and dosages, and strictly under a doctor’s supervision.
Crocin (paracetamol) is ideal for reducing fever and mild pain, while Combiflam is better when inflammation is also present. The right choice depends on the condition and doctor’s recommendation.
Combiflam may provide temporary relief for mild nerve pain, but it is not specifically formulated for neuropathic pain. Consult a doctor for suitable alternatives.
The usual duration is 5 to 7 days, but it may extend to 10 to 14 days for more severe infections or as directed by your doctor.
Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.