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Drug · FAERS side-effect profile with label screen

Ibuprofen 200 side effects: what 198,333 FDA adverse event reports show

Ibuprofen 200 Mg · 1,174 reaction terms · 991,076 drug–reaction co-reports · data 2026-09-14
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Drug class

Nonsteroidal Anti-inflammatory Drug

FDA label (Established Pharmacologic Class) of the closest related product

Label matched

Ibuprofen 200 Mg (Ibuprofen Fast Relief Medicine For Pain)

closest FDA label found for this product string; brand list suppressed because the label is a related product, not an exact match

Who reports

198,333 reports · 73% serious · 16,224 with death outcome · 65% female

openFDA FAERS counts, all years, deduplication not applied

Used for

temporarily relieves minor aches and pains due to: headache toothache backache menstrual cramps the common cold muscular aches minor pain of arthritis temporarily reduces fever

FDA label, Indications and Usage

What it is

Ibuprofen is a monocarboxylic acid that is propionic acid in which one of the hydrogens at position 2 is substituted by a 4-(2-methylpropyl)phenyl group.

PubChem CID 3672 (ChEBI)

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Likely indication confounding 1Lab value / disease marker 7Not in label — unassessed 32
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,134 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Nsaid exacerbated respiratory disease17299.8
80.9–123.1ROR 99.9 · calibrated p 2e-7 ✓
51.0 EB05 44.9 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=169 · ♀ 0% (drug 65%) · 100% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody28779.7
68.3–92.9ROR 79.8 · calibrated p 7e-7 ✓
45.3 EB05 41.1 · IC025 +5.2
3/3 methods agree
Lab value / disease markerserious n=287 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Deep vein thrombosis postoperative79772.3
66.0–79.1ROR 72.6 · calibrated p 1e-6 ✓
42.9 EB05 40.4 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=797 · ♀ 100% (drug 65%) · 91% cliniciannot reported in cached trials
Duodenal ulcer perforation2,89268.6
65.5–71.9ROR 69.6 · calibrated p 2e-6 ✓
41.6 EB05 40.4 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious PRR 32.8 · ♀ 96% (drug 65%) · 93% clinicianNCT00346216: 2/7,933 (0.0%) on Ibuprofen 200 (serious AE)
C-reactive protein34765.3
57.1–74.7ROR 65.4 · calibrated p 3e-6 ✓
40.3 EB05 36.9 · IC025 +5.1
3/3 methods agree
Lab value / disease markerserious n=347 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive2,63262.0
59.1–65.1ROR 62.8 · calibrated p 3e-6 ✓
39.1 EB05 37.9 · IC025 +5.2
3/3 methods agree
Lab value / disease markerserious PRR 31.0 · ♀ 100% (drug 65%) · 94% cliniciannot reported in cached trials
Lupus vulgaris43159.8
53.1–67.4ROR 60.0 · calibrated p 4e-6 ✓
38.2 EB05 35.3 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=431 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Muscle injury2,93558.7
56.1–61.4ROR 59.5 · calibrated p 4e-6 ✓
37.8 EB05 36.6 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 32.2 · ♀ 100% (drug 65%) · 92% cliniciannot reported in cached trials
Subcutaneous drug absorption impaired19357.8
48.4–68.9ROR 57.8 · calibrated p 6e-6 ✓
37.3 EB05 33.1 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious n=192 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, insomnia type2,21755.3
52.6–58.3ROR 55.9 · calibrated p 7e-6 ✓
36.4 EB05 35.1 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=2,210 · ♀ 100% (drug 65%) · 93% cliniciannot reported in cached trials
Adjustment disorder with depressed mood68954.7
49.9–60.0ROR 54.9 · calibrated p 8e-6 ✓
36.1 EB05 33.9 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=684 · ♀ 100% (drug 65%) · 93% cliniciannot reported in cached trials
Swollen joint count increased1,01150.5
46.8–54.4ROR 50.7 · calibrated p 1e-5 ✓
34.2 EB05 32.5 · IC025 +5.0
3/3 methods agree
Lab value / disease markerserious n=1,010 · ♀ 100% (drug 65%) · 95% cliniciannot reported in cached trials
Aspirin-exacerbated respiratory disease19648.1
40.6–57.0ROR 48.1 · calibrated p 2e-5 ✓
33.0 EB05 29.3 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=191 · 100% cliniciannot reported in cached trials
Rheumatic fever1,25842.5
39.8–45.4ROR 42.8 · calibrated p 4e-5 ✓
30.4 EB05 29.0 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=1,258 · ♀ 100% (drug 65%) · 94% cliniciannot reported in cached trials
X-ray abnormal51042.1
38.0–46.6ROR 42.2 · calibrated p 4e-5 ✓
30.2 EB05 28.0 · IC025 +4.7
3/3 methods agree
Lab value / disease markerserious n=510 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Dislocation of vertebra61940.5
36.9–44.5ROR 40.7 · calibrated p 5e-5 ✓
29.4 EB05 27.5 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=619 · ♀ 100% (drug 65%) · 92% cliniciannot reported in cached trials
Folliculitis2,86040.3
38.6–42.0ROR 40.8 · calibrated p 5e-5 ✓
29.2 EB05 28.4 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious PRR 27.0 · ♀ 100% (drug 65%) · 93% cliniciannot reported in cached trials
Helicobacter infection2,81140.0
38.3–41.8ROR 40.6 · calibrated p 5e-5 ✓
29.1 EB05 28.2 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious PRR 24.2 · ♀ 100% (drug 65%) · 93% cliniciannot reported in cached trials
Cross sensitivity reaction23934.7
29.9–40.1ROR 34.7 · calibrated p 1e-4 ✓
26.2 EB05 23.5 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=238 · 100% cliniciannot reported in cached trials
Rheumatoid factor positive1,43134.7
32.7–36.8ROR 34.9 · calibrated p 1e-4 ✓
26.2 EB05 25.1 · IC025 +4.6
3/3 methods agree
Lab value / disease markerserious n=1,431 · ♀ 100% (drug 65%) · 95% cliniciannot reported in cached trials
Facet joint syndrome74232.3
29.8–35.1ROR 32.5 · calibrated p 2e-4 ✓
24.9 EB05 23.4 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=742 · ♀ 100% (drug 65%) · 92% clinicianNCT00346216: 1/7,933 (0.0%) on Ibuprofen 200 (serious AE)
Pemphigus2,87631.6
30.3–33.0ROR 32.1 · calibrated p 2e-4 ✓
24.4 EB05 23.7 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious PRR 19.3 · ♀ 100% (drug 65%) · 94% cliniciannot reported in cached trials
Hand deformity2,78928.5
27.3–29.7ROR 28.8 · calibrated p 3e-4 ✓
22.5 EB05 21.8 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious PRR 19.3 · ♀ 100% (drug 65%) · 92% cliniciannot reported in cached trials
Retinitis33526.4
23.4–29.7ROR 26.4 · calibrated p 5e-4 ✓
21.2 EB05 19.3 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=335 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
C-reactive protein abnormal1,23024.9
23.4–26.5ROR 25.1 · calibrated p 7e-4 ✓
20.3 EB05 19.3 · IC025 +4.2
3/3 methods agree
Lab value / disease markerserious n=1,228 · ♀ 93% (drug 65%) · 94% cliniciannot reported in cached trials
Pericarditis3,10924.1
23.2–25.0ROR 24.4 · calibrated p 8e-4 ✓
19.7 EB05 19.1 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious PRR 15.7 · ♀ 95% (drug 65%) · 92% clinicianNCT00346216: 1/7,992 (0.0%) on Ibuprofen 200 (serious AE)
Enthesopathy28623.2
20.4–26.4ROR 23.3 · calibrated p 0.001 ✓
19.1 EB05 17.3 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=282not reported in cached trials
Peripheral venous disease70222.4
20.6–24.3ROR 22.5 · calibrated p 0.001 ✓
18.6 EB05 17.4 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=699 · ♀ 100% (drug 65%) · 92% clinicianNCT00346216: 1/7,992 (0.0%) on Ibuprofen 200 (serious AE)
Synovitis3,10121.8
20.9–22.6ROR 22.1 · calibrated p 0.001 ✓
18.2 EB05 17.6 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious PRR 14.9 · ♀ 95% (drug 65%) · 92% clinicianNCT00346216: 1/8,030 (0.0%) on Ibuprofen 200 (serious AE)
Granuloma skin13821.0
17.5–25.2ROR 21.0 · calibrated p 0.002 ✓
17.6 EB05 15.2 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=138 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Gastric ulcer perforation20019.6
16.9–22.8ROR 19.7 · calibrated p 0.002 ✓
16.6 EB05 14.8 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=200 · 100% cliniciannot reported in cached trials
Chronic kidney disease-mineral and bone disorder16719.3
16.3–22.7ROR 19.3 · calibrated p 0.002 ✓
16.4 EB05 14.4 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=167not reported in cached trials
Porphyria acute20818.6
16.0–21.6ROR 18.6 · calibrated p 0.003 ✓
15.9 EB05 14.2 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=206 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Irritable bowel syndrome3,15818.2
17.5–18.9ROR 18.5 · calibrated p 0.003 ✓
15.6 EB05 15.2 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious PRR 15.4 · ♀ 98% (drug 65%)NCT00346216: 1/8,030 (0.0%) on Ibuprofen 200 (serious AE)
Seronegative arthritis16017.4
14.7–20.6ROR 17.4 · calibrated p 0.004 ✓
15.0 EB05 13.2 · IC025 +3.6
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=160 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials
Renal tubular acidosis29016.0
14.2–18.1ROR 16.0 · calibrated p 0.005 ✓
14.0 EB05 12.7 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=288 · 100% cliniciannot reported in cached trials
Glossodynia (burning tongue/mouth pain)2,86515.4
14.8–16.0ROR 15.6 · calibrated p 0.006 ✓
13.5 EB05 13.1 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious PRR 15.1 · ♀ 98% (drug 65%)not reported in cached trials
Fixed eruption21415.2
13.1–17.5ROR 15.2 · calibrated p 0.007 ✓
13.3 EB05 11.9 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=189 · ♀ 0% (drug 65%) · 100% cliniciannot reported in cached trials
Obstructive sleep apnoea syndrome16414.0
11.9–16.4ROR 14.0 · calibrated p 0.010 ✓
12.3 EB05 10.8 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=161 · ♀ 0% (drug 65%)not reported in cached trials
Drug tolerance decreased32413.7
12.2–15.4ROR 13.7 · calibrated p 0.010 ✓
12.2 EB05 11.1 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=314 · ♀ 100% (drug 65%) · 100% cliniciannot reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Anaphylaxis / angioedema4,8434.24.1–4.3signal
Severe cutaneous reaction2,7674.03.9–4.2signal
Gi bleeding5,6283.33.2–3.4signal
Suicidality7,5313.33.2–3.4signal
Liver injury8,9203.23.1–3.3signal
Tendon disorder1,0673.02.8–3.2signal
Kidney injury11,9802.82.8–2.9signal
Depression5,7352.22.1–2.2signal
Venous thromboembolism3,7591.81.8–1.9raised
Pancreatitis1,3051.71.6–1.8raised
Serious infection12,4001.71.7–1.7raised
Hyponatraemia1,2001.61.5–1.7raised
Rhabdomyolysis / myopathy1,1931.61.5–1.7raised
Interstitial lung disease1,3721.51.4–1.6raised
Anaemia4,2751.51.5–1.6raised
Fall / fracture4,8781.41.3–1.4raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Ibuprofen 200 as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (6 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Drug ineffective (drug did not work)15,7011.3
1.2–1.3ROR 1.3 · calibrated p 0.498
1.3 EB05 1.2 · IC025 +0.3Reporting / coding artifactage-adj. PRR 1.3 · serious PRR 1.8not reported in cached trials
Pain15,0652.6
2.6–2.7ROR 2.8 · calibrated p 0.709
2.6 EB05 2.6 · IC025 +1.3
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 2.7 · serious PRR 2.7NCT00346216: 7/7,992 (0.1%) on Ibuprofen 200 (serious AE)
Fatigue (tiredness)14,4842.0
2.0–2.0ROR 2.1 · calibrated p 0.980
2.0 EB05 1.9 · IC025 +1.0Not in label — unassessedage-adj. PRR 1.8 · serious PRR 2.2NCT00346216: 2/7,992 (0.0%) on Ibuprofen 200 (serious AE)
Nausea13,5111.8
1.8–1.9ROR 1.9 · calibrated p 0.879
1.8 EB05 1.8 · IC025 +0.8Not in label — unassessedage-adj. PRR 1.7 · serious PRR 2.0NCT00346216: 3/7,992 (0.0%) on Ibuprofen 200 (serious AE)
Headache12,0982.1
2.0–2.1ROR 2.1 · calibrated p 0.986
2.0 EB05 2.0 · IC025 +1.0
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 1.7 · serious PRR 2.3NCT00346216: 6/7,992 (0.1%) on Ibuprofen 200 (serious AE)
Arthralgia (joint pain)10,9262.8
2.8–2.9ROR 2.9 · calibrated p 0.645
2.8 EB05 2.7 · IC025 +1.4
3/3 methods agree
Not in label — unassessedage-adj. PRR 2.4 · serious PRR 3.3NCT00346216: 33/7,992 (0.4%) on Ibuprofen 200 (serious AE)
Dyspnoea (shortness of breath)10,5402.0
2.0–2.0ROR 2.0 · calibrated p 0.968
2.0 EB05 1.9 · IC025 +0.9Not in label — unassessedage-adj. PRR 1.8 · serious PRR 1.9NCT00346216: 24/7,992 (0.3%) on Ibuprofen 200 (serious AE)
Diarrhoea (diarrhea)9,7051.6
1.6–1.6ROR 1.6 · calibrated p 0.728
1.6 EB05 1.6 · IC025 +0.6Not in label — unassessedage-adj. PRR 1.5 · serious PRR 1.7NCT00346216: 8/7,992 (0.1%) on Ibuprofen 200 (serious AE)
Rash9,0332.2
2.2–2.3ROR 2.3 · calibrated p 0.910
2.2 EB05 2.2 · IC025 +1.1
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.0 · serious PRR 3.1NCT00346216: 1/8,030 (0.0%) on Ibuprofen 200 (serious AE)
Off label use (used outside approved label)8,5691.0
1.0–1.1ROR 1.0 · calibrated p 0.336
1.0 EB05 1.0 · IC025 +0.0Reporting / coding artifactage-adj. PRR 0.9 · serious PRR 1.2not reported in cached trials
Dizziness8,1831.7
1.7–1.8ROR 1.8 · calibrated p 0.819
1.7 EB05 1.7 · IC025 +0.8Not in label — unassessedage-adj. PRR 1.7 · serious PRR 1.8NCT00346216: 5/7,992 (0.1%) on Ibuprofen 200 (serious AE)
Pruritus (itching)7,9142.2
2.2–2.3ROR 2.3 · calibrated p 0.907
2.2 EB05 2.2 · IC025 +1.1
3/3 methods agree
Not in label — unassessedage-adj. PRR 1.8 · serious PRR 3.3NCT00346216: 1/7,933 (0.0%) on Ibuprofen 200 (serious AE)
Acute kidney injury (sudden kidney damage)6,6284.8
4.7–4.9ROR 4.9 · calibrated p 0.246
4.6 EB05 4.5 · IC025 +2.2
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.9 · serious PRR 3.6NCT00346216: 39/7,992 (0.5%) on Ibuprofen 200 (serious AE)

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Ibuprofen (NSAIDs) ↔ Gastrointestinal bleeding.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Ibuprofen 200?

In FDA FAERS, the most frequently co-reported reaction terms for Ibuprofen 200 are pain, fatigue, nausea, headache, arthralgia, dyspnoea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Ibuprofen 200 have an FDA boxed warning?

No. The FDA label retrieved for Ibuprofen 200 has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Ibuprofen 200 causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.