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Ibuprofen vs. Indocin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ibuprofen (Advil, Motrin) and indomethacin (Indocin) are both NSAIDs used to relieve pain and inflammation, but they have some key differences. Ibuprofen is available over-the-counter and by prescription, while indomethacin requires a prescription. Ibuprofen can be taken orally in various forms like tablets, capsules, and liquid, whereas indomethacin is available as a tablet and rectal suppository. Ibuprofen is commonly used for short-term relief of minor aches, pains, and fever, while indomethacin is used for more severe conditions like rheumatoid arthritis, ankylosing spondylitis, and gouty arthritis. Side effects for both include stomach upset and headache, but indomethacin can also cause rectal irritation when used as a suppository. Additionally, ibuprofen is more accessible and comes in multiple strengths, while indomethacin is only available in a 50 mg or 75 mg strength. Neither medication should be taken together or with other NSAIDs due to increased risks of side effects like stomach bleeding and kidney damage.

Ibuprofen

 

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Indomethacin

(Indocin)

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Summary for Ibuprofen

Prescription or over-the-counter

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that's used to temporarily relieve fever, pains, and aches in adults and children. In general, ibuprofen is taken by mouth every 4 to 8 hours, though the dosage depends on your age, weight, and other medical problems. Ibuprofen side effects include nausea, heartburn, and stomach pain, but taking it with food might help prevent these side effects. Ibuprofen is available over the counter and by prescription, depending on the strength you need.

Indications for Ibuprofen

Over-the-counter ibuprofen:

Prescription ibuprofen:

Pros and Cons for Ibuprofen

Pros

  • Works well for fever, pain, and swelling
  • Available over the counter and by prescription and as lower-cost generics
  • Available as tablets, capsules, chewable tablets, and an oral liquid
  • Chewable tablets and liquid can be used in children

Cons

  • Lasts for only about 6 hours, so might need to take multiple doses throughout the day
  • Might not be the best option if you're 65 years or older or if you have kidney, heart, liver, or bleeding problems
  • Has risk of stomach bleeding, stomach ulcers, and kidney problems
  • Shouldn't take other NSAIDs at the same time because of higher risk for side effects

Common Side Effects for Ibuprofen

The following side effects were reported in up to 9% of people in clinical studies.

  • Nausea
  • Stomach pain
  • Heartburn
  • Dizziness
  • Rash

Warnings for Ibuprofen

  • Stomach bleeding and ulcers
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Kidney damage
  • Liver problems
  • Severe allergic reactions
  • Harm to unborn babies
  • Caution use in people with phenylketonuria (PKU) - chewable tablets only

Summary for Indocin

Prescription only

Indomethacin (Indocin) is an NSAID that's used to treat different types of arthritis, including arthritis related to gout. It's also used to treat conditions that cause shoulder pain. This medication can be used in people 15 years of age and older; it hasn't been studied in younger children. The oral form of indomethacin (Indocin) is available as capsules (both immediate-release and extended-release) and a liquid. The dosage for immediate-release formulations is typically 2 to 4 times a day, and the dosage for extended-release capsules is once a day. Common side effects include headache, dizziness, and stomach upset.

Indications for Indocin

Pros and Cons for Indocin

Pros

  • Can relieve pain and swelling
  • Available in fast-acting formulations and a longer-acting, extended-release capsule
  • Dose can be adjusted by your provider if needed
  • Liquid version is a good option for people who have trouble swallowing pills

Cons

  • Might not be the best option for long-term use because of safety risks
  • Most forms are taken 2 to 4 times a day
  • Not a good choice if you have kidney or liver problems
  • Can raise your risk of blood clots, heart attack, or stroke (similar to other NSAIDs)

Common Side Effects for Indocin

Note: Side effects listed here are for immediate-release indomethacin. Side effects for extended-release capsules might differ.

  • Headache (12%)
  • Nausea (up to 9%)
  • Upset stomach (up to 9%)
  • Dizziness (up to 9%)

Warnings for Indocin

  • Stomach bleeding and ulcers
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Liver problems
  • Kidney damage and high potassium levels
  • Severe allergic reactions
  • Severe asthma attack
  • Worsening of nervous system and mental health problems
  • Harm to unborn babies

Prices with our coupons for Ibuprofen vs. Indocin

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Ibuprofen30 tablets / 800mg
$8.92$16.21
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Indomethacin1 vial / 1mg
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