Ibugesic Plus Strawberry Oral Suspension: Complete Guide for Parents
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual bleeding or bruising
- Persistent high fever not responding to medicine
If experiencing severe symptoms, call emergency services immediately.
What is fenceta plus 100mg/162.5mg suspension used for?
This medicine is a combination of ibuprofen and paracetamol used to treat fever and mild to moderate pain in children. It works by reducing pain and fever through two different mechanisms. It is available as a strawberry-flavoured oral suspension and should be used only under a doctor's supervision.
- Generic Name: Ibuprofen (100mg) + Paracetamol (162.5mg)
- Manufacturer: Alkem Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 fenceta plus 100mg/162.5mg suspension के बारे में (Hindi Summary)
उपयोग: यह दवा इबुप्रोफेन और पैरासिटामोल का संयोजन है, जिसका उपयोग बच्चों में बुखार और हल्के से मध्यम दर्द के इलाज के लिए किया जाता है। यह स्ट्रॉबेरी फ्लेवर वाले ओरल सस्पेंशन के रूप में उपलब्ध है। यह दांत निकलने का दर्द, कान का दर्द, गले में खराश, सिरदर्द, शरीर दर्द और टीकाकरण के बाद होने वाले बुखार में राहत देती है। यह दवा केवल डॉक्टर की सलाह पर ही दी जानी चाहिए।
साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं जैसे पेट में परेशानी, जी मिचलाना, उल्टी, दस्त, सिरदर्द और त्वचा पर चकत्ते। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में तेज दर्द, काला मल, खून की उल्टी, सांस लेने में कठिनाई, चेहरे या गले में सूजन, पीलिया या पेशाब कम आना शामिल हो सकता है। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही दें। खुराक से ज्यादा न दें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मात्रा मापने के लिए दिए गए कप या सिरिंज का उपयोग करें। दवा को भोजन या दूध के साथ दें ताकि पेट में जलन न हो। पैरासिटामोल या इबुप्रोफेन वाली अन्य दवाओं के साथ इसका सेवन न करें। बच्चों की पहुंच से दूर रखें। समाप्ति तिथि के बाद उपयोग न करें।
💊 fenceta plus 100mg/162.5mg suspension Uses & Benefits
[{"condition":"Fever","description":"Effectively reduces fever associated with common colds, flu, ear infections, and other childhood illnesses.","evidence":"Well-established"},{"condition":"Mild to moderate pain","description":"Provides relief from pain such as headache, toothache, sore throat, body ache, and pain after minor injuries or procedures.","evidence":"Well-established"},{"condition":"Teething pain","description":"Helps soothe gum discomfort and associated irritability in infants and toddlers.","evidence":"Well-established"},{"condition":"Post-immunisation fever and pain","description":"Used to manage fever and local pain following routine vaccinations in children.","evidence":"Well-established"},{"condition":"Ear pain (otalgia)","description":"Provides symptomatic relief from ear pain due to infections or other causes.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine attacks in children","description":"Sometimes used to relieve acute migraine headaches in children when other treatments are not suitable.","evidence":"Limited"},{"condition":"Juvenile idiopathic arthritis","description":"May be used as part of pain management in children with arthritis, under specialist supervision.","evidence":"Limited"}]
Primary treatment for: Fever and mild to moderate pain
Also treats: Teething pain, Ear pain, Sore throat, Headache, Body ache, Post-immunisation fever
📋 Drug Information
| Generic Name(s) | Ibuprofen (100mg) + Paracetamol (162.5mg) |
| Brand Name | fenceta plus 100mg/162.5mg suspension |
| Manufacturer | Alkem Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Do not refrigerate. Keep the bottle tightly closed when not in use. |
| Shelf Life | 24 months from the date of manufacture. Do not use after the expiry date printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine contains two active ingredients with complementary mechanisms. Ibuprofen is a non-steroidal anti-inflammatory drug that reversibly inhibits the cyclooxygenase enzymes, COX-1 and COX-2, thereby reducing the production of prostaglandins, which are chemicals that mediate pain, inflammation, and fever. Paracetamol, although its exact mechanism is not fully understood, is believed to act primarily in the central nervous system by inhibiting prostaglandin synthesis and possibly activating descending inhibitory pathways. The combination provides additive analgesic and antipyretic effects, offering broader relief than either ingredient alone.
Mechanism Steps
💡 How to Take fenceta plus 100mg/162.5mg suspension
Strength: Each 5 ml of oral suspension contains Ibuprofen 100 mg and Paracetamol 162.5 mg.
Dosage Information
| Adult Dosage | This medicine is primarily intended for paediatric use. For adults, the dosage form and strength may not be suitable. Adults should use adult formulations of ibuprofen and paracetamol as prescribed by a doctor. The dose must be individualised by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | The dose of this medicine is based on the child's age and weight. It is usually given every 6 to 8 hours as needed, but not more than 4 doses in 24 hours. The exact dose must be determined by a paediatrician. Do not self-medicate. Use the measuring cup or syringe provided. Shake well before use. |
| Elderly Dosage | This medicine is not typically intended for elderly patients. Elderly patients are at higher risk of side effects from NSAIDs, including gastrointestinal bleeding and kidney problems. If used, the lowest effective dose should be used for the shortest duration, under medical supervision. |
| Renal Impairment | Use with caution in patients with kidney impairment. Ibuprofen may worsen kidney function. Dose reduction or avoidance may be necessary. Consult a doctor for appropriate dosing. |
| Hepatic Impairment | Use with caution in patients with liver impairment. Paracetamol can cause liver damage at lower doses in patients with liver disease. Dose reduction or avoidance may be necessary. Consult a doctor for appropriate dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed 4 doses of the recommended strength in 24 hours. For children, the maximum daily dose of ibuprofen is 30 mg/kg/day and paracetamol is 60 mg/kg/day. Do not exceed the doctor's prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of fenceta plus 100mg/162.5mg suspension
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Methotrexate | Major | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| ACE inhibitors/ARBs | Major | |
| Diuretics | Moderate | |
| Lithium | Moderate | |
| SSRIs | Moderate | |
| Zidovudine | Moderate | |
| Carbamazepine | Moderate |
🚨 Major Interactions
- Warfarin
- Methotrexate
- Other NSAIDs (including aspirin)
- Corticosteroids
- ACE inhibitors and ARBs
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Lithium
- SSRIs
- Zidovudine
- Carbamazepine
🍷 Alcohol Interaction
Alcohol should be strictly avoided while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and gastrointestinal bleeding from ibuprofen. It can also worsen stomach irritation and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to ibuprofen, paracetamol, or any other ingredient","History of asthma, urticaria, or allergic reaction after taking aspirin or other NSAIDs","Active or history of recurrent peptic ulcer or gastrointestinal bleeding","Severe heart failure, severe kidney impairment, or severe liver impairment","Bleeding disorders or concurrent anticoagulant therapy","Children under 3 months of age (unless directed by a doctor)","Pregnancy (especially third trimester)"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose. Taking more than the prescribed dose can cause serious liver or kidney damage.","Avoid using other medicines containing paracetamol or ibuprofen while taking this medicine to prevent overdose.","Use with caution in children with dehydration, malnutrition, or low body weight.","Consult a doctor before use in children with asthma, kidney disease, liver disease, or bleeding disorders.","Stop the medicine and seek medical help if signs of an allergic reaction occur.","Do not use for more than 3 days for fever or 5 days for pain without consulting a doctor.","Keep out of reach of children. Store safely to prevent accidental ingestion."]
🤱 Lactation Safety
Ibuprofen and paracetamol are excreted in breast milk in small amounts. The amounts are generally considered compatible with breastfeeding, but it is advisable to consult a doctor before using this medicine while breastfeeding. Short-term use at the lowest effective dose is preferred.
💊 Overdose Management
Overdose of this medicine can cause severe liver damage, kidney failure, and gastrointestinal bleeding. Symptoms of overdose may include nausea, vomiting, abdominal pain, drowsiness, and confusion. If you suspect an overdose, seek emergency medical attention immediately. Do not wait for symptoms to appear. Treatment may include activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care. Bring the medicine bottle to the hospital.
⏰ Missed Dose
If you miss a dose, give it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not give a double dose to make up for a missed one.
Additional Safety Advice
Always give this medicine exactly as prescribed by your child's doctor. Do not give more than the recommended dose, and do not use it for longer than advised without consulting a doctor. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use the measuring cup or syringe provided with the pack to measure the correct dose; household spoons are not accurate. Give this medicine with food or milk to reduce the chance of stomach upset. Avoid giving other medicines that contain paracetamol or ibuprofen at the same time, as this can lead to overdose. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use after the expiry date. If your child has kidney or liver problems, asthma, or a bleeding disorder, inform the doctor before using this medicine. If fever persists for more than three days or pain lasts more than five days, consult a doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
This medicine is not intended for elderly patients. Elderly individuals are at higher risk of NSAID-related side effects such as gastrointestinal bleeding, kidney impairment, and cardiovascular events. If used, the lowest effective dose should be used for the shortest duration under medical supervision.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for use during pregnancy, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus and other complications. If you are planning pregnancy or are pregnant, consult your doctor for safer alternatives.
🏥 Post-Surgery Considerations
This medicine may be used for post-operative pain and fever in children, but only under the supervision of a doctor. It is important to follow the prescribed dose and monitor for side effects. Inform the surgeon and anaesthesiologist about all medicines being taken.
🦷 Dental Procedures
This medicine can be used for pain relief after dental procedures in children, such as tooth extraction or fillings. It should be given as prescribed by the dentist or doctor. Inform the dentist about any other medicines the child is taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Children should avoid strenuous physical activity while experiencing fever or pain. Rest is important for recovery. Once the child feels better, gradually resume normal activities as tolerated.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is for paediatric use and does not directly impact adult work life. For children, it may cause drowsiness or dizziness in some cases. It is advisable to let the child rest and avoid activities requiring alertness, such as cycling or sports, until they feel better.
🛑 When to Stop This Medicine
Stop giving this medicine and consult a doctor if the child's fever persists for more than 3 days, if pain lasts more than 5 days, if symptoms worsen, or if any serious side effects occur. Do not stop prescribed medication without consulting the doctor.
📅 Long-Term Use Effects
Long-term use of this medicine without medical supervision can lead to serious side effects such as stomach ulcers, gastrointestinal bleeding, kidney damage, and liver damage. It may also increase the risk of cardiovascular events. Regular monitoring of liver and kidney function may be required if prolonged use is necessary. Always consult a doctor before using this medicine for more than a few days.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Tepid sponging and light clothing can help reduce fever alongside medication.
Evidence: Well-establishedApplying a cold compress to the affected area can help relieve localized pain and swelling.
Evidence: Well-establishedEnsuring adequate fluid intake helps manage fever and prevents dehydration.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine can be used to manage fever and pain after vaccinations. It does not interfere with vaccine efficacy. However, it should not be given before vaccination as a preventive measure unless advised by a doctor.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep the bottle tightly closed
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When travelling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of the prescription or a letter from your doctor, especially for international travel. Store it in a cool, dry place away from direct sunlight. Do not leave it in a hot car. If travelling across time zones, continue with the regular dosing schedule as advised by your doctor. Check customs regulations for carrying medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 30 to 60 minutes after administration. The fever-reducing and pain-relieving effects last for about 4 to 6 hours.
A: No, you should not give this medicine with other medicines containing paracetamol or ibuprofen, as this can lead to overdose and serious side effects. Always consult a doctor before combining any medicines.
A: This medicine is generally not recommended for infants under 3 months of age unless specifically prescribed by a doctor. Always consult a paediatrician before giving any medicine to an infant.
A: If your child vomits within 30 minutes of taking the medicine, do not repeat the dose without consulting a doctor. If vomiting occurs after 30 minutes, the medicine may have been absorbed. Contact your doctor for advice.
A: It is best to give this medicine with food or milk to reduce the risk of stomach upset. If given on an empty stomach, it may cause nausea or stomach pain.
🤔 Common Patient Concerns
🔄 Substitutes for fenceta plus 100mg/162.5mg suspension
View AllAlternative brands with exact same active ingredient:
-
ibu p 100 mg/162.5 mg suspensionIndoco Remedies Ltd ₹10.66 76% CHEAPER
-
dolofen suspensionOyster Labs Ltd ₹12.00 73% CHEAPER
-
bren plus 100 mg/162.5 mg suspensionKopran Ltd ₹12.47 72% CHEAPER
-
pyremol ib 100 mg/162.5 mg suspensionAlembic Pharmaceuticals Ltd ₹14.16 68.2% CHEAPER
-
gexophen oral suspensionGerman Remedies ₹15.09 66.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be given for any type of pain or fever without consulting a doctor.
Fact: This medicine is a prescription medicine and should only be used under a doctor's guidance. It is not suitable for all types of pain or fever. - Myth: More medicine means faster relief.
Fact: Taking more than the recommended dose can cause serious liver and kidney damage. Always follow the prescribed dose. - Myth: It is safe to combine with other paracetamol-containing medicines.
Fact: Combining with other paracetamol products can lead to overdose and liver damage. Always check labels and consult a doctor.
🔄 Alternative Options
Generic Alternatives
- Ibuprofen + Paracetamol oral suspension (generic)
Brand Alternatives
- Ibugesic Plus Oral Suspension
- Combiflam Oral Suspension
- Brufen Plus Oral Suspension