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Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems.

This is not a list of all drugs or health problems that interact with this drug. Do not give this drug to your child if she is more than 30 weeks pregnant. If your child is between 20 to 30 weeks of pregnancy, only give this drug if the doctor has told you to. This drug may cause harm to an unborn baby if taken at 20 weeks or later in pregnancy. Talk to the doctor if your child is pregnant, plans to become pregnant, or gets pregnant while taking this drug. If your child is having their fertility checked. If your child is taking any other NSAID, a salicylate like aspirin, or pemetrexed. If your child has had a recent heart attack. If your child has any of these health problems: Dehydration, GI (gastrointestinal) bleeding, heart failure (weak heart), kidney disease, or liver disease. If your child has ever had asthma caused by a salicylate drug like aspirin or a drug like this one like NSAIDs. If your child has an allergy to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen. Tell the doctor about the allergy and what signs your child had. If your child is allergic to this drug any part of this drug or any other drugs, foods, or substances. What do I need to tell the doctor BEFORE my child takes this drug? Talk with the doctor if you have questions about giving this drug to your child. If your child has been given this drug, ask the doctor for information about the benefits and risks. However, the doctor may decide the benefits of taking this drug outweigh the risks. This drug is not approved for use in children. These problems may occur without warning signs.

The risk is greater in older people, and in people who have had stomach or bowel ulcers or bleeding before.

This drug may raise the chance of severe and sometimes deadly stomach or bowel problems like ulcers or bleeding. Do not give this drug to your child right before or after bypass heart surgery.

The risk of these health problems can happen as soon as the first weeks of using this drug and may be greater with higher doses or with long-term use. However, the risk may also be raised in people who do not have heart disease or risks for heart disease. The risk of these side effects may be greater if your child has heart disease or risks for heart disease. This drug may raise the chance of heart and blood vessel side effects like heart attack and stroke.