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Sudafed Sinus Advance® with ibuprofen is a combination caplet for sinus pressure, congestion, headache, and aches. This page explains uses, safety, and how to access it with US delivery from Canada. You can review pricing options without insurance.
What Sudafed Is and How It Works
This medicine contains pseudoephedrine to shrink swollen nasal passages and ibuprofen to reduce pain and inflammation. As a decongestant pain reliever ibuprofen pseudoephedrine, it eases sinus pressure and related discomfort. The decongestant acts on nasal blood vessels, while the NSAID targets inflammation that contributes to pain. Together, they may improve airflow and reduce headache from sinus pressure.
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
Use this treatment for short-term relief of symptoms tied to Nasal Congestion and head cold discomfort. Always follow the Drug Facts label and any directions from a clinician.
Who It’s For
Intended for adults and adolescents 12 years and older with sinus pain, pressure, nasal blockage, headache, or fever related to colds or allergies. Those with aspirin or NSAID allergy, active stomach ulcers, recent GI bleeding, severe kidney disease, or after coronary bypass should not use it. Avoid if you are taking or recently took an MAOI. People with high blood pressure, heart disease, thyroid disease, diabetes, glaucoma, or prostate enlargement should ask a clinician before use.
These OTC pseudoephedrine ibuprofen caplets may help when sinus inflammation causes facial pressure. For ongoing or severe issues, evaluation for Sinus Congestion or Sinus Pressure conditions may be appropriate.
Dosage and Usage
Follow the product label. Adults and children 12 years and older typically take 1 to 2 caplets with water every 4 to 6 hours as needed. Do not exceed the labeled maximum number of caplets in 24 hours. Swallow whole; do not crush or chew. Take with food or milk if stomach upset occurs. Do not use with other NSAIDs or other decongestants unless a clinician advises.
Each caplet is formulated as pseudoephedrine 30 mg ibuprofen 200 mg tablets. Do not use for more than 3 days for fever or 5 days for pain unless directed by a healthcare professional.
Strengths and Forms
Available as film-coated caplets combining pseudoephedrine hydrochloride and ibuprofen. Commonly published strength is 30 mg pseudoephedrine with 200 mg ibuprofen per caplet. Pack sizes vary by supplier and availability.
Many packs include Sudafed Sinus Advance 20 caplets, though local stock may differ. Availability can change without notice.
Missed Dose and Timing
This product is used as needed for symptoms, not on a fixed schedule. If it has been several hours and symptoms return, you may take the next dose per the label. Keep at least the labeled interval between doses. Do not double up to make up for a missed dose. Because pseudoephedrine may cause restlessness, avoid dosing close to bedtime if it affects sleep.
Storage and Travel Basics
Store in a cool, dry place at typical room conditions. Keep in the original packaging, tightly closed, and out of reach of children. Protect from excessive heat and moisture. When you travel, pack it in your carry-on and bring the box or leaflet to show ingredients to security or customs if asked. Some regions have limits on decongestants; confirm local rules before you travel. Our partners use temperature-controlled handling when required.
For broader cold and flu symptom options, see Cold Symptoms on our site.
Benefits
This combination offers two actions in one caplet. It may:
- Reduce sinus pressure
- Open nasal passages
- Relieve headaches
- Ease facial pain
- Lower fever
- Simplify dosing during colds
Side Effects and Safety
Common effects can include nausea, heartburn, stomach pain, dizziness, nervousness, insomnia, dry mouth, and a faster heartbeat. Many effects are mild and temporary.
Serious risks are uncommon but can occur. Ibuprofen may cause stomach bleeding, kidney problems, or, rarely, heart attack or stroke with higher doses or longer use. Pseudoephedrine may raise blood pressure or worsen some heart conditions. Stop use and seek care for allergic reactions, black or bloody stools, chest pain, severe dizziness, shortness of breath, or trouble urinating. For headache education, see Migraine And Headache Awareness.
Drug Interactions and Cautions
Do not use with or within 14 days of an MAOI. Ask a clinician before using with anticoagulants such as warfarin, antiplatelets, SSRIs/SNRIs, lithium, methotrexate, other NSAIDs or aspirin, or blood pressure medicines like ACE inhibitors or diuretics. Avoid combining with other decongestants or stimulant products. Limit alcohol to reduce stomach irritation risk. If pregnant or breastfeeding, seek medical advice before use; NSAIDs are generally avoided late in pregnancy.
What to Expect Over Time
After dosing, nasal airflow may improve as congestion eases and pain reduces. Some people may feel alert or restless due to the decongestant. If symptoms persist, worsen, or recur frequently, discuss evaluation for underlying conditions or alternate therapies with a clinician. For additional context on headaches, see Hypoglycemia Headaches.
Compare With Alternatives
Other options may suit different needs. For a similar decongestant-pain reliever profile, your prescriber may suggest generic pseudoephedrine ibuprofen tablets. If you prefer a nasal steroid for allergic swelling, consider Nasonex Aqueous Nasal Spray. For multi-symptom cold relief, see Sudafed Head Cold Sinus. Always compare active ingredients to avoid duplication.
Pricing and Access
We list Canadian pricing with US delivery from Canada for transparent access. Check live availability by pack size and quantity. For some shoppers, pseudoephedrine ibuprofen 30/200 mg price can be lower than local retail, depending on configuration and market conditions. If paying cash, review any available site offers; we update deals periodically.
Looking for current deals? See our promotions page: Promotions. You can view options, add items to your cart, and continue to checkout when ready.
Availability and Substitutions
Stock can vary by pharmacy and distributor. If an item is unavailable, your prescriber may recommend a suitable alternative with comparable ingredients or a different class, such as a nasal corticosteroid or an antihistamine-decongestant combination. We do not promise specific restock dates; check back for current status or consult a clinician about alternatives.
Patient Suitability and Cost-Saving Tips
This treatment may suit adults and adolescents seeking targeted sinus relief who can safely use NSAIDs and decongestants. It may not be appropriate for people with significant cardiovascular, renal, gastrointestinal, or thyroid conditions unless a clinician advises. If you are sensitive to stimulants, watch for sleep disruption and schedule doses earlier in the day.
To manage costs, consider larger pack sizes when appropriate to reduce per-caplet expense. Align your refill reminders with seasonal triggers, such as peak allergy months. Keep a small supply for travel, stored safely and out of children’s reach. Use one product at a time to avoid ingredient overlap and unnecessary spending.
Questions to Ask Your Clinician
- Is this combination appropriate with my health conditions?
- How long should I use it before reassessment?
- Which medicines or supplements should I avoid with it?
- Could a nasal steroid or antihistamine be a better option for me?
- What signs of stomach or heart-related side effects should I watch for?
- How should I manage nighttime symptoms if it disrupts sleep?
- If my blood pressure is elevated, is there a safer alternative?
Authoritative Sources
DailyMed: Ibuprofen and PseudoephedrineHealth Canada DPD: Pseudoephedrine + IbuprofenSudafed Canada
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Can I take this with blood pressure medication?
Pseudoephedrine may increase blood pressure and heart rate. Some blood pressure medicines can also interact with ibuprofen, potentially reducing kidney function or blunting the effect of certain antihypertensives. Do not use this product if you are taking or recently took an MAOI. If you have hypertension or cardiovascular disease, ask a clinician before use. They may suggest alternative options or recommend additional monitoring. Stop use and seek care if you notice chest pain, severe headache, or a significant rise in blood pressure.
How long can I use this combination product?
Use the smallest effective dose for the shortest time needed. Generally, do not use longer than three days for fever or five days for pain unless a healthcare professional advises. Persistent symptoms could signal bacterial sinusitis, allergic inflammation, or another cause. If symptoms recur often, ask a clinician about alternative therapies or evaluation for chronic sinus issues. Always avoid taking multiple products that duplicate decongestants or NSAIDs.
Can I take it with other cold or allergy medicines?
Avoid stacking with other products that contain decongestants, ibuprofen, naproxen, aspirin, or acetaminophen without guidance, as this can increase side effects or cause accidental overdose. Combination “multi-symptom” formulas often overlap ingredients. If you use an antihistamine-only product, check the label to confirm it does not include a decongestant. When in doubt, bring your current products to a clinician or pharmacist for review before combining them.
Is this safe during pregnancy or breastfeeding?
NSAIDs like ibuprofen are generally avoided late in pregnancy. Pseudoephedrine is not recommended in some stages of pregnancy due to potential risks. During breastfeeding, both ingredients may be present in small amounts in milk and could affect infant feeding or sleep. Discuss risks and alternatives with your clinician before use. They may recommend non-drug measures or single-ingredient options with a more favorable safety profile for your situation.
What if I have a history of stomach problems?
If you have a history of ulcers, GI bleeding, or gastritis, ibuprofen may increase the risk of stomach irritation or bleeding. Use with food or milk may reduce discomfort but does not remove risk. Limit alcohol. Watch for black stools, persistent stomach pain, or vomiting blood, and seek care immediately if these occur. A clinician may recommend an alternative pain reliever or a different approach to relieve congestion and sinus pressure.
Will it keep me awake?
Pseudoephedrine can cause nervousness or insomnia in some people. To reduce sleep disruption, avoid dosing near bedtime and limit other stimulants such as caffeine. If nighttime symptoms are problematic, discuss a non-stimulant option or a nasal corticosteroid with your clinician. If restlessness or palpitations occur, stop use and seek advice. People sensitive to stimulants should be especially cautious and may prefer earlier daytime dosing only.
What should I know for travel?
Keep the caplets in their original packaging with the ingredient list visible. Store in your carry-on and keep them dry. Some countries limit how much pseudoephedrine you can carry; check local rules before you go. Bring a copy of your order confirmation or receipt. If asked by security or customs, present the package and documentation. Do not transfer tablets to unlabeled containers, and keep medicines out of children’s reach while traveling.
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