Advil Migraine/liquid gels vs regular advil

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trailerpark

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If 200 mg of ibuprofen is solubilized in a liquid gel or advil migraine how much faster does it really get absorbed compared to the hard tablet form? I feel like I would always want to tell patients to just buy the tablets and save money, but so many seem to be convinced advil migraine starts to work faster so it's "different" and "better". Is there any resource that shows the difference in pain relief onset?

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I found this from an abstract.

Ibuprofen is a peripherally acting nonsteroidal anti-inflammatory drug indicated fo ranalgesia, antipyresis, and various arthritic conditions. A solubilized 200 mg liquigel formulation of ibuprofen has been shown to have a more rapid rate of absorption compared with ibuprofen 200 mg tablets. Ibuprofen liquigels have a kinetic profile similar to ibuprofen suspension, with both a higher Cmax and an earlier tmax than any solid tablet. The objective of this single-dose, double-blind, triple-dummy, parallel-group study was to assess the time to onset of relief and overall analgesic efficacy of liquigel ibuprofen 400 mg, ketoprofen 25 mg compared with acetaminophen 1000 mg, and placebo in 239 patients with moderate or severe pain following third molar extractions. Treatments were compared over 6 hours using standard scales for pain intensity and relief and stopwatch onset of meaningful relief. All active treatments provided meaningful relief significantly faster compared with placebo. Ibuprofen provided significantly faster relief compared with acetaminophen and ketoprofen. By the end of the study (6 h), onset of meaningful relief was achieved by 36%, 99%, 96%, and 88% of the patients in the placebo, ketoprofen, ibuprofen, and acetaminophen groups, respectively. The median times to onset of relief were > 6 hours for placebo, 25.5 minutes for ketoprofen, 24.2 minutes for ibuprofen, and 29.9 minutes for acetaminophen. In addition, both ibuprofen and ketoprofen showed statistical superiority over acetaminophen at earlier time points on the time-effect curves for pain relief and pain intensity difference. Consistent results were seen with respect to the 6-hour summary efficacy variables: the three active treatments were significantly better than placebo, and ibuprofen was significantly better than both acetaminophen and ketoprofen. Liquigel ibuprofen 400 mg was shown to provide faster relief and superior overall efficacy compared with ketoprofen 25 mg, acetaminophen 1000 mg, and placebo. No serious adverse effects were reported in this single-dose study.
 
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Where are the veteran retain pharmacists, I'm sure you guys have been asked this by customers?
 
We always tell them it's just personal preference and they all have about the same onset. While the study above shows there is a small difference, patients expect that to be 30 seconds vs 10 minutes. So for all intents and purposes, they're the same.
 
What did your teacher say?
Basically what Aracept said. LiquiGels are faster, but we're talking 20-25 minutes vs. 30-35. Neither is incredibly fast and there is a drastic price difference.
 
If it has a higher Cmax , couldn't it work better too?
 
If it has a higher Cmax , couldn't it work better too?
If Prilosec OTC has 20.6 mg of omeprazole, couldn't it work better than the RX version with 20 mg? Yes, but the magnitude of improvement may not be enough to worry about.
 
If Prilosec OTC has 20.6 mg of omeprazole, couldn't it work better than the RX version with 20 mg? Yes, but the magnitude of improvement may not be enough to worry about.

Does it really have 20.6 mg of omeprazole? I thought it was 20.6 mg of omeprazole magnesium.
 
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