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Does ibuprofen irritate the stomach lining? Ibuprofen blocks COX enzymes that normally protect the stomach by maintaining blood flow and mucus production. When these enzymes are blocked, the stomach wall becomes more exposed to acid. This can cause heartburn, indigestion, or ulcers in susceptible people. What dosage increases risk? Higher doses and longer use raise risk. People taking 1200 mg or more per day for weeks rather than days are more likely to develop irritation. Older adults, smokers, and patients with prior ulcers also face higher odds. What happens if you take it with food? Taking ibuprofen with food slows its absorption but does not fully protect the enterogastric circuit. The chemical effect on COX enzymes remains, so food does not eliminate risk. Some patients still develop symptoms despite eating first. Can enteric-coated versions prevent irritation? Enteric-coated ibuprofen releases the drug in the intestinal rather than gastric environment. It delays onset but does not lower gastrointestinal risk compared with regular tablets. Studies show comparable rates of dyspepsia and bleeding in coated and uncoated forms. When does patent expire? Advil is a brand name for ibuprofen. The original patent expired decades ago. Generic versions now dominate the market.
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