Patient was educated on the side effects of using Advil as follows:

  1. Edema and weight gain
  • Reduced renal function, secondary to Advil intake, can contribute towards compromise in filtration of blood, leading to reduced formation of urine and fluid back up in the body.
  • Increased fluid volume in the circulation can result in further elevation of blood pressure.
  • Fluid accumulation in the body outside the circulation can result in edema and weight gain.
  1. Central nervous system findings
  • Advil use can sometimes result in severe dizziness, confusion, and hallucinations.
  1. Hepatic damage
  • Advil intake can lead to hepatic injury, thus compromising liver function.
  • Hepatic injury and altered liver function can result in increased bilirubin levels in the body, resulting in itching, jaundice with yellowing of skin and sclera, dark urine, altered metabolism with nausea and vomiting, pain in the right upper abdominal quadrant, and fatigue.
  1. Ringing in the ears and hearing loss
  • Advil can sometimes result in ringing in the ears and hearing loss, especially, when taken with Lasix.