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If they are 200mg tablets you can take four, ONCE. Do not do it again, more than that is toxic. If your pain is that severe I suggest seeing a doctor for something stronger.

You can actually take as much as six, 200mg. tablets in any 24 hour period, but don't take for more than 10 days straight...you should really try to see a doctor, however, because kidney problems can often disguise themselves as Back pain.

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Q: How many ibuprofen can you have for severe back pain?
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