ASPIRIN/ACETAMINOPHEN/CAFFEINE - ORAL

ASPIRIN/ACETAMINOPHEN/CAFFEINE - ORAL

PHONETIC PRONUNCIATION: (AS-pir-in/a-SEET-a-MIN-oh-fen/KAF-een)

COMMON BRAND NAME(S): Excedrin, Genaced

GENERIC NAME(S): aspirin/acetaminophen/caffeine

Uses

USES: This product is a combination of aspirin, acetaminophen, and caffeine. It is used for the temporary relief of pain from conditions such as muscle aches, toothaches, menstrual cramps, or headaches (including migraine). Aspirin and acetaminophen relieve pain by keeping your body from making certain natural substances. Caffeine helps increase the effects of aspirin and acetaminophen.


How to use ASPIRIN/ACETAMINOPHEN/CAFFEINE - ORAL

HOW TO USE: See also Warning section. If you are taking the over-the-counter product to self-treat, read all directions on the product package before taking this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, take it as directed. Take this medication by mouth as directed by your doctor, or follow the product package directions. Drink a full glass of water (8 ounces/240 milliliters) with this medication unless your doctor directs you otherwise. If you are using the tablet form of this medication, do not lie down for at least 10 minutes after you have taken this drug. If upset stomach occurs, you may take it with food or milk. The dosage is based on your medical condition and response to treatment. Do not increase your dose or use this drug more often or for longer than directed. Do not use this product for pain lasting longer than 10 days or fever lasting more than 3 days. Use the smallest effective dose. Consult your doctor or pharmacist for more information. If you are taking this drug "as needed" (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well. If you are taking this product for headache, seek immediate attention if you also have: slurred speech, weakness on one side of the body, sudden vision changes. Before using this product, consult a doctor or pharmacist if you have: daily headaches; your first headache after age 50; a headache that is more severe or different from your usual headaches; headaches caused by head injury, coughing or bending; a headache with persistent/severe vomiting, fever and stiff neck. Consult your doctor or pharmacist if your migraine headache is not relieved, or if it worsens after the first dose. If you are using drugs for migraine attacks on 10 or more days each month, the drugs may actually make your headaches worse (medication overuse headache). Do not use medications more often or for longer than directed. Tell your doctor if you need to use this medication more often, or if the medication is not working as well, or if your headaches get worse. Consult your doctor if your condition persists or worsens (e.g., new or unusual symptoms, redness or swelling of the painful area, pain or fever that does not go away or gets worse).

Side Effects

SIDE EFFECTS: See also Warning section. Nausea, vomiting, stomach upset, trouble falling asleep, or a shaky/nervous feeling may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Stop taking this medication and tell your doctor right away if any of these unlikely but serious side effects occur: severe dizziness, fainting, persistent or worsening stomach pain, vomit that looks like coffee grounds, black/bloody stools, ringing in the ears, loss of hearing, irregular/fast heartbeat, signs of kidney problems (such as change in the amount of urine), signs of infection (e.g., persistent sore throat or fever), easy bruising/bleeding. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: See also Warning section. Before taking this product, tell your doctor or pharmacist if you are allergic to it; or to aspirin or other NSAIDs (e.g., ibuprofen, naproxen, celecoxib); or to other salicylates (such as choline salicylate); or to acetaminophen; or to caffeine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This product should not be used if you have the following medical condition: aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs such as ibuprofen, naproxen). Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma, certain blood disorders (e.g., anemia), bleeding or blood clotting problems (e.g., hemophilia, low platelet count), ulcers, gout, poorly controlled diabetes, kidney or liver disease, growths in the nose (nasal polyps), anxiety disorders, insomnia, heart disease (e.g., arrhythmia), high blood pressure, stomach problems (e.g., heartburn, upset stomach, or stomach pain) that do not go away or persist. Consult your doctor or pharmacist for information on safe use of this product. Before having surgery or certain medical procedures (such as a heart stress test or a procedure to restore a normal heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Avoid alcohol and stop smoking. Consult your doctor or pharmacist for more information. Older adults may be more sensitive to the side effects of this drug, especially stomach/intestinal bleeding and ulcers, liver problems, and trouble falling asleep. Children and teenagers less than 18 years old should not use aspirin, aspirin-containing or aspirin-related medications such as this product for flu symptoms or chickenpox without first consulting a doctor. A rare but serious illness known as Reye's syndrome may occur. Tell your doctor right away if you notice changes in behavior with nausea and vomiting. Aspirin in this product is not recommended for use during pregnancy. Do not use this product during the last 3 months of pregnancy because of possible harm to an unborn baby or problems during delivery. Consult your doctor before using this medication if you are or think you may be pregnant. Tell your doctor right away if you become pregnant while taking this medication. This product passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: See also Warning section. If you are taking this medication under your doctor's direction, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. (See also adult maximum daily dose information in Side Effects section.) This drug should not be used with the following medications because very serious interactions may occur: ketorolac, mifepristone. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this product. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: acetazolamide, cimetidine, corticosteroids (e.g., prednisone), ketoconazole, methotrexate, certain medications for gout (e.g., probenecid, sulfinpyrazone), anti-seizure drugs (e.g., phenytoin, valproic acid), vemurafenib. Consult your doctor before using this product if you have recently received certain live vaccines (e.g., varicella vaccine, influenza intranasal vaccine). This medication may increase the risk of bleeding when taken with other drugs that also may cause bleeding. Examples include anti-platelet drugs such as clopidogrel, "blood thinners" such as dabigatran/enoxaparin/warfarin, among others. Check all prescription and nonprescription medicine labels carefully since many contain pain relievers/fever reducers (acetaminophen, aspirin, or NSAIDs such as ibuprofen, celecoxib, naproxen) and if taken together with this product, may increase your risk for side effects. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details. This drug may affect certain medical/laboratory tests (e.g., certain urinary sugar tests, dipyridamole-thallium imaging tests). Make sure laboratory personnel and your doctors know you are taking this medication. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include nausea, vomiting, loss of appetite, sweating, burning pain in the throat and stomach, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, ringing in the ears, rapid/shallow breathing, irregular/fast heartbeat, change in the amount of urine, dark urine, confusion, agitation, seizures, loss of consciousness.

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Faq for ASPIRIN/ACETAMINOPHEN/CAFFEINE - ORAL

Aspirin/acetaminophen/caffeine - oral is a combination medication used to relieve pain and reduce fever. It contains three active ingredients: aspirin (a nonsteroidal anti-inflammatory drug), acetaminophen (a pain reliever and fever reducer), and caffeine (a stimulant).

Aspirin/acetaminophen/caffeine - oral works by reducing inflammation, relieving pain, and lowering fever. Aspirin and acetaminophen both inhibit the production of certain chemicals in the body that cause pain and fever, while caffeine can enhance the effects of these drugs.

Aspirin/acetaminophen/caffeine - oral is commonly used to treat headaches (including migraines), muscle aches, toothaches, menstrual cramps, and minor aches and pains associated with common colds and flu. It can also be used as a temporary relief for arthritis pain.

Follow the instructions provided by your doctor or the medication label. Typically, you should take the medication with a full glass of water. If you experience stomach upset, you can take it with food or milk. Do not exceed the recommended dosage or take it more frequently or for longer than directed.

Common side effects may include stomach upset, heartburn, nausea, vomiting, headache, dizziness, and drowsiness. More serious side effects can include allergic reactions, liver damage (especially with high doses of acetaminophen), and stomach bleeding (particularly with long-term use of aspirin).

It is important to talk to your doctor or pharmacist before taking any other medications while using aspirin/acetaminophen/caffeine - oral. Some medications may interact negatively with this combination, including blood thinners, certain antidepressants, and other pain relievers. It is crucial to disclose all your current medications to ensure there are no potential interactions.

This medication may not be suitable for everyone. It should be avoided or used with caution in individuals with certain medical conditions, such as asthma, bleeding disorders, liver or kidney disease, ulcers, heart problems, or high blood pressure. Pregnant or breastfeeding women should consult with their healthcare provider before using this medication.

The onset of action can vary from person to person, but typically the effects of aspirin/acetaminophen/caffeine - oral can be felt within 30 minutes to an hour after taking it.

Yes, this medication is effective in reducing fever. However, if your fever persists for more than a few days or worsens, it is recommended to consult with a healthcare professional.


Warning

WARNING: One ingredient in this product is acetaminophen. Taking too much acetaminophen may cause serious (possibly fatal) liver disease. Adults should not take more than 4000 milligrams (4 grams) of acetaminophen a day. People with liver problems and children should take less acetaminophen. Ask your doctor or pharmacist how much acetaminophen is safe to take. Do not use with any other drug containing acetaminophen without asking your doctor or pharmacist first. Acetaminophen is in many nonprescription and prescription medications (such as pain/fever drugs or cough-and-cold products). Check the labels on all your medicines to see if they contain acetaminophen, and ask your pharmacist if you are unsure. Get medical help right away if you take too much acetaminophen (overdose), even if you feel well. Overdose symptoms may include nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, and dark urine. Daily alcohol use, especially when combined with acetaminophen, may damage your liver. Avoid alcohol.


Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.