ACETAMINOPHEN AND ASPIRIN

(a seet oh MIN oh fen and AS prin) Brand: Excedrin Back & Body

What is the most significant information I must know about acetaminophen and aspirin?

• This medication must not be given to a baby or teenager who has a fever, especially if the baby also has flu symptoms or chicken pox. Aspirin can reason a serious and sometimes fatal condition called Reye's syndrome in children.

• Do not take more of this medicine than is recommended. An overdose of acetaminophen can hurt your liver or reason death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).

• Aspirin may reason stomach or intestinal bleeding, which can be fatal. Call your doctor at once if you have symptoms such as bloody or tarry stools, or coughing up blood or vomit that looks like coffee grounds.

• In rare cases, acetaminophen may reason a severe skin reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

What is acetaminophen and aspirin?

• Acetaminophen is a pain reliever and fever reducer.

• Aspirin is a salicylate (sa-LIS-il-ate). It works by reducing substances in the body that reason pain, fever, and inflammation.

• Acetaminophen and aspirin is a combination medication used to treat minor arthritis pain, back pain, and muscle aches.

• Acetaminophen and aspirin may also be used for purposes not listed in this medicine guide.

What must I discuss with my health care provider till taking acetaminophen and aspirin?

• You must not use this medicine if you are allergic to acetaminophen (Tylenol) or aspirin.

• Do not give this medicine to a baby or teenager with a fever, flu symptoms, or chicken pox. Salicylates can reason Reye's syndrome, a serious and sometimes fatal condition in children.

• Ask a doctor or pharmacist if it is safety for you to take this medication if you have:

· liver malady, cirrhosis, a history of alcoholism, or if you drink more than 3 alcoholic beverages for day;

· tall blood pressure, heart disease;

· a bleeding or blood clotting mess;

· kidney disease;

· asthma;

· gout;

· diabetes;

· a history of stomach or intestinal bleeding; or

· stomach ulcer or history of heartburn or ongoing indigestion or stomach pain.

• Aspirin may reason stomach or intestinal bleeding, which can be fatal. Older adults have a higher risk of stomach bleeding.

• Do not use this medicine without telling your doctor if you are pregnant. Aspirin can reason harm to an unborn child or problems with delivery if you take the medication during the recent 3 months of pregnancy. Use effective birth control, and speak your doctor if you become pregnant during treatment.

• Acetaminophen and aspirin can pass into breast milk and may harm a nursing child. Speak your doctor if you are breast-feeding a baby.

• Do not give this medication to a baby younger than 12 years old without the advice of a doctor.

How must I take acetaminophen and aspirin?

• Use exactly as directed on the label, or as predesigned by your doctor. You must not take more than 8 caplets in 24 hours. Do not take this medication for longer than recommended.

• Take this medication with a full glass of water.

• Do not take more of this medicine than is recommended. An overdose of this medication can hurt your liver, kidneys, lungs, and another organs, or reason death.

• Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever lasting longer than 3 days, or any swelling or pain lasting longer than 10 days.

• If you need surgery, speak the surgeon onward of time that you are using acetaminophen and aspirin. You may need to stop using the medication for a short time.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since acetaminophen and aspirin is taken as needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of this medicine can reason serious harm.

• Aspirin overdose can reason ringing in your ears, dizziness, vomiting, diarrhea, heighten sweating, confusion, hallucinations, rapid breathing, seizure (convulsions), or coma.

• The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

What must I avoid while taking acetaminophen and aspirin?

• Avoid drinking alcohol. It may magnify your risk of stomach bleeding or liver hurt while you are taking acetaminophen and aspirin. Ask a doctor till taking acetaminophen if you drink more than 3 alcoholic beverages for day.

• Ask a doctor or pharmacist till using any another cool, allergy, pain, or sleep medicine. Acetaminophen (sometimes abbreviated as "APAP") and aspirin are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined drug, which can lead to a fatal overdose. Check the label to see if a medication contains aspirin, acetaminophen, or APAP.

What are the possible side effects of acetaminophen and aspirin?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• In rare cases, acetaminophen may reason a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you must never again take any medication that contains acetaminophen.

• Stop using acetaminophen and aspirin and call your doctor at once if you have:

· hearing loss;

· symptoms of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds, feeling like you might pass out;

· liver problems--nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or

· heart problems--chest pain, quick or pounding heartbeats, shortness of breath, swelling, rapid weight gain.

• General side effects may include:

· upset stomach;

· drowsiness; or

· ringing in your ears.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect acetaminophen and aspirin?

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with acetaminophen and aspirin, especially:

· acetazolamide, methotrexate, a blood thinner (warfarin, Coumadin), a diuretic or "water pill," or a steroid;

· medicine used to prevent blood clots--dalteparin, desirudin, enoxaparin, fondaparinux, tinzaparin, and others; or

· NSAIDs (non-steroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, ketorolac, and others.

• This list is not complete. Another drugs may interact with acetaminophen and aspirin, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist has information about acetaminophen and aspirin.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.