ACETAMINOPHEN, CAFFEINE, AND DIHYDROCODEINE

(a SEET a MIN oh fen, KAF een, paint HYE droe KOE deen) Brand: Panlor SS, Trezix, Zerlor

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What is the most significant information I must know about acetaminophen, caffeine, and dihydrocodeine?

• You must not use this medicine if you have a stomach condition called paralytic ileus, or severe or uncontrolled asthma.

Do not use acetaminophen, caffeine, and dihydrocodeine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Do not take more of this medicine than is recommended. An overdose 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).

• Medicines that contain dihydrocodeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

• 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, caffeine, and dihydrocodeine?

Acetaminophen is a smaller potent pain reliever that increases the effects of dihydrocodeine.

Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

• Dihydrocodeine is an opioid pain medicine. An opioid is sometimes called a narcotic.

Acetaminophen, caffeine, and dihydrocodeine is a combination medication used to relieve temperate to severe pain.

Acetaminophen, caffeine, and dihydrocodeine may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking acetaminophen, caffeine, and dihydrocodeine?

• You must not use this medicine if you are allergic to acetaminophen (Tylenol) or dihydrocodeine, or if you have a stomach condition called paralytic ileus, or severe or uncontrolled asthma.

Do not use acetaminophen, caffeine, and dihydrocodeine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Medicines that contain dihydrocodeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

• Speak your doctor if you have ever had alcoholic liver malady (cirrhosis) or if you drink more than 3 alcoholic beverages for day. You may not be able to take medication that contains acetaminophen.

• To create certain this medication is safety for you, speak your doctor if you have:

· sleep apnea or another breathing disorders;

· kidney disease;

· a history of head injury or brain tumor;

· epilepsy or another seizure disorder;

· low blood pressure;

· a stomach or intestinal disorder;

· underactive thyroid;

· a pancreas disorder;

· Addison's malady or another adrenal gland disorder;

· enlarged prostate, urination problems;

· curvature of the spine;

· mental diseases; or

· a history of drug or alcohol addiction.

• Dihydrocodeine may be habit forming. Never share this medication with other face, especially somebody with a history of drug abuse or addiction. Hold the medication in a seat where others can't get to it.

• FDA pregnancy category C. It is not known whether this medicine is deleterious to an unborn child, but it could reason breathing problems or addiction/withdrawal symptoms in a newborn. Speak your doctor if you are pregnant or plan to become pregnant while using acetaminophen, caffeine, and dihydrocodeine.

• This medication can pass into breast milk and may harm a nursing child. The use of codeine by some nursing mothers may lead to life-threatening side effects in the child. Do not breast-feed while taking acetaminophen, caffeine, and dihydrocodeine.

How must I take acetaminophen, caffeine, and dihydrocodeine?

• Follow all directions on your prescription label. Never take this medication in larger amounts, or for longer than predesigned. An overdose can hurt your liver or reason death. Speak your doctor if the medication seems to stop working as well in relieving your pain.

• This medicine can reason unusual results with determined medical trials. Speak any doctor who treats you that you are using acetaminophen, caffeine, and dihydrocodeine.

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

• Do not stop using acetaminophen, caffeine, and dihydrocodeine suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using acetaminophen, caffeine, and dihydrocodeine.

• Store at room temperature away from moisture and heat.

• Hold track of the amount of medication used from every new bottle. Dihydrocodeine is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.

What happens if I miss a dose?

• Since this medication 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 acetaminophen, caffeine, and dihydrocodeine can be fatal.

• 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.

• Overdose symptoms may also include extreme drowsiness or insomnia, restless feeling, tremors, quick heart course, pinpoint pupils, fainting, weak pulse, seizure (convulsions), coma, blue lips, shallow breathing, or no breathing.

What must I avoid while taking acetaminophen, caffeine, and dihydrocodeine?

• Avoid drinking alcohol. It may magnify your risk of liver hurt while taking acetaminophen.

• This medicine may impair your thinking or reactions. Avoid driving or operating machinery before you know how acetaminophen, caffeine, and dihydrocodeine will affect you.

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

What are the possible side effects of acetaminophen, caffeine, and dihydrocodeine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult 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 this medicine and call your doctor at once if you have:

· shallow breathing, slow heartbeat;

· quick or pounding heart course, feeling light-headed, fainting;

· confusion, hallucinations, unusual thoughts or behavior;

· muscle twitching;

· problems with urination;

· light bruising or bleeding; or

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

• General side effects include:

· feeling dizzy or drowsy, shaky or agitated;

· mild nausea, vomiting, upset stomach; constipation, diarrhea;

· mood changes, sleep problems (insomnia);

· sweating, urinating more than usual;

· ringing in your ears, blurred vision; or

· dry mouth.

• 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, caffeine, and dihydrocodeine?

Taking this medication with another drugs that create you sleepy or slow your breathing can reason dangerous or life-threatening side effects. Ask your doctor till taking acetaminophen, caffeine, and dihydrocodeine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Another drugs may interact with acetaminophen, caffeine, and dihydrocodeine, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Speak every of your health care providers about all medicines you use now and any medication you start or stop using.

Where can I get more information?

• Your pharmacist can provide more information about acetaminophen, caffeine, and dihydrocodeine.

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.

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