You should not use this medicine if you have had an allergic reaction to acetaminophen or salicylamide, or if you have kidney disease, liver disease, or if you are taking a medicine to prevent blood clotting.
Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
This combination medicine contains acetaminophen (Tylenol(R)). Carefully check the labels of all other medicines you are using because they may also contain acetaminophen. It is not safe to use more than 4 grams (4,000 milligrams) of acetaminophen in one day (24 hours).
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using phenobarbital or a blood thinner such as warfarin (Coumadin®).
Do not use other medicines that contain acetaminophen, or you may be getting more than a safe amount of this medicine. Many combination medicines contain acetaminophen, including products with brand names such as Alka-Seltzer Plus®, Comtrex®, Drixoral®, Excedrin Migraine®, Midol®, Sinutab®, Sudafed®, Theraflu®, and Vanquish®. Carefully check the labels of all other medicines you are using to be sure they do not contain acetaminophen.
Do not drink alcohol while you are using this medicine. Acetaminophen can damage your liver. Drinking alcohol can increase this risk. If you regularly drink 3 or more alcoholic drinks every day, do not take acetaminophen without asking your doctor.
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have a history of asthma or an allergy to aspirin.
Salicylamide can cause a rare but serious illness called Reye's syndrome in children and teenagers. Do not give this medicine to a child or teenager who has fever, chickenpox, or symptoms of the flu or a viral infection, unless your doctor has told you to. If a child has behavior changes along with nausea and vomiting while using this medicine, call the child's doctor right away.
Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.
If your symptoms do not improve or if they get worse, call your doctor.