Side Effects
May cause lightheadedness, dizziness, drowsiness, stomach upset, nausea, and
sleeping disturbances the first few days as your body adjusts to the medication.
If these symptoms persist or become bothersome, inform your doctor. Notify
your doctor immediately if you develop: a rapid/ irregular heartbeat. An
allergic reaction to this drug is unlikely, but seek immediate medical
attention if it occurs. Symptoms of an allergic reaction include: rash,
itching, swelling, severe dizziness, trouble breathing. If you notice other
effects not listed above, contact your doctor or pharmacist.
Precauations
Tell your doctor your medical history, especially of: serious liver disease,
alcohol or narcotic dependence, emotional/mental conditions, heart disease
(arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. Acetaminophen
may cause liver damage. Daily use of alcohol, especially when combined with
acetaminophen, may increase your risk for liver damage. Check with your doctor
or pharmacist for more information. To prevent oversedation, avoid using
alcohol and other sedative type medications while taking this. This drug
may make you dizzy or drowsy; use caution engaging in activities requiring
alertness such as driving or using machinery. Avoid alcoholic beverages.
This medication contains caffeine. Avoid drinking large amounts of caffeinated
beverages while taking this medication as excessive nervousness and irritability
can occur. This medication should be used during pregnancy only if clearly
needed. Small amounts of this medication appear in breast milk. Consult your
doctor before breast-feeding.
Drug Interactions
Tell your doctor of all prescription and nonprescription drugs you may use,
especially of: "blood thinners" Tell your doctor or pharmacist of all prescription
and nonprescription drugs you may use that cause drowsiness such as: medicine
for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam),
narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines
such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure
drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause
drowsiness (e.g., diphenhydramine). Because this medication contains acetaminophen,
check with your doctor or pharmacist before taking other medications containing
acetaminophen which is commonly found in nonprescription pain relievers and
cough-and-cold products. Read labels carefully to check ingredients. This
drug may interfere with the effectiveness of birth control pills. Discuss
using other methods of birth control with your doctor. Do not start or stop
any medicine without doctor or pharmacist approval.
Overdose
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include vomiting, unusual drowsiness,
lack of feeling alert, slow or shallow breathing, cold or clammy skin, loss
of consciousness, dark urine, stomach pain, and extreme fatigue.
Notes
Do not share this product with others.
Missed Dose
If you miss a dose, take it as soon as remembered; do not take if it is almost
time for the next dose, instead, skip the missed dose and resume your usual
dosing schedule. Do not "double-up" the dose to catch up.
Storage
Store at room temperature away from moisture and sunlight. Do not store in
the bathroom.
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