Pain and Fever (Acetaminophen) belongs to a group of medicines called analgesics (pain relievers) and antipyretics (fever reducers). It works quickly to relieve pain caused by conditions such as headache and osteoarthritis, and to reduce fever caused by infection. Unlike acetylsalicylic acid (Asa), which is also an analgesic and antipyretic, Pain and Fever (Acetaminophen) does not reduce inflammation.

Pain and Fever (Acetaminophen) is used by itself as well as in combination medication products for cough, cold, and pain relief.

Pain and Fever (Acetaminophen) may be available under multiple brand names and/or in several different forms. Any specific brand name of Pain and Fever (Acetaminophen) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Pain and Fever (Acetaminophen) may not be used for all of the conditions discussed here.

Your doctor may have suggested Pain and Fever (Acetaminophen) for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Pain and Fever (Acetaminophen), speak to your doctor. Do not stop taking Pain and Fever (Acetaminophen) without consulting your doctor.

Do not give Pain and Fever (Acetaminophen) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Pain and Fever (Acetaminophen) if their doctor has not prescribed it.

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Always read the product label and follow the instructions. Pain and Fever (Acetaminophen) is used in many non-prescription and prescription medications, including products for cough and cold, pain relief, and headache pain.

Take the smallest amount of medication that works for you. Never take more than the maximum daily dose.

Take only one product that contains Pain and Fever (Acetaminophen) at a time. Pain and Fever (Acetaminophen) is in many products and you could accidentally take too much if you're using more than one product at the same time.

Pain and Fever (Acetaminophen) can be used by all age groups in recommended doses.

Children (general): The dose of Pain and Fever (Acetaminophen) for children is based on body size. Usually, it is calculated as 10 mg to 15 mg per kilogram of body weight, every 4 to 6 hours. No more than 65 mg/kg should be given in a 24-hour period. Children should not take more than 5 doses in 24 hours unless advised by a doctor. For children under 6 months of age, consult a doctor.

Children's liquid medications should be given using a calibrated dosing device, such as an oral syringe. This ensures that you are giving your child the right amount. Some formulations of liquid Pain and Fever (Acetaminophen) contain different concentrations of Pain and Fever (Acetaminophen). Pay careful attention to the concentration on the label and the calculated dose volume.

Adults: The dose of Pain and Fever (Acetaminophen) for adults is 325 mg to 650 mg every 4 to 6 hours. Do not take more than 4,000 mg in a 24-hour period. If you are taking the extended-release caplets, the recommended dose for adults and children over 12 years is 1300 mg taken every 8 hours.

Pain and Fever (Acetaminophen) products available without a prescription should not be used for longer than 5 days in a row for pain or 3 days in a row for fever. If you consume 3 or more alcoholic drinks in a day, do not take Pain and Fever (Acetaminophen) products, as your risk of liver damage is increased.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without talking to your doctor. Always take Pain and Fever (Acetaminophen) exactly as prescribed by your doctor.

Pain and Fever (Acetaminophen) is generally used as needed for pain or fever, except in the case of osteoarthritis and some other chronic conditions, when it is often taken on a regular basis in order to keep pain under control. In these circumstances, if you miss a dose of this medicine and you remember within an hour or so of the missed dose, take it as soon as you remember. However, if you do not remember until it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Pain and Fever (Acetaminophen) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Pain and Fever (Acetaminophen). If you are concerned about side effects, discuss the risks and benefits of Pain and Fever (Acetaminophen) with your doctor.

The following side effects have been reported by at least 1% of people taking Pain and Fever (Acetaminophen). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• signs of Anemia (low red blood cells; e.g., dizziness,  pale skin, unusual tiredness or weakness, shortness of breath)
• nausea
• signs of clotting problems (e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don't stop bleeding)
• signs of kidney problems (e.g., increased urination at night, decreased urine production, blood in the urine, change of urine colour)
• signs of infection (symptoms not present before treatment: sore throat, sores, ulcers, or white spots on lips or in mouth, fever with or without chills)
• skin rash, Hives, or itching
• symptoms of liver damage:
• abdominal pain
• dark urine
• itchy skin
• pale stools
• yellow skin or eyes

Stop taking the medication and seek immediate medical attention if any of the following occur:

• signs of a serious allergic reaction:
• difficulty breathing
• hives
• swelling of face or throat
• signs of a severe skin reaction (e.g., high fever; rash, sores, or painful blisters on the skin, mouth, or eyes; or skin peeling off)
• signs of overdose:
• Diarrhea
• increased sweating
• nausea or vomiting
• loss of appetite
• stomach cramps or pain
• swelling, pain, or tenderness in the upper abdomen or stomach area

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Pain and Fever (Acetaminophen).

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Pain and Fever (Acetaminophen) is available as a 160 mg/5 mL liquid suspension.

Do not take Pain and Fever (Acetaminophen) if you:

• are allergic to Pain and Fever (Acetaminophen) or any ingredients of the medication
• have liver disease caused by Pain and Fever (Acetaminophen)

Automatic Refills

We manage your refills and get in touch with your doctors for prescription renewals so that you always have the medication you need.

There may be an interaction between Pain and Fever (Acetaminophen) and any of the following:

• acetylsalicylic acid (ASA)
• alcohol
• barbiturates (e.g., butalbital, Phenobarbital)
• Busulfan
• Carbamazepine
• Cholestyramine
• Dapsone
• Dasatinib
• imatinib
• isoniazid
• Lamotrigine
• phenylephrine
• Phenytoin
• prilocaine
• rifampin
• tetracaine
• vaccines
• Warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Pain and Fever (Acetaminophen). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Pain and Fever (Acetaminophen).

Alcohol: Chronic excessive use of alcohol may increase the risk of liver damage due to Pain and Fever (Acetaminophen), even when Pain and Fever (Acetaminophen) is used at normal doses. If you drink 3 or more alcoholic beverages per day your risk of severe or possibly fatal liver damage is increased.

Avoiding overdose: Pain and Fever (Acetaminophen) is a frequent cause of accidental poisoning for infants and children. Keep the medication out of the reach of children, use an oral syringe to measure the dose, read the package carefully, and consult your pharmacist or doctor to confirm the best dose for your child.

Adults are also at risk of an Pain and Fever (Acetaminophen) overdose, especially if they take multiple products containing Pain and Fever (Acetaminophen). Pain and Fever (Acetaminophen) is a common ingredient in many non-prescription medications for colds and flu, pain, Arthritis, and fever. Check the product label on all medications you are taking to make sure you are not exceeding the recommended dose of Pain and Fever (Acetaminophen). An overdose of Pain and Fever (Acetaminophen) can lead to potentially fatal liver damage.

Liver: Pain and Fever (Acetaminophen) may cause severe and potentially fatal liver damage. This risk is increased when Pain and Fever (Acetaminophen) is used for longer than recommended or at doses higher than recommended. Alcoholism and liver diseases such as hepatitis increase this risk. For adults and children over the age of 12, the total amount of Pain and Fever (Acetaminophen) taken in a day from all sources should not exceed 4000 mg.

Contact your doctor immediately if you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin.

Pregnancy: Pain and Fever (Acetaminophen) is reported to be safe for short-term use in pregnancy at recommended doses.

Breast-feeding: Pain and Fever (Acetaminophen) passes into breast milk but is not likely to have a harmful effect on the infant when used at recommended doses.

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