See section that is also warning.
This combination medicine is used to deal with moderate pain, fever, and swelling. The narcotic pain reliever (opiate-type) acts on certain centers in the mind to give you pain relief. Aspirin helps to decrease the pain, fever, and swelling. Caffeine helps increase the effects of aspirin on pain.
Take this medication by mouth as directed by your doctor. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this medication. You may take this medication with food if you have nausea. Consult your pharmacist or doctor about other ways to decrease nausea (age.g., antihistamines, lying straight down for 1-2 hours with very little mind movement as possible).
The dosage is considering your condition that is medical and to therapy. Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication might perhaps not act as well.
This medication may cause withdrawal reactions, especially if it has been utilized regularly for a time that is long in high doses. In such cases, withdrawal symptoms (such as runny nose, watery eyes, restlessness) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your pharmacist or doctor for more details, and report any withdrawal reactions right away.
Though most unlikely, irregular drug-seeking behavior (addiction) is achievable using this medication. To lessen the risk of becoming addicted, don't increase your dosage, frequently take it more, or take it for a longer time than prescribed. Use the smallest effective dose. Properly stop the medication when so directed.
Whenever useful for an extended period, this medication may well not work as well and may require dosing that is different. Talk with your doctor if this medication stops working well.
Inform your doctor if your pain persists or worsens.
Sickness, nausea, stomach upset, shaking (tremor), constipation, dry mouth, lightheadedness, dizziness, or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist quickly.
To reduced your risk of dizziness and lightheadedness, get fully up slowly when increasing from a sitting or lying position.
To prevent constipation, maintain a diet adequate in fibre, drink plenty of water, and exercise. If you become constipated when using this drug, check with your pharmacist for assistance in selecting a laxative (e.g., stimulant-type with stool softener).
Understand that your doctor has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious side effects.
Tell your medical practitioner right away if some of these unlikely but serious side impacts occur: mental/mood changes, fast/irregular heartbeat, increased thirst/urination, hearing changes (e.g., tinnitus), simple bruising/bleeding, signs of illness (e.g., fever, persistent sore throat), heartburn, vexation whenever swallowing, dark urine, yellowing eyes/skin, modification in the quantity of urine, difficulty urinating, unusual tiredness.
Seek immediate medical attention if any of these rare but really serious side effects occur: fainting, seizure, black stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, slurred message, weakness using one part of the human body.
The product may cause mental/mood that is serious and very serious (rarely fatal) breathing problems. This product may contain codeine or dihydrocodeine. Codeine and dihydrocodeine are turned into strong narcotic drugs (morphine or dihydromorphine) in your body. In some people this happens faster and more completely than usual, which increases the risk of very serious side effects. Get help that is medical away if you notice any of the after: slow/shallow breathing, unusual drowsiness/difficulty getting out of bed, confusion.
a very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you see any symptoms of a critical allergic reaction, including: rash, itching/swelling (especially associated with the face/tongue/throat), severe dizziness, difficulty breathing.
This will be not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side-effects. You'll report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about side-effects. You may possibly report effects that are side Health Canada at 1-866-234-2345.
Before using this medication, tell your doctor or pharmacist if you have any other allergies if you are allergic to aspirin, caffeine, or narcotic pain medications (e.g., codeine); or to salicylates (e.g., salsalate), nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), or xanthine derivatives (e.g., theophylline); or. This product may contain inactive ingredients, which can cause allergic reactions or other issues. Talk to your pharmacist for more details.
Before using this medicine, tell your doctor or pharmacist your medical history, especially of: asthma (including a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), bleeding/blood clotting disorders (e.g., hemophilia, von Willebrand's disease, thrombocytopenia), brain disorders (e.g., seizures, mind damage, tumefaction, increased intracranial pressure), breathing problems (e.g., chronic obstructive pulmonary disease-COPD, sleep apnea), infection associated with pancreas (e.g., pancreatitis), heart condition (age.g., irregular heartbeat, recent heart attack), certain enzyme deficiencies (pyruvate kinase or G6-PD deficiency), gout, liver disease, kidney disease, heartburn, growths into the nose (nasal polyps), a certain spinal problem (kyphoscoliosis), gallbladder disease, personal or family history of regular use/abuse of drugs/alcohol, mental/mood disorders, stomach/intestinal dilemmas (age.g., ulcers, infectious diarrhea, colitis), adrenal gland issue (e.g., Addison's disease), difficulty urinating (e.g., due to enlarged prostate or urethral stricture), underactive thyroid (hypothyroidism), recent bowel/abdominal surgery.
Before having surgery or certain surgical procedures (such as for example a heart stress test or an operation to revive a normal heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This medication might make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Avoid beverages that are alcoholic.
This medicine might cause stomach bleeding. Daily use of tobacco and alcohol, specially when combined with this specific medicine, may increase your risk for belly bleeding. Limit stop and alcohol smoking. Consult your doctor or pharmacist for more information.
This medicine contains aspirin. Children and teenagers less than 18 years old should not take aspirin whether they have chickenpox, flu, or any undiagnosed illness, or if they have just been given a live virus vaccine, without first consulting a doctor about Reye's syndrome, a rare but serious illness.
Kids may become more sensitive to the medial side aftereffects of the narcotic pain reliever, especially extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See additionally Warning section.)
Older grownups may be more sensitive to the medial side impacts of this drug, especially stomach bleeding/ulcers, confusion, dizziness, drowsiness, and breathing that is slow/shallow.
Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. This medication is not suggested for use during pregnancy. It may damage an baby that is unborn affect normal labor/delivery. Consult your doctor for additional information.
This drug passes into breast milk and could have undesirable effects on a nursing baby. Therefore, breast-feeding is not recommended while using the this drug. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.