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Headache Relief

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Active ingredients
  • Aspirin 250 mg
  • Acetaminophen 250 mg
  • Caffeine 65 mg
Other brand names
Drug classes
Central Nervous System Stimulant, Methylxanthine, Nonsteroidal Anti-inflammatory Drug, Platelet Aggregation Inhibitor
Dosage form
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 1992
Label revision date
August 13, 2025
Active ingredients
  • Aspirin 250 mg
  • Acetaminophen 250 mg
  • Caffeine 65 mg
Other brand names
Drug classes
Central Nervous System Stimulant, Methylxanthine, Nonsteroidal Anti-inflammatory Drug, Platelet Aggregation Inhibitor
Dosage form
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 1992
Label revision date
August 13, 2025
Manufacturer
CHAIN DRUG MARKETING ASSOCIATION INC
Registration number
M013
NDC root
63868-485

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Drug Overview

QC® (Quality Choice) is an extra strength headache relief medication designed to temporarily alleviate minor aches and pains. It contains a combination of acetaminophen (a pain reliever), aspirin (a nonsteroidal anti-inflammatory drug, or NSAID), and caffeine, which work together to provide effective relief from headaches, colds, arthritis, toothaches, muscular aches, and menstrual cramps.

This formulation comes in the form of 100 coated tablets, making it easy to take when you need relief. QC® is comparable to other well-known products like EXCEDRIN® EXTRA STRENGTH, offering a trusted option for managing discomfort.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions. This includes headaches, colds, arthritis, toothaches, muscular aches, and cramps associated with premenstrual and menstrual symptoms.

It's important to note that there are no reported teratogenic effects (which means it does not cause birth defects) or nonteratogenic effects associated with this medication. Always consult with a healthcare professional if you have any questions or concerns about using this medication for your symptoms.

Dosage and Administration

When taking this medication, it's important to follow the directions carefully. You should not take more than the recommended amount. For adults and children aged 12 years and older, the dosage is 2 tablets every 6 hours, but make sure you do not exceed 8 tablets in a 24-hour period.

Always drink a full glass of water with each dose to help the medication work effectively. If you are considering giving this medication to a child under 12 years old, it's best to consult a doctor first for guidance.

What to Avoid

You should avoid using this product if you have ever had an allergic reaction to acetaminophen, aspirin, or any other pain reliever or fever reducer. It's also important not to take this product alongside any other medications that contain acetaminophen, whether they are prescription or over-the-counter. If you're unsure whether a medication contains acetaminophen, please consult with your doctor or pharmacist.

Additionally, do not use this product if you have previously experienced an allergic reaction to it or any of its ingredients. Taking these precautions can help ensure your safety and well-being.

Side Effects

You should be aware of several important side effects and warnings associated with this product. If you are a child or teenager recovering from chickenpox or flu-like symptoms, do not use this product, as it may lead to Reye's syndrome, a rare but serious illness. Additionally, if you have a known allergy to aspirin, be cautious, as it can cause severe allergic reactions, including hives, facial swelling, and difficulty breathing. Acetaminophen, another ingredient, may lead to serious skin reactions, so seek medical help immediately if you notice any skin reddening, blisters, or rashes.

This product can also pose risks to your liver, especially if you exceed 4,000 mg of acetaminophen in 24 hours, take it with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily. There is a risk of severe stomach bleeding, particularly if you take more than directed, have a history of stomach ulcers, or are over 60 years old. Be mindful of caffeine intake, as excessive consumption can lead to nervousness and rapid heartbeat. If you experience any signs of an allergic reaction, stomach bleeding, or other concerning symptoms, stop using the product and consult a doctor right away.

Warnings and Precautions

It's important to be aware of some serious warnings when using this product. If you are a child or teenager recovering from chickenpox or flu-like symptoms, you should not use this product, as it may lead to Reye's syndrome, a rare but serious illness. Additionally, be cautious of potential severe allergic reactions to aspirin or acetaminophen, which can include symptoms like hives, swelling, or skin reactions. If you notice any of these symptoms, stop using the product and seek medical help immediately.

This product contains acetaminophen, which can cause severe liver damage if you exceed 4,000 mg in 24 hours, take it with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily. It also contains an NSAID, which may increase the risk of stomach bleeding, especially if you have a history of stomach issues, are over 60, or take certain other medications. If you experience symptoms like faintness, bloody stools, or persistent stomach pain, stop using the product and contact your doctor right away.

If you accidentally take too much of this product, seek emergency medical help or contact a Poison Control Center immediately, even if you don't notice any symptoms. Always consult your doctor before using this product if you have asthma, high blood pressure, liver disease, or other health concerns.

Overdose

If you suspect an accidental overdose, it’s important to seek medical help immediately or contact a Poison Control Center. This is crucial for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. If you notice any of these symptoms, don’t hesitate to get help right away. Remember, acting quickly can make a significant difference in ensuring safety and health.

Pregnancy Use

If you are pregnant or breastfeeding, it’s crucial to consult with a healthcare professional before using any medication. This is particularly important for aspirin; you should avoid taking it after 20 weeks of pregnancy unless your doctor specifically instructs you to do so. Using aspirin at this stage can lead to potential issues for your unborn child or complications during delivery. Always prioritize your health and the health of your baby by seeking professional guidance.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication. Specifically, avoid using aspirin after 20 weeks of pregnancy unless your doctor has specifically instructed you to do so. This is crucial because aspirin can potentially cause issues for your unborn child or lead to complications during delivery. Always prioritize your health and the health of your baby by seeking professional advice.

Pediatric Use

It's important to be cautious when giving this product to children and teenagers. If your child has or is recovering from chicken pox or flu-like symptoms, they should not use this product due to the risk of Reye's syndrome, a serious condition that can affect the brain and liver. If you notice any changes in your child's behavior along with nausea and vomiting while using this product, consult a doctor immediately, as these could be early signs of Reye's syndrome.

For adults and children aged 12 and older, the recommended dosage is 2 tablets every 6 hours, with a maximum of 8 tablets in a 24-hour period. If your child is under 12 years old, it's best to consult a doctor before giving them this medication. Always keep the product out of reach of children, and in case of accidental overdose, seek medical help or contact a Poison Control Center right away, even if there are no immediate signs or symptoms.

Geriatric Use

As you age, it's important to be aware of certain health risks associated with medications. If you are 60 years or older, there is a higher chance of experiencing severe stomach bleeding. This risk means that you should be particularly cautious and discuss any medications you are taking with your healthcare provider to ensure they are safe for you.

Always inform your doctor about your age and any other health conditions you may have, as they can help you manage your medications effectively and minimize potential risks. Your safety is a priority, so don't hesitate to ask questions or express any concerns you may have.

Renal Impairment

If you have kidney problems, it's important to consult your doctor before using this medication. This is especially crucial if you also have high blood pressure, heart disease, or liver cirrhosis, as these conditions can affect how your body processes the medication. Your healthcare provider will help determine if this treatment is safe for you and may suggest adjustments based on your kidney function. Always prioritize open communication with your doctor regarding your health conditions to ensure the best care.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using products that contain acetaminophen. Taking more than 4,000 mg of acetaminophen in a 24-hour period, using it alongside other medications that also contain acetaminophen, or consuming three or more alcoholic drinks daily while using this product can lead to severe liver damage.

Before using this product, you should consult your doctor if you have high blood pressure, heart disease, liver cirrhosis (a severe liver condition), or kidney disease. Your doctor can provide guidance on safe usage and any necessary adjustments to your dosage based on your liver health.

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. While there are no specific drug interactions or laboratory test interactions noted for this medication, your healthcare provider can help ensure that everything you are taking works well together and is safe for you.

Always feel free to ask questions and share your complete list of medications and any lab tests you may be undergoing. This way, you can receive the best possible care tailored to your needs.

Storage and Handling

To ensure the best performance of your product, store it at a temperature of 25°C (77°F). It can safely be kept within a range of 15°-30°C (59°-86°F) for short periods. Always check the end flap for the expiration date and lot number to confirm its validity before use.

When handling the product, make sure to do so in a clean environment to maintain its integrity. Proper storage and careful handling are essential for safety and effectiveness.

Additional Information

You should take this medication orally. For adults and children aged 12 years and older, the recommended dosage is 2 tablets every 6 hours, with a maximum of 8 tablets in a 24-hour period. If the patient is under 12 years old, consult a doctor for appropriate dosing.

If you are pregnant or breastfeeding, it's important to talk to a healthcare professional before using this medication. Avoid using aspirin after 20 weeks of pregnancy unless specifically directed by a doctor, as it can cause issues for the unborn child or complications during delivery. In case of an accidental overdose, seek medical help or contact a Poison Control Center immediately, as quick action is crucial for both adults and children, even if no symptoms are present.

FAQ

What is QC® (Quality Choice)?

QC® is a headache relief medication that provides extra strength for temporary relief of minor aches and pains.

What are the active ingredients in QC®?

The active ingredients in QC® are acetaminophen, aspirin (a nonsteroidal anti-inflammatory drug or NSAID), and caffeine.

What conditions does QC® help relieve?

QC® temporarily relieves minor aches and pains due to headaches, colds, arthritis, toothaches, muscular aches, and menstrual cramps.

What is the recommended dosage for adults and children over 12?

Adults and children 12 years and over should take 2 tablets every 6 hours, not exceeding 8 tablets in 24 hours.

What should I do if I am under 12 years old?

If you are under 12 years old, you should ask a doctor before using QC®.

Are there any contraindications for using QC®?

Do not use QC® if you have had an allergic reaction to acetaminophen, aspirin, or any other pain reliever/fever reducer.

What should I do in case of an accidental overdose?

In case of accidental overdose, get medical help or contact a Poison Control Center immediately.

Can I use QC® if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a health professional before use, especially not to use aspirin at 20 weeks or later in pregnancy unless directed by a doctor.

What are the warnings associated with QC®?

Warnings include the risk of Reye's syndrome in children recovering from chickenpox or flu-like symptoms, severe allergic reactions, liver damage from excessive acetaminophen, and stomach bleeding from NSAIDs.

How should I store QC®?

Store QC® at 25°C (77°F), with permitted excursions between 15°-30°C (59°-86°F).

Packaging Info

Below are the non-prescription pack sizes of Headache Relief (acetaminophen, aspirin and caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Headache Relief.
Details

Drug Information (PDF)

This file contains official product information for Headache Relief, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Description

No description information is available for the specified drug.

Uses and Indications

This drug is indicated for the temporary relief of minor aches and pains associated with various conditions, including headache, cold symptoms, arthritis, toothache, muscular aches, and premenstrual or menstrual cramps.

There are no teratogenic or nonteratogenic effects associated with this drug.

Dosage and Administration

Patients should adhere strictly to the recommended dosage and not exceed the directed amount. Each dose should be accompanied by a full glass of water to ensure proper administration.

For adults and children aged 12 years and older, the recommended dosage is 2 tablets every 6 hours. It is imperative that patients do not exceed a total of 8 tablets within a 24-hour period.

For children under 12 years of age, it is advised to consult a physician for appropriate dosing recommendations.

Contraindications

Use of this product is contraindicated in the following situations:

  • Patients with a history of allergic reactions to acetaminophen, aspirin, or any other pain reliever or fever reducer.

  • Concurrent use with any other medication containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in a medication, consultation with a healthcare professional is advised.

  • Individuals who have previously experienced an allergic reaction to this product or any of its components.

Warnings and Precautions

Children and teenagers who are experiencing or recovering from chickenpox or flu-like symptoms should not use this product due to the risk of Reye's syndrome. If any changes in behavior accompanied by nausea and vomiting occur while using this product, it is imperative to consult a healthcare professional, as these symptoms may indicate the onset of this rare but serious illness.

Aspirin, a component of this product, may lead to severe allergic reactions, which can manifest as hives, facial swelling, shock, or asthma symptoms such as wheezing. Similarly, acetaminophen may cause severe skin reactions, including skin reddening, blisters, or rash. In the event of a skin reaction, it is crucial to discontinue use immediately and seek medical assistance.

This product contains acetaminophen, which poses a risk of severe liver damage if the following conditions are met: exceeding 4,000 mg of acetaminophen within a 24-hour period, concurrent use with other medications containing acetaminophen, or consumption of three or more alcoholic drinks daily while using this product.

Additionally, the product contains a nonsteroidal anti-inflammatory drug (NSAID), which may increase the risk of severe stomach bleeding. This risk is heightened in individuals who take more than the recommended dosage or for an extended duration, have a history of stomach ulcers or bleeding issues, are on anticoagulant or steroid medications, are aged 60 or older, or consume three or more alcoholic drinks daily while using this product.

Caffeine is also present in the recommended dosage, which is comparable to that found in a cup of coffee. It is advisable to limit the intake of other caffeine-containing medications, foods, or beverages during treatment, as excessive caffeine consumption may lead to nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat.

Healthcare professionals should advise patients to consult a doctor prior to use if they have asthma, a history of stomach issues such as heartburn, are taking diuretics, or have conditions such as high blood pressure, heart disease, liver cirrhosis, or kidney disease. Patients with a history of stomach bleeding or liver disease should also seek medical advice before using this product.

In the event of an accidental overdose, immediate medical attention is essential. Patients should contact a Poison Control Center or seek emergency medical help, regardless of whether symptoms are present.

Patients are advised to discontinue use and consult a healthcare professional if they experience any signs of an allergic reaction, symptoms indicative of stomach bleeding (such as feeling faint, bloody or black stools, vomiting blood, or persistent stomach pain), ringing in the ears or hearing loss, new or worsening symptoms, redness or swelling, pain lasting more than ten days, or fever lasting more than three days. These symptoms may signify a serious condition requiring prompt medical evaluation.

Side Effects

Patients using this product may experience a range of adverse reactions, some of which can be serious.

Serious Adverse Reactions Reye's syndrome is a rare but serious illness that may occur in children and teenagers who have or are recovering from chickenpox or flu-like symptoms. Patients should be advised not to use this product under these circumstances. If changes in behavior accompanied by nausea and vomiting occur, it is essential to consult a healthcare professional, as these may be early signs of Reye's syndrome.

Severe allergic reactions may occur, particularly in patients sensitive to aspirin or acetaminophen. Symptoms of an allergic reaction to aspirin may include hives, facial swelling, shock, and asthma (wheezing). For acetaminophen, severe skin reactions can manifest as skin reddening, blisters, or rash. If any of these symptoms occur, patients should discontinue use and seek medical attention immediately.

The product contains acetaminophen, which carries a risk of severe liver damage if patients exceed 4,000 mg in 24 hours, use it in conjunction with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily while using this product. Additionally, the presence of an NSAID in the formulation raises the risk of severe stomach bleeding, particularly in patients who take more than directed, have a history of stomach ulcers or bleeding problems, are aged 60 or older, or are using blood thinners or other NSAIDs.

Common Adverse Reactions Patients may also experience less severe but notable reactions. The recommended dose of this product contains caffeine, which is comparable to that found in a cup of coffee. Excessive caffeine intake may lead to nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat.

Patients should be advised to stop using the product and consult a healthcare provider if they experience any signs of an allergic reaction, symptoms indicative of stomach bleeding (such as feeling faint, bloody or black stools, vomiting blood, or persistent stomach pain), ringing in the ears, loss of hearing, new symptoms, redness or swelling, worsening pain lasting more than 10 days, or a fever that worsens or lasts more than three days. These symptoms could indicate a serious condition requiring medical evaluation.

Drug Interactions

There are currently no documented drug interactions associated with this medication. Additionally, there are no known interactions with laboratory tests. As such, no specific recommendations for dosage adjustments or monitoring are warranted at this time.

Packaging & NDC

Below are the non-prescription pack sizes of Headache Relief (acetaminophen, aspirin and caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Headache Relief.
Details

Pediatric Use

Children and teenagers who have or are recovering from chickenpox or flu-like symptoms should not use this product due to the risk of Reye's syndrome. If changes in behavior accompanied by nausea and vomiting occur while using this product, it is important to consult a doctor, as these symptoms may indicate the onset of Reye's syndrome.

For dosing, adults and children aged 12 years and older are advised to take 2 tablets every 6 hours, with a maximum of 8 tablets in a 24-hour period. For children under 12 years of age, it is recommended to consult a doctor for appropriate dosing guidance.

This product should be kept out of reach of children. In the event of an accidental overdose, immediate medical assistance should be sought, or contact a Poison Control Center without delay. Prompt medical attention is crucial for both adults and children, even if no signs or symptoms are initially apparent.

Geriatric Use

Elderly patients, particularly those aged 60 and older, may have an increased risk of severe stomach bleeding. It is essential for healthcare providers to exercise caution when prescribing this medication to geriatric patients.

Monitoring for signs and symptoms of gastrointestinal bleeding is recommended in this population. Additionally, healthcare providers should consider the overall health status and concurrent medications of elderly patients, as these factors may further influence the risk of adverse effects.

Dose adjustments may be necessary based on individual patient assessments, and careful evaluation of the benefits versus risks should guide treatment decisions in this age group.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional before using this medication. The use of aspirin during pregnancy, particularly at 20 weeks gestation or later, is associated with potential risks. Specifically, it may lead to adverse effects on the unborn child and complications during delivery. Therefore, it is crucial that pregnant patients only use aspirin under the guidance of a healthcare provider if deemed necessary.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. It is particularly important to avoid the use of aspirin at 20 weeks of gestation or later unless specifically directed by a physician, as it may pose risks to the unborn child or lead to complications during delivery. There is no specific data available regarding the excretion of this medication in breast milk or its effects on breastfed infants. Therefore, caution is recommended when considering the use of this medication during lactation.

Renal Impairment

Patients with renal impairment should consult a healthcare professional prior to use, particularly if they have conditions such as high blood pressure, heart disease, liver cirrhosis, or kidney disease. It is essential to assess renal function and consider potential dosing adjustments or monitoring requirements based on the severity of renal impairment.

Hepatic Impairment

Patients with hepatic impairment should exercise caution when using this product, as it contains acetaminophen, which is associated with the risk of severe liver damage. It is critical that patients do not exceed 4,000 mg of acetaminophen within a 24-hour period. Additionally, patients should avoid concurrent use with other medications containing acetaminophen and limit alcohol consumption to fewer than three alcoholic drinks per day while using this product.

Before initiating treatment, patients with liver disease, including those with liver cirrhosis, should consult a healthcare professional. It is advisable for these patients to discuss their medical history, particularly if they have high blood pressure, heart disease, or kidney disease, to ensure safe use of the product. Regular monitoring of liver function may be warranted in patients with compromised liver function to prevent potential adverse effects.

Overdosage

In the event of an accidental overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center without delay. Prompt medical attention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.

Healthcare professionals should be aware that the severity of symptoms may vary, and early intervention can significantly impact the outcome. Therefore, it is essential to monitor the patient closely and provide supportive care as needed.

Nonclinical Toxicology

It is especially important not to use aspirin at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor, as it may cause problems in the unborn child or complications during delivery. No relevant information regarding non-teratogenic effects, carcinogenicity, mutagenicity, or animal pharmacology and toxicology was extracted.

Postmarketing Experience

No postmarketing experience details are available in the insert text.

Patient Counseling

Healthcare providers should advise patients about the importance of seeking immediate medical assistance in the event of an accidental overdose. Patients should be informed to contact a Poison Control Center or seek medical help right away, emphasizing that prompt medical attention is critical for both adults and children. It is essential to communicate that even in the absence of noticeable signs or symptoms, the risk associated with an overdose necessitates urgent care.

Storage and Handling

The product is supplied in configurations that include specific NDC numbers, which can be found on the packaging. It should be stored at a controlled room temperature of 25°C (77°F). Temporary excursions are permissible between 15°C and 30°C (59°F to 86°F).

Healthcare professionals are advised to check the end flap of the packaging for the expiration date and lot number to ensure proper inventory management and product safety.

Additional Clinical Information

The medication is administered orally, with specific dosing guidelines for different age groups. Adults and children aged 12 years and older are advised to take 2 tablets every 6 hours, not exceeding 8 tablets within a 24-hour period. For children under 12 years, consultation with a doctor is recommended before administration.

Clinicians should counsel patients regarding the use of this medication during pregnancy and breastfeeding, emphasizing the importance of consulting a health professional prior to use. It is particularly critical to avoid aspirin after 20 weeks of pregnancy unless explicitly directed by a physician, due to potential risks to the unborn child and complications during delivery. In the event of an accidental overdose, patients should seek immediate medical assistance or contact a Poison Control Center, as prompt intervention is essential for both adults and children, regardless of the presence of symptoms.

Drug Information (PDF)

This file contains official product information for Headache Relief, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Data Generation & Sources

This page was automatically generated and is maintained by the AllDrugs AI Data-Science Team. It was built from the FDA Structured Product Label (DailyMed) for Headache Relief, retrieved by a validated AI data-extraction workflow.

All FDA-listed dosage forms and strengths are shown in the Packaging & NDC Codes section above. Regulatory status appears in the Summary Information panel above and was verified in the FDA National Drug Code directory and the NSDE NDC Directory daily file.

Note: an automated daemon monitors NSDE checksums; when the record for this NDC changes, the new file is pulled instantly and this page is refreshed.

No human clinician has reviewed this version.

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Orange Book data shown on this page are limited to Regulatory Status (Rx), Established Pharmacologic Class (EPC), and Mechanism of Action (MoA).

Regulatory data notice: Information on this page is reproduced verbatim from FDA public databases (NSDE, Orange Book, Purple Book, DailyMed SPL). NDA/ANDA drugs are FDA-approved, BLA biologics are FDA-licensed. Inclusion alone does not guarantee current market availability or imply FDA endorsement.

Medical disclaimer: This AI-generated content is provided for educational purposes only and does not constitute medical advice. Always consult a licensed healthcare professional for diagnosis or treatment decisions.