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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
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2019
Label revision date
October 7, 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
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2019
Label revision date
October 7, 2025
Manufacturer
Walgreens
Registration number
M013
NDC root
0363-0586

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Drug Overview

Acetaminophen and aspirin (a nonsteroidal anti-inflammatory drug, or NSAID) are combined in Extra Strength GELTABS to help temporarily relieve minor aches and pains. This medication is effective for various discomforts, including headaches, colds, arthritis, muscular aches, toothaches, and menstrual cramps.

By targeting pain and inflammation, this product can provide you with relief when you need it most. It's important to follow the recommended guidelines for use to ensure safety and effectiveness.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions. This includes headaches, colds, arthritis, muscular aches, toothaches, 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 (which refer to other types of harmful effects) associated with this medication. Always consult with a healthcare professional if you have any questions or concerns about using this product.

Dosage and Administration

It's important to follow the dosage instructions carefully when taking this medication. For adults and children aged 12 years and older, you should take 2 geltabs every 6 hours, but make sure not to exceed 8 geltabs in a 24-hour period. Always drink a full glass of water with each dose to help the medication work effectively.

If you have children under 12, do not give them this medication unless a doctor has specifically directed you to do so. Remember, using more than the recommended amount can be harmful, so stick to the guidelines provided.

What to Avoid

You should avoid using this medication if you have ever had an allergic reaction to acetaminophen, aspirin, or any other pain reliever or fever reducer. Additionally, do not take this medication alongside any other products that contain acetaminophen, whether they are prescription or over-the-counter. If you're unsure whether a medication contains acetaminophen, it's important to consult with your doctor or pharmacist for guidance. Taking these precautions will help ensure your safety and well-being.

Side Effects

You should be aware of several important warnings and potential side effects 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. Be cautious of severe skin reactions from acetaminophen, which can include skin reddening, blisters, or rash—if these occur, stop using the product and seek medical help immediately. Aspirin can also cause severe allergic reactions, such as hives, facial swelling, or difficulty breathing.

Additionally, be mindful of the risk of severe liver damage if you exceed 4,000 mg of acetaminophen in 24 hours, take it with other acetaminophen-containing products, or consume three or more alcoholic drinks daily. This product may also increase the risk of stomach bleeding, especially if you are over 60, have a history of stomach ulcers, or take certain medications. If you experience symptoms like faintness, vomiting blood, or black stools, seek medical attention right away. Lastly, the caffeine content is similar to that of a cup of coffee, so limit other caffeine sources to avoid side effects like nervousness or rapid heartbeat. Always consult your doctor if you notice any concerning symptoms or if your condition worsens.

Warnings and Precautions

If you are a child or teenager recovering from chickenpox or flu-like symptoms, you should not use this product, as it may increase the risk of Reye's syndrome, a rare but serious illness. If you notice changes in behavior along with nausea and vomiting while using this product, consult your doctor immediately.

Be aware that this product contains acetaminophen, which can cause severe skin reactions, including redness, blisters, or rash. If you experience any of these symptoms, stop using the product and seek medical help right away. Additionally, if you have a history of allergies to aspirin, be cautious, as it may cause severe allergic reactions, including hives and swelling.

To avoid serious side effects, do not exceed 4,000 mg of acetaminophen in 24 hours, and be cautious if you consume alcohol or take other medications containing acetaminophen. This product may also increase the risk of stomach bleeding, especially if you are over 60, have a history of stomach ulcers, or take blood thinners. If you experience symptoms like faintness, vomiting blood, or black stools, stop using the product and contact your doctor. In case of overdose, seek emergency medical help or contact a Poison Control Center immediately.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately. You can contact a Poison Control Center at 1-800-222-1222 for guidance. Quick action 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 the outcome.

Pregnancy Use

If you are pregnant or breastfeeding, it’s crucial to consult with a healthcare professional before using any medication. This is to ensure the safety of both you and your baby.

Particularly, be cautious with aspirin. Avoid using it after 20 weeks of pregnancy unless your doctor specifically advises you to do so, as it can lead to potential issues for your unborn child or complications during delivery. Always prioritize open communication with your healthcare provider regarding any medications you may consider.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication, including aspirin. Using aspirin after 20 weeks of pregnancy can be particularly risky, as it may lead to complications for your unborn child or during delivery. Always seek guidance from your doctor to ensure the safety of both you and your baby.

Pediatric Use

If you are considering this product for your child, it's important to be aware of some key guidelines. Children and teenagers who are currently experiencing or recovering from chickenpox or flu-like symptoms should not use this product, as it could lead to a serious condition called Reye's syndrome. If your child shows any unusual behavior along with nausea and vomiting while using this product, you should consult a doctor immediately, as these could be early signs of this rare illness.

For children under 12 years old, you should only use this product if directed by a doctor. For those aged 12 and older, the recommended dosage is 2 geltabs every 6 hours, but do not exceed 8 geltabs in a 24-hour period. Always prioritize your child's safety and consult a healthcare professional if you have any concerns.

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 when taking certain drugs. This risk means that you should discuss your medications with your healthcare provider, who can help you understand the potential side effects and adjust your treatment plan if necessary.

Always keep your doctor informed about any changes in your health or any new symptoms you may experience. Being proactive about your health can help you manage risks effectively and ensure that your treatment is safe and appropriate for your age.

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 doctor will help determine if it's safe for you and may suggest adjustments to your dosage or additional monitoring to ensure your safety. Always prioritize open communication with your healthcare provider regarding your kidney health and any other medical conditions you may have.

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 liver disease, high blood pressure, heart disease, liver cirrhosis, or kidney disease. Your healthcare provider can help determine the safest options for you and may suggest dosage adjustments or additional monitoring based on your specific health needs.

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 in a cool, dry place at a temperature between 20º-25ºC (68º-77ºF). This temperature range helps maintain the product's effectiveness and safety.

When handling the product, be sure to do so with clean hands and in a clean environment to avoid contamination. Always follow any specific disposal instructions provided to ensure safe and responsible disposal.

Additional Information

For adults and children aged 12 years and older, the recommended dosage is to take 2 geltabs every 6 hours, with a maximum of 8 geltabs in a 24-hour period. If your child is under 12 years old, do not use this medication unless directed by a doctor.

If you are pregnant or breastfeeding, it's important to consult a healthcare professional before using this medication. Specifically, avoid using aspirin after 20 weeks of pregnancy unless your doctor has specifically advised you to do so, as it may pose risks to your unborn child or lead to complications during delivery.

FAQ

What is the drug ACETAMINOPHEN / ASPIRIN used for?

ACETAMINOPHEN / ASPIRIN is used to temporarily relieve minor aches and pains due to headaches, colds, arthritis, muscular aches, toothaches, and menstrual cramps.

What should I do if I have an allergic reaction?

If you experience an allergic reaction, seek medical help right away.

What are the dosage instructions for adults and children over 12?

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

Can children under 12 use this product?

Children under 12 years should not use this product unless directed by a doctor.

What are the warnings associated with this product?

Warnings include the risk of severe liver damage if more than 4,000 mg of acetaminophen is taken in 24 hours, and the risk of severe stomach bleeding, especially in those over 60 or with certain medical conditions.

Is it safe to use this product during pregnancy?

If you are pregnant or breastfeeding, consult a health professional before use, especially after 20 weeks of pregnancy, as it may cause complications.

What should I do if I experience signs of stomach bleeding?

If you feel faint, vomit blood, have bloody or black stools, or have stomach pain that does not improve, stop use and consult a doctor immediately.

What should I do if I suspect an overdose?

In case of overdose, get medical help or contact a Poison Control Center immediately, as quick medical attention is critical.

What should I avoid while taking this product?

Avoid taking other drugs containing acetaminophen and limit caffeine intake, as excessive caffeine can cause nervousness and rapid heartbeat.

Packaging Info

Below are the non-prescription pack sizes of Headache Relief (acetaminophen, aspirin, 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 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, muscular aches, toothache, 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. 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 geltabs every 6 hours. It is imperative not to exceed a total of 8 geltabs within a 24-hour period.

For children under 12 years of age, the use of this medication is not advised unless specifically directed by a healthcare professional.

Contraindications

Use is contraindicated in patients with a history of allergic reactions to acetaminophen, aspirin, or any other pain reliever or fever reducer. Additionally, this product should not be used concurrently with any other medication containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

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, a rare but serious illness. If any changes in behavior accompanied by nausea and vomiting occur while using this product, it is imperative to consult a healthcare professional immediately, as these may be early signs of Reye's syndrome.

Allergy Alerts

This product contains acetaminophen, which may lead to severe skin reactions. Symptoms of such reactions can include skin reddening, blisters, and rash. Should any skin reaction occur, the use of the product must be discontinued, and medical assistance should be sought without delay.

Additionally, aspirin, another component of this product, may provoke a severe allergic reaction characterized by hives, facial swelling, shock, or asthma (wheezing). Immediate medical attention is warranted if any of these symptoms manifest.

Liver and Stomach Warnings

The presence of acetaminophen in this product necessitates caution due to the risk of severe liver damage. This risk is heightened if the user exceeds 4,000 mg of acetaminophen within a 24-hour period, concurrently uses other medications containing acetaminophen, or consumes three or more alcoholic drinks daily while using this product.

Furthermore, the product contains a nonsteroidal anti-inflammatory drug (NSAID), which may increase the likelihood of severe stomach bleeding. This risk is particularly pronounced in individuals aged 60 or older, those with a history of stomach ulcers or bleeding problems, users of blood-thinning medications or steroids, and those who consume three or more alcoholic drinks daily while using this product. Caution is also advised for individuals taking other prescription or nonprescription NSAIDs, including aspirin, ibuprofen, or naproxen, and for those who exceed the recommended dosage or duration of use.

Caffeine Considerations

The recommended dosage of this product contains approximately the same amount of caffeine as a standard cup of coffee. Users are advised to limit the intake of other caffeine-containing medications, foods, or beverages, as excessive caffeine consumption may lead to symptoms such as nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat.

Emergency Situations

In the event of an overdose, it is crucial to seek emergency medical assistance or contact a Poison Control Center (1-800-222-1222) immediately. Prompt medical attention is essential for both adults and children, even if no signs or symptoms are initially apparent.

Discontinuation and Consultation

Users should discontinue use and consult a healthcare professional if any of the following occur: an allergic reaction; signs of stomach bleeding such as feeling faint, vomiting blood, having bloody or black stools, or experiencing persistent stomach pain; ringing in the ears or loss of hearing; redness or swelling in a painful area; worsening pain lasting more than 10 days; fever that worsens or persists for more than three days; or the emergence of any new symptoms, which may indicate a serious condition.

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, medical consultation is recommended as these may be early signs of Reye's syndrome.

Severe allergic reactions may occur, particularly in patients sensitive to acetaminophen or aspirin. Symptoms of a severe skin reaction to acetaminophen may include skin reddening, blisters, and rash. If any of these symptoms develop, patients should discontinue use and seek immediate medical attention. Similarly, aspirin may cause severe allergic reactions characterized by hives, facial swelling, shock, or asthma (wheezing).

Patients should be aware of the risk of severe liver damage associated with acetaminophen, particularly if they exceed 4,000 mg in 24 hours, use other products containing acetaminophen, or consume three or more alcoholic drinks daily while using this product.

The product contains an NSAID, which may increase the risk of severe stomach bleeding, especially in patients aged 60 or older, those with a history of stomach ulcers or bleeding problems, or those taking anticoagulants, steroids, or other NSAIDs. Patients should be cautioned against exceeding the recommended dosage or duration of use, as well as against consuming three or more alcoholic drinks daily while using this product.

Common Adverse Reactions Patients may experience symptoms related to caffeine intake, as the recommended dose of this product contains approximately the same amount of caffeine as a cup of coffee. Excessive caffeine consumption may lead to nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat.

Patients are advised to stop using the product and consult a doctor if they experience any signs of an allergic reaction, symptoms indicative of stomach bleeding (such as feeling faint, vomiting blood, having bloody or black stools, or experiencing persistent stomach pain), ringing in the ears or loss of hearing, redness or swelling in a painful area, worsening pain lasting more than 10 days, fever lasting more than 3 days, or any new symptoms that may suggest a serious condition.

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, caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Headache Relief.
Details

Pediatric Use

Pediatric patients, particularly those under 12 years of age, should not use this product unless directed by a healthcare professional. It is important to note that children and teenagers who have or are recovering from chickenpox or flu-like symptoms are at risk for Reye's syndrome and should avoid this product. If any changes in behavior accompanied by nausea and vomiting occur while using this product, a doctor should be consulted, as these may be early signs of Reye’s syndrome, a rare but serious condition.

For patients aged 12 years and older, the recommended dosage is 2 geltabs every 6 hours, with a maximum of 8 geltabs in a 24-hour period.

Geriatric Use

Elderly patients, particularly those aged 60 and older, may have an increased risk of severe stomach bleeding. Healthcare providers should exercise caution when prescribing this medication to geriatric patients, considering the potential for heightened adverse effects.

It is advisable to closely monitor elderly patients for signs of gastrointestinal bleeding and to evaluate the necessity of dosage adjustments based on individual patient factors. Careful assessment of the benefits and risks is essential in this population to ensure safe and effective use of the medication.

Pregnancy

Pregnant patients and women 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 to the unborn child and may lead to complications during delivery. Therefore, it is crucial that aspirin is only used in these circumstances if explicitly directed by a physician.

Lactation

Lactating mothers are advised to consult a health professional before using this medication. It is particularly important to avoid the use of aspirin at 20 weeks of pregnancy 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 in a 24-hour period, nor should they use this product in conjunction with other medications containing acetaminophen. Additionally, consumption of three or more alcoholic drinks daily while using this product may further increase the risk of liver damage.

Before initiating treatment, patients with liver disease, high blood pressure, heart disease, liver cirrhosis, or kidney disease are advised to consult a healthcare professional. Monitoring of liver function may be warranted in these patients to ensure safety and efficacy during treatment.

Overdosage

In the event of an overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222. Prompt medical intervention 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 based on the specific substance involved in the overdose. Therefore, a thorough assessment and monitoring of the patient are essential.

Management of an overdose may include supportive care and symptomatic treatment, tailored to the individual’s clinical presentation. Continuous evaluation and appropriate interventions should be initiated as necessary to mitigate potential complications associated with the overdose.

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 is available regarding non-teratogenic effects. Additionally, there is no relevant information provided concerning nonclinical toxicology or animal pharmacology and toxicology.

Postmarketing Experience

Postmarketing experience has shown that acetaminophen may be associated with severe skin reactions, including skin reddening, blisters, and rash. Additionally, postmarketing data indicate that aspirin may lead to severe allergic reactions, which can manifest as hives, facial swelling, shock, and asthma symptoms such as wheezing. These events have been reported voluntarily or identified through surveillance programs.

Patient Counseling

Healthcare providers should advise patients on the importance of seeking immediate medical assistance in the event of an overdose. Patients should be informed to contact a Poison Control Center at 1-800-222-1222 without delay. It is crucial to emphasize that prompt medical attention is necessary for both adults and children, even if they do not exhibit any signs or symptoms of overdose. This proactive approach can significantly impact the outcome in such situations.

Storage and Handling

The product is supplied in various package configurations, with specific NDC numbers available for identification. It is essential to store the product at a controlled room temperature, specifically between 20ºC and 25ºC (68ºF and 77ºF). Proper storage conditions are crucial to maintain the integrity and efficacy of the product.

Additional Clinical Information

Patients aged 12 years and older are advised to take 2 geltabs every 6 hours, with a maximum of 8 geltabs in a 24-hour period. For children under 12 years, use should only occur if directed by a healthcare professional.

Clinicians should counsel patients regarding the use of the medication during pregnancy and breastfeeding. It is particularly important to avoid aspirin use after 20 weeks of pregnancy unless specifically directed by a healthcare provider, as it may pose risks to the unborn child or lead to complications during delivery.

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.