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Leader Migraine 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 2017
Label revision date
January 20, 2026
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 2017
Label revision date
January 20, 2026
Manufacturer
Cardinal Health 110, LLC. dba Leader
Registration number
ANDA075794
NDC root
70000-0247

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Drug Overview

LEADER™ is a medication designed to provide relief from migraines. It combines three active ingredients: acetaminophen (a common pain reliever), aspirin (a nonsteroidal anti-inflammatory drug, or NSAID), and caffeine (which can enhance the effectiveness of pain relievers). This combination works together to help alleviate the pain and discomfort associated with migraine headaches.

You can find LEADER™ in capsule-shaped tablets, making it easy to take. It is specifically formulated to treat migraines, offering a supportive option for those seeking relief from this type of headache.

Uses

If you suffer from migraines, this medication can help treat your condition. Migraines are severe headaches that can cause intense pain, often accompanied by other symptoms like nausea or sensitivity to light and sound. This treatment is specifically designed to alleviate the discomfort associated with these episodes, allowing you to regain control over your daily activities.

It's important to note that this medication does not have any known teratogenic effects, meaning it is not expected to cause birth defects if taken during pregnancy. Always consult with your healthcare provider for personalized advice and to ensure this treatment is right for you.

Dosage and Administration

When taking this medication, it's important to follow the directions carefully. For adults, you should take 2 caplets with a glass of water. Make sure not to exceed this amount; you should not take more than 2 caplets in a 24-hour period unless your doctor advises otherwise.

If your symptoms continue or get worse, it's a good idea to consult your doctor for further guidance. If you are under 18 years of age, please ask a doctor before using this medication to ensure it's safe for you. Always remember to use the medication as directed to avoid any potential issues.

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 uncertain about whether a drug contains acetaminophen, it's important to consult with a doctor or pharmacist for clarification. Your safety is a priority, so please follow these guidelines carefully.

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. Be cautious of severe skin reactions from acetaminophen, which can include skin reddening, blisters, or rash. If you notice any of these symptoms, stop using the product and seek medical help immediately. Aspirin can also cause severe allergic reactions, including hives, facial swelling, and asthma symptoms.

Additionally, taking more than the recommended dose can lead to severe liver damage, especially if combined with other acetaminophen-containing products or alcohol. There is also a risk of stomach bleeding, particularly for those over 60, with a history of ulcers, or who take blood thinners. If you experience symptoms like faintness, vomiting blood, or black stools, stop using the product and consult a doctor. Lastly, using this product for more than 10 days a month may worsen headaches, and be mindful of caffeine intake, as excessive caffeine can lead to nervousness and irritability. Always consult a healthcare professional if you have any concerns or experience unexpected symptoms.

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 it, as it could lead to Reye’s syndrome, a rare but serious illness. Additionally, if you notice any skin reactions like redness, blisters, or rashes after taking this product, stop using it immediately and seek medical help. Be cautious if you have allergies to aspirin, as it can cause severe reactions, including hives and difficulty breathing.

This product contains acetaminophen, which can lead to severe liver damage if you exceed the recommended dose or consume alcohol while using it. It also contains an NSAID, which may increase the risk of stomach bleeding, especially if you are over 60, have a history of stomach issues, or take certain medications. If you experience symptoms like faintness, vomiting blood, or black stools, stop using the product and contact your doctor right away. If you have never been diagnosed with migraines or have any unusual headache symptoms, consult your doctor before use.

In case of an overdose, seek emergency medical help or contact a Poison Control Center immediately at 1-800-222-1222, even if you don’t notice any symptoms. If your migraine does not improve after the first dose, or if you experience new symptoms, stop taking the product and consult your doctor.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. 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, it’s always better to be safe and get checked out by a healthcare professional.

Pregnancy Use

If you are pregnant or breastfeeding, it’s important 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. Specifically, if you are considering taking aspirin after 20 weeks of pregnancy, you should only do so if your doctor has specifically advised it. This is crucial because using aspirin during this time can lead to potential issues for your unborn child or complications during delivery. Always prioritize your health and your baby's well-being by seeking professional guidance.

Pediatric Use

If you are considering using this product for your child, it's important to know that it is not recommended for children and teenagers who have or are recovering from chickenpox or flu-like symptoms. This is because of the risk of Reye’s syndrome, a rare but serious illness that can occur in these situations. If your child starts showing changes in behavior along with nausea and vomiting while using this product, you should consult a doctor immediately, as these could be early signs of Reye’s syndrome.

For children under 18 years of age, it’s best to consult with a doctor before using this product. Always prioritize your child's health and safety by seeking professional advice when it comes to medications.

Geriatric Use

As you age, it's important to be aware of certain health considerations when taking medications. If you are 60 years or older, you may have a higher risk of stomach bleeding. It's crucial to consult your doctor if you have conditions like high blood pressure, heart disease, liver cirrhosis (a serious liver condition), or kidney disease before starting any new medication.

Additionally, if you have a history of stomach issues, such as heartburn, or if you experience your first headache after the age of 50, make sure to discuss this with your healthcare provider before using the medication. Taking these precautions can help ensure your safety and well-being.

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 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 doctor regarding your health conditions.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using this product, as it contains acetaminophen. Taking more than 2 caplets in a 24-hour period, using it alongside other medications that also contain acetaminophen, or consuming 3 or more alcoholic drinks daily while using this product can lead to severe liver damage.

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

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 share your complete list of medications and any recent lab tests to avoid any potential issues. Your health and safety should always come first.

Storage and Handling

To ensure the best performance and safety of your product, store it at a temperature between 20°C to 25°C (68°F to 77°F). After each use, make sure to close the cap tightly to maintain its integrity. It's also important to read all the product information carefully before using it, and keep the box for future reference, as it contains essential details you may need later. Following these guidelines will help you use the product safely and effectively.

Additional Information

You should take this medication orally. If you are pregnant or breastfeeding, it's important to consult with a healthcare professional before using it. Specifically, avoid using aspirin after 20 weeks of pregnancy unless your doctor has specifically instructed you to do so, as it can lead to issues for the unborn child or complications during delivery.

FAQ

What is LEADER™ used for?

LEADER™ is used to treat migraines.

What are the active ingredients in LEADER™?

LEADER™ contains acetaminophen, aspirin (an NSAID), and caffeine tablets.

How should I take LEADER™?

Adults should take 2 caplets with a glass of water, and do not exceed 2 caplets in 24 hours unless directed by a doctor.

Are there any contraindications for using LEADER™?

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

What should I do if I experience an allergic reaction?

If an allergic reaction occurs, seek medical help right away.

Can I use LEADER™ if I am under 18 years old?

If you are under 18 years of age, you should ask a doctor before using LEADER™.

What are the warnings associated with LEADER™?

Warnings include the risk of Reye’s syndrome in children recovering from chicken pox or flu-like symptoms, severe allergic reactions, liver damage, and stomach bleeding.

What should I do if my migraine is not relieved?

If your migraine is not relieved or worsens after the first dose, consult your doctor.

Is it safe to use LEADER™ while pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a health professional before use, especially regarding aspirin use after 20 weeks of pregnancy.

What should I do in case of overdose?

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

Packaging Info

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

Packaging configurations for Leader Migraine Relief.
Details

Drug Information (PDF)

This file contains official product information for Leader Migraine 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 treatment of migraine.

There are no teratogenic effects associated with this medication, and no nonteratogenic effects have been reported.

Dosage and Administration

Adults are instructed to take 2 caplets with a full glass of water. It is essential not to exceed the recommended dosage of 2 caplets within a 24-hour period unless otherwise directed by a healthcare professional.

For individuals under 18 years of age, it is advised to consult a doctor prior to use. If symptoms persist or worsen, patients should seek medical advice.

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. 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 condition.

Acetaminophen, a component of this product, has been associated with severe skin reactions. Symptoms may include skin reddening, blisters, and rash. Should any skin reaction occur, the use of the product must be discontinued immediately, and medical assistance should be sought.

Aspirin, another ingredient, may provoke a severe allergic reaction characterized by hives, facial swelling, asthma (wheezing), or shock. Immediate medical attention is warranted if such reactions occur.

This product contains acetaminophen, and caution is advised due to the potential for severe liver damage. This risk increases if the maximum daily dosage of 2 caplets is exceeded, if it is taken concurrently with other acetaminophen-containing medications, or if the individual consumes three or more alcoholic drinks daily while using this product.

The presence of an NSAID in this formulation raises concerns regarding severe stomach bleeding, particularly in individuals aged 60 or older, those with a history of stomach ulcers or bleeding disorders, and those taking anticoagulants or steroids. The risk is further heightened with the concurrent use of other NSAIDs (including aspirin, ibuprofen, or naproxen), excessive alcohol consumption, or prolonged use beyond the recommended duration.

Headaches may worsen with the use of this product for 10 or more days per month, a phenomenon known as medication overuse headache. Additionally, the recommended dosage contains caffeine equivalent to that found in a cup of coffee. Therefore, it is advisable to limit the intake of other caffeine-containing medications, foods, or beverages, as excessive caffeine 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 never had a migraine diagnosed, experience headaches that differ from their usual migraines, or have any of the following conditions: the worst headache of their life, fever with a stiff neck, headaches following head injury or exertion, new headaches after age 50, daily headaches, severe migraines requiring bed rest, liver disease, a history of stomach problems, high blood pressure, heart disease, liver cirrhosis, kidney disease, or if they are taking diuretics or have asthma. Patients with a history of adverse reactions to pain relievers or fever reducers, or those experiencing vomiting with their migraine headache should also seek medical advice.

In the event of an overdose, immediate medical assistance should be sought, or contact with a Poison Control Center (1-800-222-1222) is recommended, as prompt attention is crucial for both adults and children, even in the absence of noticeable symptoms.

Patients should discontinue use and contact a healthcare provider if they experience any allergic reactions, signs of stomach bleeding (such as feeling faint, vomiting blood, having bloody or black stools, or persistent stomach pain), if their migraine is not alleviated or worsens after the first dose, if new or unexpected symptoms arise, or if they experience ringing in the ears or loss of hearing.

Side Effects

Patients using this product should be aware of several serious and common adverse reactions associated with its use.

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. If patients experience changes in behavior accompanied by nausea and vomiting while using this product, they should consult a doctor immediately, as these symptoms could indicate the onset of Reye’s syndrome.

Severe allergic reactions may occur due to the presence of acetaminophen and aspirin in this product. 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 medical assistance promptly. Similarly, aspirin may cause severe allergic reactions characterized by hives, facial swelling, asthma (wheezing), or shock.

The product contains acetaminophen, which poses a risk of severe liver damage if patients exceed the maximum daily dosage of 2 caplets within 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 this formulation increases the risk of severe stomach bleeding, particularly in patients aged 60 or older, those with a history of stomach ulcers or bleeding problems, or those taking blood thinners, steroids, or other NSAIDs. Patients should also be cautious if they consume three or more alcoholic drinks daily or take the product for longer than directed.

Medication overuse headaches may occur if this product is used for 10 or more days per month. Furthermore, the recommended dose contains caffeine equivalent to that of a cup of coffee, and patients are advised to limit the intake of other caffeine-containing medications, foods, or beverages to avoid symptoms such as nervousness, irritability, sleeplessness, and, occasionally, rapid heartbeat.

Patients should 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 persistent stomach pain), if their migraine is not relieved or worsens after the first dose, or if new or unexpected symptoms arise. Additionally, patients should seek medical advice if they experience ringing in the ears or loss of hearing.

Before using this product, patients should consult a doctor if they have never had migraines diagnosed by a health professional, if they have a headache that differs from their usual migraines, if they experience the worst headache of their life, if they have fever and stiff neck, or if headaches begin after or are caused by head injury, exertion, coughing, or bending. Other considerations include a history of daily headaches, severe migraines requiring bed rest, liver disease, or if the stomach bleeding warning applies. Patients with high blood pressure, heart disease, liver cirrhosis, kidney disease, or those taking diuretics or with asthma should also seek medical advice before use.

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 Leader Migraine Relief (acetaminophen, aspirin, caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Leader Migraine Relief.
Details

Pediatric Use

Children and teenagers who have or are recovering from chicken pox 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 important to consult a doctor, as these symptoms may indicate the onset of Reye’s syndrome, a rare but serious condition.

For pediatric patients under 18 years of age, it is advised to consult a doctor before use.

Geriatric Use

Elderly patients, particularly those aged 60 and older, may have an increased risk of stomach bleeding. Therefore, caution is advised when prescribing this medication to this population.

Additionally, it is important for geriatric patients with underlying health conditions such as high blood pressure, heart disease, liver cirrhosis, or kidney disease to consult a healthcare provider prior to use.

Healthcare providers should also recommend that elderly patients seek medical advice if they have a history of stomach problems, including heartburn, or if they experience their first headache after the age of 50. Monitoring and appropriate dose adjustments may be necessary to ensure safety and efficacy in this demographic.

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 pregnant patients only use aspirin under the guidance of a physician if deemed necessary.

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 gestation or later, 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 its use during lactation.

Renal Impairment

Patients with renal impairment should consult a healthcare professional prior to use, particularly if they have comorbid 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 degree 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 the maximum daily dosage of 2 caplets within a 24-hour period. Additionally, patients must avoid concurrent use with other medications containing acetaminophen and limit alcohol consumption to fewer than 3 drinks per day while using this product.

Before initiating treatment, patients with known liver disease, liver cirrhosis, or other significant health conditions such as high blood pressure or heart disease should consult a healthcare professional. Monitoring of liver function may be warranted in patients with compromised liver function 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 without delay. Prompt medical intervention is crucial for both adults and children, even in the absence of observable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, vigilance and timely action are essential in managing overdose situations effectively.

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 specific non-teratogenic effects or additional nonclinical toxicology details are available in the provided data. Furthermore, there are no specific findings related to animal pharmacology and toxicology.

Postmarketing Experience

Postmarketing experience has indicated that the following adverse reactions may occur. Severe skin reactions, such as skin reddening, blisters, and rash, have been reported in association with acetaminophen. Additionally, severe allergic reactions, including hives, facial swelling, asthma (wheezing), and shock, have been associated with aspirin. These events were reported voluntarily or identified through surveillance programs.

Patient Counseling

Healthcare providers should advise patients to keep the medication out of reach of children to prevent accidental ingestion. It is essential to emphasize 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 or seek medical help right away, regardless of whether they observe any signs or symptoms. Quick medical attention is critical for both adults and children in such situations.

Storage and Handling

The product is supplied in a configuration that includes specific NDC numbers, which should be referenced for accurate identification. It is essential to store the product at a controlled temperature range of 20°C to 25°C (68°F to 77°F) to maintain its efficacy and safety.

After each use, the cap must be closed tightly to prevent contamination and ensure the integrity of the product. Users are advised to read all product information thoroughly before use and to retain the packaging for future reference, as it contains important information regarding the product.

Additional Clinical Information

The route of administration for the medication is oral. Clinicians should advise patients who are pregnant or breastfeeding to consult a health professional prior to use. It is particularly crucial to avoid the use of aspirin at 20 weeks of gestation or later unless explicitly directed by a physician, 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 Leader Migraine 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 Leader Migraine 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.

Learn more in our Editorial Policy

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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.