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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
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2024
Label revision date
December 11, 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 2024
Label revision date
December 11, 2025
Manufacturer
VALU MERCHANDISERS COMPANY
Registration number
ANDA214039
NDC root
63941-205

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If you are a consumer or patient please visit this version.

Drug Overview

Best Choice® is a medication designed to help relieve migraine headaches. It contains a combination of acetaminophen (a pain reliever), aspirin (a nonsteroidal anti-inflammatory drug, or NSAID), and caffeine, which work together to alleviate pain and discomfort associated with migraines. This product comes in the form of coated caplets, making it easy to take when you need relief.

If you experience migraines, Best Choice® may be a suitable option for you, similar to other migraine relief medications like Excedrin® Migraine. Always consult with a healthcare professional to determine the best treatment for your specific needs.

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.

It's important to note that this medication does not have any known harmful effects on developing babies (teratogenic effects) or any other non-harmful effects. Always consult with your healthcare provider for personalized advice and treatment options.

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 unsure whether a medication 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 potential 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, such as hives, facial swelling, and asthma symptoms.

Additionally, taking more than the recommended dose of acetaminophen can lead to severe liver damage, especially if combined with other acetaminophen-containing products or excessive alcohol. The product may also increase the risk of severe stomach bleeding, particularly in older adults or those with a history of stomach issues. If you experience symptoms like faintness, vomiting blood, or black stools, stop using the product and consult a doctor. Lastly, be mindful of caffeine intake, as this product contains a similar amount of caffeine as a cup of coffee, which can lead to nervousness or rapid heartbeat if consumed in excess.

Warnings and Precautions

You should be aware of some important warnings and precautions when using 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 a serious condition called Reye’s syndrome. Additionally, if you notice any skin reactions such as redness, blisters, or a rash, stop using the product immediately and seek medical help. Be cautious with the dosage of acetaminophen in this product; taking more than 2 caplets in 24 hours, combining it with other acetaminophen-containing medications, or consuming 3 or more alcoholic drinks daily can lead to severe liver damage. This product also contains an NSAID, which can increase the risk of stomach bleeding, especially if you are over 60, have a history of stomach issues, or are taking certain other medications.

If you experience any signs of an allergic reaction, such as difficulty breathing or swelling, seek medical help right away. You should also contact your doctor if you notice symptoms of stomach bleeding, like feeling faint, vomiting blood, or having black stools. If your migraine does not improve after the first dose, or if you develop new symptoms, it’s important to reach out to your healthcare provider. In case of an overdose, get medical help or contact a Poison Control Center immediately, as prompt attention is crucial.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. This is crucial for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Taking more than 2 caplets in a 24-hour period can lead to severe liver damage, which can also occur if you combine this product with other medications that contain acetaminophen. Additionally, consuming three or more alcoholic drinks daily while using this product increases the risk of liver damage. Be aware that if you use this product for 10 or more days each month, your headaches may actually worsen. Always prioritize your health and safety by following the recommended dosages.

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 advice.

Lactation Use

If you are pregnant or breastfeeding, it's important to consult with a healthcare professional before using any medication. This is particularly crucial if you are considering taking aspirin after 20 weeks of pregnancy, as it can potentially lead to issues for your unborn child or complications during delivery. Always prioritize your health and the health of your baby by seeking guidance from your doctor.

Pediatric Use

If your child is under 18 years old, it's important to consult with a doctor before using this product. Additionally, children and teenagers who currently have or are recovering from chicken pox or flu-like symptoms should avoid this medication, as it can increase the risk of a serious condition called Reye's syndrome (a rare but serious illness that can affect the brain and liver). Always prioritize your child's safety by seeking professional advice when it comes to their health.

Geriatric Use

As you age, it's important to be aware that the risk of severe stomach bleeding increases if you are 60 years or older. This means that if you or a loved one falls into this age group, extra caution should be taken when using certain medications, especially those that can irritate the stomach.

Always consult with your healthcare provider about any medications you are taking, as they can help you understand the risks and adjust dosages if necessary to ensure your safety. Staying informed and proactive about your health can make a significant difference in managing your well-being as you 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 this product, which contains acetaminophen. To avoid severe liver damage, do not take more than 2 caplets in a 24-hour period, and be careful not to combine it with other medications that also contain acetaminophen. Additionally, limit your alcohol intake to no more than 2 drinks per day while using this product, as consuming 3 or more alcoholic drinks daily can increase the risk of liver damage.

Before using this product, please consult your doctor if you have liver disease. They can provide guidance tailored to your specific health needs and help ensure your safety while using this medication.

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 controlled room temperature between 20º to 25ºC (68º to 77ºF). After each use, make sure to close the cap tightly to maintain its integrity. It's important to read all product information thoroughly before using it, as this will provide you with essential details for safe handling. Additionally, keep the box, as it contains important information that you may need later.

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 Best Choice® used for?

Best Choice® is used to treat migraines.

What are the active ingredients in Best Choice®?

Best Choice® contains acetaminophen, aspirin (a nonsteroidal anti-inflammatory drug or NSAID), and caffeine.

How should I take Best Choice®?

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 age restrictions for using Best Choice®?

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

What should I do if my migraine symptoms persist?

If your symptoms persist or worsen, you should ask your doctor for advice.

What are the warnings associated with Best Choice®?

You should not use Best Choice® if you have had an allergic reaction to acetaminophen, aspirin, or any other pain reliever. Additionally, it may cause severe liver damage if taken in excess or with alcohol.

What is Reye's syndrome and how is it related to Best Choice®?

Reye's syndrome is a rare but serious illness that can occur in children and teenagers recovering from chickenpox or flu-like symptoms. They should not use Best Choice®.

What should I do if I experience an allergic reaction?

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

Can I use Best Choice® if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before using Best Choice®, especially if you are considering using aspirin 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 Migraine Relief (acetaminophen, aspirin and caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Migraine Relief.
Details

Drug Information (PDF)

This file contains official product information for 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. Additionally, no nonteratogenic effects have been reported.

Dosage and Administration

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

In cases where symptoms persist or worsen, patients should consult their doctor for further evaluation and guidance. For individuals under 18 years of age, it is recommended to seek advice from a healthcare provider before use.

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 have or are recovering from chickenpox or flu-like symptoms should not use this product. If behavioral changes accompanied by nausea and vomiting occur during use, it is imperative to consult a physician, as these symptoms may indicate the onset of Reye’s syndrome, a rare but serious condition.

Acetaminophen, a component of this product, has the potential to cause 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.

This product contains acetaminophen, and severe liver damage may result from exceeding the maximum daily dosage of 2 caplets within a 24-hour period, using it concurrently with other medications containing acetaminophen, or consuming three or more alcoholic drinks daily while using this product.

Additionally, the product contains a nonsteroidal anti-inflammatory drug (NSAID), which may lead to severe stomach bleeding. The risk of such complications is heightened in individuals who are 60 years of age or older, have a history of stomach ulcers or bleeding disorders, are taking anticoagulants or steroid medications, are using other NSAIDs (including aspirin, ibuprofen, or naproxen), consume three or more alcoholic drinks daily, or exceed the recommended duration or dosage.

Prolonged use of this product, specifically for 10 or more days per month, may exacerbate headaches. The recommended dosage contains approximately the same amount of caffeine as a cup of coffee; therefore, it is advisable to limit the intake of other caffeine-containing medications, foods, or beverages to avoid potential side effects such as nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat.

Individuals with a known allergy to acetaminophen, aspirin, or any other pain reliever or fever reducer should refrain from using this product. It is also crucial to avoid concurrent use with any other medications containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in a medication, consultation with a healthcare professional is recommended.

In the event of an overdose, immediate medical assistance should be sought, or contact a Poison Control Center at 1-800-222-1222. Prompt medical attention is essential for both adults and children, even if no signs or symptoms are initially apparent.

Patients should discontinue use and contact a healthcare provider if any allergic reactions occur, if symptoms of stomach bleeding manifest (such as feeling faint, vomiting blood, having bloody or black stools, or experiencing persistent stomach pain), if migraines are not alleviated or worsen after the first dose, if new or unexpected symptoms arise, or if there is 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 skin reactions have been reported in patients taking acetaminophen, which may manifest as skin reddening, blisters, or rash. If any skin reaction occurs, patients are advised to discontinue use and seek medical assistance promptly. Additionally, aspirin may provoke severe allergic reactions, including hives, facial swelling, asthma (wheezing), and 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.

Patients should also be aware of the risk of severe stomach bleeding associated with the nonsteroidal anti-inflammatory drug (NSAID) component of this product. The likelihood of stomach bleeding is increased in individuals aged 60 or older, those with a history of stomach ulcers or bleeding problems, and those taking blood thinners, steroids, or other NSAIDs. Patients who consume three or more alcoholic drinks daily or take the product for longer than directed are also at heightened risk.

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

Patients should stop use and seek medical attention 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), or if their migraine is not relieved or worsens after the first dose. New or unexpected symptoms, as well as ringing in the ears or loss of hearing, should also prompt consultation with a healthcare provider.

Before using this product, patients should consult a doctor if they have never had migraines diagnosed, experience headaches that differ from their usual migraines, have the worst headache of their life, or have accompanying symptoms such as fever and stiff neck. Other conditions that warrant medical advice include headaches following head injury, exertion, coughing, or bending, first headaches occurring after age 50, daily headaches, severe migraines requiring bed rest, liver disease, and a history of stomach problems. Patients taking diuretics, those with asthma, or those who have experienced serious side effects from pain relievers or fever reducers should also seek medical guidance prior to use.

Drug Interactions

There are currently no documented drug interactions associated with the use of this medication. Additionally, there is no information available regarding 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 Migraine Relief (acetaminophen, aspirin and caffeine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Migraine Relief.
Details

Pediatric Use

Pediatric patients, including children and teenagers, should not use this product if they have or are recovering from chicken pox or flu-like symptoms due to the risk of Reye's syndrome. For individuals under 18 years of age, it is advised to consult a healthcare professional before use.

Geriatric Use

Elderly patients, particularly those aged 60 years 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 any signs of gastrointestinal bleeding and to evaluate the necessity of dosage adjustments based on individual patient factors. Careful assessment of the risk-benefit ratio is essential when treating this population to ensure optimal safety and efficacy.

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 fetal development and 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 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, which contains acetaminophen. Severe liver damage may occur if patients exceed the maximum daily dosage of 2 caplets within a 24-hour period. Additionally, patients should avoid concomitant use with other medications containing acetaminophen, as this may further increase the risk of liver injury.

Patients with compromised liver function are also advised to limit alcohol consumption to fewer than 3 alcoholic drinks per day while using this product, as alcohol can exacerbate the potential for liver damage.

It is recommended that patients with a history of liver disease consult a healthcare professional prior to using this product to ensure safe and appropriate use. Regular monitoring of liver function may be warranted in these patients to detect any potential adverse effects early.

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.

Risk of Severe Liver Damage Taking more than the recommended maximum daily dosage of 2 caplets within a 24-hour period can lead to severe liver damage. This risk is further heightened when this product is used concurrently with other medications that contain acetaminophen. Additionally, individuals who consume three or more alcoholic beverages daily while using this product are at an increased risk of experiencing severe liver damage.

Potential Symptoms and Management Healthcare professionals should be aware that headaches may intensify if this product is utilized for 10 or more days within a month. Monitoring for symptoms of liver damage, such as jaundice, abdominal pain, or unusual fatigue, is essential. In cases of suspected overdose, immediate evaluation and management in a clinical setting are recommended to mitigate potential complications.

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

No postmarketing experience details are available in the insert.

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 safety in the home environment, particularly regarding medications.

In the event of an overdose, healthcare providers should instruct patients to seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. They should stress that quick medical attention is critical for both adults and children, even if no signs or symptoms of overdose are apparent. This proactive approach can significantly impact the outcome in cases of accidental overdose.

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 room temperature ranging from 20º to 25ºC (68º to 77ºF) to maintain its efficacy.

After each use, the cap must be closed tightly to ensure the integrity of the product. Users are advised to read all product information thoroughly before use to ensure proper handling and application. Additionally, it is recommended to retain the packaging for important information related to the product.

Additional Clinical Information

The medication is administered orally. 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 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 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.

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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.