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Menstrual Relief

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Active ingredients
  • Acetaminophen 500 mg
  • Pyrilamine Maleate 15 mg
  • Caffeine 60 mg
Other brand names
Drug classes
Central Nervous System Stimulant, Methylxanthine
Dosage form
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2002
Label revision date
January 5, 2026
Active ingredients
  • Acetaminophen 500 mg
  • Pyrilamine Maleate 15 mg
  • Caffeine 60 mg
Other brand names
Drug classes
Central Nervous System Stimulant, Methylxanthine
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 2002
Label revision date
January 5, 2026
Manufacturer
United Natural Foods, Inc. dba UNFI
Registration number
M013
NDC root
41163-390

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Drug Overview

EQUAL INE® is a maximum strength product designed to provide relief from the discomfort associated with menstrual periods. It contains three active ingredients: acetaminophen (a pain reliever), caffeine (a diuretic that can help reduce bloating), and pyrilamine maleate (an antihistamine that can alleviate symptoms like cramps and headaches).

This medication is effective in addressing a variety of menstrual symptoms, including bloating, headaches, water-weight gain, cramps, backaches, fatigue, and muscle aches. If you're looking for a solution to help manage these common issues during your menstrual cycle, EQUAL INE® may be a suitable option for you.

Uses

If you're experiencing discomfort during your menstrual period, this medication can help provide temporary relief from a variety of symptoms. You may find it effective for alleviating bloating, headaches, water-weight gain, cramps, backaches, fatigue, and muscle aches.

It's important to note that this medication does not have any known teratogenic effects, meaning it does not cause developmental issues in a fetus. This makes it a safer option for those who may be concerned about such risks.

Dosage and Administration

It's important to follow the recommended dosage when taking this medication. For adults and children aged 12 years and older, you should take 2 caplets with a glass of water. You can repeat this every 6 hours if needed, but make sure not to take more than 6 caplets in a single day.

If the person taking the medication is under 12 years old, it's best to consult a doctor for guidance on the appropriate dosage. Always remember to stick to the recommended amounts to ensure safety and effectiveness.

What to Avoid

You should avoid using this product if you have ever had an allergic reaction to it or any of its ingredients. Additionally, do not take it alongside any other medications 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 guidance. Taking these precautions will help ensure your safety while using this product.

Side Effects

This product contains acetaminophen, which can lead to 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 while using it. Be aware that acetaminophen may also cause serious skin reactions, including redness, blisters, and rashes. If you experience any skin reactions, stop using the product and seek medical help immediately.

You should not use this product if you have had an allergic reaction to it or any of its ingredients, or if you are taking other medications that contain acetaminophen. Consult your doctor before use if you have conditions like liver disease, glaucoma, or breathing problems, or if you are taking blood thinners or sedatives. While using this product, avoid alcohol, as it can increase drowsiness, and be cautious when driving or operating machinery. If you notice new symptoms, worsening pain, or prolonged fever, stop use and contact your doctor, as these may indicate a serious condition. Always keep this product out of reach of children, and seek immediate medical attention in case of an overdose.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 4,000 mg in 24 hours, use it with other medications containing acetaminophen, or consume three or more alcoholic drinks daily while using it. Be aware that acetaminophen may also cause serious skin reactions, such as redness, blisters, or rashes. If you experience any skin reactions, stop using the product and seek medical help immediately.

Before using this product, consult your doctor if you have any of the following conditions: difficulty urinating due to an enlarged prostate, liver disease, glaucoma, or breathing issues like emphysema or chronic bronchitis. Additionally, check with your doctor or pharmacist if you are taking blood thinners like warfarin or sedatives. If you accidentally take too much, seek emergency medical help or contact a Poison Control Center right away, even if you don’t notice any symptoms.

You should stop using this product and call your doctor if you develop new symptoms, experience redness or swelling, have worsening pain that lasts more than 10 days, or if your fever worsens or lasts more than 3 days, as these could indicate a serious condition.

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 important to consult with a healthcare professional before using this medication. They can provide guidance on whether it’s safe for you and your baby. Always prioritize your health and the health of your child by seeking expert advice.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication. This ensures that you understand any potential risks and can make informed decisions about your health and the health of your baby. Always prioritize open communication with your doctor regarding your breastfeeding journey.

Pediatric Use

If you are considering using this product for your child, it's important to consult with a doctor first if your child is under 12 years old. While using the product, be aware that it may cause excitability, particularly in children. Always keep the product out of reach of children, and in the event of an accidental overdose, seek medical help immediately or contact a Poison Control Center. Quick medical attention is crucial for both children and adults, even if there are no noticeable symptoms.

For adults and children aged 12 years and older, the recommended dosage is 2 caplets taken with water every 6 hours as needed, but do not exceed 6 caplets in a day.

Geriatric Use

When it comes to using this medication in older adults, there is no specific information available about dosage adjustments, safety concerns, or special precautions. This means that if you or a loved one is an older adult considering this medication, it’s important to consult with a healthcare provider. They can help determine the best approach based on individual health needs and any other medications being taken. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

Renal Impairment

If you have kidney problems, it's important to know that the drug insert does not provide specific information about dosage adjustments, special monitoring, or safety considerations for your condition. This means that there are no tailored guidelines for how this medication should be used if you have renal impairment (kidney issues).

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your health situation. They can help determine the best course of action based on your kidney function and overall health.

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 can lead to severe liver damage. This risk increases if you are also taking other medications that contain acetaminophen or if you consume three or more alcoholic drinks each day while using this product.

Before using this product, you should consult with your doctor if you have liver disease. They can provide guidance on safe usage and any necessary adjustments to your dosage. Your health and safety are the top priority, so don’t hesitate to seek professional advice.

Drug Interactions

It's important to be aware of how certain medications and substances can interact with the product you are using. For instance, if you are taking warfarin, a blood thinner, using this product that contains acetaminophen may increase your risk of bleeding. Additionally, combining this product with alcohol, sedatives, or tranquilizers can heighten feelings of drowsiness.

Always discuss any medications, including over-the-counter products, and lifestyle choices like alcohol consumption with your healthcare provider. They can help you understand potential interactions and ensure your safety while using these products.

Storage and Handling

It's important to store your product at a temperature of 25ºC (77ºF). However, it can safely be kept in a range between 15ºC and 30ºC (59ºF to 86ºF) if necessary. Be sure to check the end flap for the expiration date and lot number, as this information is crucial for ensuring the product's safety and effectiveness.

When handling the product, always do so with care to maintain its integrity. Proper storage and attention to the expiration details will help ensure that you are using the product safely and effectively.

Additional Information

You should take this medication orally. For adults and children aged 12 and over, the recommended dose is 2 caplets with water every 6 hours as needed, but do not exceed 6 caplets in a day. If the patient is under 12 years old, consult a doctor for the appropriate dosage.

If you are pregnant or breastfeeding, it's important to talk to a healthcare professional before using this medication. Always keep it out of reach of children. In case of accidental overdose, seek medical help or contact a Poison Control Center immediately, as prompt attention is crucial for both adults and children, even if no symptoms are present.

FAQ

What is EQUAL INE®?

EQUAL INE® is a maximum strength menstrual relief product designed to relieve symptoms associated with menstrual periods.

What are the active ingredients in EQUAL INE®?

The active ingredients include acetaminophen (a pain reliever), caffeine (a diuretic), and pyrilamine maleate (an antihistamine).

What symptoms does EQUAL INE® relieve?

EQUAL INE® relieves symptoms such as bloating, headache, water-weight gain, cramps, backache, fatigue, and muscle aches.

How should adults and children 12 years and over take EQUAL INE®?

Adults and children 12 years and over should take 2 caplets with water every 6 hours as needed, without exceeding 6 caplets per day.

What should children under 12 do before using EQUAL INE®?

Children under 12 years should ask a doctor before use.

Are there any contraindications for using EQUAL INE®?

Do not use EQUAL INE® with any other drug containing acetaminophen or if you have had an allergic reaction to this product or its ingredients.

What are the liver warnings associated with EQUAL INE®?

Severe liver damage may occur if you take more than 4,000 mg of acetaminophen in 24 hours, with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using this product.

What should I do if I experience a skin reaction while using EQUAL INE®?

If you experience skin reddening, blisters, or rash, stop use and seek medical help immediately.

What precautions should I take when using EQUAL INE®?

Avoid alcoholic beverages, be cautious when driving or operating machinery, and limit caffeine intake while using this product.

What should I do in case of an accidental overdose of EQUAL INE®?

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

Is it safe to use EQUAL INE® if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a health professional before using EQUAL INE®.

How should EQUAL INE® be stored?

Store EQUAL INE® at 25ºC (77ºF), with permitted excursions between 15º-30ºC (59º-86ºF).

Packaging Info

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

Packaging configurations for Menstrual Relief.
Details

Drug Information (PDF)

This file contains official product information for Menstrual 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 symptoms associated with menstrual periods, including bloating, headache, water-weight gain, cramps, backache, fatigue, and muscle aches.

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

Dosage and Administration

Adults and children aged 12 years and older are advised to take 2 caplets with water. This dosage may be repeated every 6 hours as needed. It is imperative that the total daily intake does not exceed 6 caplets.

For children under 12 years of age, it is recommended to consult a physician for appropriate dosing guidance. Healthcare professionals should ensure that patients are informed not to exceed the recommended dose.

Contraindications

Use of this product is contraindicated in the following situations:

Patients should not use this product in conjunction with any other medication containing acetaminophen, whether prescription or nonprescription, due to the risk of acetaminophen overdose. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

Additionally, this product is contraindicated in individuals with a history of allergic reactions to this product or any of its components.

Warnings and Precautions

This product contains acetaminophen, which carries a significant risk of severe liver damage if not used according to the guidelines. Healthcare professionals should advise patients that the maximum recommended dosage is 4,000 mg of acetaminophen within a 24-hour period. Caution is particularly warranted if patients are concurrently using other medications containing acetaminophen or consuming three or more alcoholic beverages daily while taking this product.

Acetaminophen may also provoke severe skin reactions, which can manifest as skin reddening, blisters, or rash. In the event of any skin reaction, patients must be instructed to discontinue use immediately and seek medical assistance.

General precautions should be taken for patients with specific medical conditions. Prior to use, patients should consult a healthcare provider if they have difficulty urinating due to prostate gland enlargement, liver disease, glaucoma, or respiratory issues such as emphysema or chronic bronchitis. Additionally, patients should seek advice from a doctor or pharmacist if they are currently taking anticoagulants like warfarin or sedatives and tranquilizers, as these may interact with acetaminophen.

In cases of accidental overdose, it is imperative to obtain emergency medical help or contact a Poison Control Center without delay. Prompt medical intervention is crucial for both adults and children, even in the absence of noticeable symptoms.

Patients should be advised to discontinue use and consult a healthcare professional if new symptoms arise, if redness or swelling occurs, if pain worsens or persists beyond 10 days, or if fever intensifies or lasts more than 3 days. These symptoms may indicate a serious underlying condition that requires further evaluation.

Side Effects

Severe liver damage may occur in patients taking this product containing acetaminophen if they exceed 4,000 mg in 24 hours, use it concurrently with other drugs containing acetaminophen, or consume three or more alcoholic drinks daily while using this product. Patients should be aware of the potential for severe skin reactions, which may manifest as skin reddening, blisters, or rash. In the event of a skin reaction, it is imperative to discontinue use and seek medical assistance immediately.

Patients are advised not to use this product in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription, and should consult a healthcare professional if uncertain about the presence of acetaminophen in other medications. Individuals with a history of allergic reactions to this product or any of its ingredients should also refrain from use.

Before using this product, patients should consult a doctor if they have difficulty urinating due to prostate gland enlargement, liver disease, glaucoma, or respiratory issues such as emphysema or chronic bronchitis. Additionally, those taking blood thinners like warfarin or sedatives and tranquilizers should seek advice from a doctor or pharmacist prior to use.

While using this product, patients should avoid alcoholic beverages, as alcohol, sedatives, and tranquilizers may enhance drowsiness. Excitability may occur, particularly in children, and caution is advised when driving or operating machinery. Patients may experience drowsiness and should limit the intake of caffeine-containing medications, foods, or beverages, as excessive caffeine can lead to nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat. The recommended dose of this product contains approximately the same amount of caffeine as a cup of coffee.

Patients should discontinue use and consult a doctor if new symptoms arise, if redness or swelling occurs, if pain worsens or persists beyond 10 days, or if fever intensifies or lasts more than 3 days, as these may indicate a serious condition.

For pregnant or breastfeeding individuals, it is recommended to consult a healthcare professional before use. This product should be kept out of reach of children, and in the event of an accidental overdose, immediate medical help or contact with a Poison Control Center is crucial, as prompt medical attention is necessary for both adults and children, even if no signs or symptoms are evident.

Drug Interactions

The concomitant use of warfarin, a blood-thinning agent, with this product containing acetaminophen may elevate the risk of bleeding. It is advisable to monitor patients closely for signs of increased bleeding and to consider dosage adjustments of warfarin as necessary.

Additionally, the use of alcohol, sedatives, and tranquilizers in conjunction with this product, which contains acetaminophen, caffeine, and pyrilamine maleate, may enhance drowsiness. Patients should be cautioned about the potential for increased sedation and advised to avoid activities that require full alertness until they are aware of how the combination affects them.

Packaging & NDC

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

Packaging configurations for Menstrual Relief.
Details

Pediatric Use

Pediatric patients under 12 years of age should consult a healthcare professional before using this product. When administered, excitability may occur, particularly in children. It is crucial to keep the product 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, as prompt attention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

For adolescents and adults aged 12 years and older, the recommended dosage is 2 caplets taken with water, with the option to repeat every 6 hours as needed, not to exceed 6 caplets in a 24-hour period.

Geriatric Use

There is no specific information available regarding the use of this medication in geriatric patients, including dosage adjustments, safety concerns, or special precautions. Healthcare providers should exercise caution when prescribing this medication to elderly patients, as individual responses may vary. It is advisable to monitor these patients closely for any adverse effects or changes in efficacy, given the lack of targeted data for this population.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to using this medication. The potential risks and benefits must be carefully considered in these populations to ensure the safety of both the mother and the fetus or infant.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. 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 administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have no specific information regarding dosage adjustments, special monitoring, or safety considerations provided in the drug insert. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the absence of guidance necessitates careful clinical judgment. Regular monitoring of renal function may be advisable in these patients to ensure safety and efficacy.

Hepatic Impairment

Patients with hepatic impairment should be advised of the potential risks associated with the use of this product, particularly due to its acetaminophen content. Severe liver damage may occur if the total daily dosage exceeds 4,000 mg of acetaminophen, especially when combined with other medications containing acetaminophen or when consuming three or more alcoholic drinks daily while using this product.

It is recommended that patients with liver disease consult a healthcare professional prior to using this product to assess the appropriateness of treatment and to discuss any necessary dosage adjustments or monitoring requirements.

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 intervention is crucial for both adults and children, regardless of whether any signs or symptoms are apparent.

Healthcare professionals should be aware that the absence of symptoms does not preclude the possibility of serious complications. Therefore, vigilance and timely action are essential in managing potential overdose situations effectively.

Nonclinical Toxicology

No teratogenic or non-teratogenic effects have been reported in the available nonclinical studies. Additionally, there is no information regarding animal pharmacology and toxicology. The absence of data limits the assessment of potential risks associated with the compound in these areas.

Postmarketing Experience

Postmarketing experience has indicated that acetaminophen may be associated with severe skin reactions. These reactions can manifest as symptoms including skin reddening, blisters, and rash. In the event of a skin reaction, it is recommended that the use of acetaminophen be discontinued immediately, and medical assistance should be sought without delay.

Patient Counseling

Healthcare providers should advise patients to seek immediate medical assistance or contact a Poison Control Center in the event of an accidental overdose, as prompt medical attention is crucial for both adults and children, even if no signs or symptoms are apparent.

Patients should be informed not to use this product in conjunction with any other medications that contain acetaminophen, whether prescription or nonprescription. If patients are uncertain about the presence of acetaminophen in their medications, they should be encouraged to consult with a doctor or pharmacist.

It is important to instruct patients to discontinue use and consult a doctor if they experience new symptoms, or if they notice redness or swelling. Additionally, patients should be advised to stop using the product if their pain worsens or persists for more than 10 days, or if their fever intensifies or lasts longer than 3 days, as these may indicate a serious condition.

Patients should be cautioned against consuming alcoholic beverages while using this product, as it may increase the risk of drowsiness. They should also be made aware that excitability may occur, particularly in children, and that caution is advised when driving or operating machinery due to the potential for drowsiness.

Furthermore, patients should limit their intake of caffeine-containing medications, foods, or beverages while using this product, as excessive caffeine can lead to nervousness, irritability, sleeplessness, and, in some cases, rapid heartbeat. The recommended dose of this product contains approximately the same amount of caffeine as a cup of coffee.

Healthcare providers should encourage patients to consult a doctor before using this product if they have difficulty urinating due to an enlarged prostate gland, liver disease, glaucoma, or any breathing problems such as emphysema or chronic bronchitis. Additionally, patients taking the blood-thinning medication warfarin, or those using sedatives or tranquilizers, should be advised to seek guidance from a doctor or pharmacist prior to use.

Storage and Handling

The product is supplied with specific labeling details, including the expiration date and lot number, which can be found on the end flap of the packaging. It is essential to store the product at a controlled room temperature of 25ºC (77ºF). Temporary excursions from this temperature are permissible, provided they remain within the range of 15ºC to 30ºC (59ºF to 86ºF). Proper storage conditions are crucial to maintain the integrity and efficacy of the product.

Additional Clinical Information

The medication is administered orally. For adults and children aged 12 years and older, the recommended dosage is 2 caplets taken with water every 6 hours as needed, with a maximum of 6 caplets per day. For children under 12 years, it is advised to consult a doctor before use.

Clinicians should counsel patients to seek advice from a health professional if they are pregnant or breastfeeding. It is crucial to keep the medication out of reach of children. In the event of an accidental overdose, immediate medical assistance should be sought, and contacting a Poison Control Center is recommended. Prompt medical attention is essential for both adults and children, even if no signs or symptoms are present.

Drug Information (PDF)

This file contains official product information for Menstrual 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 Menstrual 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.