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Acetaminophen

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Active ingredient
Acetaminophen 650 mg
Other brand names
Dosage form
Tablet, Extended Release
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2020
Label revision date
December 10, 2025
Active ingredient
Acetaminophen 650 mg
Other brand names
Dosage form
Tablet, Extended Release
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2020
Label revision date
December 10, 2025
Manufacturer
CHAIN DRUG MARKETING ASSOCIATION INC
Registration number
ANDA211544
NDC root
63868-660

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Drug Overview

QUALITY CHOICE® is a type of medication known as acetaminophen extended-release tablets, each containing 650 mg of acetaminophen. This drug is designed to temporarily relieve minor aches and pains associated with various conditions, including arthritis, muscular aches, backaches, menstrual cramps, headaches, toothaches, and discomfort from the common cold. Additionally, it helps to temporarily reduce fever.

As a pain reliever and fever reducer, QUALITY CHOICE® can be a helpful option for managing everyday discomfort. It works by blocking the production of certain chemicals in the brain that signal pain and fever, providing you with relief when you need it.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions. This includes relief from minor arthritis pain, muscular aches, backaches, and cramps associated with menstruation or premenstrual syndrome. It can also help with discomfort from the common cold, headaches, and toothaches.

Additionally, this medication is effective in temporarily reducing fever, helping you feel more comfortable when you're not feeling well. Always consult with a healthcare professional if you have any questions about your symptoms or the use of this medication.

Dosage and Administration

When taking this medication, adults should take 2 caplets every 8 hours with a full glass of water. It's important to swallow the caplets whole, so do not crush, chew, split, or dissolve them. Make sure not to exceed 6 caplets in a 24-hour period unless your doctor advises otherwise. Additionally, you should not use this medication for more than 10 days unless directed by your doctor.

If you are under 18 years of age, it’s essential to consult with a doctor before using this medication. Always follow your healthcare provider's instructions to ensure safe and effective use.

What to Avoid

You should avoid using this medication if you are allergic to acetaminophen or any of its inactive ingredients. 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 this medication inappropriately can lead to serious health risks, including potential dependence (a condition where your body becomes reliant on a substance) and misuse. Always follow these guidelines to ensure your safety and well-being.

Side Effects

Taking this medication can lead to some serious side effects, particularly concerning your liver. You should avoid taking more than 6 caplets in a 24-hour period, using it alongside other medications that contain acetaminophen, or consuming 3 or more alcoholic drinks daily while using this product, as these actions can increase the risk of severe liver damage.

Be aware that acetaminophen may also cause severe skin reactions, which can include symptoms like skin reddening, blisters, or rash. If you experience any of these symptoms, stop using the medication and seek medical help immediately. Additionally, if your pain worsens or lasts more than 10 days, or if your fever persists for more than 3 days, you should consult a doctor. Always check with a healthcare professional if you have liver disease or are taking blood thinners like warfarin. In case of an overdose, seek medical assistance right away, even if you don't notice any symptoms.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 6 caplets in 24 hours, take it with other acetaminophen-containing medications, or consume 3 or more alcoholic drinks daily while using it. Additionally, be aware that acetaminophen may cause serious skin reactions, such as skin reddening, blisters, or rash. If you notice any of these symptoms, stop using the product and seek medical help immediately.

Before using this medication, consult your doctor if you have liver disease or are taking the blood thinner warfarin. If you suspect an overdose, it’s crucial to get emergency medical help or contact a Poison Control Center at 1-800-222-1222, even if you don’t see any symptoms. You should also stop taking the product and call your doctor if your pain worsens or lasts more than 10 days, your fever worsens or lasts more than 3 days, you develop new symptoms, or if you notice redness or swelling, as these could indicate a serious condition.

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.

Remember, signs of an overdose can vary, and it’s always better to be safe. If you have any concerns, don’t hesitate to reach out for help. Your health and safety are the top priority.

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 your child is under 18 years old, it's important to consult with a doctor before using this medication. This ensures that the treatment is safe and appropriate for their age and health needs. Always prioritize your child's well-being by seeking professional guidance.

Geriatric Use

If you are an older adult or caring for one, it's important to be cautious when using this medication. Before starting, consult with your doctor if you have liver disease, as this can affect how your body processes the medication. Additionally, if you are taking warfarin, a common blood thinner, make sure to talk to your doctor or pharmacist to avoid any potential interactions.

For adults, the maximum recommended dosage is 6 caplets within a 24-hour period, unless your doctor advises otherwise. It's also crucial not to use this medication for more than 10 days unless directed by a healthcare professional. Always prioritize safety and communication with your healthcare provider when managing medications.

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 may affect you if your kidneys are not functioning properly.

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your kidney health. They can help monitor your condition and make any necessary adjustments to your treatment plan.

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 6 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 fewer than 3 drinks per day while using this product, as drinking more 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 be aware that taking acetaminophen (a common pain reliever) alongside warfarin (a blood thinner) can increase the effects of warfarin, which may raise your risk of bleeding. If you are using both medications, your healthcare provider will likely want to monitor your INR (a blood test that measures how long it takes your blood to clot) closely to ensure your safety.

Always discuss any medications you are taking with your healthcare provider, including over-the-counter drugs like acetaminophen. This helps ensure that your treatment is safe and effective, and it allows your provider to monitor for any potential interactions that could affect your health.

Storage and Handling

To ensure the best performance of your product, store it in a cool, dry place at a temperature between 20-25°C (68-77°F). This temperature range helps maintain the product's effectiveness and safety. It's also important to keep the original carton, as it contains essential information and warnings that you may need to refer to later.

When handling the product, always do so with clean hands and in a clean environment to avoid contamination. Following these guidelines will help you use the product safely and effectively.

Additional Information

You should take this medication orally by swallowing 2 caplets every 8 hours with water. It's important not to crush, chew, split, or dissolve the caplets. If you are pregnant or breastfeeding, consult a healthcare professional before using this medication. Additionally, make sure to keep it out of reach of children to ensure their safety.

FAQ

What is QUALITY CHOICE®?

QUALITY CHOICE® is an acetaminophen extended-release tablet that contains 650 mg of acetaminophen.

What does QUALITY CHOICE® relieve?

It temporarily relieves minor aches and pains due to conditions like arthritis, muscular aches, backache, menstrual cramps, the common cold, headache, and toothache, and it also reduces fever.

How should adults take QUALITY CHOICE®?

Adults should take 2 caplets every 8 hours with water, swallowing them whole without crushing, chewing, splitting, or dissolving. Do not exceed 6 caplets in 24 hours unless directed by a doctor.

What should I do if I experience a skin reaction?

If you experience symptoms like skin reddening, blisters, or rash, stop using QUALITY CHOICE® and seek medical help immediately.

Are there any contraindications for using QUALITY CHOICE®?

Do not use QUALITY CHOICE® if you are allergic to acetaminophen or any inactive ingredients, or if you are taking any other drug containing acetaminophen.

What are the liver warnings associated with QUALITY CHOICE®?

Severe liver damage may occur if you take more than 6 caplets in 24 hours, use it with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using this product.

What should I do in case of an overdose?

In case of overdose, seek medical help or contact a Poison Control Center immediately at 1-800-222-1222.

Can I use QUALITY CHOICE® if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult a health professional before using QUALITY CHOICE®.

What should I do if my pain or fever worsens?

Stop using QUALITY CHOICE® and consult a doctor if your pain worsens or lasts more than 10 days, or if your fever worsens or lasts more than 3 days.

What should I ask my doctor before using QUALITY CHOICE®?

Ask your doctor if you have liver disease or if you are taking the blood-thinning drug warfarin before using QUALITY CHOICE®.

How should I store QUALITY CHOICE®?

Store QUALITY CHOICE® between 20-25°C (68-77°F) and keep it out of reach of children.

Packaging Info

Below are the non-prescription pack sizes of Acetaminophen. Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Acetaminophen.
Details

Drug Information (PDF)

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

View product document (PDF)

Description

No description information is available for the specified drug.

Uses and Indications

This drug is indicated for the temporary relief of minor aches and pains associated with various conditions, including minor pain of arthritis, muscular aches, backache, premenstrual and menstrual cramps, the common cold, headache, and toothache. Additionally, this drug is indicated for the temporary reduction of fever.

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

Dosage and Administration

Adults are instructed to take 2 caplets every 8 hours with water. The caplets should be swallowed whole and must not be crushed, chewed, split, or dissolved. The maximum dosage should not exceed 6 caplets in a 24-hour period unless otherwise directed by a physician. Additionally, the use of this medication should not extend beyond 10 days unless specifically advised by a healthcare professional.

For individuals under 18 years of age, it is recommended to consult a doctor prior to use.

Contraindications

Use of this product is contraindicated in the following situations:

  • Co-administration with any other drug containing acetaminophen, whether prescription or nonprescription, is prohibited. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

  • This product should not be used in individuals with a known allergy to acetaminophen or any of the inactive ingredients contained in the formulation.

Warnings and Precautions

This product contains acetaminophen, which poses a risk of severe liver damage if the following conditions are met: exceeding 6 caplets within a 24-hour period, using concurrently with other medications that contain acetaminophen, or consuming 3 or more alcoholic beverages daily while using this product.

Acetaminophen may also lead to severe skin reactions, which can manifest as skin reddening, blisters, or rash. In the event of any skin reaction, it is imperative to discontinue use immediately and seek medical assistance.

Healthcare professionals should advise patients to consult a doctor prior to use if they have a history of liver disease. Additionally, patients taking the anticoagulant warfarin should seek guidance from a doctor or pharmacist before using this product.

In cases of overdose, it is crucial to obtain emergency medical help or contact a Poison Control Center immediately at 1-800-222-1222. Prompt medical attention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Patients should be instructed to discontinue use and consult a doctor if any of the following occur: worsening pain that lasts more than 10 days, a fever that worsens or persists for more than 3 days, the emergence of new symptoms, or the presence of redness or swelling. These symptoms may indicate a serious underlying condition that requires medical evaluation.

Side Effects

Severe liver damage may occur in patients who exceed the maximum daily dosage of 6 caplets within a 24-hour period, use the product in conjunction with other medications containing acetaminophen, or consume 3 or more alcoholic drinks daily while using this product.

Patients should be aware of the potential for severe skin reactions associated with acetaminophen, 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.

This product should not be used in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription. Patients who are unsure if a drug contains acetaminophen are advised to consult a doctor or pharmacist. Additionally, individuals with a known allergy to acetaminophen or any inactive ingredients in this product should refrain from use.

Patients are advised to stop using the product and consult a doctor if pain worsens or persists for more than 10 days, if fever worsens or lasts more than 3 days, if new symptoms arise, or if redness or swelling is observed, as these may indicate a serious condition.

Prior to use, patients with liver disease should seek medical advice. Furthermore, individuals taking the blood-thinning medication warfarin should consult a doctor or pharmacist before using this product.

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

Drug Interactions

Acetaminophen has been observed to enhance the anticoagulant effects of warfarin, which may result in an elevated risk of bleeding. It is recommended that the International Normalized Ratio (INR) be monitored closely in patients who are receiving both acetaminophen and warfarin concurrently to ensure safe therapeutic levels and to mitigate the risk of adverse effects.

No additional drug interactions or interactions with laboratory tests have been identified.

Packaging & NDC

Below are the non-prescription pack sizes of Acetaminophen. Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Acetaminophen.
Details

Pediatric Use

Pediatric patients under 18 years of age should consult a healthcare professional before use. It is essential to assess the appropriateness of treatment based on the individual needs and health status of the child or adolescent.

Geriatric Use

Elderly patients should consult a healthcare provider prior to using this medication, particularly if they have liver disease, as this may necessitate special considerations or adjustments in therapy. Additionally, it is advisable for geriatric patients to seek guidance from a doctor or pharmacist if they are concurrently taking warfarin, a blood-thinning medication, due to potential interactions that could affect safety and efficacy.

For adults, including elderly patients, the maximum recommended dosage is 6 caplets within a 24-hour period, unless otherwise directed by a healthcare professional. Furthermore, the use of this medication should not exceed 10 days unless specifically instructed by a doctor, to mitigate the risk of adverse effects and ensure appropriate monitoring of the patient's condition.

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, as the effects on fetal outcomes and lactation are not fully established. It is essential for women of childbearing potential to discuss their individual circumstances with a healthcare provider to ensure safe use during pregnancy and lactation.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data regarding the excretion of this drug in human 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 lack of data 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 exercise caution when using this product, which contains acetaminophen. Severe liver damage may occur if patients exceed the maximum daily dosage of 6 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.

It is also advised that patients limit alcohol consumption to fewer than 3 alcoholic drinks per day while using this product, as alcohol can exacerbate the potential for liver damage.

Patients with known liver disease should consult a healthcare professional prior to using this product to ensure safe and appropriate use. Monitoring of liver function may be warranted in these individuals to prevent adverse effects.

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 presentation of symptoms may vary, and vigilance is necessary to ensure appropriate management. The potential for serious complications underscores the importance of rapid response in overdose situations.

Management procedures should include a thorough assessment of the patient's condition, monitoring vital signs, and providing supportive care as needed. It is essential to follow established protocols for overdose management, which may involve decontamination, administration of antidotes if applicable, and symptomatic treatment.

In summary, the key to effective management of an overdose lies in swift action and comprehensive care, ensuring the safety and well-being of the affected individual.

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 use of the compound in these contexts.

Postmarketing Experience

Postmarketing experience has identified that acetaminophen may be associated with severe skin reactions. Reported symptoms of these reactions include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use immediately and seek medical assistance.

Patient Counseling

Healthcare providers should advise patients to keep this medication out of reach of children to prevent accidental ingestion. 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 other medications, they should be encouraged to consult with a doctor or pharmacist.

It is crucial to inform patients that they should not use this product if they have a known allergy to acetaminophen or any of the inactive ingredients contained in the formulation. Patients should be instructed to discontinue use and seek medical advice if their pain worsens or persists for more than 10 days, or if their fever intensifies or lasts longer than 3 days. Additionally, patients should be advised to stop using the medication and consult a healthcare professional if they experience new symptoms, or if they notice any redness or swelling, as these may indicate a serious condition.

Patients with liver disease should be encouraged to consult a doctor before using this medication. Furthermore, those taking the blood-thinning medication warfarin should be advised to speak with a doctor or pharmacist prior to use to ensure safety and avoid potential interactions.

Storage and Handling

The product is supplied in a carton that contains essential information and warnings, which should be retained for reference. It is recommended to store the product at a temperature range of 20-25°C (68-77°F) to ensure optimal stability and efficacy.

Additional Clinical Information

The medication is administered orally, with a recommended dosage of 2 caplets every 8 hours, taken with water. Patients should swallow the caplets whole and are advised against crushing, chewing, splitting, or dissolving them.

Clinicians should counsel patients to consult a healthcare professional if they are pregnant or breastfeeding. Additionally, it is important to keep the medication out of reach of children. No further information is available regarding laboratory tests, abuse potential, or postmarketing experience.

Drug Information (PDF)

This file contains official product information for Acetaminophen, 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 Acetaminophen, 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.