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Childrens Pain and Fever

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Active ingredient
Acetaminophen 160 mg
Other brand names
Dosage form
Tablet, Chewable
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2019
Label revision date
March 6, 2026
Active ingredient
Acetaminophen 160 mg
Other brand names
Dosage form
Tablet, Chewable
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2019
Label revision date
March 6, 2026
Manufacturer
Topco Associates, LLC
Registration number
M013
NDC root
36800-450

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Drug Overview

TopCare® is a chewable tablet that contains 160 mg of acetaminophen, which is a medication used to relieve pain and reduce fever. It is designed for children aged 2 to 11 years and comes in a pleasant bubble gum flavor. This product is ibuprofen-free and aspirin-free, making it a suitable option for young children.

TopCare® temporarily alleviates minor aches and pains associated with headaches, sore throats, the common cold, toothaches, and the flu. Additionally, it helps to lower fever, providing comfort when your child is feeling unwell.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions, including headaches, sore throats, toothaches, the common cold, and the flu. Additionally, it helps to temporarily reduce fever, making you feel more comfortable when you're not feeling well.

Rest assured, there are no teratogenic effects (which means it doesn't cause birth defects) associated with this medication, so it is considered safe in that regard.

Dosage and Administration

When using this medication, it's important to follow the dosing instructions carefully. First, check the dosage chart to find the right amount for you or your child based on weight or age. If the person is under 24 pounds or under 2 years old, you should consult a doctor before giving any dose. For those who weigh between 24 to 95 pounds or are between 2 to 11 years old, the chart provides specific amounts of chewable tablets to take.

Make sure to chew or crush the tablets completely before swallowing them; do not swallow them whole. You can repeat the dose every 4 hours as long as symptoms persist, but remember not to exceed 5 doses in a 24-hour period. Always ensure you do not give more than the recommended amount.

What to Avoid

It's important to be cautious when using this medication. You should not use it in combination with any other drug that contains acetaminophen (a common pain reliever found in many over-the-counter and prescription medications). If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist for guidance.

Additionally, be aware that this medication is classified as a controlled substance, which means it has the potential for abuse or misuse. This can lead to dependence (a condition where your body becomes reliant on a substance). Always follow your healthcare provider's instructions and avoid using this medication in ways not prescribed.

Side Effects

This product contains acetaminophen, which can lead to severe liver damage if your child takes more than 5 doses in 24 hours or uses it alongside other medications containing acetaminophen. 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.

You should also consult a doctor if your child has a sore throat that is severe, lasts more than 2 days, or is accompanied by fever, headache, rash, nausea, or vomiting. It's important to stop using the product and seek medical advice if pain worsens or lasts more than 5 days, fever worsens or lasts more than 3 days, redness or swelling occurs, or any new symptoms appear. Always check with a doctor before use if your child has liver disease or is taking the blood thinner warfarin. In case of overdose, seek medical help or contact a Poison Control Center right away, as prompt attention is crucial.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if your child takes more than 5 doses in 24 hours or uses it alongside other medications containing acetaminophen. Be aware that acetaminophen may also cause serious skin reactions, such as skin reddening, blisters, or rash. If you notice any skin reactions, stop using the product and seek medical help immediately. Additionally, if your child has a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, consult a doctor right away.

Before using this product, it's important to ask a doctor if your child has liver disease or is taking the blood-thinning medication warfarin. In case of an overdose, seek emergency medical help or contact a Poison Control Center immediately, even if there are no noticeable symptoms. You should also stop using the product and call your doctor if your child's pain worsens or lasts more than 5 days, if their fever worsens or lasts more than 3 days, if there is any redness or swelling, or if any new symptoms appear.

Overdose

If you suspect an 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. Always err on the side of caution and get help right away if you think an overdose has occurred. Your quick action can make a significant difference in ensuring safety and health.

Pregnancy Use

If you are pregnant or planning to become pregnant, it's important to be cautious about the medications you take. Currently, there is no specific information available regarding the use of acetaminophen during pregnancy, which means there are no established safety concerns, dosage changes, or special precautions outlined for its use.

Before taking any medication, including acetaminophen, you should consult with your healthcare provider to discuss potential risks and benefits tailored to your individual situation. Your health and the health of your baby are paramount, so always seek professional advice when considering medication during pregnancy.

Lactation Use

If you are breastfeeding, you can feel reassured that there are no specific warnings or recommendations regarding the use of this product while nursing. Additionally, there is no information available about whether this product is excreted in breast milk or any potential risks to your infant. Always consult with your healthcare provider if you have any concerns or questions about medications while breastfeeding.

Pediatric Use

If your child is between the ages of 2 and 11 years, it's important to follow specific dosing guidelines based on their weight. For children under 24 pounds, you should consult a doctor before giving any medication. For those weighing between 24 and 35 pounds (ages 2-3), the recommended dose is 1 tablet; for 36-47 pounds (ages 4-5), it's 1.5 tablets; for 48-59 pounds (ages 6-8), it's 2 tablets; for 60-71 pounds (ages 9-10), it's 2.5 tablets; and for 72-95 pounds (age 11), it's 3 tablets. Remember, do not exceed 5 doses in a 24-hour period.

Before giving this medication, check with your doctor if your child has liver disease or is taking the blood thinner warfarin. Always keep the medication out of reach of children, and in case of an overdose, seek medical help or contact a Poison Control Center immediately.

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 the standard dosage may be appropriate, but it’s always wise to consult with a healthcare provider.

If you or a loved one is an older adult, it’s important to discuss any potential risks or side effects with your doctor, especially since older adults may have different health needs. Always ensure that your healthcare team is aware of any other medications or health conditions to provide the safest care possible.

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 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 monitor your kidney function and make any necessary adjustments to your treatment plan.

Hepatic Impairment

If your child has liver problems, it's important to be cautious with medications that contain acetaminophen. Taking more than 5 doses in a 24-hour period can lead to severe liver damage, which is the maximum daily amount recommended. Additionally, using other medications that also contain acetaminophen can increase the risk of harm.

Before giving this product to your child, please consult with a doctor if they have any liver disease. This ensures that you are making safe choices regarding their health and medication use.

Drug Interactions

It's important to talk to your doctor or pharmacist before using this medication, especially if your child is taking warfarin, a blood-thinning drug. Using these together may increase the risk of bleeding, which can be serious.

Always discuss any medications or tests with your healthcare provider to ensure safety and avoid potential interactions. Your health and well-being are the top priority, so don't hesitate to ask questions about your treatment options.

Storage and Handling

To ensure the best performance of your product, store it at a temperature of 25°C (77°F). It’s acceptable for the temperature to vary between 15°C and 30°C (59°F to 86°F), but try to avoid exposing it to high humidity, as this can affect its quality.

Always check the end flap for the expiration date and lot number to ensure you are using the product safely and effectively. Proper storage and handling are key to maintaining the integrity of the device.

Additional Information

You should take this medication orally, repeating the dose every 4 hours as long as your symptoms persist. However, do not exceed 5 doses in a 24-hour period. It's important to keep this medication out of reach of children. If an overdose occurs, 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 apparent.

FAQ

What is TopCare®?

TopCare® is a pain reliever and fever reducer that contains 160 mg of acetaminophen in chewable tablet form, suitable for children ages 2 to 11 years.

What conditions does TopCare® help relieve?

TopCare® temporarily relieves minor aches and pains due to headache, sore throat, the common cold, toothache, and flu, and it also reduces fever.

How should I administer TopCare®?

You should chew or crush the tablets completely before swallowing and repeat the dose every 4 hours while symptoms last, without exceeding 5 doses in 24 hours.

What is the dosage for TopCare® based on weight?

The dosage varies by weight: for 24-35 lbs (2-3 years), give 1 tablet; for 36-47 lbs (4-5 years), give 1 1/2 tablets; for 48-59 lbs (6-8 years), give 2 tablets; for 60-71 lbs (9-10 years), give 2 1/2 tablets; and for 72-95 lbs (11 years), give 3 tablets.

Are there any warnings associated with TopCare®?

Yes, you should be cautious of potential liver damage if your child takes more than 5 doses in 24 hours or uses it with other acetaminophen-containing drugs. Also, watch for severe skin reactions.

What should I do in case of an overdose?

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

Is TopCare® safe for children with liver disease?

You should ask a doctor before using TopCare® if your child has liver disease.

Can I use TopCare® during pregnancy or while nursing?

The insert does not provide specific information regarding the use of TopCare® during pregnancy or nursing.

How should I store TopCare®?

Store TopCare® at 25°C (77°F), with permitted excursions between 15°-30°C (59°-86°F), and avoid high humidity.

Packaging Info

Below are the non-prescription pack sizes of Childrens Pain and Fever (acetaminophen). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Childrens Pain and Fever.
Details

Drug Information (PDF)

This file contains official product information for Childrens Pain and Fever, 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 headache, sore throat, the common cold, toothache, and flu. Additionally, it is indicated for the temporary reduction of fever.

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

Dosage and Administration

This product is intended for use in pediatric patients, and healthcare professionals should refer to the dosage chart to determine the appropriate dose based on the patient's weight or age. It is essential to adhere to the following guidelines:

For patients weighing under 24 pounds or under 2 years of age, consultation with a physician is required prior to administration. For patients weighing between 24 to 35 pounds or aged 2 to 3 years, the recommended dose is 1 chewable tablet. For those weighing 36 to 47 pounds or aged 4 to 5 years, the dose is 1.5 chewable tablets. Patients weighing 48 to 59 pounds or aged 6 to 8 years should receive 2 chewable tablets. For patients weighing 60 to 71 pounds or aged 9 to 10 years, the dose is 2.5 chewable tablets. Finally, for patients weighing 72 to 95 pounds or aged 11 years, the recommended dose is 3 chewable tablets.

Tablets must be chewed or crushed completely before swallowing; they should not be swallowed whole. Dosing may be repeated every 4 hours as needed while symptoms persist, but it is critical not to exceed 5 doses within a 24-hour period. Healthcare professionals should ensure that patients do not receive more than the directed amount.

Contraindications

Use of this product is contraindicated in patients who are concurrently taking any other medication that contains acetaminophen, whether prescription or nonprescription. This is due to the potential risk of acetaminophen overdose, which can lead to severe liver damage. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

Warnings and Precautions

Severe liver damage may occur in children who take this product, which contains acetaminophen, if they exceed the maximum daily amount of 5 doses within a 24-hour period or if they use it concurrently with other medications containing acetaminophen.

Acetaminophen has been associated with severe skin reactions, which may 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.

In cases of severe sore throat that persists for more than 2 days, or if it is accompanied or followed by fever, headache, rash, nausea, or vomiting, prompt consultation with a healthcare provider is advised.

Healthcare professionals should inquire about the presence of liver disease before recommending this product for children. Additionally, it is essential to consult a doctor or pharmacist if the child is concurrently taking the anticoagulant warfarin, as interactions may occur.

In the event of an overdose, immediate medical attention is crucial. Contacting a Poison Control Center or seeking emergency medical help is necessary, regardless of whether symptoms are present.

Patients should be advised to discontinue use and consult a healthcare provider if any of the following occur: worsening pain lasting more than 5 days, worsening fever lasting more than 3 days, presence of redness or swelling, or the emergence of any new symptoms.

Side Effects

Severe adverse reactions associated with this product include significant liver damage, which may occur if a child exceeds five doses within a 24-hour period or if the product is taken concurrently with other medications containing acetaminophen. 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 immediate medical assistance.

Participants should also be cautioned regarding the risk of severe sore throat. If a sore throat is severe, persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting, it is essential to consult a healthcare provider promptly.

Patients are advised to stop use and consult a doctor if pain worsens or lasts longer than five days, if fever worsens or persists for more than three days, if redness or swelling occurs, or if any new symptoms arise.

It is recommended that a healthcare professional be consulted prior to use if the child has liver disease or is taking the anticoagulant warfarin. In cases of overdose, immediate medical attention is crucial; caregivers should contact a Poison Control Center or seek medical help without delay, regardless of the presence of symptoms.

Drug Interactions

Patients should consult a healthcare professional prior to using this medication if they are concurrently taking warfarin, a blood-thinning agent. The combination may elevate the risk of bleeding, necessitating careful monitoring and potential dosage adjustments of either medication.

No additional drug interactions or laboratory test interactions have been identified for this medication.

Packaging & NDC

Below are the non-prescription pack sizes of Childrens Pain and Fever (acetaminophen). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Childrens Pain and Fever.
Details

Pediatric Use

Pediatric patients aged 2 to 11 years may receive this medication with specific dosing guidelines based on weight. For children under 24 lb (under 2 years), consultation with a doctor is advised prior to administration. The recommended dosages for children within the specified age range are as follows:

  • 24-35 lb (2-3 years): 1 tablet

  • 36-47 lb (4-5 years): 1 1/2 tablets

  • 48-59 lb (6-8 years): 2 tablets

  • 60-71 lb (9-10 years): 2 1/2 tablets

  • 72-95 lb (11 years): 3 tablets

It is important to note that no more than 5 doses should be administered within a 24-hour period. Prior to use, healthcare professionals should be consulted if the pediatric patient has liver disease or is concurrently taking the anticoagulant warfarin.

As with all medications, this product should be kept out of reach of children. In the event of an overdose, immediate medical assistance or contact with a Poison Control Center is essential.

Geriatric Use

Elderly patients may not have specific information regarding the use of this medication, including dosage adjustments, safety concerns, or special precautions. Therefore, healthcare providers should exercise caution when prescribing this medication to geriatric patients. It is advisable to monitor these patients closely for any adverse effects or changes in therapeutic response, given the lack of targeted data for this population.

Pregnancy

The available prescribing information does not provide specific data regarding the use of acetaminophen during pregnancy. Consequently, healthcare professionals should exercise caution when recommending acetaminophen to pregnant patients. The absence of safety concerns, dosage modifications, or special precautions in the labeling indicates a lack of comprehensive clinical or animal study data to inform risk assessment. Therefore, it is advisable for healthcare providers to weigh the potential benefits against any unknown risks when considering acetaminophen for women of childbearing potential. Further research may be necessary to establish a clearer understanding of the implications of acetaminophen use during pregnancy.

Lactation

There are no specific warnings or recommendations regarding the use of this product by lactating mothers. Additionally, there is no information available concerning the potential for excretion in breast milk or any associated risks to breastfed infants.

Renal Impairment

Patients with renal impairment have not been specifically addressed in the drug insert regarding dosage adjustments, special monitoring, or safety considerations. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the absence of detailed 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 closely monitored when using this product, as it contains acetaminophen, which is associated with the risk of severe liver damage. It is critical to adhere to the maximum daily dosage of 5 doses within a 24-hour period to mitigate the risk of hepatotoxicity.

Before administration, it is advised that a healthcare professional be consulted if the patient has a history of liver disease. This precaution is essential to ensure the safe use of the product and to evaluate the need for any dosage adjustments or additional monitoring based on the severity of the hepatic impairment.

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 attention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, it is essential to monitor the patient closely and provide appropriate interventions as necessary.

Nonclinical Toxicology

No information is available regarding teratogenic effects. Similarly, there is no information provided concerning non-teratogenic effects. The insert does not contain any details related to nonclinical toxicology. Additionally, there is no information regarding animal pharmacology and toxicology.

Postmarketing Experience

Acetaminophen has been associated with severe skin reactions, as reported in postmarketing surveillance. Symptoms of these reactions may include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use immediately and seek medical assistance.

Additionally, cases of overdose have been reported. It is crucial to obtain medical help or contact a Poison Control Center without delay, as prompt medical attention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Patient Counseling

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

Patients should be informed not to use this medication in conjunction with any other drug that contains acetaminophen, whether prescription or nonprescription. If patients are uncertain about the presence of acetaminophen in any medication, they should be encouraged to consult with a doctor or pharmacist for clarification.

Healthcare providers should instruct patients to discontinue use and consult a doctor if pain worsens or persists for more than five days. Similarly, patients should be advised to stop use and seek medical advice if fever intensifies or lasts longer than three days. Additionally, patients should be informed to stop use and consult a doctor if they notice any redness or swelling, or if any new symptoms arise.

It is important for healthcare providers to remind patients to consult a doctor before using this medication if their child has liver disease. Furthermore, patients should be advised to speak with a doctor or pharmacist prior to use if their child is currently taking the blood-thinning medication warfarin.

Storage and Handling

The product is supplied in configurations that include specific NDC numbers, which can be found on the packaging. It should be stored at a controlled room temperature of 25°C (77°F), with permissible excursions between 15°C and 30°C (59°F and 86°F). Care should be taken to avoid high humidity conditions during storage. For reference, the expiration date and lot number are located on the end flap of the packaging.

Additional Clinical Information

The medication is administered orally, with a recommended repeat dose every 4 hours as needed for symptom relief, not to exceed 5 doses within a 24-hour period. Clinicians should counsel patients to keep the medication out of reach of children and to seek immediate medical assistance or contact a Poison Control Center in the event of an overdose. It is crucial for both adults and children to receive prompt medical attention, even if no signs or symptoms of overdose are apparent.

Drug Information (PDF)

This file contains official product information for Childrens Pain and Fever, 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 Childrens Pain and Fever, 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.