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Extra Strength Pain Relief

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Active ingredient
Acetaminophen 500 mg
Other brand names
Dosage form
Tablet, Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2009
Label revision date
December 11, 2025
Active ingredient
Acetaminophen 500 mg
Other brand names
Dosage form
Tablet, Coated
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2009
Label revision date
December 11, 2025
Manufacturer
VALU MERCHANDISERS COMPANY
Registration number
M013
NDC root
63941-104

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Drug Overview

Best Choice® is a pain reliever and fever reducer that contains acetaminophen (a common medication used to alleviate pain and reduce fever). Each caplet provides 500 mg of acetaminophen and is designed for adults. This medication is effective for temporarily relieving minor aches and pains associated with various conditions, including the common cold, headaches, backaches, arthritis, toothaches, muscular aches, and menstrual cramps. Additionally, it helps to temporarily reduce fever, making it a versatile option for managing discomfort.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions, including the common cold, headaches, backaches, and toothaches. It is also effective for easing muscular aches, minor arthritis pain, and menstrual cramps. Additionally, this medication can help reduce fever temporarily.

Rest assured, there are no teratogenic effects (which means it does not cause birth defects) associated with this medication, making it a safer option for those concerned about such risks.

Dosage and Administration

If you are an adult or a child aged 12 years and older, you should take 2 caplets every 6 hours as long as you have symptoms. However, make sure not to exceed 6 caplets in a 24-hour period unless your doctor advises otherwise. It's also important to limit your use to no more than 10 days unless directed by a healthcare professional.

For children under 12 years old, it's best to consult a doctor before giving them this medication. Always follow your healthcare provider's instructions to ensure safe and effective use.

What to Avoid

It's important to be cautious when using this medication. You should not take it if you are allergic to acetaminophen (a common pain reliever) or any of the inactive ingredients in the product. Additionally, avoid using this medication alongside any other drugs that contain acetaminophen, whether they are prescription or over-the-counter. If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist for guidance.

Taking these precautions helps prevent potential health risks and ensures your safety while using this medication.

Side Effects

Taking acetaminophen can lead to some serious side effects, particularly concerning your liver. It's important to avoid exceeding 4,000 mg in a 24-hour period, using it alongside other medications that contain acetaminophen, or consuming three or more alcoholic drinks daily while using this product, as these actions can significantly increase the risk of severe liver damage.

You should also be aware of potential allergic reactions, which may include severe skin issues like reddening, blisters, or rashes. If you experience any of these symptoms, stop using the product and seek medical help immediately. Additionally, if your pain worsens or lasts more than 10 days, or if your fever persists beyond 3 days, consult a doctor, as these could indicate a more serious condition. Always check with a healthcare professional if you have liver disease or are taking blood thinners like warfarin before using acetaminophen.

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 that also contain acetaminophen, or consume three 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 product, consult your doctor if you have liver disease or if you are taking the blood thinner warfarin. In case of 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 using the product and call your doctor if your pain worsens or lasts more than 10 days, if your fever worsens or lasts more than 3 days, if 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.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. If you notice any of these symptoms, don’t hesitate to get help right away. Remember, it’s always better to be safe and seek assistance if you have any concerns about an overdose.

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 have a child under 12 years old, it's important to consult a doctor before using this medication. For children aged 12 and older, the recommended dosage is 2 caplets every 6 hours as needed for symptoms, but they should not exceed 6 caplets in a 24-hour period unless a doctor advises otherwise.

Additionally, it's crucial to avoid using this medication for more than 10 days unless directed by a healthcare professional. Always prioritize your child's safety and well-being by following these guidelines.

Geriatric Use

If you are an older adult or a caregiver, it's important to be cautious when using this medication. Before starting, consult 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 without a doctor's guidance. Always prioritize safety and seek professional advice when needed.

Renal Impairment

If you have kidney problems, it's important to know that the provided drug insert does not include 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 or how your kidney function might influence its use.

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 provide guidance based on your individual situation and any other medications you may be taking.

Hepatic Impairment

If you have liver disease, it’s important to consult your doctor before using this product. It contains acetaminophen, which can be harmful to your liver. To avoid severe liver damage, do not exceed 4,000 mg of acetaminophen in a 24-hour period. Additionally, be cautious about taking other medications that also contain acetaminophen, and limit your alcohol intake to fewer than three drinks per day while using this product. Always prioritize your liver health and follow your healthcare provider's advice.

Drug Interactions

It's important to talk to your doctor or pharmacist before using acetaminophen, especially if you are taking warfarin, a medication that helps prevent blood clots. Acetaminophen can increase the risk of bleeding when used with warfarin, so discussing your medications is crucial to ensure your safety.

Always keep your healthcare provider informed about all the medications you are taking, as they can help you manage any potential interactions effectively. Your health and safety should always come first.

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 about the product that you may need 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, with a recommended dosage of 2 caplets every 6 hours while you have symptoms. Make sure not to exceed 6 caplets in a 24-hour period unless your doctor advises otherwise, and do not use it for more than 10 days without a doctor's guidance. If you are under 12 years old, consult a doctor before use.

If you are pregnant or breastfeeding, it's important to talk to a health professional before taking this medication. Always keep it out of reach of children. In case of an overdose, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222, as prompt attention is crucial for both adults and children, even if there are no noticeable symptoms.

FAQ

What is Best Choice® used for?

Best Choice® is used to temporarily relieve minor aches and pains due to conditions like the common cold, headache, backache, toothache, muscular aches, and menstrual cramps. It also temporarily reduces fever.

What is the recommended dosage for adults?

Adults and children 12 years and over should take 2 caplets every 6 hours while symptoms last, not exceeding 6 caplets in 24 hours unless directed by a doctor.

Are there any contraindications for using Best Choice®?

Do not use Best Choice® with any other drug containing acetaminophen or if you are allergic to acetaminophen or any inactive ingredients in the product.

What should I do if I experience a skin reaction?

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

What are the liver warnings associated with Best Choice®?

Severe liver damage may occur if you take more than 4,000 mg of acetaminophen 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, get medical help or contact a Poison Control Center right away at 1-800-222-1222.

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

If you are pregnant or breastfeeding, ask a health professional before using Best Choice®.

What should I do if my symptoms persist?

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

Packaging Info

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

Packaging configurations for Extra Strength Pain Relief.
Details

Drug Information (PDF)

This file contains official product information for Extra Strength Pain 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 minor aches and pains associated with various conditions, including the common cold, headache, backache, minor pain of arthritis, toothache, muscular aches, and premenstrual and menstrual cramps. Additionally, it is indicated for the temporary reduction of fever.

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

Dosage and Administration

Adults and children aged 12 years and over are instructed to take 2 caplets every 6 hours as needed for symptom relief. The maximum dosage should not exceed 6 caplets within a 24-hour period, unless otherwise directed by a healthcare professional. Additionally, the use of this medication should not extend beyond 10 days unless specifically advised by a doctor.

For children under 12 years of age, it is recommended to consult a healthcare professional for appropriate dosing guidance.

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 within the formulation.

Warnings and Precautions

This product contains acetaminophen, which poses a risk of severe liver damage if the following conditions are met: exceeding 4,000 mg of acetaminophen within a 24-hour period, concomitant use with other medications containing acetaminophen, or consumption of three or more alcoholic beverages daily while using this product.

Acetaminophen is also associated with the potential for severe skin reactions. Symptoms indicative of such reactions may include skin reddening, blisters, and rash. In the event of a skin reaction, it is imperative to discontinue use immediately and seek medical assistance.

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

In the case of an 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 physician if any of the following occur: worsening pain lasting more than 10 days, fever that worsens or persists for more than 3 days, the emergence of new symptoms, or the presence of redness or swelling. These may indicate a serious underlying condition that requires medical evaluation.

Side Effects

Severe liver damage may occur in patients who exceed 4,000 mg of acetaminophen within a 24-hour period, use other medications containing acetaminophen concurrently, or consume three or more alcoholic drinks daily while using this product.

Patients should be aware that acetaminophen may cause severe skin reactions, which can 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 of the inactive ingredients in this product should refrain from its use.

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

It is recommended that patients consult a doctor before using this product if they have liver disease. Furthermore, patients taking the blood-thinning medication warfarin should seek advice from a doctor or pharmacist prior to use.

Drug Interactions

Acetaminophen may interact with anticoagulants, particularly warfarin. Co-administration of acetaminophen with warfarin can elevate the risk of bleeding due to potential pharmacodynamic interactions. It is advisable for patients to consult with a healthcare professional, such as a doctor or pharmacist, prior to using acetaminophen if they are currently taking warfarin. Monitoring of coagulation parameters may be warranted to ensure patient safety and to adjust dosages as necessary.

Packaging & NDC

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

Packaging configurations for Extra Strength Pain Relief.
Details

Pediatric Use

Pediatric patients under 12 years of age should consult a healthcare professional before use. For children aged 12 years and older, the recommended dosage is 2 caplets every 6 hours as needed for symptom relief, with a maximum of 6 caplets in a 24-hour period unless otherwise directed by a physician. It is important to note that the medication should not be used for more than 10 days unless specifically instructed by a healthcare provider.

Geriatric Use

Elderly patients should consult a healthcare provider prior to use if they have liver disease, as this may affect the safety and efficacy of the medication. Additionally, it is important for geriatric patients to seek advice from a doctor or pharmacist if they are concurrently taking the anticoagulant warfarin, due to potential interactions that could increase the risk of bleeding.

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 medication should not be used for more than 10 consecutive days unless specifically instructed by a doctor. Careful monitoring and adherence to these guidelines are essential to ensure the safety of geriatric patients while using this medication.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to using this medication. It is important to assess the potential risks and benefits, as well as any available data regarding fetal outcomes and lactation. Healthcare providers can offer guidance tailored to individual circumstances, ensuring the safety of both the patient and the developing fetus or nursing infant.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data on 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 outlined in the provided drug insert text. Therefore, healthcare professionals should exercise caution and consider individual patient factors when prescribing this medication to patients with reduced kidney function. Regular monitoring of renal function may be prudent in this population, although specific recommendations are not provided.

Hepatic Impairment

Patients with hepatic impairment should consult a healthcare professional prior to using this product. The presence of liver disease may increase the risk of adverse effects, particularly due to the acetaminophen content.

Severe liver damage may occur if patients exceed the recommended dosage of acetaminophen, which is limited to a maximum of 4,000 mg within a 24-hour period. Additionally, patients should avoid concurrent use of other medications containing acetaminophen, as this can further elevate the risk of hepatotoxicity.

Furthermore, consumption of three or more alcoholic drinks daily while using this product is contraindicated, as it may exacerbate the potential for liver injury. Monitoring of liver function is advised for patients with compromised liver function who are prescribed this product, to ensure safety and mitigate the risk of severe hepatic 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 severity of symptoms may vary, and early recognition and management are essential to mitigate potential complications. It is recommended that all cases of suspected overdose be treated as medical emergencies, and appropriate supportive care should be initiated as necessary.

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 question.

Postmarketing Experience

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

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 whether a medication contains acetaminophen, they should be encouraged to consult with a doctor or pharmacist.

It is essential to inform patients not to use this product if they have a known allergy to acetaminophen or any of the inactive ingredients present 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 worsens or lasts longer than 3 days. Additionally, patients should be advised to stop using the medication and consult a doctor 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 seek guidance from a doctor or pharmacist prior to use.

Storage and Handling

The product is supplied in a carton that should be retained for complete product information. It is essential to store the product at a temperature range of 20-25°C (68-77°F) to ensure its stability and efficacy. Proper handling and storage conditions must be adhered to in order to maintain the integrity of the product.

Additional Clinical Information

The medication is administered orally, with a recommended dosage of 2 caplets every 6 hours while symptoms persist. Adults should not exceed 6 caplets in a 24-hour period unless directed by a healthcare professional, and use should not extend beyond 10 days without medical advice. For children under 12 years, consultation with a doctor is advised prior to use.

Clinicians should counsel patients to consult a health professional if they are pregnant or breastfeeding. It is important to keep the medication out of reach of children. In the event of an overdose, immediate medical assistance should be sought, or the Poison Control Center contacted at 1-800-222-1222, as prompt attention is crucial for both adults and children, even in the absence of symptoms.

Drug Information (PDF)

This file contains official product information for Extra Strength Pain 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 Extra Strength Pain 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.