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Extra Strength Pain Relief

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Active ingredient
Acetaminophen 500 mg
Other brand names
Dosage form
Tablet
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
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
63941-303

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Drug Overview

Acetaminophen is a widely used pain reliever and fever reducer. It is effective in temporarily relieving minor aches and pains associated with various conditions, including the common cold, headaches, backaches, toothaches, muscular aches, and menstrual cramps. Additionally, acetaminophen helps to lower fever, making it a common choice for managing discomfort and illness.

This medication is often compared to the active ingredient in Tylenol® Extra Strength Tablets, and it is available in a formulation designed specifically for adults, with each tablet containing 500 mg of acetaminophen.

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.

Rest assured, there are no known teratogenic effects (which means it does not cause birth defects) associated with this medication.

Dosage and Administration

If you are an adult or a child aged 12 years and older, you should take 2 tablets every 6 hours as long as your symptoms persist. However, it's important not to exceed 6 tablets 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 healthcare provider.

For children under 12 years of age, it's essential 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 use it 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 clarification.

Additionally, avoid using this product if you have a known allergy to acetaminophen or any of its inactive ingredients. Taking this medication under these circumstances could lead to serious health issues. Always prioritize your safety and well-being by following these guidelines.

Side Effects

Taking acetaminophen can lead to some serious side effects, so it's important to be aware of them. You should avoid exceeding 4,000 mg in a 24-hour period, taking it with other medications that contain acetaminophen, or consuming three or more alcoholic drinks daily while using this product, as these can increase the risk of severe liver damage.

Be cautious 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 for more than 3 days, 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 4,000 mg in 24 hours, take 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 rashes. If you experience 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 are taking the blood-thinning medication 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 notice any symptoms. You should also stop using 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 any redness or swelling, as these could indicate a serious condition.

Overdose

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

Be aware that taking more than 4,000 mg of acetaminophen in a 24-hour period can lead to severe liver damage. If you or someone you know has taken too much, don’t wait for symptoms to appear—get help right away.

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

It's important to be cautious when considering this medication for children. You should not use it in children under 12 years old unless a doctor specifically advises you to do so. If your child is under 12, always consult with a healthcare professional before giving them this medication.

In the event of an overdose, it's crucial to seek medical help immediately, even if your child shows no signs or symptoms. Quick action can make a significant difference in ensuring their safety.

Geriatric Use

If you are an older adult or a caregiver, it's important to be aware of certain precautions when considering this medication. First, consult your doctor if you have liver disease, as this can affect how the medication works in your body. Additionally, if you are taking warfarin, a common blood thinner, make sure to talk to your doctor or pharmacist before starting this medication to avoid any potential interactions.

In case of an overdose, seek medical help immediately, even if you or the person affected do not show any signs or symptoms. Quick action is crucial for both adults and children. Always prioritize safety and communication with healthcare providers to ensure the best care.

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 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, as this can increase your risk. If you consume three or more alcoholic drinks daily, you should avoid using this product altogether, as it can further strain your liver. Always prioritize your health and seek guidance from your healthcare provider.

Drug Interactions

It's important to talk to your doctor or pharmacist before using acetaminophen, especially if you are taking the blood-thinning medication warfarin. This is because acetaminophen can increase the risk of bleeding when used with warfarin.

Always discuss any medications you are taking with your healthcare provider to ensure your safety and avoid potential interactions. Your health is a priority, and your provider can help you make informed decisions about your treatment.

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 care to avoid any damage. Following these storage and handling guidelines will help you use the product safely and effectively.

Additional Information

You should take this medication orally, with a recommended dosage of 2 tablets every 6 hours as long as your symptoms persist. There are no additional details regarding laboratory tests, abuse potential, or patient counseling information available at this time.

FAQ

What is acetaminophen used for?

Acetaminophen is a pain reliever and fever reducer that temporarily relieves minor aches and pains due to conditions like the common cold, headache, backache, toothache, and menstrual cramps.

What is the recommended dosage for adults and children over 12?

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

Are there any warnings associated with acetaminophen?

Yes, severe liver damage may occur if you take more than 4,000 mg in 24 hours, use it with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using it.

What should I do if I experience a skin reaction?

If you notice symptoms like skin reddening, blisters, or rash, stop using acetaminophen and seek medical help immediately.

Can I use acetaminophen if I have liver disease?

You should ask a doctor before using acetaminophen if you have liver disease, as it may increase the risk of severe liver damage.

What should I do in case of an overdose?

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

Is acetaminophen safe to use during pregnancy or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before using acetaminophen.

What should I do if my pain or fever worsens?

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

Can children under 12 use acetaminophen?

Children under 12 years should not use acetaminophen unless directed by a doctor.

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 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 older are advised to take 2 tablets every 6 hours as needed for symptom relief. The maximum dosage should not exceed 6 tablets within a 24-hour period, unless otherwise directed by a healthcare professional. Additionally, this medication should not be used for more than 10 consecutive days unless specifically instructed 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 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 should not be used in individuals with a known allergy to acetaminophen or any of the inactive ingredients contained in this formulation, as this may lead to severe allergic reactions.

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 drinks 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. Should any of these symptoms occur, 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 doctor or pharmacist before using this product, as interactions may occur.

In the event 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 healthcare provider if any of the following occur: worsening pain or pain lasting more than 10 days, worsening fever or fever lasting 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 further 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 uncertain about the presence of acetaminophen in their medications should consult a healthcare professional. 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 beyond 10 days, if fever intensifies or lasts more than 3 days, if new symptoms arise, or if redness or swelling is observed, as these may indicate a serious condition.

Individuals with liver disease should seek medical advice before using this product. Furthermore, patients taking the anticoagulant warfarin should consult a doctor or pharmacist prior to use.

In cases of overdose, it is crucial to obtain 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

Patients taking acetaminophen should consult with a healthcare professional prior to use if they are concurrently using warfarin, a blood-thinning medication. The combination may elevate the risk of bleeding due to potential pharmacodynamic interactions. Monitoring of coagulation parameters is advisable in such cases to ensure patient safety.

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

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 not use this medication unless directed by a healthcare professional. It is important for caregivers to consult a doctor before administering the medication to children in this age group.

In the event of an overdose, prompt medical attention is essential for pediatric patients, even if they do not exhibit any signs or symptoms.

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 treatment. 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.

In the event of an overdose, prompt medical attention is crucial for elderly patients, as well as for children, even in the absence of noticeable signs or symptoms. This underscores the importance of careful monitoring and adherence to prescribed dosages in this population to mitigate risks associated with overdose.

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 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.

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 following limits:

  • More than 4,000 mg of acetaminophen within a 24-hour period.

  • Concurrent use with other medications that contain acetaminophen.

  • Consumption of three or more alcoholic beverages daily while using this product.

It is essential for patients with compromised liver function to adhere strictly to these guidelines to minimize the risk of hepatotoxicity. Regular monitoring of liver function may be warranted in these patients to ensure safety and efficacy.

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.

Potential Symptoms and Risks An overdose of acetaminophen can lead to severe liver damage, particularly when the dosage exceeds 4,000 mg within a 24-hour period. Healthcare professionals should be vigilant in monitoring for signs of liver impairment, which may not manifest until several hours after ingestion.

Management Procedures Upon recognition of an overdose, healthcare providers should initiate appropriate management protocols. This may include the administration of activated charcoal if the patient presents within a suitable timeframe, as well as the consideration of N-acetylcysteine (NAC) as an antidote to mitigate liver damage. Continuous monitoring of liver function tests and supportive care are essential components of the management strategy.

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 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. Similarly, if a fever worsens or lasts longer than 3 days, patients should stop using the product and consult a healthcare professional.

Patients should also be made aware that the emergence of new symptoms, or the presence of redness or swelling, warrants immediate medical consultation, as these may indicate a serious condition. Additionally, patients with liver disease should be advised to consult a doctor before using this medication. Those taking the blood-thinning medication warfarin should also be encouraged 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 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 tablets every 6 hours as needed while symptoms persist. There are no additional details available regarding laboratory tests, abuse information, patient counseling, or postmarketing experience.

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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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.