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Extra Strength Pain Reliever

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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 2006
Label revision date
September 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 2006
Label revision date
September 11, 2025
Manufacturer
INGLES MARKETS, INC.
Registration number
M013
NDC root
62936-0201

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Drug Overview

This medication is designed to temporarily relieve minor aches and pains, such as headaches or muscle discomfort. Additionally, it helps to reduce fever, making it useful when you're feeling unwell. If you're experiencing these symptoms, this drug can provide you with some comfort and relief.

Uses

You can use this medication to temporarily relieve minor aches and pains, such as headaches, muscle aches, or toothaches. It is also effective in temporarily reducing fever, helping you feel more comfortable when you're not feeling well.

Rest assured, this medication does not have any known teratogenic effects, meaning it does not cause harm to a developing fetus.

Dosage and Administration

If you are an adult or a child aged 12 years and older, you can take 1 to 2 tablets every 4 to 6 hours as needed for relief. However, it's important not to exceed 6 tablets in a 24-hour period unless your doctor advises otherwise.

For children under 12 years old, it's best to consult with a doctor before giving them this medication. This ensures that they receive the appropriate dosage and care tailored to their needs. Always follow your healthcare provider's instructions for safe and effective use.

What to Avoid

It's important to keep this medication out of reach of children to ensure their safety. If you suspect an overdose, seek medical help immediately or contact a Poison Control Center for assistance.

There are no specific contraindications, controlled substance classifications, or noted risks of abuse, misuse, or dependence associated with this medication. However, always use it responsibly and follow any additional guidance provided by your healthcare professional.

Side Effects

Taking this medication can lead to some serious side effects, particularly concerning your liver. You should avoid taking more than 8 tablets (4,000 mg of acetaminophen) 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.

Additionally, be aware that acetaminophen can cause severe skin reactions, which may include symptoms like skin reddening, blisters, or rash. If you experience any of these symptoms, stop using the medication and seek medical help immediately. Always consult with a doctor if you have liver disease, are taking blood thinners like warfarin, or if you are pregnant or breastfeeding. If your pain or fever worsens or lasts longer than the specified time frames, or if you notice any new symptoms, it’s important to stop use and contact a healthcare professional.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 8 tablets (4,000 mg) in 24 hours, use it with other medications containing acetaminophen, or consume 3 or more alcoholic drinks daily while using it. Be aware that acetaminophen may also cause serious skin reactions, such as redness, blisters, or rash. If you notice any skin reactions, stop using the product and seek medical help immediately. Additionally, do not use this product with any other medications that contain acetaminophen; if you're unsure, consult a doctor or pharmacist.

Before using this product, it's important to talk to your doctor if you have liver disease or are taking the blood thinner warfarin. If you are pregnant or breastfeeding, consult a healthcare professional as well. You should stop taking this medication and call your doctor if your pain worsens or lasts more than 10 days, if your fever gets worse or lasts more than 3 days, if new symptoms develop, or if you notice any redness or swelling, as these could indicate a serious condition.

In case of an overdose, seek emergency medical help or contact a Poison Control Center immediately, even if you do not see any signs or symptoms. Quick medical attention is crucial for both adults and children.

Overdose

Taking more than 8 tablets (4,000 mg of acetaminophen) in a 24-hour period can lead to severe liver damage. It's important to be aware of this limit to avoid serious health risks.

If you suspect an overdose, seek medical help or contact a Poison Control Center immediately. Quick action is crucial, even if you or the person affected do not show any signs or symptoms of overdose. Remember, both adults and children can be at risk, so don’t hesitate to get help.

Pregnancy Use

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

Lactation Use

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

Pediatric Use

If you are considering this medication for your child, it's important to know that children under 12 years old should consult a doctor before use. For those aged 12 and older, the recommended dosage is 1-2 tablets every 4-6 hours as needed, but you should not exceed 6 tablets in a 24-hour period unless directed by a doctor. Always follow your healthcare provider's advice to ensure safe and effective use.

Geriatric Use

While there is no specific information available about the use of this medication in older adults, it’s important to approach any new treatment with caution. If you or a loved one is an older adult, it’s always a good idea to discuss any medications with a healthcare provider. They can help ensure that the treatment is safe and appropriate, considering any unique health needs or conditions that may be present.

Since there are no dosage adjustments or special precautions mentioned for elderly patients, your healthcare provider will be the best resource for personalized advice. Always keep them informed about any other medications or health issues to ensure safe and effective care.

Renal Impairment

If you have kidney problems, it's important to know that there are no specific guidelines or dosage adjustments mentioned for your condition in the available information. This means that the usual recommendations for monitoring or safety considerations related to renal impairment (kidney issues) are not provided.

Always consult your healthcare provider for personalized advice and to ensure that any medications you take are safe and appropriate for your kidney health. They can help you understand how your condition may affect your treatment plan.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using products that contain acetaminophen. Taking more than 8 tablets (or 4,000 mg of acetaminophen) in a 24-hour period can lead to severe liver damage. Additionally, combining this product with other medications that also contain acetaminophen or consuming 3 or more alcoholic drinks daily while using it can increase your risk of liver issues.

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

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. While there are no specific drug interactions or laboratory test interactions noted for this medication, your healthcare provider can help ensure that everything you are taking works well together and is safe for you.

Always feel free to ask questions and share your complete list of medications and any lab tests you may be undergoing. This way, you can avoid any potential issues and receive the best care possible.

Storage and Handling

To ensure the best performance of your product, store it in a cool, dry place at a temperature between 20°C and 25°C (68°F and 77°F). This helps maintain its effectiveness and safety.

When handling the product, always check that the imprinted seal under the cap is intact. If the seal is missing or broken, do not use the product, as this could indicate that it has been compromised. Following these guidelines will help you use the product safely and effectively.

Additional Information

You can take 1-2 tablets every 4-6 hours as needed if you are an adult or a child aged 12 years and older. However, do not exceed 6 tablets in a 24-hour period unless directed by your doctor. If the patient is under 12 years old, consult a doctor for the appropriate dosage.

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

FAQ

What does this drug do?

This drug temporarily relieves minor aches and pains and reduces fever.

What should I do if I have liver disease?

You should ask a doctor before using this drug if you have liver disease.

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

You should take 1-2 tablets every 4-6 hours as needed, but do not exceed 6 tablets in 24 hours unless directed by a doctor.

Can children under 12 years use this drug?

Children under 12 years should ask a doctor before use.

What should I do in case of overdose?

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

Are there any allergy alerts for this drug?

Yes, acetaminophen may cause severe skin reactions, including skin reddening, blisters, or rash. If a skin reaction occurs, stop use and seek medical help immediately.

What should I do if my pain or fever worsens?

You should stop use and call your doctor if pain lasts more than 10 days or fever lasts more than 3 days, or if new symptoms occur.

Is there a warning regarding alcohol consumption?

Yes, severe liver damage may occur if you consume 3 or more alcoholic drinks every day while using this product.

How should I store this drug?

Store the drug at 20⁰C-25⁰C (68⁰F-77⁰F).

What should I do if the seal under the cap is broken?

Do not use the drug if the imprinted seal under the cap is missing or broken.

Packaging Info

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

Packaging configurations for Extra Strength Pain Reliever.
Details

Drug Information (PDF)

This file contains official product information for Extra Strength Pain Reliever, 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 drug.

Uses and Indications

This drug is indicated for the temporary relief of minor aches and pains, as well as 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 advised to take 1 to 2 tablets every 4 to 6 hours as needed. The maximum dosage should not exceed 6 tablets within a 24-hour period, unless otherwise directed by a healthcare professional.

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

Contraindications

There are no specific contraindications listed for this product. However, it is essential to keep the product out of reach of children to prevent accidental ingestion. In the event of an overdose, immediate medical assistance should be sought, or contact a Poison Control Center for guidance.

Warnings and Precautions

This product contains acetaminophen, which poses a significant risk of severe liver damage if not used according to the specified guidelines. Healthcare professionals should advise patients that the maximum recommended dosage is 8 tablets (4,000 mg of acetaminophen) within a 24-hour period. Caution is also warranted when this product is used in conjunction with other medications containing acetaminophen or when patients consume three or more alcoholic drinks daily while using this product.

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

It is imperative that patients do not use this product alongside any other medications containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in other medications, patients should be encouraged to consult a healthcare professional.

General precautions should be taken into account. Patients with liver disease should seek medical advice prior to using this product. Additionally, those taking the anticoagulant warfarin should consult a doctor or pharmacist before use. Pregnant or breastfeeding individuals are also advised to seek guidance from a healthcare professional prior to use.

Patients should be instructed to discontinue use and contact their healthcare provider 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 occurs, as these may indicate a serious underlying condition.

In cases of overdose, immediate medical attention is crucial. Patients should be advised to seek emergency medical help or contact a Poison Control Center without delay, as prompt intervention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Side Effects

Severe liver damage may occur in patients who exceed the recommended dosage of 8 tablets (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 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.

It is advised that patients do not use this product in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in other medications, patients should consult a healthcare professional.

Patients with liver disease should consult a doctor prior to use. Additionally, those taking the anticoagulant warfarin are encouraged to seek advice from a doctor or pharmacist before using this product.

Patients are instructed to stop use and consult a healthcare provider if pain worsens or persists for more than 10 days, if fever worsens or lasts longer than 3 days, if new symptoms develop, or if redness or swelling occurs, as these may indicate a serious condition.

For pregnant or breastfeeding patients, it is recommended to seek guidance from a health professional before using this product.

Drug Interactions

There are currently no documented drug interactions associated with the use of this medication. Additionally, there is no information available regarding interactions with laboratory tests. As such, no specific recommendations for dosage adjustments or monitoring are warranted at this time.

Packaging & NDC

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

Packaging configurations for Extra Strength Pain Reliever.
Details

Pediatric Use

Pediatric patients under 12 years of age should consult a healthcare professional before use. For adolescents aged 12 years and older, the recommended dosage is 1-2 tablets every 4-6 hours as needed, with a maximum of 6 tablets in a 24-hour period, unless otherwise directed by a healthcare provider.

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 potential adverse effects or changes in therapeutic response, given the lack of targeted data for this population.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to using this medication. The potential risks and benefits must be carefully weighed, as the effects on fetal outcomes and lactation are not fully established. It is essential for women of childbearing potential to seek medical advice 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 no specific data available regarding the excretion of this medication in breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have not been specifically addressed in the available prescribing information. There are no dosage adjustments, special monitoring requirements, or safety considerations outlined for individuals with reduced kidney function. Healthcare professionals should exercise caution and consider the lack of data when prescribing to this patient population.

Hepatic Impairment

Patients with hepatic impairment should exercise caution when using this product, as it contains acetaminophen, which is associated with the risk of severe liver damage. It is critical for patients to adhere to the following guidelines to minimize the risk of hepatotoxicity:

  • Patients should not exceed 8 tablets (4,000 mg of acetaminophen) within a 24-hour period.

  • Concurrent use with other medications containing acetaminophen is contraindicated.

  • Consumption of 3 or more alcoholic drinks daily while using this product is not recommended, as it may exacerbate the risk of liver damage.

Additionally, patients with known liver disease are advised to consult a healthcare professional prior to using this product to ensure safety and appropriateness of use. Regular monitoring of liver function may be warranted in patients with compromised liver function to detect any potential adverse effects promptly.

Overdosage

Severe liver damage may occur with the ingestion of more than 8 tablets (4,000 mg of acetaminophen) within a 24-hour period. Healthcare professionals should be aware that this product contains acetaminophen, and exceeding the recommended dosage can lead to significant health risks.

In the event of an overdose, it is imperative to seek medical assistance immediately or contact a Poison Control Center. Prompt medical intervention is crucial for both adults and children, even in the absence of noticeable signs or symptoms. Early recognition and management of acetaminophen overdose can significantly improve outcomes and reduce the risk of severe complications.

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 in these areas limits the understanding of the compound's potential effects in nonclinical settings.

Postmarketing Experience

No postmarketing experience details are available in the provided data.

Patient Counseling

Healthcare providers should advise patients to keep the medication out of reach of children to prevent accidental ingestion. It is essential to emphasize the importance of seeking immediate medical assistance or contacting a Poison Control Center in the event of an overdose. Patients should be informed that prompt medical attention is critical for both adults and children, even if they do not exhibit any signs or symptoms of overdose.

Storage and Handling

The product is supplied in a configuration that includes an imprinted seal under the cap. It is essential to ensure that this seal is intact before use, as the product should not be utilized if the seal is missing or broken.

For optimal storage, the product must be maintained at a temperature range of 20⁰C to 25⁰C (68⁰F to 77⁰F). Proper handling and storage conditions are crucial to preserve the integrity and efficacy of the product.

Additional Clinical Information

Adults and children aged 12 years and older are advised to take 1-2 tablets every 4-6 hours as needed, with a maximum of 6 tablets in a 24-hour period unless directed otherwise by a healthcare provider. For children under 12 years, consultation with a doctor is recommended prior to administration.

Clinicians should counsel patients to seek advice from a health professional if they are pregnant or breastfeeding. It is crucial to keep the medication out of reach of children, and in the event of an overdose, immediate medical assistance or contact with a Poison Control Center is essential, as prompt attention is necessary for both adults and children, regardless of the presence of symptoms.

Drug Information (PDF)

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