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Acetaminophen

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Active ingredient
Acetaminophen 650 mg
Other brand names
Dosage form
Tablet
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2023
Label revision date
December 19, 2025
Active ingredient
Acetaminophen 650 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 2023
Label revision date
December 19, 2025
Manufacturer
MEIJER, INC.
Registration number
ANDA211544
NDC root
79481-0184

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Drug Overview

APAP 650mg is a medication that temporarily relieves minor aches and pains, such as those caused by muscular aches, backaches, arthritis, toothaches, and menstrual cramps. It is also effective for headaches and discomfort associated with the common cold. In addition to pain relief, APAP 650mg helps to temporarily reduce fever, making it a versatile option for managing various mild symptoms you may experience.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions, including muscular aches, backaches, arthritis pain, toothaches, and cramps associated with menstruation. It can also help alleviate headaches and discomfort from the common cold. Additionally, this medication is effective in temporarily reducing 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 caplets every 8 hours with a full glass of water. It’s important to swallow the caplets whole, so avoid crushing, chewing, splitting, or dissolving them. Make sure not to exceed 6 caplets in a 24-hour period, and do not use this medication for more than 10 days unless your doctor advises you to do so.

For children under 12 years of age, this medication is not recommended. Always follow the guidelines provided and consult with a healthcare professional if you have any questions or concerns about your treatment.

What to Avoid

It's important to be aware of certain guidelines when using this medication. You should stop using it and consult your doctor if your pain worsens or lasts longer than 10 days, if your fever intensifies or persists for more than 3 days, if you experience any new symptoms, or if you notice redness or swelling.

While there are no specific contraindications or concerns about abuse, misuse, or dependence mentioned, always prioritize your health and safety by following these instructions closely. If you have any questions or uncertainties, don't hesitate to reach out to your healthcare provider for guidance.

Side Effects

You should be aware that this medication carries a warning regarding potential liver damage. This risk increases if you take more than 6 caplets in a 24-hour period, use other products containing acetaminophen, or consume 3 or more alcoholic drinks daily while using this medication. In the event of an overdose, it is crucial to seek medical help immediately, as prompt attention is essential for both adults and children, even if no symptoms are apparent.

If you experience worsening pain that lasts more than 10 days, a fever that persists for more than 3 days, new symptoms, or any redness or swelling, you should stop using the medication and consult a doctor, as these may indicate a serious condition. Additionally, if you have liver disease or are taking the blood-thinning medication warfarin, it’s important to talk to your doctor or pharmacist before using this product.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 6 caplets in 24 hours, take it with other medications that also contain acetaminophen, or consume 3 or more alcoholic drinks daily while using it. It's important to be cautious and follow these guidelines to protect your health.

You should stop using this product and contact your doctor if your pain worsens or lasts more than 10 days, if your fever gets worse or lasts more than 3 days, if you notice new symptoms, or if you see redness or swelling. These could indicate a more serious health issue. Additionally, consult your doctor before using this product if you have liver disease or if you are taking the blood-thinning medication warfarin.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. 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 get checked out by a medical professional.

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 it should not be used in children under 12 years of age. For those aged 12 and older, the recommended dosage is 2 caplets every 8 hours, with a maximum of 6 caplets in a 24-hour period. It's also advised not to use this medication for more than 10 days unless a doctor has instructed you to do so.

Be aware that if an overdose occurs, seeking quick medical attention is crucial for both adults and children, even if there are no immediate signs or symptoms. Always prioritize safety and consult with a healthcare professional if you have any questions or concerns.

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 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 using this medication to avoid any potential interactions.

Be aware that in case of an overdose, seeking immediate medical help is crucial, even if you don't notice any symptoms. This applies to both adults and children, so it's always better to err on the side of caution.

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.

It's always best to discuss your individual situation with your healthcare provider, who can offer personalized advice and ensure that any medications you take are safe and effective for you.

Hepatic Impairment

Taking this product, which contains acetaminophen, requires careful attention if you have liver problems. To avoid severe liver damage, you should not exceed 6 caplets in a 24-hour period, as this is the maximum daily amount. Additionally, be cautious about using other medications that also contain acetaminophen, as this can increase the risk of liver damage.

If you consume 3 or more alcoholic drinks each day, it is especially important to avoid this product, as combining alcohol with acetaminophen can further harm your liver. Always consult with your healthcare provider for personalized advice and to ensure your safety while using this medication.

Drug Interactions

It's important to be aware that taking acetaminophen (a common pain reliever) alongside warfarin (a blood thinner) can increase the effects of warfarin, which may raise your risk of bleeding. If you are using both medications, your healthcare provider will likely want to monitor your INR (a blood test that measures how long it takes your blood to clot) closely to ensure your safety.

Always discuss any medications you are taking with your healthcare provider, including over-the-counter drugs like acetaminophen. This conversation is crucial to avoid potential interactions and to ensure that your treatment is safe and effective.

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. Before using it, always check that the foil inner seal is intact; do not use the product if the seal is broken or missing, as this could compromise its safety and effectiveness.

By following these simple storage and handling guidelines, you can help ensure that the product remains safe and reliable for your use.

Additional Information

You should take this medication orally, with adults and children advised to swallow 2 caplets every 8 hours with water. It's important not to crush, chew, split, or dissolve the caplets, and you should not exceed 6 caplets in a 24-hour period. Additionally, do not use this medication for more than 10 days unless your doctor instructs you to do so.

If you are pregnant or breastfeeding, consult a healthcare professional before using this medication. Always keep it out of reach of children to ensure their safety.

FAQ

What is APAP 650mg used for?

APAP 650mg temporarily relieves minor aches and pains from conditions like muscular aches, backache, toothache, headaches, and menstrual cramps, and it also reduces fever.

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

Adults and children 12 years and older should take 2 caplets every 8 hours with water, not exceeding 6 caplets in 24 hours, and should not use it for more than 10 days unless directed by a doctor.

Are there any warnings associated with APAP 650mg?

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

What should I do in case of an overdose?

In case of overdose, seek medical help or contact a Poison Control Center immediately, as quick medical attention is critical for both adults and children.

Can I use APAP 650mg if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before using APAP 650mg.

What should I do if my pain or fever worsens?

Stop using APAP 650mg and consult a doctor if your pain worsens or lasts more than 10 days, or if your fever worsens or lasts more than 3 days.

Is there any specific storage requirement for APAP 650mg?

Store APAP 650mg between 20-25°C (68-77°F) and do not use it if the foil inner seal is broken or missing.

Who should avoid using APAP 650mg?

Children under 12 years should not use APAP 650mg, and you should consult a doctor if you have liver disease or are taking the blood-thinning drug warfarin.

Packaging Info

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

Packaging configurations for Acetaminophen.
Details

Drug Information (PDF)

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

View product document (PDF)

Description

No description information is available for the drug.

Uses and Indications

This drug is indicated for the temporary relief of minor aches and pains associated with various conditions, including muscular aches, backache, minor pain of arthritis, toothache, premenstrual and menstrual cramps, headache, and discomfort related to the common cold. 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 12 years of age and over are instructed to take 2 caplets every 8 hours with water. The caplets should be swallowed whole; they must not be crushed, chewed, split, or dissolved. The maximum dosage should not exceed 6 caplets within a 24-hour period. Additionally, the use of this medication should not extend beyond 10 days unless directed by a healthcare professional.

For children under 12 years of age, the use of this medication is not recommended.

Contraindications

There are no specified contraindications for the use of this product. However, it is advised to discontinue use and consult a healthcare professional 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.

Warnings and Precautions

This product contains acetaminophen, which poses a risk of severe liver damage if not used according to the specified guidelines. Healthcare professionals should advise patients to adhere strictly to the following precautions to mitigate risks associated with acetaminophen use.

Maximum Dosage and Alcohol Consumption Patients must not exceed 6 caplets within a 24-hour period, as this is the maximum daily dosage. Additionally, the concurrent use of other medications containing acetaminophen should be avoided to prevent cumulative dosing. It is also critical to counsel patients against the consumption of three or more alcoholic drinks daily while using this product, as this can significantly increase the risk of liver damage.

Monitoring for Adverse Symptoms Patients should be instructed to discontinue use and consult a healthcare provider if any of the following occur: worsening pain or fever lasting more than 10 days or 3 days, respectively; the emergence of new symptoms; or the presence of redness or swelling. These symptoms may indicate a serious underlying condition that requires medical evaluation.

Pre-existing Conditions Prior to initiating treatment, it is essential for healthcare professionals to assess patients for any history of liver disease. Patients with such conditions should be advised to seek medical guidance before using this product.

Drug Interactions Patients currently taking the anticoagulant warfarin should consult with a healthcare provider or pharmacist before using this product, as acetaminophen may interact with blood-thinning medications, potentially altering their effectiveness and safety profile.

By adhering to these warnings and precautions, healthcare professionals can help ensure the safe use of this product among patients.

Side Effects

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

In the event of an overdose, it is imperative for patients to seek immediate medical assistance or contact a Poison Control Center. Prompt medical attention is crucial for both adults and children, even if no signs or symptoms are initially apparent.

Patients are advised to discontinue use and consult a healthcare professional 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.

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

Drug Interactions

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

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

Packaging & NDC

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

Packaging configurations for Acetaminophen.
Details

Pediatric Use

Pediatric patients under 12 years of age should not use this medication. For adolescents aged 12 years and older, the recommended dosage is 2 caplets every 8 hours with water, with a maximum of 6 caplets in a 24-hour period. Treatment should not exceed 10 days unless directed by a healthcare professional.

In cases of overdose, prompt medical attention is essential for both adults and pediatric patients, even if no signs or symptoms are immediately apparent.

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, even if they do not exhibit any immediate signs or symptoms. This caution underscores the importance of monitoring and timely intervention in this population to mitigate potential adverse effects.

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 currently no available data on the excretion of this medication in human breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating mothers.

Renal Impairment

Patients with renal impairment may not have specific information regarding dosage adjustments, special monitoring, or safety considerations outlined in the prescribing information. 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 and monitoring of these patients.

Hepatic Impairment

Patients with hepatic impairment should exercise caution when using this product, which contains acetaminophen. Severe liver damage may occur if patients exceed the maximum daily dosage of 6 caplets within a 24-hour period. Additionally, patients are advised against the concurrent use of other medications containing acetaminophen, as this may further increase the risk of liver injury.

Furthermore, patients with compromised liver function should avoid consuming 3 or more alcoholic drinks daily while using this product, as alcohol can exacerbate the potential for liver damage. It is recommended that healthcare providers closely monitor liver function in patients with hepatic impairment who are prescribed this product, ensuring that they adhere to the outlined dosage limitations and avoid contraindicated substances.

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

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, vigilance and timely action are essential in managing overdose situations effectively.

Nonclinical Toxicology

No teratogenic or non-teratogenic effects have been reported in the available nonclinical studies. Additionally, there is no information regarding animal pharmacology and toxicology. The absence of data limits the assessment of potential risks associated with the use of the compound in these contexts.

Postmarketing Experience

Postmarketing experience has identified that acetaminophen may be associated with severe skin reactions. Reports indicate that symptoms can 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

Patients should be advised to keep this medication out of reach of children to prevent accidental ingestion. It is important to instruct patients to stop using the medication and consult a healthcare provider if they experience any of the following: worsening pain or pain that lasts more than 10 days, a fever that worsens or lasts more than 3 days, the emergence of new symptoms, or the presence of redness or swelling. These symptoms may indicate a serious condition that requires medical attention.

Patients should also be encouraged to seek medical advice before using this medication if they have a history of liver disease. Additionally, it is essential for patients to consult with their healthcare provider or pharmacist prior to use if they are currently taking the blood-thinning medication warfarin, as there may be potential interactions that need to be managed.

Storage and Handling

The product is supplied in a configuration that includes an NDC number for identification. It should be stored at a temperature range of 20-25°C (68-77°F) to maintain its integrity and efficacy.

Healthcare professionals are advised to inspect the packaging prior to use; the product should not be utilized if the foil inner seal is broken or missing, as this may compromise the quality and safety of the product. Proper handling and storage conditions are essential to ensure optimal performance.

Additional Clinical Information

The medication is administered orally, with the recommended dosage for adults and children being 2 caplets every 8 hours, taken with water. Patients should swallow the caplets whole and must not crush, chew, split, or dissolve them. The maximum dosage should not exceed 6 caplets in a 24-hour period, and use should not extend beyond 10 days unless directed by a healthcare professional.

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

Drug Information (PDF)

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

View product document (PDF)

Data Generation & Sources

This page was automatically generated and is maintained by the AllDrugs AI Data-Science Team. It was built from the FDA Structured Product Label (DailyMed) for Acetaminophen, retrieved by a validated AI data-extraction workflow.

All FDA-listed dosage forms and strengths are shown in the Packaging & NDC Codes section above. Regulatory status appears in the Summary Information panel above and was verified in the FDA National Drug Code directory and the NSDE NDC Directory daily file.

Note: an automated daemon monitors NSDE checksums; when the record for this NDC changes, the new file is pulled instantly and this page is refreshed.

No human clinician has reviewed this version.

Learn more in our Editorial Policy

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Orange Book data shown on this page are limited to Regulatory Status (Rx), Established Pharmacologic Class (EPC), and Mechanism of Action (MoA).

Regulatory data notice: Information on this page is reproduced verbatim from FDA public databases (NSDE, Orange Book, Purple Book, DailyMed SPL). NDA/ANDA drugs are FDA-approved, BLA biologics are FDA-licensed. Inclusion alone does not guarantee current market availability or imply FDA endorsement.

Medical disclaimer: This AI-generated content is provided for educational purposes only and does not constitute medical advice. Always consult a licensed healthcare professional for diagnosis or treatment decisions.