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Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Stre...

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Active ingredient
Acetaminophen 500 mg
Other brand names
Dosage form
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2008
Label revision date
September 8, 2025
Active ingredient
Acetaminophen 500 mg
Other brand names
Dosage form
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2008
Label revision date
September 8, 2025
Manufacturer
Unifirst First Aid Corporation
Registration number
M013
NDC roots
47682-175, 47682-804, 47682-904

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Drug Overview

Medi-First Extra Strength Non Aspirin is a pain reliever and fever reducer that contains acetaminophen (a common medication used to relieve pain and reduce fever) at a strength of 500 mg per tablet. It is designed to temporarily relieve minor aches and pains, including headaches, muscular aches, arthritis pain, backaches, toothaches, and menstrual cramps, as well as to reduce fever.

This medication is comparable to Extra Strength Tylenol® and is intended for use in households without young children. It comes in tamper-evident unit dose packets, ensuring safety and integrity.

Uses

You can use this medication to temporarily relieve minor aches and pains caused by various conditions, including headaches, muscular aches, arthritis, backaches, the common cold, toothaches, and menstrual cramps. It can also help reduce fever, providing you with some comfort when you're not feeling well.

This medication is designed to address these common discomforts, making it a helpful option for managing everyday pain and fever.

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 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 or any of the inactive ingredients in the product. Additionally, avoid using it alongside any other medications 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 can help ensure your safety and well-being.

Side Effects

You should be aware that this product contains acetaminophen, which can lead to severe liver damage if you exceed 4,000 mg in 24 hours, take it with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily while using it. Additionally, acetaminophen may cause serious skin reactions, including skin reddening, blisters, or rashes. If you experience any of these symptoms, stop using the product and seek medical help immediately.

It's important to stop using this product and consult a doctor if your pain worsens or lasts longer than 10 days, if your fever worsens or lasts more than 3 days, if you notice new symptoms, or if you see any redness or swelling, as these could indicate a serious condition. In case of an overdose, seek medical assistance or contact a Poison Control Center right away, as prompt attention is crucial for both adults and children, even if no symptoms are present.

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 acetaminophen-containing medications, or consume three or more alcoholic drinks daily while using it. Be aware that acetaminophen may also cause serious skin reactions, such as reddening, blisters, or rashes. If you experience any skin reactions, 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 thinner 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. Additionally, 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 redness or swelling, as these may 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. 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 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 and any medications you may consider.

Pediatric Use

If you are considering this medication for your child, it's important to consult a doctor first if your child is under 12 years old. For those aged 12 and older, the recommended dosage is 2 tablets every 6 hours as needed, but do not exceed 6 tablets in a 24-hour period unless directed by a healthcare professional. Additionally, it's advised not to use this medication for more than 10 days without a doctor's guidance.

Be aware that in case of an overdose, seeking quick medical attention is crucial for both adults and children, even if there are no immediate signs or symptoms. Always prioritize safety and follow the recommended guidelines.

Geriatric Use

When it comes to using this medication in older adults, there is no specific information available about dosage adjustments, safety concerns, or special precautions. This means that if you or a loved one is an older adult considering this medication, it’s important to consult with a healthcare provider. They can help determine the best approach based on individual health needs and any other medications being taken. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

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 4,000 mg in a 24-hour period can lead to severe liver damage, which is the maximum daily amount recommended. Additionally, avoid using other medications that also contain acetaminophen, as this can increase your risk of liver injury.

It's also crucial to limit alcohol consumption to fewer than three drinks per day while using this product, as drinking alcohol can further strain your liver. Always consult with your healthcare provider for personalized advice and to ensure your safety when using medications.

Drug Interactions

It's important to be aware that if you take acetaminophen, it can increase the effects of warfarin, a medication that helps prevent blood clots. This means there could be a higher risk of bleeding, so your healthcare provider may want to monitor your INR (a blood test that measures how long it takes your blood to clot) more closely if you are using these medications together.

Always discuss any medications you are taking with your healthcare provider, including over-the-counter drugs like acetaminophen. They can help ensure that your treatment is safe and effective, especially if you are on blood thinners like warfarin.

Storage and Handling

To ensure the best quality and safety of your product, store it at room temperature, ideally between 59ºF and 86ºF (15ºC and 30ºC). Always use the tamper-evident sealed packets provided, as these help guarantee that the product has not been compromised. If you notice any opened or torn packets, do not use them, as this could affect the safety and effectiveness of the product.

By following these simple storage and handling guidelines, you can help maintain the integrity of the product and ensure its safe use.

Additional Information

No further information is available.

FAQ

What is Medi-First Extra Strength Non Aspirin used for?

Medi-First Extra Strength Non Aspirin is a pain reliever and fever reducer that temporarily relieves minor aches and pains due to headaches, muscular aches, arthritis, backaches, the common cold, toothaches, and menstrual cramps.

What is the active ingredient in Medi-First Extra Strength Non Aspirin?

The active ingredient is acetaminophen, which is present at a dosage of 500 mg per tablet.

How should adults and children over 12 take this medication?

Adults and children aged 12 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 contraindications for using Medi-First Extra Strength Non Aspirin?

Do not use this product if you are allergic to acetaminophen or any inactive ingredients, or if you are taking any other drug containing acetaminophen.

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.

What are the liver warnings associated with this medication?

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 this product.

Can I use Medi-First Extra Strength Non Aspirin if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult a health professional before using this medication.

What should I do if my symptoms do not improve?

Stop use and consult a doctor if pain worsens or lasts more than 10 days, fever worsens or lasts more than 3 days, or if new symptoms occur.

How should I store Medi-First Extra Strength Non Aspirin?

Store the medication at room temperature between 59º-86ºF (15º-30ºC) and use tamper-evident sealed packets.

Packaging Info

Below are the non-prescription pack sizes of Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength (acetaminophen). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength.
Details

Drug Information (PDF)

This file contains official product information for Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength, 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 headache, muscular aches, minor pain of arthritis, backache, the common cold, toothache, 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 tablets every 6 hours as needed while symptoms persist. The maximum dosage should not exceed 6 tablets 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 another medication, 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 in the formulation.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should advise patients that the risk of liver injury increases significantly if they exceed the maximum daily dosage of 4,000 mg within a 24-hour period, use other medications containing acetaminophen concurrently, or consume three or more alcoholic beverages daily while taking this product.

Acetaminophen may also lead to 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.

Healthcare providers should recommend that patients consult a physician prior to using this product if they have a history of liver disease. Additionally, it is prudent to advise patients to speak with their doctor or pharmacist if they are currently taking warfarin or any other blood-thinning medications, as interactions may occur.

In cases of overdose, immediate medical attention is essential. Patients should be instructed to contact a Poison Control Center at 1-800-222-1222 or seek emergency medical help without delay, regardless of the presence of symptoms.

Patients should also be advised to discontinue use and consult a healthcare professional 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 signs may indicate a serious underlying condition that requires further evaluation.

Side Effects

Patients using this product should be aware of the potential for serious adverse reactions, particularly related to liver health and allergic responses.

Severe liver damage may occur if patients exceed the maximum daily dosage of 4,000 mg of acetaminophen within a 24-hour period, take this product in conjunction with other medications containing acetaminophen, or consume three or more alcoholic drinks daily while using this product.

Additionally, acetaminophen may cause severe skin reactions, which can manifest as skin reddening, blisters, or rash. If any of these symptoms occur, patients are advised to discontinue use immediately and seek medical assistance.

Patients should also be vigilant for signs that warrant discontinuation of the product and consultation with a healthcare provider. These signs include 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, as these may indicate a serious underlying condition.

In the event of an overdose, it is crucial for patients to seek 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 of overdose are apparent.

Drug Interactions

Acetaminophen has been observed to potentially enhance the anticoagulant effect of warfarin, which may lead to an increased 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 and effective management of anticoagulation therapy.

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

Packaging & NDC

Below are the non-prescription pack sizes of Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength (acetaminophen). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength.
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 2 tablets every 6 hours as needed for symptom relief, with a maximum of 6 tablets in a 24-hour period, unless otherwise directed by a physician. Treatment should not exceed 10 days without medical advice.

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

Geriatric Use

There is no specific information regarding the use of this medication in geriatric patients, including dosage adjustments, safety concerns, or special precautions. Healthcare providers should exercise caution when prescribing this medication to elderly patients, as individual responses may vary. Monitoring for potential adverse effects and therapeutic efficacy is recommended in this population.

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 medication in human breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

There is no specific information regarding dosage adjustments, special monitoring, or safety considerations for patients with renal impairment. Healthcare professionals should exercise caution when prescribing to patients with reduced kidney function, as the absence of detailed guidance necessitates careful clinical judgment. Regular monitoring of renal function may be advisable in this patient population.

Hepatic Impairment

Patients with hepatic impairment should be closely monitored when using this product, which contains acetaminophen. It is important to note that severe liver damage may occur if patients exceed the maximum daily dosage of 4,000 mg within a 24-hour period. Additionally, patients should avoid concomitant use of other medications containing acetaminophen, as this can further increase the risk of liver injury.

Patients with compromised liver function are also advised to limit alcohol consumption. Specifically, the intake of three or more alcoholic drinks per day while using this product may significantly heighten the risk of liver damage. Therefore, careful consideration of liver function and adherence to recommended dosage guidelines is essential to minimize the potential for adverse effects in this population.

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 lack of immediate symptoms does not preclude the potential for serious adverse effects. Therefore, vigilance and timely action are essential in managing overdose situations effectively.

Nonclinical Toxicology

No information is available regarding teratogenic or non-teratogenic effects. Additionally, there is no data provided concerning nonclinical toxicology, animal pharmacology, or toxicology.

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 the medication out of reach of children to prevent accidental ingestion.

In the event of an overdose, it is crucial for patients to seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. Providers should emphasize that prompt medical attention is essential for both adults and children, even if no signs or symptoms are apparent.

Patients who are pregnant or breastfeeding should be encouraged to consult with a healthcare professional before using the medication to ensure safety for themselves and their child.

Storage and Handling

The product is supplied in tamper-evident sealed packets to ensure integrity and safety. It is essential to store the packets at room temperature, specifically within the range of 59ºF to 86ºF (15ºC to 30ºC). Care should be taken to avoid using any packets that are opened or torn, as this may compromise the product's quality and efficacy.

Additional Clinical Information

No further data are available.

Drug Information (PDF)

This file contains official product information for Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength, 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 Medi First Plus Non-Aspirin Extra Strength, Medi-First Non-Aspirin Extra Strength, Medique Apap Extra Strength, 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.