See also Warning section.
This combination medicine is used to treat moderate pain, fever, and swelling. The narcotic pain reliever (opiate-type) acts on certain centers in the mind to give you pain relief. Aspirin helps to diminish the pain, fever, and swelling. Caffeine helps increase the effects of aspirin on pain.
Take this medication by mouth as directed by your doctor. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this medication. You may take this medication with food if you have nausea. Consult your doctor or pharmacist about other ways to decrease nausea (age.g., antihistamines, lying down for 1-2 hours with very little mind motion possible).
The dosage is considering your medical condition and response to therapy. Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not act as well.
This medication may cause withdrawal reactions, especially if it has been utilized regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as runny nose, watery eyes, restlessness) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your pharmacist or doctor for more details, and report any withdrawal reactions immediately.
Though most unlikely, abnormal drug-seeking behavior (addiction) is achievable with this particular medication. To reduce the possibility of becoming addicted, usually do not increase your dosage, frequently take it more, or take it for a longer time than prescribed. Use the smallest effective dose. Properly stop the medication whenever so directed.
When used for an extensive period, this medication might not work as well and may even require dosing that is different. Talk to your doctor if this medication prevents working well.
Inform your doctor if your pain persists or worsens.
Sickness, sickness, stomach upset, shaking tremor that is(, constipation, dry mouth, lightheadedness, dizziness, or drowsiness may occur. If any of these effects persist or worsen, notify your pharmacist or doctor promptly.
To reduced your risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.
To prevent constipation, maintain a diet adequate in dietary fiber, drink plenty of water, and workout. In the event that you become constipated while using the this drug, consult your pharmacist for assistance in selecting a laxative (e.g., stimulant-type with stool softener).
Keep in mind that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have side that is serious.
Tell your medical practitioner appropriate away if any of these unlikely but serious adverse results occur: mental/mood changes, fast/irregular heartbeat, increased thirst/urination, hearing changes (e.g., ringing ears), simple bruising/bleeding, signs of illness (e.g., fever, persistent sore throat), heartburn, discomfort when swallowing, dark urine, yellowing eyes/skin, modification in the amount of urine, difficulty urinating, unusual tiredness.
Seek immediate medical attention if any of these rare but extremely serious adverse effects occur: fainting, seizure, black colored stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, slurred message, weakness using one side of the body.
This product may cause serious mental/mood changes and very serious (rarely fatal) breathing problems. This product may contain dihydrocodeine or codeine. Codeine and dihydrocodeine are turned into strong drugs that are narcoticmorphine or dihydromorphine) in your body. In some people this happens faster and more completely than usual, which increases the risk of very serious side effects. Get help that is medical away if you notice any of the after: slow/shallow breathing, unusual drowsiness/difficulty waking up, confusion.
a really severe allergic reaction to this drug is rare. However, seek immediate attention that is medical you see any observeable symptoms of a significant sensitive effect, including: rash, itching/swelling (especially regarding the face/tongue/throat), severe dizziness, trouble breathing.
This really is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your medical professional for medical advice about negative effects. You could report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about negative effects. You could report effects that are side Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you have any other allergies if you are allergic to aspirin, caffeine, or narcotic pain medications (e.g., codeine); or to salicylates (e.g., salsalate), nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), or xanthine derivatives (e.g., theophylline); or. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Communicate with your pharmacist for more details.
Before by using this medication, tell your doctor or pharmacist your medical history, especially of: asthma (including a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), bleeding/blood clotting disorders (e.g., hemophilia, von Willebrand's disease, thrombocytopenia), brain disorders (e.g., seizures, head damage, tumefaction, increased intracranial pressure), breathing problems (e.g., chronic obstructive pulmonary disease-COPD, sleep apnea), illness for the pancreas (e.g., pancreatitis), heart illness (age.g., irregular heartbeat, recent heart assault), certain enzyme deficiencies (pyruvate kinase or G6-PD deficiency), gout, liver disease, kidney disease, heartburn, growths into the nose (nasal polyps), a specific spinal problem (kyphoscoliosis), gallbladder disease, personal or family history of regular use/abuse of drugs/alcohol, mental/mood disorders, stomach/intestinal dilemmas (age.g., ulcers, infectious diarrhoea, colitis), adrenal gland issue (e.g., Addison's disease), difficulty urinating (e.g., due to enlarged prostate or urethral stricture), underactive thyroid (hypothyroidism), recent surgery that is bowel/abdominal.
Before having surgery or particular medical procedures (such as for instance a heart stress test or a process to replace a normal heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This medication may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.
This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, particularly when combined with this medicine, may increase your risk for belly bleeding. Limit stop and alcohol smoking. Consult your pharmacist or doctor for more information.
This medication contains aspirin. Children and teenagers less than 18 years old should not take aspirin if they have just been given a live virus vaccine, without first consulting a doctor about Reye's syndrome, a rare but serious illness if they have chickenpox, flu, or any undiagnosed illness, or.
Children may be more responsive to the medial side ramifications of the narcotic pain reliever, specially extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See also Warning section.)
Older adults may be much more responsive to the medial side results of this drug, especially stomach bleeding/ulcers, confusion, dizziness, drowsiness, and breathing that is slow/shallow.
Before using this medication, women of childbearing age should talk with their s that are doctor( about the risks and benefits. Tell your doctor if you plan to become pregnant if you are pregnant or. This medication is not suggested to be used during maternity. It may harm an baby that is unborn restrict normal labor/delivery. Check with your doctor for additional information.
This drug passes into breast milk and might have undesirable effects on a nursing baby. Therefore, breast-feeding is not recommended when using this drug. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.