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Acetaminophen (a seet a MIN oh fen)

Pediatric Medication

Brand Names: U.S.

Acephen [OTC]; Aspirin Free Anacin Extra Strength [OTC]; Cetafen Extra [OTC]; Cetafen [OTC]; Excedrin Tension Headache [OTC]; FeverAll Adult [OTC]; FeverAll Childrens [OTC]; FeverAll Infants [OTC]; FeverAll Junior Strength [OTC]; Little Fevers [OTC]; Mapap Arthritis Pain [OTC]; Mapap Children’s [OTC]; Mapap Extra Strength [OTC]; Mapap Infant’s [OTC]; Mapap Junior Rapid Tabs [OTC]; Mapap [OTC]; Non-Aspirin Pain Reliever [OTC]; Nortemp Children’s [OTC]; Ofirmev; Pain & Fever Children’s [OTC]; Pain Eze [OTC]; Q-Pap Children’s [OTC]; Q-Pap Extra Strength [OTC]; Q-Pap Infant’s [OTC]; Q-Pap [OTC]; RapiMed Children’s [OTC]; RapiMed Junior [OTC]; Silapap Children’s [OTC]; Silapap Infant’s [OTC]; Triaminic Children’s Fever Reducer Pain Reliever [OTC]; Tylenol 8 Hour [OTC]; Tylenol Arthritis Pain Extended Relief [OTC]; Tylenol Children’s Meltaways [OTC]; Tylenol Children’s [OTC]; Tylenol Extra Strength [OTC]; Tylenol Jr. Meltaways [OTC]; Tylenol [OTC]; Valorin Extra [OTC]; Valorin [OTC]

Brand Names: Canada

Abenol; Apo-Acetaminophen; Atasol; Novo-Gesic; Pediatrix; Tempra; Tylenol

Warning

  • This drug has acetaminophen in it. Very bad and sometimes deadly liver problems like the need for a liver transplant have happened with acetaminophen use. Most of the time, liver problems have happened in people who took more acetaminophen in a day than they were told. Also, people who had liver problems were often using more than 1 drug that had acetaminophen in it. Talk with the doctor.

What is this drug used for?

  • It is used to ease pain and fever.

What do I need to tell the doctor BEFORE my child takes this drug?

All products:

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Shot:

  • If your child has liver disease.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of their drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

All products:

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Do not give your child more of this drug than what the doctor told you to give. Giving more of this drug than you are told may raise the chance of very bad side effects.
  • Avoid giving your child other sources of acetaminophen. An overdose may cause problems.
  • Call the doctor right away if you give your child more acetaminophen in a day than you were told, even if your child feels well.
  • Alcohol may interact with this drug. Be sure your child does not drink beer, wine, or mixed drinks.
  • This drug may affect certain lab tests. Be sure the doctor and lab workers know your child takes this drug.
  • Different brands of this drug may have different doses for children. Talk with the doctor before giving this drug to a child.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

Chewable tablet:

  • If your child has PKU, talk with your child’s doctor. Some products have phenylalanine.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
  • Not able to pass urine or change in how much urine is passed.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if your child has signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in the mouth, throat, nose, or eyes.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Upset stomach or throwing up.
  • Not able to sleep.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.

All oral products:

  • Give this drug with or without food.

Chewable tablet:

  • Have your child chew all the way up before swallowing.

Oral-disintegrating tablet:

  • Place on the tongue and let melt.

Extended-release tablets:

  • Have your child swallow whole. Do not let your child chew, break, or crush.
  • Give this drug with a full glass of water.

Liquid (drops):

  • Measure liquid doses carefully. Use the measuring device that comes with this drug.

All other liquid products:

  • Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, get an oral syringe, a dropper, a spoon, or a cup (only for older children) from your pharmacist.

Liquid (suspension):

  • Shake well before use.

Suppository:

  • Suppositories are for rectal use only.
  • Wash your hands before and after use.
  • If suppository is soft, chill in a refrigerator or run cold water over it.
  • To use suppository, take off foil wrapper.
  • Wet suppository before putting in rectum.
  • Put suppository into the rectum with gentle pressure, pointed end first. Do not handle too much.

Shot:

  • It is given as a shot into a vein.

What do I do if my child misses a dose?

  • If your child takes this drug on a regular basis, give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses at the same time or extra doses.
  • Many times this drug is given on an as needed basis. Do not give to your child more often than told by the doctor.

How do I store and/or throw out this drug?

Shot:

  • This drug will be given to your child in a hospital or doctor’s office. You will not store it at home.

All other products:

  • Store at room temperature.
  • Protect from light.
  • Store in a dry place. Do not store in a bathroom.

All oral products:

  • Store in original container.
  • Keep lid tightly closed.

Suppository:

  • Do not freeze suppositories.

All products:

  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

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