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 sensation, fever, and swelling. Caffeine helps increase the results of aspirin on pain.
Take this medication by mouth as directed by your doctor. Take with a glass that is full of (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this medication. If you have nausea, you may take this medication with food. Consult your doctor or pharmacist about alternative methods to diminish nausea (age.g., antihistamines, lying down for 1-2 hours with very little head motion as you possibly can).
The dosage is according to 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 perhaps not work 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 doctor or pharmacist for more details, and report any withdrawal reactions straight away.
Though most unlikely, abnormal drug-seeking behavior (addiction) can be done using this medication. To reduce the possibility of becoming addicted, don't increase your dosage, frequently take it more, or take it for a longer time than prescribed. Use the smallest dose that is effective. Properly stop the medication whenever so directed.
Whenever useful for an extensive period, this medication may well not work aswell and may even require dosing that is different. Talk with your doctor if this medication prevents working well.
Inform your doctor if your pain persists or worsens.
Nausea, vomiting, 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 immediately.
To lower 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 fiber, drink plenty of water, and workout. If you become constipated when using this drug, check with your pharmacist for assistance in selecting a laxative (age.g., stimulant-type with stool softener).
Remember 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 serious adverse effects.
Tell your doctor right away if any of these unlikely but serious adverse effects occur: mental/mood changes, fast/irregular heartbeat, increased thirst/urination, hearing changes (age.g., tinnitus), easy bruising/bleeding, signs of disease (e.g., fever, persistent sore throat), heartburn, discomfort when swallowing, dark urine, yellowing eyes/skin, change in the amount of urine, difficulty urinating, unusual tiredness.
Seek immediate medical attention if some of these rare but extremely serious negative effects occur: fainting, seizure, black colored stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, slurred speech, weakness using one part of your body.
This system may cause mental/mood that is serious 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 medical help right away in the event that you notice some of the following: slow/shallow breathing, unusual drowsiness/difficulty waking up, confusion.
an extremely severe allergic reaction to this drug is rare. However, seek immediate medical attention if you observe any symptoms of a significant allergic reaction, including: rash, itching/swelling (especially for the face/tongue/throat), severe dizziness, difficulty breathing.
This is certainly not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your physician for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about negative effects. You may report adverse effects to Health Canada at 1-866-234-2345.
Before taking this medication, inform your medical professional or pharmacist 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 if you have any other allergies. This product may contain ingredients that are inactive which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medicine, inform your physician 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), mind disorders (e.g., seizures, mind injury, tumefaction, increased intracranial pressure), breathing problems (e.g., chronic obstructive pulmonary disease-COPD, sleep apnea), illness of this pancreas (e.g., pancreatitis), heart illness (e.g., irregular heartbeat, recent heart attack), certain enzyme deficiencies (pyruvate kinase or G6-PD deficiency), gout, liver disease, kidney disease, heartburn, growths within the nose (nasal polyps), a certain 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 diarrhea, colitis), adrenal gland problem (age.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 surgical procedure (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 you can perform such activities safely until you are sure. Avoid beverages that are alcoholic.
This medicine may cause stomach bleeding. Daily use of tobacco and alcohol, especially when combined with this medicine, may increase your danger for belly bleeding. Limit alcohol and stop smoking. Consult your pharmacist or doctor for more information.
This medicine contains aspirin. Kids 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.
Young ones may be much more responsive to the medial side ramifications of the narcotic pain reliever, especially extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See also Warning section.)
Older grownups may become more responsive to the side effects 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 consult with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. This medication is not recommended for use during pregnancy. It may damage an baby that is unborn restrict normal labor/delivery. Check with your doctor for more information.
This drug passes into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding is not advised while using the this drug. Check with 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.