Acetaminophen; Aspirin; Caffeine Oral Powder

What is this medication?

ACETAMINOPHEN; ASPIRIN; CAFFEINE (a set a MEE noe fen; AS pir in; KAF een) treats mild aches and pains. It is a combination of acetaminophen, an NSAID, and caffeine.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): BC MAX STRENGTH Fast Pain Relief, Goody's Extra Strength (Cool Orange), Goody's Extra Strength Headache, Goody's Extra Strength Headache Powder (Mixed Fruit Blast ), Goody's Hangover Pain Relief

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• Anemia
• Asthma
• Bleeding problems
• Diabetes
• Frequently drink alcohol
• Gout
• Heart disease
• High blood pressure
• Kidney disease
• Liver disease
• Low level of vitamin K
• Lupus
• Stomach ulcers, other stomach or intestine problems
• Tobacco use
• An unusual or allergic reaction to acetaminophen, aspirin, caffeine, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

How should I use this medication?

Take this medication by mouth. Place one packet of powder on tongue and follow with plenty of liquid, or stir powder into a glass of water or other liquid. Follow the directions on the product label. You can take this medication with or without food. If it upsets your stomach, take it with food. Take your medication at regular intervals. Do not take your medication more often than directed.

Talk to your care team about the use of this medication in children. Special care may be needed.

People over the age of 65 years may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply. This medication is not for regular use. It should only be used as needed.

What may interact with this medication?

Do not take this medication with any of the following:

• MAOIs, such as Carbex, Eldepryl, Marplan, Nardil, and Parnate
• Methotrexate
• Other medications with acetaminophen
• Probenecid

This medication may also interact with the following:

• Alcohol
• Alendronate
• Bismuth subsalicylate
• Certain cough and cold medications, such as pseudoephedrine
• Clozapine
• Flavocoxid
• Grapefruit juice
• Herbal supplements, such as feverfew, garlic, ginger, ginkgo biloba, horse chestnut
• Isoniazid
• Lithium
• Medications for diabetes or glaucoma, such as acetazolamide or methazolamide
• Medications for gout
• Medications that stimulate or keep you awake
• Medications that prevent and treat blood clots, such as enoxaparin, heparin, ticlopidine, warfarin
• NSAIDs, medications for pain and inflammation, such as ibuprofen or naproxen
• Other aspirin and aspirin-like medications
• Varicella live vaccine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Tell your care team if the pain lasts more than 10 days, if it gets worse, or if there is a new or different kind of pain. Tell your care team if you see redness or swelling. If you are treating a fever, check with your care team if the fever lasts for more than 3 days.

Do not take other medications that contain acetaminophen with this medication. Many non-prescription medications contain acetaminophen. Always read labels carefully. If you have questions, ask your care team.

If you take too much acetaminophen, get medical help right away. Too much acetaminophen can be very dangerous and cause liver damage. Even if you do not have symptoms, it is important to get help right away.

This medication can irritate your stomach or cause bleeding problems. Do not smoke cigarettes or drink alcohol. Do not lie down for 30 minutes after taking this medication to prevent irritation to your throat.

If you are scheduled for any medical or dental procedure, tell your care team that you are taking this medication. You may need to stop taking this medication before the procedure.

Do not take this medication close to bedtime. It may prevent you from sleeping.

This medication may be used to treat migraines. If you take migraine medications for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medication use. Contact your care team if your migraine attacks occur more frequently.

This medication may cause serious skin reactions. They can happen weeks to months after starting the medication. Contact your care team right away if you notice fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. You may also notice a red rash with swelling of the face, lips, or lymph nodes in your neck or under your arms.

Discuss this medication with your care team if you may be pregnant. Taking this medication after 20 weeks of pregnancy may cause serious birth defects. Use of this medication after 30 weeks of pregnancy is not recommended.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
• Bleeding—bloody or black, tar-like stools, vomiting blood or brown material that looks like coffee grounds, red or dark brown urine, small red or purple spots on skin, unusual bruising or bleeding
• Hearing loss, ringing in ears
• Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
• Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
• Rash, fever, and swollen lymph nodes
• Redness, blistering, peeling, or loosening of the skin, including inside the mouth
• Round red or dark patches on the skin that may itch, burn, and blister

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

• Anxiety, nervousness
• Headache
• Loss of appetite
• Nausea
• Tremors or shaking
• Trouble sleeping
• Upset stomach

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed.

Get rid of any unused medication after the expiration date.

To get rid of medications that are no longer needed or have expired:

• Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
• If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.