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Acetaminophen

Pronunciation: a-SEET-a-MIN-oh-fen
Generic name: acetaminophen (oral)
Brand names: Actamin, Anacin AF, Aurophen, Bromo Seltzer, Children's Tylenol, ... show all 14 brands
Dosage forms: oral capsule (325 mg; 500 mg), oral granule, effervescent (650 mg), oral liquid (160 mg/5 mL; 325 mg/10.15 mL; 500 mg/15 mL; 650 mg/20.3 mL), ... show all 9 dosage forms
Drug class: Miscellaneous analgesics

Medically reviewed by Kaci Durbin, MD. Last updated on Aug 6, 2023.

What is acetaminophen?

Acetaminophen is a pain reliever and a fever reducer.

Acetaminophen is used to treat mild to moderate pain, moderate to severe pain in conjunction with opiates, or to reduce fever. Common conditions treated include headache, muscle aches, arthritis, backache, toothaches, sore throat, colds, flu, and fevers.

Acetaminophen is also available in many over-the-counter combination medications with other drugs, including Actifed, Alka-Seltzer Plus Liquid Gels, Cepacol, Contac, Coridicin, Dayquil, Dimetapp, Dristan, Excedrin, Feverall, Liquiprin, Midol, Nyquil, Panadol, Robitussin Singlet, Sinutab, Sudafed, Theraflu, Triaminic, Vanquish, Vicks, and Zicam.

Acetaminophen is also found in many prescription combination drugs, including Butalbital, Endocet, Fioricet, Hycotab, Hydrocet, Hydrocodone bitartrate, Lortab, Percocet, Phenaphen, Sedapap, Tapanol, Tylenol with codeine, Tylox, Ultracet, Vicodin, and Zydone.

Acetaminophen is typically used orally, but can be given intravenously.

Acetaminophen side effects

Get emergency medical help if you have signs of an allergic reaction to acetaminophen: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In rare cases, acetaminophen may cause a severe skin reaction that can be fatal, even if you took acetaminophen in the past and had no reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

Stop taking acetaminophen and call your doctor at once if you have signs of liver problems:

Less serious acetaminophen side effects may be more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking this medicine

You should not take acetaminophen if you are allergic to it, or if you take other medications that contain acetaminophen.

Ask a doctor or pharmacist if this medicine is safe to use if you've ever had cirrhosis of the liver, or if you drink alcohol daily.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

How should I take acetaminophen?

Take acetaminophen exactly as directed on the label, or as prescribed by your doctor. An overdose can damage your liver or cause death.

Acetaminophen comes in many different forms such as capsules, liquid, chewable or disintegrating tablets, and dissolving powders or granules. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you need help.

Do not give extra-strength acetaminophen to a child younger than 12 years old without medical advice.

A child's dose is based on age and weight. Carefully follow the dosing instructions provided with acetaminophen. Ask a doctor before giving this medicine to a child younger than 2 years.

Acetaminophen made for infants comes with its own medicine dropper or oral syringe. Measuring with the wrong device may cause an overdose. Use only the provided dosing device provided to measure an infant's dose.

Liquid acetaminophen made for infants comes with its own medicine dropper or oral syringe. Measuring with the wrong device may cause an overdose. Use only the provided dosing device provided to measure an infant's dose.

Acetaminophen made for infants is available in two different dose concentrations, and each concentration comes with its own medicine dropper or oral syringe. These dosing devices are not equal between the different concentrations. Using the wrong device may cause you to give your child an overdose of acetaminophen. Never mix and match dosing devices between infant formulations of acetaminophen.

You may need to shake the liquid before each use. Follow the directions on the medicine label.

The chewable tablet must be chewed thoroughly before you swallow it.

Make sure your hands are dry when handling the acetaminophen disintegrating tablet. Place the tablet on your tongue. It will begin to dissolve right away. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.

To use the acetaminophen effervescent granules, dissolve one packet of the granules in at least 4 ounces of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

The oral powder should be placed directly on the tongue and swallowed.

Stop taking this medicine and call your doctor if:

Taking acetaminophen may cause false results with certain blood glucose monitors. If you have diabetes, ask your doctor about the best way to monitor your blood sugar levels while using this medicine.

Store at room temperature away from heat and moisture.

What happens if I miss a dose?

Since acetaminophen is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

What should I avoid while taking acetaminophen?

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Avoid using other medicines that may contain acetaminophen.

Avoid drinking alcohol.

Warnings

You should not use this medication if you have severe liver disease.

An overdose of acetaminophen can damage your liver or cause death.

Avoid also using other medicines that contain acetaminophen (sometimes abbreviated as APAP), or you could have a fatal overdose.

Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).

Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

What other drugs will affect acetaminophen?

Other drugs may interact with acetaminophen, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

gabapentin, acetaminophen, aspirin, ibuprofen, tramadol, cyclobenzaprine, amitriptyline, Paracetamol, diclofenac, naproxen

Popular FAQ

Can you take tramadol with acetaminophen, ibuprofen, or aspirin?

Yes, it is safe for most people to take tramadol with acetaminophen, ibuprofen, or aspirin if they are old enough (aspirin is not recommended for children less than 16 years and tramadol should not be taken by children under the age of 12). Continue reading

What is paracetamol / Panadol called in the US?

Paracetamol is known as acetaminophen in the U.S. Acetaminophen relieves mild-to-moderate pain, headache and fever. It's available over-the-counter as brand names such as Tylenol, Mapap or Panadol, and also as generics and store-specific brands. There are no differences in the chemical or therapeutics uses of acetaminophen and paracetamol, although recommended doses or available products may differ between countries. Continue reading

Acetaminophen vs Ibuprofen: Which is better?

Acetaminophen is only effective at relieving pain and fever, while ibuprofen relieves inflammation in addition to pain and fever. Continue reading

Advil (ibuprofen) & Tylenol (acetaminophen) together, is it safe?

Yes, it is safe to take ibuprofen (Advil) and acetaminophen (Tylenol) together if you need to for extra pain relief, such as for a dental extraction. Taking ibuprofen and acetaminophen together works better to relieve pain than taking ibuprofen and acetaminophen separately. This is because they work in different ways with few side effects. Continue reading

Acetaminophen vs paracetamol: What do you need to know?

Acetaminophen (Tylenol) found in the U.S is the same medicine as paracetamol (Panadol) used throughout many regions of the world, including Europe, Australia, India and New Zealand. Acetaminophen and paracetamol are the generic names of medicines used to treat mild pain, headache and fever. Continue reading

What temperature is considered a fever?

A fever is defined as a body temperature of 38°C (100.4°F) or higher. Normal body temperature is usually 37°C (98.6°F), although it can be about a half degree Celsius higher or lower for some people and that’s normal for them. Continue reading

Is it safe to take acetaminophen every day?

It is considered safe to take acetaminophen every day as long as you follow the recommended dosage guidelines of taking it every 4 to 6 hours, only take what you need, and do not exceed the maximum dosage of 4,000 mg per day (note that some experts believe a maximum limit of 3,000 mg per day is safer for those who take acetaminophen every single day). Continue reading

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Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use acetaminophen only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.