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Temporarily relieves minor aches and pains due to headache, muscular aches, minor pain of arthritis, toothache, backache, the common cold, and menstrual cramps. Temporarily reduces fever.
Usual: 1 tab q4-6h while symptoms persist; may use 2 tabs if fever/pain does not respond to 1 tabMax: 6 tabs/24 hrs or ud
Use smallest effective dose
≥12 Years:Usual: 1 tab q4-6h while symptoms persist; may use 2 tabs if fever/pain does not respond to 1 tabMax: 6 tabs/24 hrs or ud
Oral routeTake w/ food or milk if stomach upset occurs
May cause severe allergic reaction, especially in people allergic to aspirin (ASA); d/c if an allergic reaction occurs. May cause severe stomach bleeding; increased risk in patients ≥60 yrs of age, have had stomach ulcers or bleeding problems, or if taking more or for longer time than directed. Avoid use if patient has ever had an allergic reaction to any other pain reliever/fever reducer, or right before/after heart surgery. Caution if patient has problems/serious side effects from taking pain relievers/fever reducers, risk for stomach bleeding, history of stomach problems (eg, heartburn), high BP, heart/kidney disease, liver cirrhosis, asthma, any serious condition, or if taking a diuretic or any other drug. May increase risk of heart attack or stroke if used more or for longer than directed. D/C if signs of stomach bleeding (eg, feeling faint, vomiting blood, bloody/black stools, stomach pain that does not get better) develop, pain worsens or lasts >10 days, fever worsens or lasts >3 days, redness or swelling is present in the painful area, or if any new symptoms appear.
Allergic reactions (eg, hives, facial swelling, asthma/wheezing, shock, skin reddening, rash, blisters), stomach bleeding.
Anticoagulants, steroids, other drugs containing NSAIDs (eg, ASA, ibuprofen, naproxen), or ≥3 alcoholic drinks/day may increase risk of stomach bleeding. May decrease benefit of ASA for heart attack or stroke.
Especially avoid in 3rd trimester of pregnancy; safety not known in nursing.
NSAID; acts as a pain reliever/fever reducer.
Assess for allergy to ASA, high BP, heart/kidney disease, liver cirrhosis, asthma, problems or serious side effects from or history of an allergic reaction to any other pain reliever/fever reducer, risk for stomach bleeding, history of stomach problems, history of/plans for heart surgery, any serious condition, pregnancy/nursing status, and possible drug interactions.
Monitor for signs and symptoms of an allergic reaction, stomach bleeding, worsening of pain or fever, pain lasting >10 days, fever lasting >3 days, redness or swelling that is present in the painful area, and the appearance of new symptoms. Monitor for relief of symptoms.
Instruct not to take more than directed. Instruct to d/c use and consult physician if signs/symptoms of an allergic reaction or stomach bleeding occur, pain worsens or lasts >10 days, fever worsens or lasts >3 days, redness or swelling is present in the painful area, or if any new symptoms appear. Instruct to contact physician if pregnant/breastfeeding. Counsel that the risk of heart attack or stroke may increase if used more or for longer than directed. Advise to take with food or milk if stomach upset occurs.