Narcotic Analgesics and Acetaminophen (Oral Route)

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Proper Use

Take this medicine only as directed by your medical doctor or dentist. Do not take more of it, do not take it more often, and do not take it for a longer time than your medical doctor or dentist ordered. This is especially important for young children and elderly patients, who may be more sensitive than other people to the effects of narcotic analgesics. If too much of a narcotic analgesic is taken, it may become habit-forming (causing mental or physical dependence) or lead to medical problems because of an overdose. Taking too much acetaminophen may cause liver damage.

If you think that this medicine is not working properly after you have been taking it for a few weeks, do not increase the dose. Instead, check with your medical doctor or dentist.

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

    For acetaminophen and codeine
  • For oral dosage forms (capsules or tablets):
    • For pain:
      • Adults—1 or 2 capsules or tablets containing acetaminophen with 15 or 30 milligrams (mg) of codeine, or 1 capsule or tablet containing acetaminophen with 60 mg of codeine, every four hours as needed.
      • Children—Dose must be determined by the doctor, depending on the age of the child. Most young children will receive the oral solution or suspension, rather than tablets or capsules.
  • For oral dosage forms (solution or suspension):
    • For pain:
      • Adults—1 tablespoonful (3 teaspoonfuls) every four hours as needed.
      • Children 7 to 12 years of age—2 teaspoonfuls three or four times a day as needed.
      • Children 3 to 7 years of age—1 teaspoonful three or four times a day as needed.
      • Children younger than 3 years of age—Dose must be determined by your doctor.
    For acetaminophen, codeine, and caffeine
  • For oral dosage form (tablets):
    • For pain:
      • Adults—1 or 2 tablets every four hours as needed.
      • Children—Dose must be determined by your doctor.
    For dihydrocodeine, acetaminophen, and caffeine
  • For oral dosage form (capsules):
    • For pain:
      • Adults—2 capsules every four hours.
      • Children—Dose must be determined by your doctor.
    For hydrocodone and acetaminophen
  • For oral dosage form (capsules):
    • For pain:
      • Adults—1 capsule every four to six hours as needed.
      • Children—Dose must be determined by your doctor.
  • For oral dosage form (oral solution):
    • For pain:
      • Adults—1 to 3 teaspoonfuls every four to six hours as needed.
      • Children—Dose must be determined by your doctor.
  • For oral dosage form (tablets):
    • For pain:
      • Adults—1 or 2 tablets containing acetaminophen with 2.5 milligrams (mg) of hydrocodone, or 1 tablet containing acetaminophen with 5, 7.5, or 10 mg of hydrocodone, every four to six hours as needed.
      • Children—Dose must be determined by your doctor.
    For oxycodone and acetaminophen
  • For oral dosage form (solution):
    • For pain:
      • Adults—1 teaspoonful every four to six hours as needed.
      • Children—Dose must be determined by your doctor.
    For pentazocine and acetaminophen
  • For oral dosage form (tablets):
    • For pain:
      • Adults—1 tablet every four hours.
      • Children—Dose must be determined by your doctor.
    For propoxyphene and acetaminophen
  • For oral dosage form (tablets):
    • For pain:
      • Adults—1 or 2 tablets, depending on the strength, every four hours as needed.
      • Children—Dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Precautions Before Using

DR602295

Portions of this document last updated:

Nov. 1, 2009

Source: Drug Information provided by: Micromedex

Copyright © 2009 Thomson Healthcare Inc. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.


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