The combination of Acetaminophen and salicylate is used to provide relief in pain and, for adults - to alleviate fever. However, acetaminophen salicylate combination should not be given to children and teenagers showing symptoms of flu, chickenpox or fever. This medication when used in treating flu, fever and chickenpox in children and teens can cause Reye’s syndrome, a serious disease that can be fatal to that age group. The medication is also used to get rid of pain from rheumatism and mild inflammation. Migraine headaches are also relieved by the medicine.
The medicine is available over-the-counter or OTC. The patient should follow the instructions in the label especially the required dosage and frequency. It is not advisable to take large doses of acetaminophen and salicylates combination for a long period of time because it may lead to kidney problems such as kidney cancer, kidney damage and urinary bladder cancer.
The patient should take the required dosage for a short time to prevent incurring kidney or urinary illnesses. If the patient uses either acetaminophen or salicylate alone, not the combination, there seems to be no marked adverse side effects if taken for a lengthy period of time even at a large dosage. If using both acetaminophen and salicylates are needed, the patient should be monitored by the doctor.
Ask the doctor if acetaminophen salicylate will interact with any current medications being taken. Do not give combination medicines to a child without referring to a doctor. Some medications may come out too strong for children. Even if these medicines are available over-the-counter, it is always wise to take necessary precautions to prevent unnecessary side effects. It would be a good idea to inquire from a doctor the required dosage for the condition the patient is treating especially if the patient has other medical problems. The dosage varies from patient to patient depending on several factors. The doctor knows when and how to prescribe acetaminophen salicylate so it will not interact with other medications or cause adverse effects on existing medical conditions.
Acetaminophen salicylate is available in these forms:
In the USA, acetaminophen salicylate is sold under the following popular drug brand names: By-Ache, Be-Flex Plus, Backprin, Cafgesic Forte, Combiflex ES, Combiflex, Durabac Forte, Durabac, Goodys Fast Pain Relief, Genaced, Levacet, and Pain-Off.
Some medicines may cause side effects to the patient. Some of these side effects can be severe or life-threatening. However, not all patients will experience unwanted side effects. If they do, the patient needs to inform the doctor or seek medical attention right away.
Children and teens should not take the medicine to treat fever, flu or, chickenpox as this may lead to a condition called Reye’s syndrome, which could be fatal to this age bracket.
The known side effects for acetaminophen-salicylate combination drug include the following:
In case of overdosage of acetaminophen salicylate combination, the patient should seek emergency assistance if these symptoms are noted:
Other side effects that require medical attention include:
Some of these side effects may occur but they will also just go away even without going to the doctor or getting treated. Often, some side effects will go away once the body gets used to taking the acetaminophen salicylate medication.
If a patient consults the doctor before using acetaminophen salicylate combination, he or she may prevent some side effects from occurring. This is why, it is recommended to see a doctor before taking the medicine. This is particularly true in patients with existing medical conditions, young children or the elderly patients.
Sometimes, side effects may manifest even after using the medication. Talk to the doctor if unusual symptoms are experienced during or after using the medicine.
A patient may also report the side effects to the FDA by calling at this number 1-800-FDA-1088.
The dosage for acetaminophen salicylate will differ from patient to patient. The patient should follow the instructions as directed on the label. Or, use only the dosage recommended by the doctor.
Standard dosage of acetaminophen salicylate combination include the following:
Patients with fever, aches, mild symptoms of arthritis:
Patients treating migraine headaches:
If used to treat fever, aches or mild symptoms of arthritis:
The standard dosage is recommended for average doses of acetaminophen salicylate combination. If the doctor prescribes the patient a different dose, he or she should follow the doctors prescription. Do not change the dosage unless the doctor tells says so.
There are various factors considered by the doctor to determine the right dosage for the patient including:
Patients who are allergic to acetaminophen or salicylate or both should not take this medication. Explore alternative therapies for pains and aches if allergic to the ingredients of the drug.
If the patient needs to take the acetaminophen salicylate combination for a lengthy period of time, or in dosage higher than the standard, the patient should see the doctor regularly for monitoring purposes. Elderly patients should be checked regularly to see their progress using the acetaminophen salicylate medication. Taking a large dose of acetaminophen salicylate combination over a long period of time may make the elderly patient susceptible to kidney problems.
Talk to the doctor if the following happens:
Acetaminophen salicylate combination medicine should not be used 5 days before any surgical procedure, including a dental surgery, unless the doctor allows it. Using aspirin before any surgery may lead to bleeding during surgery.
Using several acetaminophen salicylate products at the same time would cause and overdose. It is important to check drug labels whether over-the-counter (OTC) or prescription before using them to ensure that the patient will not take double the dose. Sometimes salicylic acid is an active ingredient on some skin care products and shampoos. It is important to check these products too.
If a person takes aspirin, drinking 3 or more glasses of alcoholic drinks may lead to stomach problems. Liver damage may happen if a person drinks 3 or more alcoholic drinks together with acetaminophen. Drinking should be avoided when taking either salicylate or acetaminophen or both.
Certain medicines interact adversely with acetaminophen and salicylates and side effects may manifest. The risk for side effects depend on a number factors such as the dosage of the medicine taken daily and the length of time the patient used the medicine. Always follow the doctor’s recommendation or prescription. However, do not take acetaminophen salicylate combination along with the following medicines for more than a few days unless the doctor says so:
The antacid ingredient in acetaminophen salicylate combination medicine may prevent other medications from working. It is necessary to take a buffered form of acetaminophen salicylate if the patient is also taking one of the medicines below:
Do not take a laxative with cellulose as one of the ingredients. Do not take it 2 hours of before or after taking acetaminophen salicylate. Taking a laxative few hours before or after taking acetaminophen salicylate medicine may render it less effective. The laxative prevents the salicylate from getting absorbed in the body.
Acetaminophen and salicylate combinations can also interfere with medical test results. Before taking any medical test, inform the healthcare professional about taking the combination medicines within the 3 or 4 days before the test. The patient should inquire before having the test if acetaminophen salicylate combination is safe to take a few days before the medical exam.
If an overdose happens, seek medical help right away. An overdose of salicylate could have fatal consequences- either loss of consciousness or death. Symptoms of an aspirin (salicylate) overdose include ear ringing. Other signs that might manifest include: loss of hearing, feeling disorientated, seizures or convulsions, severe lethargy, severe drowsiness, severe anxiety, very rapid breathing, and deep breathing.
The signs of acetaminophen overdose may manifest 2 to 4 days after overdose. However, treatment must begin 24 hours after the overdose. If not given treatment within 24 hours, the patient may suffer liver damage or die.
If it is necessary to use acetaminophen salicylate combination with other medicines, the doctor should determine if there will be drug interactions or side effects. Sometimes it is important to take two medicines together even if an interaction is noted in order to treat a condition. However, the doctor may need to monitor the patient for the side effects, change the dosage, use a buffer form, change the frequency of taking the medicines or shortened the length of time the medicine will be used.
The following medicines may cause potentially adverse interaction with acetaminophen salicylate. The doctor may not use combination medications or change the other medicine because the use of acetaminophen salicylate combination with the following medicines is not allowed at all:
Some drugs have adverse side effects. Do not take certain medicines along with combination medicines. If it is necessary to take the medicine together with acetaminophen salicylate combination, the doctor may need to modify the dose, change the frequency of taking one or both medicines to prevent unwanted side effects. Always follow what the doctor recommends. Take necessary precaution when taking the medications. Here’s a comprehensive list of medications that interact with acetaminophen salicylate:
To prevent stomach ache, take acetaminophen salicylate with food or 8 ounces of water.
Other important information to keep in mind before using the medication:
The patient should ensure if he or she is allergic to either acetaminophen or salicylate or both. The patient should inform the doctor of the allergy to prevent causing complications especially if taking other medications. Salicylate may be used as an active ingredient in skin or hair care products, so it is important for the patient to disclose any allergic reactions to the medication.
For older patients, acetaminophen salicylate combination may make them prone to developing serious kidney diseases such as kidney damage if they take large dosage of combination medication for a long period of time. Older people should not take acetaminophen salicylate combination for more than 5 consecutive days. If they do, their doctor should carefully monitor their progress.
Do not drink alcohol or use tobacco products when taking acetaminophen salicylate combination. Some foods may interact negatively with the combination medication. Ask the doctor if certain foods would affect the effectiveness of acetaminophen salicylate combination.
Do not use acetaminophen salicylate combination with Ethanol or tobacco products unless directed by the doctor.
A patient should disclose other medical conditions he or she has. People with the following ailments should tell the doctor to prevent incurring more problems, especially if they take certain medications for their illness:
Store acetaminophen salicylate combination medications in places that cannot be reached by children.
Place the medicine in a tightly closed container. Store them at room temperature.
Do not put them in the bathroom as it exposes the medicine to moisture, and changing temperatures.
Do not freeze or put in a freezer.
Medicines that already expired or those no longer needed have to be discarded safely.
Analgesic combination- acetaminophen salicylate can help patients with aches, migraines, rheumatism and inflammation. For adults, acetaminophen salicylate also helps alleviate fever symptoms. However, acetaminophen salicylate must not be used to treat fever, chickenpox and flu symptoms in children and teens as this could cause Reye’s syndrome, an illness that could be fatal in that age group.
Patients with existing medical conditions like asthma, bleeding, kidney, liver or stomach problems should talk to a doctor about using acetaminophen salicylate combination. The medication may affect their condition, or make the problem worse. Patients who are scheduled to take medical exams should stop using the medication before the test. Taking acetaminophen salicylate 3 or 4 days before the exam may lead to getting inaccurate test results. If in doubt, the patient should ask a healthcare professional if he or she should stop using acetaminophen salicylate several days before the medical test.
Pregnant should also take precautions when using this medication, especially during the last 3 months of pregnancy. Women who are breastfeeding their babies should also take necessary precautions as acetaminophen salicylate passes into the milk that the infant is taking. However, taking acetaminophen salicylate seems to have no side effects on nursing infant unless the mother used them in large dosage and for a lengthy period of time.
Patients who take other medications for their ailments should inform the doctor what medicines they are taking. Some medicines interact adversely with acetaminophen salicylate and may cause unwanted side effects. If the patient takes some medicines that interact with the combination medicine, the doctor may not prescribe acetaminophen salicylate. If taking the medicine is necessary for the patient and using it with other medications is unavoidable, then the doctor may recommend a buffer form of combination medication to reduce the side effects. Also, the doctor might change the dosage and frequency of using the different medications.
Patient should only use the recommended dosage as directed in the label. Or, dO not use beyond what is prescribed by the doctor. Using more than what is required may lead to overdosage and it could have fatal consequences. As much as possible, the patient should not use acetaminophen salicylate on a long term basis also or more than the amount prescribed as this could cause liver damage and urinary problems.