Acetaminophen Injection Uses
Brands: TYLENOL, Ofirmev, Mapap, Pharbetol, FeverAll, Children’s Acetaminophen, Tactinal, Tylophen, Acetaminophen Infant
- Acetaminophen Injection indications
- Uses of Acetaminophen Injection in details
- Acetaminophen Injection description
- Acetaminophen Injection dosage
- Acetaminophen Injection interactions
- Acetaminophen Injection side effects
- Acetaminophen Injection contraindications
- Uses
- Dosage
- Side effects
- Pregnancy
- Overdose
- Actions
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References
- DailyMed. “ACETAMINOPHEN; ASPIRIN; CAFFEINE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).”. https://dailymed.nlm.nih.gov/dailyme… (accessed September 17, 2018).
- PubChem. “acetaminophen”. https://pubchem.ncbi.nlm.nih.gov/com… (accessed September 17, 2018).
- DrugBank. “acetaminophen”. http://www.drugbank.ca/drugs/DB00316 (accessed September 17, 2018).
Acetaminophen Injection injection is used together with other medicines (eg, narcotic pain relievers) to relieve moderate to severe pain.
Acetaminophen Injection is used to relieve mild to moderate pain and reduce fever in patients. It does not become habit-forming when taken for a long time. Acetaminophen Injection may cause unwanted effects when taken in large doses, including liver damage.
Acetaminophen Injection is available only with your doctor’s prescription.
Acetaminophen Injection indications
Acetaminophen Injection provides temporary relief of minor aches and pains, temporary relief of fever and discomfort due to colds and “flu,” and of simple pain and discomfort due to teething, immunizations and tonsillectomy.
How should I use Acetaminophen Injection?
Use Acetaminophen Injection injection as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Acetaminophen Injection injection is usually given as an injection at your doctor’s office, hospital, or clinic. If you will be using Acetaminophen Injection injection at home, a health care provider will teach you how to use it. Be sure you understand how to use Acetaminophen Injection injection. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
- Do not mix other medicines (especially chlorpromazine or diazepam) in the same container or IV line as Acetaminophen Injection injection. Contact your health care provider if you have any questions about how to give Acetaminophen Injection injection with other medicines.
- Do not use Acetaminophen Injection injection if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
- Use Acetaminophen Injection injection within 6 hours after opening.
- If you miss a dose of Acetaminophen Injection injection and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Acetaminophen Injection injection.
Uses of Acetaminophen Injection in details
This drug is used to treat mild to moderate pain (from headaches, menstrual periods, toothaches, backaches, osteoarthritis, or cold/flu aches and pains) and to reduce fever.
How to use Acetaminophen Injection (Acetaminophen Injection)
Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
There are many brands and forms of Acetaminophen Injection available. Read the dosing instructions carefully for each product because the amount of Acetaminophen Injection may be different between products. Do not take more Acetaminophen Injection than recommended.
If you are giving Acetaminophen Injection to a child, be sure you use a product that is meant for children. Use your child’s weight to find the right dose on the product package. If you don’t know your child’s weight, you can use their age.
For suspensions, shake the medication well before each dose. Some liquids do not need to be shaken before use. Follow all directions on the product package. Measure the liquid medication with the provided dose-measuring spoon/dropper/syringe to make sure you have the correct dose. Do not use a household spoon.
For rapidly-dissolving tablets, chew or allow to dissolve on the tongue, then swallow with or without water. For chewable tablets, chew thoroughly before swallowing.
Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
For effervescent tablets, dissolve the dose in the recommended amount of water, then drink.
Pain medications work best if they are used as the first signs of pain occur. If you wait until the symptoms have worsened, the medication may not work as well.
Do not take this medication for fever for more than 3 days unless directed by your doctor. For adults, do not take this product for pain for more than 10 days (5 days in children) unless directed by your doctor. If the child has a sore throat (especially with high fever, headache, or nausea/vomiting), consult the doctor promptly.
Tell your doctor if your condition persists or worsens or if you develop new symptoms. If you think you may have a serious medical problem, get medical help right away.
Acetaminophen Injection description
Acetaminophen Injection (with the Optizorb formulation) also contains the following excipients: Pregelatinized maize starch, calcium carbonate, alginic acid, crospovidone, povidone, magnesium stearate, colloidal anhydrous silica, parahydroxybenzoates (sodium methyl, ethyl and propyl), OPADRY YS-1-7003 white, carnauba wax, purified water.
It contains no sugar, lactose or gluten.
Acetaminophen Injection dosage
Usual Adult Dose for Fever:
IV:
Adults and adolescents weighing 50 kg and over: 1000 mg every 6 hours or 650 mg every 4 hours, with a maximum single dose of 1000 mg, a minimum dosing interval of 4 hours, and a maximum daily dose of Acetaminophen Injection of 4000 mg per day.
Adults and adolescents weighing under 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours, with a maximum single dose of 15 mg/kg, a minimum dosing interval of 4 hours, and a maximum daily dose of Acetaminophen Injection of 75 mg/kg per day.
Orally or Rectally:General Dosing Guidelines: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours
No dose adjustment is required when converting between oral and IV Acetaminophen Injection dosing in adults and adolescents. The maximum daily dose of Acetaminophen Injection is based on all routes of administration
(i.e. intravenous, oral, and rectal) and all products containing Acetaminophen Injection.
Usual Adult Dose for Pain:
IV:
Adults and adolescents weighing 50 kg and over: 1000 mg every 6 hours or 650 mg every 4 hours, with a maximum single dose of 1000 mg, a minimum dosing interval of 4 hours, and a maximum daily dose of Acetaminophen Injection of 4000 mg per day.
Adults and adolescents weighing under 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours, with a maximum single dose of 15 mg/kg, a minimum dosing interval of 4 hours, and a maximum daily dose of Acetaminophen Injection of 75 mg/kg per day.
Orally or Rectally:General Dosing Guidelines: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours
No dose adjustment is required when converting between oral and IV Acetaminophen Injection dosing in adults and adolescents. The maximum daily dose of Acetaminophen Injection is based on all routes of administration
(i.e. intravenous, oral, and rectal) and all products containing Acetaminophen Injection.
Usual Pediatric Dose for Fever:
Preterm neonates 28 to 32 weeks:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 12 hours
Oral: 10 to 12 mg/kg/dose every 6 to 8 hoursMaximum oral daily dose: 40 mg/kg/day
Rectal: 20 mg/kg/dose every 12 hours
Maximum rectal daily dose: 40 mg/kg/day
Preterm neonates 32 to 37 weeks and term neonates less than 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 6 hoursMaximum daily dose: 60 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 15 mg/kg/dose every 8 hours
Maximum daily dose: 60 mg/kg/day
Term neonates greater than or equal to 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 4 to 6 hoursMaximum daily dose: 90 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 20 mg/kg/dose every 6 to 8 hours
Maximum daily dose: 90 mg/kg/day
Infants and Children:
IV: Less than 2 years: 7.5 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
IV: 2 to 12 years: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose 15 mg/kg
Maximum total daily dose: 75 mg/kg/day not to exceed 3750 mg/day
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours as needed; do not exceed 5 doses in 24 hours
Alternatively, the manufacturer lists the following recommended doses:
2.7 to 5.3 kg or 6 to 11 pounds: 0 to 3 months: 40 mg
5.4 to 8.1 kg or 12 to 17 pounds: 4 to 11 months: 80 mg
8.2 to 10.8 kg or 18 to 23 pounds: 1 to 2 years: 120 mg
10.9 to 16.3 kg or 24 to 35 pounds: 2 to 3 years: 160 mg
16.4 to 21.7 kg or 36 to 47 pounds: 4 to 5 years: 240 mg
21.8 to 27.2 kg or 48 to 59 pounds: 6 to 8 years: 320 mg
27.3 to 32.6 kg or 60 to 71 pounds: 9 to 10 years: 400 mg
32.7 to 43.2 kg or 72 to 95 pounds: 11 years: 480 mg
The manufacturer recommends the use of weight to select the dose as the preferred method. If weight is not available, then age may be used.
Rectal: 10 to 20 mg/kg/dose every 4 to 6 hours as needed (Although the perioperative use of high dose rectal Acetaminophen Injection (e.g., 25 to 45 mg/kg/dose) has been investigated in several studies, its routine use remains controversial; optimal doses and dosing frequency to ensure efficacy and safety have not yet been established; further studies are needed).
Children greater than or equal to 12 years:
IV: Less than 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose: 750 mg/dose
Maximum total daily dose: 75 mg/kg/day (less than or equal to 3750 mg/day)
IV: Greater than or equal to 50 kg: 650 mg every 4 hours or 1000 mg every 6 hours
Maximum single dose: 1000 mg/dose
Maximum total daily dose: 4000 mg/day
Oral or Rectal: 325 to 650 mg every 4 to 6 hours or 1,000 mg 3 to 4 times daily
Maximum daily dose: 4000 mg/day
Usual Pediatric Dose for Pain:
Preterm neonates 28 to 32 weeks:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 12 hours
Oral: 10 to 12 mg/kg/dose every 6 to 8 hoursMaximum oral daily dose: 40 mg/kg/day
Rectal: 20 mg/kg/dose every 12 hours
Maximum rectal daily dose: 40 mg/kg/day
Preterm neonates 32 to 37 weeks and term neonates less than 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 6 hoursMaximum daily dose: 60 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 15 mg/kg/dose every 8 hours
Maximum daily dose: 60 mg/kg/day
Term neonates greater than or equal to 10 days:
IV loading dose: 20 mg/kg followed by 10 mg/kg/dose every 6 hours
Oral: 10 to 15 mg/kg/dose every 4 to 6 hoursMaximum daily dose: 90 mg/kg/day
Rectal: Loading dose: 30 mg/kg; then 20 mg/kg/dose every 6 to 8 hours
Maximum daily dose: 90 mg/kg/day
Infants and Children:
IV: Less than 2 years: 7.5 to 15 mg/kg/dose every 6 hours
Maximum daily dose: 60 mg/kg/day
IV: 2 to 12 years: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose 15 mg/kg
Maximum total daily dose: 75 mg/kg/day not to exceed 3750 mg/day
Oral: 10 to 15 mg/kg/dose every 4 to 6 hours as needed; do not exceed 5 doses in 24 hours
Alternatively, the manufacturer lists the following recommended doses:
2.7 to 5.3 kg or 6 to 11 pounds: 0 to 3 months: 40 mg
5.4 to 8.1 kg or 12 to 17 pounds: 4 to 11 months: 80 mg
8.2 to 10.8 kg or 18 to 23 pounds: 1 to 2 years: 120 mg
10.9 to 16.3 kg or 24 to 35 pounds: 2 to 3 years: 160 mg
16.4 to 21.7 kg or 36 to 47 pounds: 4 to 5 years: 240 mg
21.8 to 27.2 kg or 48 to 59 pounds: 6 to 8 years: 320 mg
27.3 to 32.6 kg or 60 to 71 pounds: 9 to 10 years: 400 mg
32.7 to 43.2 kg or 72 to 95 pounds: 11 years: 480 mg
The manufacturer recommends the use of weight to select the dose as the preferred method. If weight is not available, then age may be used.
Rectal: 10 to 20 mg/kg/dose every 4 to 6 hours as needed (Although the perioperative use of high dose rectal Acetaminophen Injection (e.g., 25 to 45 mg/kg/dose) has been investigated in several studies, its routine use remains controversial; optimal doses and dosing frequency to ensure efficacy and safety have not yet been established; further studies are needed).
Children greater than or equal to 12 years:
IV: Less than 50 kg: 15 mg/kg every 6 hours or 12.5 mg/kg every 4 hours
Maximum single dose: 750 mg/dose
Maximum total daily dose: 75 mg/kg/day (less than or equal to 3750 mg/day)
IV: Greater than or equal to 50 kg: 650 mg every 4 hours or 1000 mg every 6 hours
Maximum single dose: 1000 mg/dose
Maximum total daily dose: 4000 mg/day
Oral or Rectal: 325 to 650 mg every 4 to 6 hours or 1,000 mg 3 to 4 times daily
Maximum daily dose: 4000 mg/day
Acetaminophen Injection interactions
What other drugs will affect Acetaminophen Injection?
Acetaminophen Injection is metabolized (eliminated by conversion to other chemicals) by the liver. Therefore drugs that increase the action of liver enzymes that metabolize Acetaminophen Injection [for example, carbamazepine (Tegretol), isoniazid (INH, Nydrazid, Laniazid), rifampin (Rifamate, Rifadin, Rimactane)] reduce the levels of Acetaminophen Injection and may decrease the action of Acetaminophen Injection. Doses of Acetaminophen Injection greater than the recommended doses are toxic to the liver and may result in severe liver damage. The potential for Acetaminophen Injection to harm the liver is increased when it is combined with alcohol or drugs that also harm the liver.
Cholestyramine (Questran) reduces the effect of Acetaminophen Injection by decreasing its absorption into the body from the intestine. Therefore, Acetaminophen Injection should be administered 3 to 4 hours after cholestyramine or one hour before cholestyramine.
Acetaminophen Injection doses greater than 2275 mg per day may increase the blood thinning effect of warfarin (Coumadin) by an unknown mechanism. Therefore, prolonged administration or large doses of Acetaminophen Injection should be avoided during warfarin therapy
Acetaminophen Injection side effects
- swelling, pain, or tenderness in the upper abdomen or stomach area
For Healthcare Professionals
Applies to Acetaminophen Injection: compounding powder, intravenous solution, oral capsule, oral granule effervescent, oral liquid, oral powder for reconstitution, oral suspension, oral tablet, oral tablet chewable, oral tablet disintegrating, oral tablet extended release, rectal suppository
General
In general, Acetaminophen Injection (the active ingredient contained in Acetaminophen Injection) is well-tolerated when administered in therapeutic doses. The most commonly reported adverse reactions have included nausea, vomiting, constipation. Injection site pain and injection site reaction have been reported with the IV product.
Nervous system
Common (1% to 10%): Headache, dizziness
Frequency not reported: Dystonia
Common (1% to 10%): Muscle spasms, trismus
Psychiatric
Common (1% to 10%): Insomnia, anxiety
Genitourinary
Common (1% to 10%): Oliguria
Local
Common (1% to 10%): Infusion site pain, injection site reactions
Ocular
Common (1% to 10%): Periorbital edema
Other
Common (1% to 10%): Pyrexia, fatigue
Rare (0.01% to 0.1%): Malaise
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4. Gursoy M, Haznedaroglu IC, Celik I, Sayinalp N, Ozcebe OI, Dundar SV “Agranulocytosis, plasmacytosis, and thrombocytosis followed by a leukemoid reaction due to acute Acetaminophen Injection toxicity.” Ann Pharmacother 30 (1996): 762-5
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16. Mofenson HC, Caraccio TR, Nawaz H, Steckler G “Acetaminophen Injection induced pancreatitis.” Clin Toxicol 29 (1991): 223-30
17. Keays R, Harrison PM, Wendon JA, et al “Intravenous acetylcysteine in paracetamol induced fulminant hepatic failure: a prospective controlled trial.” BMJ 303 (1991): 1026-9
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Some side effects of Acetaminophen Injection may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
Acetaminophen Injection contraindications
What is the most important information I should know about Acetaminophen Injection?
There are many brands and forms of Acetaminophen Injection available and not all brands are listed on this leaflet.
Do not take more of this medication than is recommended. An overdose of Acetaminophen Injection can damage your liver or cause death.
Know the amount of Acetaminophen Injection in the specific product you are taking.
Do not take this medication without a doctor’s advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take Acetaminophen Injection.
Avoid drinking alcohol. It may increase your risk of liver damage while taking Acetaminophen Injection.
Ask a doctor or pharmacist if it is safe for you to take this medicine if you have liver disease or a history of alcoholism.
Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen Injection (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much Acetaminophen Injection which can lead to a fatal overdose. Check the label to see if a medicine contains Acetaminophen or APAP.
Active ingredient matches for Acetaminophen Injection:
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