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  1. Before taking this medication, tell your doctor if you've had:

    • Breathing problems (such as asthma, chronic obstructive pulmonary disease-COPD)
    • Glaucoma
    • Heart disease
    • High blood pressure
    • Liver disease
    • Stomach/intestinal problems (such as blockage, constipation, ulcers)
    • Overactive thyroid gland (hyperthyroidism)
    • Urination problems (such as trouble urinating due to enlarged prostate, urinary retention)

    Products that may interact with this drug include:

    • Antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray)
    • Ketoconazole
    • MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine)

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    Warnings

    • May cause drowsiness. Alcohol and marijuana may intensify this effect. Use care when operating a vehicle, vessel (e.g., boat), or machinery.
    • Do not drink alcoholic beverages when using this medication.
    • Contains Acetaminophen. Don't use with other drugs that contain Acetaminophen (prescription or nonprescription) unless doctor approves. Too much can cause liver damage
    • May cause dizziness
    • May cause blurred vision
    • For tablet, extended release products : Do not chew or crush before swallowing.
    • For tablet, extended release products : Consult your doctor or pharmacist before breastfeeding.

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    Side effects

    Common side effects

    • Gastric acid hypersecretory conditions
    • Gastrointestinal irritation
    • Nausea
    • Vomiting
    • Heartburn
    • Abdominal pain with cramps
    • Rectal irritation

    If any of these effects persist or worsen, tell your doctor or pharmacist promptly

    • Dizziness
    • Drowsiness
    • Constipation
    • Stomach upset
    • Blurred vision
    • Dry mouth/nose/throat

    Tell your doctor right away if any of these unlikely but serious side effects occur

    • Mental/mood changes
    • Trouble urinating

    A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including

    • Rash
    • Itching/swelling
    • Severe dizziness
    • Trouble breathing

    Other things to note

    • If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

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    Precautions

    • Call Dr if you have black stools or stomach pain
    • Swallow capsules whole.
    • For capsule products : Swallow whole with water. Do not lie down for 10min. Tell doctor your complete medical history.
    • For capsule, ext release 24 hr products : Tell your pharmacist & Dr if you have allergies. Do not chew or crush. May take with food if stomach upset occurs. Reduce or avoid drinking alcohol.
    • For suppository, rectal products : Use only in pregnancy and nursing if MD ordered it. Unwrap and insert suppository in rectum. Keep in a cool, dry place or in a refrigerator.
    • For tablet products : Avoid use in pregnancy from 20 weeks until birth. Do not use in kids less than 12 years. Best to take with food to lessen stomach upset. Take with 8 oz. liquid. Do not lie down for 10min. Do not take this medicine if it smells like vinegar. Do not use longer than label or doctor directs. Call MD or RPh re. timing of taking with other meds.
    • For tablet, chewable products : Tablet may be chewed or swallowed whole.

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    Overview

    This medication is used to reduce fever and relieve minor to moderate pain from conditions such as muscle aches, toothaches, menstrual cramps, arthritis, and headaches.

    Status: Discontinued

    May Treat: Acute coronary syndrome · Acute myocardial infarction · Acute thromboembolic stroke · Cerebral thromboembolism · Dysmenorrhea and more

    Drug Class: Platelet Aggregation Inhibitors - Salicylates · Salicylate Analgesics

    Availability: Prescription sometimes needed

    Pregnancy: Consult a doctor before using

    Lactation: This drug should not be given to breastfeeding mothers

    Alcohol: Limit intake while taking this medication

    Driving: May cause drowsiness or dizziness. Use caution

    Manufacturer: ELI LILLY & CO. · SM-STRATEGIC SO

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  2. Non-opioid analgesics include a variety of agents, indicated for a number of pain conditions, and carry related potential side effects and risks (see Figure 1). The most commonly used agents include: Acetaminophen (paracetamol) Anticonvulsants (including gabapentin and pregabalin) Antidepressants (including amitriptyline and duloxetine)
    knowledgeplus.nejm.org/blog/non-opioid-analgesic…

    A Complete Guide to Non-Opioid Painkillers: A List of NSAIDs, non-NSAIDs, and Treatments Beyond Pain Pills

      www.goodrx.com/conditions/pain/non-opioid-option…
      Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Aleve (naproxen) and Advil/Motrin (ibuprofen) Tylenol (acetaminophen) COX-2 inhibitors Certain antidepressants, including tricyclics, and serotonin-norepinephrine reuptake inhibitors (SNRIs) Anticonvulsants, such as Neurontin (gabapentin) and Lyrica (pregabalin)
      www.verywellhealth.com/opioid-alternatives-5496711
      Non-opioid analgesics include acetaminophen and nonsteroidal antiinflammatory drugs (NSAIDS).
      wtcs.pressbooks.pub/pharmacology/chapter/10-6-n…
       
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